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Hi all. Glad to be here. Want to pick your brains.

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Morphine Allergic

Greenlighter
Joined
Jun 7, 2014
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4
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Far away from the city and people who want to tell
I was very excited when my daughter told me about this site. We are both opiate users, albeit for different reasons. I have some severe medical problems and have been on opiates for several years now. I have been getting seizure-like "tics" from my morphine, as organic seizures have been ruled out by neurologist, and I also take topamax for fibromyalgia. My physician put me on fentanyl patches and it turns out I am allergic to the adhesive in the patches. My doctor went out of town this weekend after prescribing this stuff, and left me to pretty much fend for myself. They are very itchy and leave welts on my skin. Does anyone have any suggestions for a good pain medication? Unfortunately medicare only pays $2,900 a year, but it is late enough into the year that I can get around that some. I live in a rural area where good medical care is hard to come by, and praying that they pass the medical marijuana law very quickly! Thanks for any help you can provide.
 
Have you tried anything else? Do you need long acting pain relief or just for breakthrough? The 2900 is refering to the donut-hole? Sorry for all the questions but trying to get a better idea of all the problems.
 
I'm have many years of opiate experience, some illicit, but mostly prescription drugs. I have pretty much quit drugs, except on special occasions, hence my Screen Name "retired trashcan" Feel free to pick my brain anytime. There is A LOT of knowledge and experience in there. Cheers and welcome to BL %)
 
That's terrible he left after putting you on a new medication like that what a jerk. I don't know what to say I wish I could come and give you a bunch of meds to keep you well till your doc gets back but I can't:(
If it gets Real bad you know you can go to the hospital and tell then what the patch did to your skin and how your in withdrawals really bad and the pain is excruciating.
Other than that the only thing to do is buy heroin or street pills or wait till you see your doctor.
So sorry to hear about your problems I wouldn't wish that on my worst enemy.
Welcome to BL we will be here for support if you let us and if you want a ear to listen to your issues I'll be here :)
 
He gets seizure like tics from morphine, dont think recommending heroin or street pills is a good solution.
 
Thx all. Medicare covers up to $2,900/ yr in medicine before the "donut hole, then drugs are 50% covered. I have been on MS for a few yrs now, and have it built up in my system. My Dr. won't put me on a fast acting pill due to the risk of o/d'ing being so much greater. I am allergic to medications such as bendaryl, believe it or not. I had chicken pox when I was 30, and the doc prescribed benadryl. I had wicked seizures and wound up in an ambulance to the hospital! Tempting as street drugs are, I have been helping my daughter battle a street drug addiction for many years that started when she was a young teen, and I can't be having her buy her mother street drugs while I am providing her suboxone and telling her to stay away from the heroin dealers. We live in Florida, home of the Oxycontin Express and pill mill. The pill natzis monitor everyone, and each collect a list of who purchased what from which pharmacy. They put it all together and even go after doctors if they think the doctor is writing too much. A crippled man in a wheelchair spent 4 yrs in jail bcuz his dr wrote him more than 4gms of medicine for a month's supply. They got him for intent to traffic or some such nonsense. My doc has a partner who was supposed to be informed of the potential allergy and would write my script if I turned in the patches. He neglected to put in my chart or tell anyone in his office that it may be a problem, so no one wanted to help for fear of a lawsuit. So much for hypacratic oath. Anyway, thanks for listening to my babble.
 
Perhaps you can ask for a different brand of patch? Most use a silicone based adhesive but I believe the Teva brand does not.

Ultram ER or Nucynta ER would be appropriate if this was an immunological reaction but sounds more of a side effect and these could exacerbate tics.

Of course there are things like Oxycontin, Opana ER etc but those are more similar to morphine and quite expensive.

To my knowledge the 50% donut hole discount only applies to brand name drugs so still kinda shitty.
 
You could always smoke or cut up and suck on your Fentanyl patches. Fentanyl is the strongest opiate agonist on the face of the planet. It's usually well tolerable if you have a previous opiate tolerance. You want something to take your pain away...well you are there. Unfortunately you are having a typical patch reaction. The binders that allow the patch to stick are sucking all the natural oil out of the skin. The fentanyl then soaks into your oil-less area causing a mild irritable reaction. You are not allergic to fentanyl or the binders specifically...it's just your skin is being irritated by the patch. It's a common issue.

Next: Topamax=Tiredness, drowsiness, dizziness, loss of coordination, tingling of the hands/feet, loss of appetite, bad taste in your mouth, diarrhea, and weight loss may occur. Mental problems such as confusion, slowed thinking, trouble concentrating or paying attention, nervousness, memory problems, or speech/language problems may also occur. What they don't tell you is it causes tic's and seizures.

If you want to make the best of your pain then do the drug in a manner other than prescribed. It may sound like bad advice, but I too was on the patch...on my body. I had the same reaction and the fentanyl didn't seem to be working like it should. The minute I began to smoke it I couldn't feel my body. Pain became an issue of the past. However, on the side of caution, smoking or chewing to much will kill you. Even if you are opiate tolerant. You need to adapt, prevail, overcome...you have what you have. Now you must find a way to adapt it to you pain needs. As far as i'm concerned other opiates are a waste of time. If you've been on opiates for 7 years then pills are not the answer. I've been on for 5 years and 1-30mg oxycodone will last about an hour orally. Opana 30mg will last about 2 hours. Oxycontin 30mg will last 2 hours....all the while none of them truly take my pain away. AND THEY ARE UNGODLY EXPENSIVE and often not covered by medicare or medicaid without prior authorization. However, I smoke the Fentanyl and my body is numb 2-3 hours while allowing me to carry on a somewhat normal life. No matter what you are committed to opiates...choice has nothing to do with it....do whats best for you. If smoking or chewing Fent isn't your thing then trade those patches for whatever is. And for God sakes get off the Topamax...It's poison in a bottle.
 
Bringing up smoking or SL fentanyl sounds like bad advice because it is. This person seems to never have been on IR meds, we have no idea what dose Duragesic they are on, other than saying too much can kill you, you give no "instructions" on how much to cut up and use (none is really the only number I would accept). I know people are going to use drugs in many and varied ways, but there is zero need to resort to something this extreme.

We also do not know if the OP had been on Topamax before morphine, so to demonize it is premature. Go look up Duragesic's package insert. Under adverse reactions in post marketing experience there are reports of seizure as well.

MorphineAllergic, it is true that adminstration site reactions are known to be a nuisance. I only suggested you switch brands because you said your doctor felt it was an adhesive allergy. You may try spraying a steroid nasal spray on the site before application. Helps some, but not all.
 
Kittycat5 said:
Bringing up smoking or SL fentanyl sounds like bad advice because it is. This person seems to never have been on IR meds, we have no idea what dose Duragesic they are on, other than saying too much can kill you, you give no "instructions" on how much to cut up and use (none is really the only number I would accept). I know people are going to use drugs in many and varied ways, but there is zero need to resort to something this extreme.

We also do not know if the OP had been on Topamax before morphine, so to demonize it is premature. Go look up Duragesic's package insert. Under adverse reactions in post marketing experience there are reports of seizure as well.

MorphineAllergic, it is true that adminstration site reactions are known to be a nuisance. I only suggested you switch brands because you said your doctor felt it was an adhesive allergy. You may try spraying a steroid nasal spray on the site before application. Helps some, but not all.
Click to expand...

I do not control the inevitability of what one will or will not do with their drugs. I don't feel the need to offer instructions because there are thousands of threads on abusing fentanyl. I simply offered an answer for someone who's back is against the wall. The regurgitation of my material and demonizing my answer on a public forum is shameful. Forums are merely speculation and opinion. If he/she wanted real clinical answers she can pick up a phone or use the internet to consult with a primary care physician.

But lets say for a moment I know what I'm talking about...does that make me any less wrong in your opinion? Or... are my answers rudimentary, uncivilized, and too uneducated for your taste? The answer is: IT DOESN'T MATTER. As these are mere opinions of you and myself; they are neither right nor wrong. Now let us get down to business. I respect your opinion. But let me share a little something with you:

1. I was on Topamax and experienced the same spectrum of problems
2. I am a board licensed Clinical Counselor and Prescribing Practitioner
3. I consult with other medical professionals on a daily basis that have also "demonized" Topamax
4. I understand the Pharmacology behind the drug Topamax, its risks, and its dangers
5. You don't get to say what is "extreme" or adverse behavior for anyone but yourself...There is "Zero need" for that
6. This is an opinionated drug forum. The goal here is not to persecute, it is to aid others based on our personal experiences. Right or wrong does not exist here. Answers exist and everyone is free to dismiss or use the information at hand
7. Regardless on your miraculous knowledge of the personal medical history at hand. Being on IR opiate medication after "7 years" of Opiate Tolerance is not going help progress the pain management of this individual.
8. I am intimately aware of Fentanyl's pharmaceutical package insert. I am also aware that I have 10,000 time the experience with it that you do.
9. I'm sure you are a great person, however your pre-judgemental analysis of my small post reveals a hidden insecurity and disdain for drug abuse. Should you want to discuss it further I would be more than happy to do so.:D
 
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I have no disdain of drug use of any kind. I too am well aware of the pharmacology and risks of Topamax. YOU may have 10,000 times the experience as me with fentanyl but the OP does not seem to, but I will let them answer. The goal of the forum should be reducing harm, not mere speculation. How exactly does commenting on the sublingual use of fentanyl accomplish this?
 
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