• 💊 OTHER DRUGS 💊 Welcome Guest
    Posting Rules Bluelight Rules
    Notable Threads 1 Notable Threads 2
    Dangerous Combos Addiction Support
    Emergency Services Benzo Guide v.1
    Addiction Stories Scary Case Studies
    Biology, Pharmacology & Drugs 101
  • Select Your Topic Then Scroll Down
    Alcohol Bupe Benzos
    Cocaine Heroin Opioids
    RCs Stimulants Misc
    Harm Reduction All Topics Gabapentinoids
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums

Opioids Opioids Fentanyl

K

kiznet

Greenlighter
Joined
Mar 7, 2025
Messages
6
I’ve been using prescribed ir oxycodone 160-180mg total daily for many years for chronic nerve pain. I was recently hospitalized for a major abdominal surgery.
The pain Dr suggested I try switching from the oral ir oxycodone to a 100mcg transdermal Fentanyl patch to be changed every 72 hours. He advised it will cover the chronic pain and the residual abdominal pain while I need it. My question is will putting on a 100 mcg patch be okay and me not having to worry about any bad side effects (like respiratory). I did not understand all of what he tried to explain to me about that. Before I agree to switch I want to know if anyone can tell me if it is safe to take this amount. Thank you for any help in clarifying.
 
Generally it's wise to listen to medical professionals, worst case you can always ask other medical professionals around you. It can be tough to deal with chronic pain in the first place, make sure to keep on a good maintenance medication for it. Everybody's different as far as what works and what doesn't for pain management, and the only way to find out if new meds work is to try them. Under medical supervision is the best place to be for that.
 
Has the oxycodone been working ok for you or is there a reason that you want to switch? If you're stable on the oxycodone I'd resist switching. You never know if another drug will work as well, even if its technically equivalent, and once you switch off the oxycodone you may have trouble getting your doctor to restart the prescription. Oxycodone may one day stop working, when that happens there's no reason not to try the fentanyl patches, but if something is working I don't see a reason to change. The doctor's reason is that they just don't like prescribing oxy IR anymore and would like to get people off of it even if its currently working.
 
Felonious Monk said:
Has the oxycodone been working ok for you or is there a reason that you want to switch? If you're stable on the oxycodone I'd resist switching. You never know if another drug will work as well, even if its technically equivalent, and once you switch off the oxycodone you may have trouble getting your doctor to restart the prescription. Oxycodone may one day stop working, when that happens there's no reason not to try the fentanyl patches, but if something is working I don't see a reason to change. The doctor's reason is that they just don't like prescribing oxy IR anymore and would like to get people off of it even if its currently working.
Click to expand...
Thank you for the reply. The oxy ir at the current dose is not working as well as it had been. I’ve got recent additional abdominal pain now along with the chronic nerve pain. I’m mostly wanting to know if going from the oxy daily dose to the 100 mcg patch is not dangerous…that’s it doesn’t sound like too much more. I realize everyone reacts differently but looking for a sort of general answer about safety with the 100 mcg patch.
 
Felonious Monk said:
Has the oxycodone been working ok for you or is there a reason that you want to switch? If you're stable on the oxycodone I'd resist switching. You never know if another drug will work as well, even if it’s technically equivalent, and once you switch off the oxycodone you may have trouble getting your doctor to restart the prescription. Oxycodone may one day stop working, when that happens there's no reason not to try the fentanyl patches, but if something is working I don't see a reason to change. The doctor's reason is that they just don't like prescribing oxy IR anymore and would like to get people off of it even if it’s currently working.
Click to expand...
Also, do you know if in switching medicines, as in oxy ir to fentanyl patch, will there be a period of withdrawal from the oxy? Or will the Fentanyl dose keep that away?
 
kiznet said:
Also, do you know if in switching medicines, as in oxy ir to fentanyl patch, will there be a period of withdrawal from the oxy? Or will the Fentanyl dose keep that away?
Click to expand...
There shouldn’t be substantial withdrawal. Maybe very mild, because people can respond differently to different opioids. I’d try to keep some oxy on hand just in case the fent patches don’t work as well for pain, or you can’t tolerate the side effects, as that’s what I’d be more concerned about.
 
fairnymph said:
There shouldn’t be substantial withdrawal. Maybe very mild, because people can respond differently to different opioids. I’d try to keep some oxy on hand just in case the fent patches don’t work as well for pain, or you can’t tolerate the side effects, as that’s what I’d be more concerned about.
Click to expand...
Thank you so much. I will speak to the Dr again and probably give it a try.
 
I would make sure you aren’t giving up your right to be prescribed oxy by giving it a try. Fentanyl is one hell of a painkiller but it pales in comparison to the overall well being feeling that oxy can provide, yes euphoria. Granted painkilling ability isn’t exactly the same thing but the qualities certainly overlap and I remember having repeatedly overdosing or blacking out while trying to “get there” to cover all pain and withdrawal discomfort from street fentanyl it will increase your tolerance faster than the oxy will in most circumstances.
 
Thanks fo replying. Something to consider for sure. Are you saying you used to blackout or overdose on the fentanyl? Do you think I would have either of those reactions only using the 100mcg patch? And are you thinking I will experience withdrawal from the oxy if I switch? I just want the pain to go away.
 
While I can’t speak for LSDiesel, I think what he’s getting at is the fact that fentanyl isn’t necessarily a great painkiller relative to oxy, and many people prefer the way that oxycodone feels to fentanyl. But keep in mind that he was using street fentanyl not being prescribed pharmaceutical grade fentanyl patches.

I too find that I prefer the way oxycodone feels (fewer side-effects, especially less sedating) and that it’s a better painkiller than fentanyl. But everyone is different so I still think it’s worth trying. But not if it means you can’t go back to the oxy if you find it doesn’t work as well for you.
 
I briefly used fent patches for pain management, and they can definitely be good for 24 hour around the clock pain, but it's a very different subjective experience than oxycodone though. You can use a milligram morphine equivalent (MME) calculator to do an oxy to fent conversion.
www.mdcalc.com

Morphine Milligram Equivalents (MME) Calculator

The Morphine Milligram Equivalents (MME) Calculator calculates total daily morphine milligram equivalents.
www.mdcalc.com www.mdcalc.com
 
I was using street opiates that everyone referred to as fetty but contained everything from from fentanyl to carfentanyl to isonitazene to rc benzodiazepines and the clonidine analog xylazine which really did a number on my sanity and mental health especially combined with the paranoid states and memory loss that came from smoking meth too. I would smoke match sized fetty chunks every 3 hours and I would still seizure up and I couldn’t tell if I was experiencing a withdrawal symptom or a side effect.

Smoking is the quickest way to get a drug to your brain although it prevents you from taking megadoses like you can with a rig,

The fact that you would be having a fentanyl patch is a very different way of using that wouldn’t skyrocket your tolerance, but i might look into adding medications like

Gabapentin/lyrica
Benzos
Phenibit/GHB/GBL
Hydroxizine
DXM
CBD

To your oxy or rotate out the oxy with other meds if you can stand it, or even rotate to morphine or methadone if possible.

Tolerance, dependence all eventually mean the opiates don’t work like they used to and the only way to get them to work again is to abstain or switch it up.

Since it sounds like you need round the clock meds slow release morphine or eating poppies/opium and methadone are your best options in my opinion.

There’s also O-DSMT which could work well for you as well if you can locate it.

I am on methadone for maintenance but I dabble with oxy/h on top of it.
 
Oh and I forgot to mention, be thankful you were able to secure your oxy script. Living in pain sucks but there are many who suffer who would love to get an oxy script but can’t for a myriad of reasons. Once you get off that oxy the medical system won’t want you back on it the political winds today only let you open that door one way.
 
You must log in or register to reply here.
Top