Kindly requesting emergency help with Opiate taper. Please take time to help.

[takingmylifeaway]

Hello, and thank you for clicking on my post and being willing to help me. I really do need it. My story goes like so very many others on this site over they years, so I won't bore you with all the little details. Basically, started taking Opiates for a completely legitimate medical reason, but like so many others, it certainly snowballed into something very dark and different, and I started treating the mental pain that I obviously have with them instead. I probably do not have much medical need for them anymore, but you all know how it goes. I have been taking them for about 4 or 5 years. I have wanted to be free of them for a year or two now (more with each passing week), and have tried a few times, even posting here for advice but with not much success. I'm ashamed to admit that I've never really made it more than a day or two. Probably because I didn't have any real motivation to quit, other than knowing that I should because they are destroying my life, and tearing away at the happy, successful, person I have always been (I'm 29 now).

Please don't take my lack of detail about how Opiates are destroying my life, or my back story, as meaning that it's not that bad. It is that bad, I just know that most of you reading this know everything that I would say, and have probably been through it yourself.

Well, I certainly have reason to quit now. a few days ago, I took a urine screen at my Doctor's office (haven't had one in over two years... *surprise*, and was found to have something (Oxy) in my system that she certainly didn't prescribe to me, and as a result, I got a call today that I was being dropped for "Violating my pain contract". I'm very scared, but am not angry, I don't want to even attempt to fight it, and I am smart enough to view this for the complete blessing in disguise that it actually is. It is now time to get back to what I used to be, or at least closer than I am now.

My question, and something that I really need help with, is how to taper with what I've got left to set myself up for success. I have no experience with tapering, and am terribly scared to do it.

My general level of tolerance is- Wearing (1) 50mcg (or sometimes 75mcg) Fentanyl patch (Rx to me), and taking either (7-8) 10mg Norco (Rx to me) or maybe (5) 15mg Oxycodone Immediate Release (not Rx to me) per day (or some combination of the Norco and Oxy- *always* wearing the Fentanyl patch), without "nodding" or feeling high. It's not that I need this much to not feel sick, it's just what I generally take in a day.

What I have left- I have (5) 50mcg Fentanyl patches (the kind that you can cut, and about (70) or so 10mg Norco left.

What do you guys and girls who have experience with tapering Opiates suggest that I do? Should I just taper both at once since I typically take both? Should I put the Norco out of my reach for now, and just deal with tapering the Fentanyl because it's stronger, (if so, how?) then Taper the Norco later to help with the Fentanyl withdraw? Should I do the opposite? Cut the patches or don't etc? I realize I'm asking a tough question, but truthfully, I have never been afraid of much of anything in my life, but I'm a man brought to his knees with terror at the thought of the suffering of withdraw, and frankly the frightening prospect of losing something I've relied on for years to get through everything in life....

At the same time though...

I am thrilled with the idea of finally stopping. If you've clicked on this post, I probably don't need to describe to you how devastating the terrible, heartbreaking effects that these Opiates have on my relationships, family, friends (almost non-existent at this point), sex life, job, work ethic, soul, happiness, personality, emotions etc. and how they are just killing the one life I have been given (my beliefs). I don't need to tell you how worthless I feel, the thoughts of suicide that creep in (no, I'd never do it). All I have to do to be free now, is get a good plan from you guys, and just *not* search out a new source, because my old one is definitely gone, and that has to end up being a good thing.

Just two other notes- 1. Suboxone, Methadone etc. is not an option for me. I am a professional Firefighter/Paramedic, and due to periodic background checks, future job offers etc, having a diagnosis of "addiction" will take away the only thing I have dreamed about doing with my life since childhood. and 2. I do have a couple of months worth of Ambien. That should help with at least getting to sleep, although maybe not staying asleep.

Thank you guys so very much in advance for your help. I have never relied on strangers so much for anything in my life as I am right now. People rely on me all the time at work, it looks like I'm the one needing rescue now.

TLDR- must taper and quit Opiates now. Have never tapered, and don't know how. I have (5) 50mcg Fentanyl patches, and (70) 10mg Norco left.

-Chad

 

[fizzymk]

I had a similar thing happen to me, back in Sept, I was given a surprise urine screen at my pain mgt doctor, and it showed positive for morphine (from H), I had been on methadone for pain, for over 10 years, every month I would take more than I was supposed to, and would run out early each month and instead of suffering thru w/ds, I would use H until I could get my script again.

I was discharged immediately, I was so scared and upset, and knew nothing I could do about it, no doctor is going to risk his career/ license for one patient, I then went into the 'blessing in disguise' mode and decided it was for the best for me to get off all this shit, but didnt quite work out that way, when my pain mgt office called to tell me I was discharged and they would no longer fill my methadone script, they did give me a new dosing schedule to ween me off the methadone, but when they called, I only had about 20 pills left, when I should have had about 70.

After I ran out of the methadone, I just started using H almost every day, just to avoid the methadone w/ds, this was back in sept, still using H, and now well addicted to that! If I were you, I would only take the meds you have, when you start feeling the w/ds creeping in, and only use enough to stop the w/ds, and NOT enough to get you feeling good, I made that mistake many times too, I didnt just want the w/ds to go away, I wanted to be high too...meds go quickly like this!!

Personally, I would use the fent first, since that is the strongest thing you have, doesnt take much fent to take w/d symptoms away, then when you run out of fent, use the Norco, use both as sparingly as possible though.

Good luck.

 

[takingmylifeaway]

I had a similar thing happen to me, back in Sept, I was given a surprise urine screen at my pain mgt doctor, and it showed positive for morphine (from H), I had been on methadone for pain, for over 10 years, every month I would take more than I was supposed to, and would run out early each month and instead of suffering thru w/ds, I would use H until I could get my script again.

I was discharged immediately, I was so scared and upset, and knew nothing I could do about it, no doctor is going to risk his career/ license for one patient, I then went into the 'blessing in disguise' mode and decided it was for the best for me to get off all this shit, but didnt quite work out that way, when my pain mgt office called to tell me I was discharged and they would no longer fill my methadone script, they did give me a new dosing schedule to ween me off the methadone, but when they called, I only had about 20 pills left, when I should have had about 70.

After I ran out of the methadone, I just started using H almost every day, just to avoid the methadone w/ds, this was back in sept, still using H, and now well addicted to that! If I were you, I would only take the meds you have, when you start feeling the w/ds creeping in, and only use enough to stop the w/ds, and NOT enough to get you feeling good, I made that mistake many times too, I didnt just want the w/ds to go away, I wanted to be high too...meds go quickly like this!!

Personally, I would use the fent first, since that is the strongest thing you have, doesnt take much fent to take w/d symptoms away, then when you run out of fent, use the Norco, use both as sparingly as possible though.

Good luck.

Thank you kindly for the reply. I'm sorry to hear that you're still riding the Opie-go-round. There will come a time for you to get off of it.. now is mine. I was lucky enough to be getting mine from my family doctor instead of dealing with a pain management doctor, so they won't be giving me a dosing schedule..That's basically what I was looking for here. If you have any friends on here who might be able to help, please point them in the direction of this post.

As for you, hang in there. We usually don't just use Opiates until we're 90 year old walmart greeters. We all hit our wall. And that's either dying, or figuring out that we HAVE to stop, then doing it. You sound intelligent enough for it to be the latter. Good luck my friend, and thanks for letting any taper experienced people know about this thread.

 

[pill_billy]

yea man i feel your pain.... i had 18 hours left in my senior yr of college and went and fucked it all up by getting high on perc 30s which lead to shootin H because fuck paying that much pills... and honestly in my opion and my brothers (who is a pharmacist) pills are more addicting the heroin because they are man made and designed to cling to the brain more efficently... but if i were you i would try to taper off the best you can and go to the ER and request a clondine patch and pill, that shit helped me so much, it took away a solid 90% of the WD symptoms... also you may wana look into enrolling in a intesive out patient (IOP) program, that too helped out so much... and it can be sooooo scary taking that first step and walking into a place like that but remember that everyone is there for a reason and i believe that drug addicts are the most understanding and (when in recovery) most caring people in the world..... good luck man, please let us know how it goes... alot of people on here care and will help you if we can

 

[takingmylifeaway]

yea man i feel your pain.... i had 18 hours left in my senior yr of college and went and fucked it all up by getting high on perc 30s which lead to shootin H because fuck paying that much pills... and honestly in my opion and my brothers (who is a pharmacist) pills are more addicting the heroin because they are man made and designed to cling to the brain more efficently... but if i were you i would try to taper off the best you can and go to the ER and request a clondine patch and pill, that shit helped me so much, it took away a solid 90% of the WD symptoms... also you may wana look into enrolling in a intesive out patient (IOP) program, that too helped out so much... and it can be sooooo scary taking that first step and walking into a place like that but remember that everyone is there for a reason and i believe that drug addicts are the most understanding and (when in recovery) most caring people in the world..... good luck man, please let us know how it goes... alot of people on here care and will help you if we can

Thanks for the reply. Yeah, like I said in the post, enrolling in something that goes on my medical record just isn't in the cards for me. Losing my dream career just isn't something I can let happen. People in my field aren't quite as understanding as they should be. I deal with people (patients) further down the opiate road than me, and it helps me want to succeed. I see their pain, I see them die, I see them on the streets, and I know they were probably at a similar crossroads once, but couldn't, or didn't, stop. So what happened when you banged the H the first time? Your college kicked you out? How did they find out?

If anyone has an idea for a taper plan based on what I have left (which is disappearing of course), please let me know.

 

[takingmylifeaway]

I have to be honest with you. After lurking on the BL forums for many years, and seeing all the wonderful people that have given so much great advice to those struggling in that time, I am very surprised that out of over 100 people who have taken the time to click on my post, only two have replied. Maybe I posted this in the wrong sub-section? Moderator? I mean, I've always valued this place because I get advice from reading the advice the pwoplw give other people, but I'll be honest, I'm scared as fuck right now about what is going to happen, and how I can get through this terrible thing that I know is forthcoming, and I guess I expected the wonderful people here (I know you're here) to help me with some sort of plan. I'm not angry, and I'm really not trying to be rude, but shit, I need you guys. I'm pretty much terrified. Consumed completely by thoughts of "what the hell do I do now". If nothing else, I guess the venting helps.

 

[neversickanymore]

Hey taking and welcome to BL

I would make an appointment with another physician and explore the use of some medications to help you get through this more comfortably.

medications for acute opiate detox

The medications I would explore the use of for detox would be:
>Clonidine< DOSED EVER FOUR HOURS..

one of either
>NEURONTIN< >HERE< >HERE< >here<
OR >Lyrica<
OR >phenibut<

>A BENZO BUT JUST AT NIGHT<
>a nsaid<
>melatonin<
tylenol
Senokot S is a stool softener and laxative. If you do not want the laxative you can go for strait stool softenerDioctyl sodium sulfosuccinate.

(Opi Withdrawal) what is the best comfort meds for opiate w/d?

Your Personal Opiate Withdrawal Arsenal

This wont be fun, but you will make it through this.

 

[takingmylifeaway]

Hey taking and welcome to BL

I would make an appointment with another physician and explore the use of some medications to help you get through this more comfortably.

medications for acute opiate detox

The medications I would explore the use of for detox would be:
>Clonidine< DOSED EVER FOUR HOURS..

one of either
>NEURONTIN< >HERE< >HERE< >here<
OR >Lyrica<
OR >phenibut<

>A BENZO BUT JUST AT NIGHT<
>a nsaid<
>melatonin<
tylenol
Senokot S is a stool softener and laxative. If you do not want the laxative you can go for strait stool softenerDioctyl sodium sulfosuccinate.

(Opi Withdrawal) what is the best comfort meds for opiate w/d?

Your Personal Opiate Withdrawal Arsenal

This wont be fun, but you will make it through this.

Thank you neversickanymore for taking the time to reply to my post, as I said in the post though, having something that goes on my medical record such as medical treatment for "acute opiate withdrawal" just isn't in the cards for me. Unfortunately, it looks like my solution will be tapering with what I have (however that's accomplished) and going through whatever withdrawal is there with only whatever over the counter medication might help. I'm excited to be done with these, but not quite sure how to attack this.

 

[neversickanymore]

Thank you neversickanymore for taking the time to reply to my post, as I said in the post though, having something that goes on my medical record such as medical treatment for "acute opiate withdrawal" just isn't in the cards for me.

I guess i don't understand why this would be? already in your record will be why you were discharged from the pain clinic. Also already in your record will be that you were on huge doses of opiates. Guess I don't understand what if any big deal would be with having some non narcotic medications on your records.


How would a script for neurontin or lyrica prevent you from a profession while prescriptions for fent etc won't. Just wonder if your thinking here is sound or a form of addict thinking?

 

[takingmylifeaway]

I guess i don't understand why this would be? already in your record will be why you were discharged from the pain clinic. Also already in your record will be that you were on huge doses of opiates. Guess I don't understand what if any big deal would be with having some non narcotic medications on your records.


How would a script for neurontin or lyrica prevent you from a profession while prescriptions for fent etc won't. Just wonder if your thinking here is sound or a form of addict thinking?

I never went to a pain clinic, just my regular old family doctor. The prescriptions on file were from a work injury and are to be expected (or could be explained). Since I've been seeing this Doctor for years, she has decided to allow the drug test, and evidence of me "failing" it, to stay out of my file. She put it in the shredder right in front of me. The official record will show only that I stopped coming in for narcotics. In fact, I don't even have to leave her practice, just can't get any more narcotics. So as of now, my medical record will show that I was taking narcotics for a documented injury, but will not show that I ever "struggled" with narcotics or "addiction". This isn't a form of addict thinking, I make no bones about the fact that I'm a full blown addict. Yes I am, but in a profession where full medical history and records are required for each new job, and they grill you about your medical records in each job interview, I'd rather not have the appearance that opiates took control of my life, but would rather be able to say. "Oh yes officers, I did have an injury which required those medications, once I healed fully from said injury, I ceased use of them". There is also a second reason which I didn't mention, because I didn't want to get into a political debate with anyone while just asking for their help. I also take charge of my own personal protection, and responsibly and legally carry a firearm for as a very last resort in case someone should attempt to take my life, or my loved one's. In each form for each firearm, or carry permit is the question, "are you, or have you ever been, addicted to narcotics etc".... if my answer was found to be untrue, I would become a convicted felon, and lose both my second amendment rights for life, and my career. This is of course a sad state of our health (edit)and justice(edit) system, which by and large views addicts as "criminals" who need to be locked in prison and punished rather than seeing addiction as the treatable medical sickness that it is.

I hope I've explained my reasons well enough. I don't understand though, is it your opinion that I can't do this without other prescription medications? Is the reason nobody is offering advice on my taper because I've screwed up so bad that no taper can help now? Uh oh

 

[neversickanymore]

I never went to a pain clinic, just my regular old family doctor. The prescriptions on file were from a work injury and are to be expected (or could be explained). Since I've been seeing this Doctor for years, she has decided to allow the drug test, and evidence of me "failing" it, to stay out of my file. She put it in the shredder right in front of me. The official record will show only that I stopped coming in for narcotics. In fact, I don't even have to leave her practice, just can't get any more narcotics. So as of now, my medical record will show that I was taking narcotics for a documented injury, but will not show that I ever "struggled" with narcotics or "addiction". This isn't a form of addict thinking, I make no bones about the fact that I'm a full blown addict. Yes I am, but in a profession where full medical history and records are required for each new job, and they grill you about your medical records in each job interview, I'd rather not have the appearance that opiates took control of my life, but would rather be able to say. "Oh yes officers, I did have an injury which required those medications, once I healed fully from said injury, I ceased use of them". There is also a second reason which I didn't mention, because I didn't want to get into a political debate with anyone while just asking for their help. I also take charge of my own personal protection, and responsibly and legally carry a firearm for as a very last resort in case someone should attempt to take my life, or my loved one's. In each form for each firearm, or carry permit is the question, "are you, or have you ever been, addicted to narcotics etc".... if my answer was found to be untrue, I would become a convicted felon, and lose both my second amendment rights for life, and my career. This is of course a sad state of our health (edit)and justice(edit) system, which by and large views addicts as "criminals" who need to be locked in prison and punished rather than seeing addiction as the treatable medical sickness that it is.

I hope I've explained my reasons well enough. I don't understand though, is it your opinion that I can't do this without other prescription medications? Is the reason nobody is offering advice on my taper because I've screwed up so bad that no taper can help now? Uh oh

IMO there is a big difference between addiction and physical dependence. Every one who takes opiates for extended periods gets physically dependent. Gabapentin and lyrica are often prescribed for many symptoms and its only an off label prescription for opiate withdrawal. You may want to explore the use of one of these prescribed for restless leg syndrome. This is one of the most unpleasant aspects of opiate withdrawal for most people.

Clonidine is high blood pressure medication that has many off label uses, one of witch being opiate withdrawls.


Its not that you will not be able to do this without these medications. Its that this can be very difficult and uncomfortable for people to go through. For this reason I think the most comfortable approach and the one that has the greatest likelihood of success is to explore and obtain the medications that help us get through this.

Have you ever withdrawn from opiates before

 

[jmaransky]

I think one of the reasons you are not getting much advice for a taper is that your combination of drugs is pretty unique - I personally don't have any experience/knowledge of Fentinal .... so I can't advise on a taper plan. But one thing I will say is don't automatically disqualify yourself from professional help because you are worried about what goes on your record. If you have an EAP program through your work you can call them and it is illegal for them to share any information on the nature of your discussion with your employer. I went through my EAP program - took a leave of absence from work and went to a detox/rehab facility for 30 days and another 30 days of out patient. When they contacted my boss, all they said is "he has been approved for a leave of absence for medical treatment" and that was it - they even told him he was not allowed to ask me any questions or seek any info ... I think you said you are a fire fighter and those types of professions actually almost always have really good benefits/programs for this kind of thing. When I was at rehab - there were like 10-15 guys who were cops, fire fighter, sanitation workers, city employee types ... and I was jealous of how good their benefits were. if you have short term disability you may even get paid during your time off - I got paid at 75% of my regular pay but had to use all my existing vacation first. So check out your work and see if you have an EAP program - if you do, give them a call and discuss - even if they can't help you they legally can't report you. I would think since you were seeing a doctor legitimately for a pain problem ... she may be able to help as well - tell her "look I understand you can't prescribe the pain meds anymore - but don't just cut me off cold turkey - help me get through the withdrawal process". I wish I had more I could tell you - but getting professional help is the best thing I ever did - I tried for years to figure out how to quit on my own only to fail and watch my life go down the toilet. If you don't want to go to a full rehab - at least consider a detox facility - there are many in florida that can detox you over a 7-10 period - that gets you through the acute withdrawals at least and you can do that by just taking vacation for a week. You can even pay cash if you are worried about it going on your record - probably about 3500 - 4000 for 7 days - that may seem like a lot but for me it was about what I was spending a month on drugs anyway. hope this helps.

 

[herbavore]

I wish that I had some information to give you but I don't. I wanted to address your frustration with 100 views and no clear information. (I remember posting my first thread and waiting for someone to reply. 100+ views later, no one had which sent me into a kind of panic. Now I see how common that is for every thread and it just comes down to the number of people that use this forum as both guests and members.)

Have you considered a rehab detox as jmaransky recommended? If you have tried to step off before and could not sustain it, getting professional help might be in your best interest. No matter what the program (if it is reputable that is) you will be medically safe, you will have a community of support around you and you can pick and choose what helps you philosophically (no need to completely agree or completely reject anything over dogma--just use what is useful to you). Perhaps you could alert your doctor that this is what you are interested in and get some guidance there?

 

[Jan108]

I am very surprised that out of over 100 people who have taken the time to click on my post, only two have replied.

Not all of us who read here are addicts. Some, such as myself, have an addict in their life and are only really here to read, try to understand the addiction and everything that comes with it, and see if there's anything we can do to help our loved ones who are struggling.

That being said, my loved one is a hardcore addict. Here in Canada, real Oxy is hard to get, so we have what is called street Oxy, which is Fentanyl (from what I've been told). I've also been told that Fentanyl is one of the hardest things to get off of. I don't know how accurate it is, but I've tried it, liked it and can see why people get hooked so fast. My guy is taking on average 10 pills per day, which are labelled as 80mg, but being street drugs, who knows. I tried it with him a few times, and one tiny little line knocks me on my ass hard, how he takes as many as he does and is still alive is beyond me.

Anyways, his habit is costing him everything, money is huge, he spends approx $1500/week on his drugs. Sometimes more, sometimes a bit less, depending. He's pawned all his stuff, relationships are suffering, his health is suffering, you name it. He decided on his own to try and get clean. He went from 10+ pills a day down to 3. He was giving them to me to hand out to him daily, but I know he was getting them on the side as well.

He finally decided to go to detox, because he realized he couldn't do it on his own. he was to be in there 7 days. He checked himself out on day 3. He called me daily while he was in there. First day, totally suicidal, crying, saying they're not helping him, saying he's goign to check himself out, etc... Not sure what it was I said to him, but whatever it was, made him stay. Second day, he was much better, not crying but not impressed with the place (he told me about it later, whole other story, but the place sounded like a shithole with nasty people working there), again, he wanted to check out, saying he thought he was over the worst of the WD's (keep in mind this guy is a long term addict, has been addicted to many things over the years and has managed to get clean each time. Until the next time he finds something he likes). Again, I talked him into staying, told him that it was too soon, if he could just stick it out a day or two more just to make sure. Saturday morning I woke up and went downstairs to make coffee and he came down not long after me. He checked himself out earlier that morning, saying the place was just not for him.

He was a mess, hadn't slept in 3 days, aching (like with most, this oxy addiction started with a legitimate medical reason), didn't eat, just looked like total shit, but OMG I was glad to have him home. He was in extreme pain so he hit up a bottle of rum, sayign that might help his pain and definitely would put him to sleep (he doesn't drink a whole lot). Nope, didn't help him sleep but sure helped with the pain he was in. Anyways, long story short, he's still doing his oxy, but he's cut it down to 1 per day (so far). I took him Saturday to get one, he took it and he immediately looked better, was able to relax, all his pain was gone, and he was more himself.

Now he's looking to stay on one per day until he can either taper, or get into a methadone clinic. He's hoping to cut it down to 1/2 pill a day in a few days and hopefully a few days after his 1/2 pill, he thinks he should be able to quit. Can he do it? i sure hope so.

I'm not sure I'd be fucking around with tapering after what I saw my friend go through. He was a mess, i was honestly tempted to call him an ambulance a few times but he decided that he'd had enough and checked into detox. What the poster above said about EAP, if you have one, use it. They can't disclose the nature of your 'illness' to anyone, those are confidential records. You seem to be ashamed of your addiction. Bad things happen to good people, shit happens, not like you decided being a junkie was the thing to be, it happened over time, due to medical reasons right? I'd put your worries about this dream job of yours aside for the time being and just focus on getting yourself better. There is absolutely nothing wrong with seeking professional help, but having to hide it because you're afraid someone will find out seems to be a bit much IMO? As long as a person is looking for help, then all the power to them I say.

 

[AllOverItPDX]

Wow Chad your story is rough yet eerily similar to mine. I'm glad you are looking at it as a blessing in disguise though, because thats exactly what it is! I know for me it takes some kind of kick-in-the-butt for me to make changes in my life sometimes. I just can't seem to do it on my own sometimes, and thats nothing to be ashamed about. In fact I probably wouldn't have replied to your original post if you hadn't sent the second post where I could tell you were really desperate, so thank you for that!

I think if I were in your shoes I would stop taking the norcos and save those for later in the taper if you are able to. The patches you should use first and obviously use those as sparingly as possible. Spread out the patches until you absolutely can't stand it anymore and then put another one on, hopefully increasing the window each time. Is there any possible way you could get one suboxone or subutex? Even one would make a world of difference in this situation.

Just prepare yourself mentally that the next couple weeks are going to be shitty but its all going to be worth it. I myself am preparing myself to try and do the same and kick these damn opiates to the curb. My girlfriend that I love more than anything in this world would be devastated if I continue the opiate lifestyle and I am not willing to lose her. It is just not an option. Obviously I want to get clean for myself as well because I know that having a successful, happy, lifestyle means not having opiates in it. Its just that simple. Its just really hard to keep that mindset 24 hours a day. Please keep posting and keep us updated on your story as your success is going to help me stay motivated to as well, good luck buddy!

 

[neversickanymore]

Im going to throw this up to BDD for awhile as they deal with allot of tapers. We can move this back to tds to offer you support as you begin to go through the detox. If you reach a point where you want it moved back please contact me or any of the good bdd crew.

Your going to make it through this!!

 

[Americanfloosie]

I have some experience with fentynal. I was hooked on it for a good year. If your still needing advice I'm here for you. Fentynal is THE WORST opiate to detox from I'm 17 months clean from it and still crave it once in a while. I'm not trying to scare you it's just how it is with that stuff. The fact that your doctor scrapped the papers and didn't offer any help is completely unethical. I would find a new doctor explain what happened and start on a taper.
No bones about it your gonna be in some pain. Good luck. And please feel free to contact me about any questions! I'm here to help.

 

[Runtoparadise]

Personally, I've never tapered off fent, but I've used it & have some knowledge of it. As it's the strongest, I'd stick to only using the fent atm. Save the other stuff for later. I understand the need for privacy & to go it alone, I'm in a similar position to urself.

Can u manage ok with just a 50mcg patch on? For three days? If so, then ur fine to begin the taper. As ur patches are the type u can cut, what I would do is cut the first one into equal quarters. See if u can handle wearing just three pieces of the divided patch. You'll likely get some withdrawl symptoms, but not too severely. Carry on, slowly, dividing the patches smaller & smaller until you jump, off the tiniest amount you can. This'll not be a fast taper, buddy, but it'll be safer & easier at the end. Then supplement Wds with your remaining pills.

I'm in rush atm, but let me know if you'd like more details. Also, since ur seeing ur family gp, hit him up for some Lyrica. It's not a controlled substance & will ease wd symptoms immensely!

Good luck

Rtp