I put a 50mcg patch on 17 hours ago and I am still feeling nothing. I mean no reduction in pain. So I just put on half a 50mcg patch, then said screw it, and put on the other. I am fairly confident in my decision, but does anyone think I have gone too far here? I just now put the two halves of the second patch on, but if I feel absolutely nothing from 50mcg surely the most 100mcg would do is floor me? (Although that's not my goal.) My most recent maximum acute dose of oxycodone was 200mg, and that made it a bit hard to maintain balance...
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BDD Moderators: Keif’ Richards
Fentanyl 50mcg too weak?
- Thread starter SPC123
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personally i think they made the right choice, because your having very bad side effects from such high oxycodone, you shouldn't lose your balance.. thats way over doing it. you need to give yourself at least 3 days to adjust, then you should being felling the relief very well, if not after a 3-7 days, then go back and tell them, they probably change you to 75mcg/hour patches. BUT you putting on extra patches is totally wrong, in this world you need to be patient and respectful, you shouldn't expect relieve bAM! right away.. these things take time to settle, whenever switching opioids it takes time, you have to come down from the other drug and get used to the new, with oxycodone it doesn't take much time, 2-3 days and you'll be feeling no residual come down and the fentanyl will be working great. but if you screw around with your dose your only going to hurt the chances of success. you want relief and have the least side effects, your GREATLY increasing the latter. *please read the rules, no use of red font, thanks* -NT
Converting From:
First selection: Oxycodone PO
Daily dose: 200 mg
Final opiate chosen (Converting TO): Fentanyl Transdermal
Equivalent dosage of FINAL opiate: 83.33 mcg/hr
this calculator is great, keep in mind this is without any deduction for cross tolerance, docs sometimes will take off 25% then up it after a week if you need.
http://www.globalrph.com/opioidconverter2.htm
Converting From:
First selection: Oxycodone PO
Daily dose: 200 mg
Final opiate chosen (Converting TO): Fentanyl Transdermal
Equivalent dosage of FINAL opiate: 83.33 mcg/hr
this calculator is great, keep in mind this is without any deduction for cross tolerance, docs sometimes will take off 25% then up it after a week if you need.
http://www.globalrph.com/opioidconverter2.htm
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Oxide
Bluelight Crew
^Seriously. You're going to ruin your tolerance slapping all these patches on and you won't be able to get any relief. The patch is working, you just need to adjust to it's subtlety. It's not like oxy. It comes on very slow.
If you want to speed the release of the drug, don't put on more patches. Apply a heat source to the patch in short on/off intervals. This speeds the amount of the drug released per hour, but also uses up the fentanyl supply in the patch more quickly.
You need to remove the other patches IMO. Fentanyl isn't the most euphoric opiate on the planet, not nearly as euphoric as oxycodone in my opinion. You have to adjust to that.
If you want to speed the release of the drug, don't put on more patches. Apply a heat source to the patch in short on/off intervals. This speeds the amount of the drug released per hour, but also uses up the fentanyl supply in the patch more quickly.
You need to remove the other patches IMO. Fentanyl isn't the most euphoric opiate on the planet, not nearly as euphoric as oxycodone in my opinion. You have to adjust to that.
"surely the most 100mcg would do is floor me? (Although that's not my goal.)"
considering your changing opioids which is supposed to be reduced by 25% of total daily dose, and instead your increasing it by 25% ... you get the point.
and in the first place your on too much freakin dope. one shouldn't be walking funny on their oxy. this doc is totally screwing you over, and you have no idea. this is one of those foot loose stupid asses .. you should get a read doc.
good luck
considering your changing opioids which is supposed to be reduced by 25% of total daily dose, and instead your increasing it by 25% ... you get the point.
and in the first place your on too much freakin dope. one shouldn't be walking funny on their oxy. this doc is totally screwing you over, and you have no idea. this is one of those foot loose stupid asses .. you should get a read doc.
good luck
I just want to point out that the 200mg of oxy was me abusing them. My doc scripted me 20mg at 4 hour intervals. I took 10 times that because I am a drug abusing addict. That said I do have real pain that I need to deal with, and the fent patches were suggested by me and accepted by my doctor because they are harder to abuse (if I took 10 times my scripted fent dose I would die). So basically, for both me and my doc, this is the last genuine effort to control the pain. If this doesn't work there are no more options from my doc. I really want this to work, but when I woke up this morning in MORE pain rather than less, I got kinda pisses off.
Advice, don't fuck with fentanyl. It is very potent, and something could go wrong. On another note, I wouldn't recommend fentanyl patches to anyone, really. They aren't great. Fentanyl has a very short half-life, and isn't very euphoric IMO. And, what are you doing taking enough oxy to fuck with your balance when you need to control your tolerance for legit pain control? Try MS-Contin 60 2 x daily with maybe Norcos or Percocets for breakthrough (just what I think might work for you).
I am 33 years old. I crashed my motorcycle a little over a year ago. I broke 2 fingers, my wrist, elbow, 2 ribs, a vertebra in my lower back, ruptured my spleen (full splendectomy) and lacerated my kidney. I lost all the blood in my body a few times requiring 3 blood transfusions. This happened literally months after fully recovering from a car accident with a drunk driver (I was coming home from work, he was coming home from a night of drinking) in which I had soft tissue injuries to my mid back which required extensive therapy and pain management. Prior to that I was in the gym every day, ate right, had a good job and was doing well in school (going part time when my job and paycheck would allow). Now I make minimum wage in a manual labor job that I can't afford not to have but can't do without pain management.
Oh, and I have been with the same doctor for over 20 years, I rarely drink, and I have never bought drugs on the street. Everything has been prescribed. I also suffer from anxiety disorder diagnosed my a clinical psychiatrist recommended by my family doctor.
3 weeks ago I tried to kill myself with 14000 mg of APAP but 8 hours after ingestion spoke to my parents and felt guilty so I went to the ER to get some NAC.
I am an addict, but my addicroon is to being pain free, physically and mentally. I hope the fentanyl works because a sense of guilt over taking your own life is a rough reason to keep on living.
Thanks for the advice.
Edit @ Alex: I tried extended release oxycodone and it worked very well. Unfortunately I pay for my drugs 100% out of pocket and couldn't afford to continue.
Oh, and I have been with the same doctor for over 20 years, I rarely drink, and I have never bought drugs on the street. Everything has been prescribed. I also suffer from anxiety disorder diagnosed my a clinical psychiatrist recommended by my family doctor.
3 weeks ago I tried to kill myself with 14000 mg of APAP but 8 hours after ingestion spoke to my parents and felt guilty so I went to the ER to get some NAC.
I am an addict, but my addicroon is to being pain free, physically and mentally. I hope the fentanyl works because a sense of guilt over taking your own life is a rough reason to keep on living.
Thanks for the advice.
Edit @ Alex: I tried extended release oxycodone and it worked very well. Unfortunately I pay for my drugs 100% out of pocket and couldn't afford to continue.
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Oxide
Bluelight Crew
The "adjustment" phase comes with your body getting used to a new drug at a new dose. After a few days I would imagine the symptoms will subside. Don't put on more patches or anything like that, use the patches as prescribed.
You may apply heat to the patch like I mentioned in an above post to speed the release of the drug for the time being, use a heating pad or something similar. Be careful to do this in intervals, you don't want to push through the pain or anything or you will certainly blister.
Best of luck, hope you feel better man.
You may apply heat to the patch like I mentioned in an above post to speed the release of the drug for the time being, use a heating pad or something similar. Be careful to do this in intervals, you don't want to push through the pain or anything or you will certainly blister.
Best of luck, hope you feel better man.
ChaosBuild3
Bluelighter
- Joined
- Nov 28, 2011
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^^ What oxide said. It takes a few days for Fent to start working when you first get on the patch. 50mcg isnt a childs play dose either.
like he said 50mcg isn't childs play.
but it also isn't going to make you totally pain free.. you have to get used to the idea that it's going to be there for a long long time. you may recover some with physical therapy, a few years from now this could be just a bad dream.
but your drug addiction may carry on if you don't check that NOW. don't mess around and pull threw.
good luck fella, your going to need it. get with your family/friends when you feel so bad right away, hell get on the phone, get a hobby do something. try and feel better friend, it's too bad about the oxycontin i have similar prob with expenses. those aren't cheap.
by the way, that 50mcg/hour is = too 120mg oxycodone a day.. and you have some BT pills? just try bud, try to get used to it. if not maybe you should try morphine ER and IR, they are DIRT CHEAP. and you won't like to take more then you need, like with the oxy. Morphine is LESS euphoric, much like fentanyl, but it works!
Morphine 60mg ER, every 12 hours
Morphine 30mg IR, 2x a day PRN (as needed)
ER=extended release
IR=Immediate release
but it also isn't going to make you totally pain free.. you have to get used to the idea that it's going to be there for a long long time. you may recover some with physical therapy, a few years from now this could be just a bad dream.
but your drug addiction may carry on if you don't check that NOW. don't mess around and pull threw.
good luck fella, your going to need it. get with your family/friends when you feel so bad right away, hell get on the phone, get a hobby do something. try and feel better friend, it's too bad about the oxycontin i have similar prob with expenses. those aren't cheap.
by the way, that 50mcg/hour is = too 120mg oxycodone a day.. and you have some BT pills? just try bud, try to get used to it. if not maybe you should try morphine ER and IR, they are DIRT CHEAP. and you won't like to take more then you need, like with the oxy. Morphine is LESS euphoric, much like fentanyl, but it works!
Morphine 60mg ER, every 12 hours
Morphine 30mg IR, 2x a day PRN (as needed)
ER=extended release
IR=Immediate release
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Jabberwocky
Frumious Bandersnatch
i strongly disagree; used as directed i think fentanyl patches are great for PM, very efficient. everyone is different though, i had fantastic relief around the clock and the only problem i ran into was, in summer time, the adhesive would come unstuck with almost every patch, trying every possible avenue to keep 'em stuck.
i agree that it's not very euphoric in recreational sense either, just extremely sedative and itchy.
please leave out the personal attacks against whether they're using on top of their PM meds or not, this is not the place for that.
Thanks for all the advice guys. Today was the first time I felt a real effect from this. It's like you guys said, far more subtle than oxy... More like an SNRI. Takes a bit to get into your system but once it's there you notice a pretty big difference. Thanks again for the advice and support!
Jabberwocky
Frumious Bandersnatch
i might rap this thread up then. pm me or one of the other mods if you need it reopened and we can consider it
Jabberwocky
Frumious Bandersnatch
reopened on request.
Thanks!
OK, so just when it seems like these are finally working, I get so sick I can't keep water down. I have been basically throwing up since my last post. This Fentanyl business is barely helping with the pain while providing absolutely zero euphoria (I mean is an oh so slight mood lift so much to ask for). It takes days to work, and the biggest payoff is more sick than I've ever been on oxy with zero sedation so I can't even sleep.
I am willing to ride this out for a few more days on you guys advice, but right now I'd rate Fentanyl as a pain killer just below my own excrement. Is there anything else I could be doing here?
OK, so just when it seems like these are finally working, I get so sick I can't keep water down. I have been basically throwing up since my last post. This Fentanyl business is barely helping with the pain while providing absolutely zero euphoria (I mean is an oh so slight mood lift so much to ask for). It takes days to work, and the biggest payoff is more sick than I've ever been on oxy with zero sedation so I can't even sleep.
I am willing to ride this out for a few more days on you guys advice, but right now I'd rate Fentanyl as a pain killer just below my own excrement. Is there anything else I could be doing here?
Jabberwocky
Frumious Bandersnatch
your dose is too high, that is why you're getting sick. jumping from 50mcg straight to 100mcg/hr is extremely dangerous and not advised at all. doubling your dose like that could have ended up fatal.
you said you didn't want to "floor yourself" and you have so back off the dose so you're not getting sick. manage your pain, not eradicate it and obliterate yourself at the same time.
be safe.
you said you didn't want to "floor yourself" and you have so back off the dose so you're not getting sick. manage your pain, not eradicate it and obliterate yourself at the same time.
be safe.
Tell your doctor.
What did you get sick from, did you take a higher dose of fentanyl that you previously have? Increasing the dose will likely just result in you feeling more of the unpleasant side effects, instead of more euphoria. I never found fentanyl to be euphoric, and also don't care for morphine, and the few times I used the morphine and increased the dose hoping for more euphoria, I just ended up getting more itchy, and nauseous.
Also, some of this may be mental. Since you don't feel euphoria from the fentanyl you may be not wanting it to work, so you could have your doctor switch you to a different pain med.
What did you get sick from, did you take a higher dose of fentanyl that you previously have? Increasing the dose will likely just result in you feeling more of the unpleasant side effects, instead of more euphoria. I never found fentanyl to be euphoric, and also don't care for morphine, and the few times I used the morphine and increased the dose hoping for more euphoria, I just ended up getting more itchy, and nauseous.
Also, some of this may be mental. Since you don't feel euphoria from the fentanyl you may be not wanting it to work, so you could have your doctor switch you to a different pain med.
It kinda feels like I overdid it except for the fact that I am both 100% sober and not getting much pain relief. I am back to the single prescribed patch and will stick to it for the next few days. Perhaps I sabotaged myself by getting impatient initially.
Oxide
Bluelight Crew
^You most certainly did.
That's why I replied with this at the beginning of the thread, though. You went overboard.
Gonna close this now, though, since you figured it out.
That's why I replied with this at the beginning of the thread, though. You went overboard.
Gonna close this now, though, since you figured it out.
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