Opioids Fentanyl patch, wearing 2 when its time to change it?

[RSD/CRPS]

Hello, I have been searching old posts on here for days and can't seem to find a answer for my problem. I take 30mg oxycodone for bt pain everyday and wear 25mcg fentanyl patch, changed every 72hrs. My tolerance is very high as I have RSD and have been on opiates for years for it. My problem is I am going into withdrawal every 48hrs or so and do not see my PM dr for a while. Is it safe to keep the old patch on while I am waiting for the new one to work? It can take up to 8 hrs for it to help my pain and I am in horrific withdrawal while I am waiting. The oxycodone (5mg prn 5max per day) does not help my pain when this happens. I am not wanting to get high in any way or abuse my medicine. (I'm just a boring old senior citizen) Just want better pain control and avoid any withdrawals until I get into see my dr for a med adjustment. I know that the patch does not work for 72hrs for most people, but I must wait to see dr to change it sooner. Can someone please help me? RSD is the highest rated chronic pain disease on the Mcgill pain scale (more painful than natural childbirth/loss of a digit) and I am in agony every 48hrs. Thank you so very much for reading and trying to help me. RSD/CRPS

 

[MartinFn]

I think i know how you feel, man. If you have a high tolerance, keeping the old patch won't be a problem for you, and i don't of course want to make you sad, but i don't think it'll help you(but if you're new on the patch, it could works, yeah, i think..). If you don't take the pain relief that you're supposed to take from the patches, i think that maybe you could ask your Dr to change it every 48h, it happens very often..but you know the fent has a very "clean" high that is difficult to understand it, so don't make any noncence, my friend...i hope you get the relief you deserve..%)


MartinFn

 

[King Hop Head]

Have you tried adding Gabapentin or Pregabalin?

 

[tricomb]

You should call your doctor and ask about wearing 2, as your issue with withdrawal while waiting for the new patch to kick in is very common.

Your doctor should prescribe better breakthrough meds, 5mg oxy? what is that, percocet? What about boosting fentanyl levels with a little Fentora or something?

 

[RSD/CRPS]

Thanks boys, means a lot to an old man.

Well, I am going to ask my dr about a 48hr dose, as this disease is tough for a senior. I do already take neurontin and amitriptyline. I use lidoderm patches as well and nothing really quite helps like fentanyl. Thanks so much for your replys, you all seem to really have good hearts.