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    #16
    pain management is a tough science.
    if it was neuropathic pain i would have though they would have tried a lot of the anticonvulsants first such as neurontin ,lyrica topamax .
    the big problem i see when you start with the strong narcotics like fenatil is they are very hard to stop, at least with lyrica or neurontin, when you decide they really aren't helping or want to try without them, its pretty easy to taper off .
    if its not neuropathic pain that the narcotics will probably be necessary, even with neuropathic pain the narcotic are usually necessary, however the anticonvulsants work well with narcotics and help to keep the narcotic dose down
    cauda equina

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      #17
      I looked at the patch and I was wrong, it is 25mcg... Oops lol. It does help but I still have bad non-neuropathic pain so I'm going to up it to 50mcg in 4 days. My patch came off last night when I was at a friends get together, drunk people hugging on me to much , and I waited until about 1pm to put a new one on and wow did my back hurt when I woke up. How much of a difference would an extra 25mcg's make?

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        #18
        An extra 25mcg should make quite a bit of difference. I have trouble keeping the patch on sometimes as well, have found a small piece of tape on each end helps. Keep in mind that the lost patch could be dangerous to others, (especially drunken others!) I have also experemented with placement, especially in the summer. In winter I put it on my upper arm (long sleeves and all) but during warm weather I put it on my side. Hope it helps!
        T7-8 since Feb 2005

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          #19
          That shit made me break out in hives

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            #20
            Watch the heat with any patch

            Like it has been mentioned above, you must watch the heat because way too much drug can be released if it gets too hot.

            I have see quite a few overdoses in the ER from heating pads, heated waterbeds, even just being in the sun too long.

            Great medicine. Just be careful.

            MIke

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              #21
              Thanks for that warning, especially with the hot weather in so much of the US lately.

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                #22
                How is it working out?
                T7-8 since Feb 2005

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                  #23
                  Fentanyl

                  I have been using Duragesic for more than three years. It has been the most effective medication in providing some relief from neuropathic pain. I usually change the patches at night.

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                    #24
                    Originally posted by sjean423
                    How is it working out?
                    The 25mcg wasn't working well enough so I upped it to 50mcg's today and I still have horrible pain, or at least earlier I did. I had a few beers with a friend not to long ago and took 3 Vicodin and my pain still is shitty. I don't want to but I might have to go up to 75mcg's . The Fentanyl constipates me like you wouldn't believe but the pain really is screwing me over. I can't sit in my wheelchair without being in severe pain and college starts in less than a month. I don't use my pain medicine to get high like alot of people do, I take my medicine to get relief. Sometimes the relief is there and sometimes there is nothing. I went see my rehab doctor today and told her about my pain problem and she told me that if it continues to get worse like it has been, I'm going to have to have some tests done to check if there's a problem with my muscular skeletal system(don't know if that's it). I THINK the Fentanyl is working but I still have horrible pain. I was given a prescription of Vicodin with the Fentanyl for breakthrough pain but it seems as if I ALWAYS have breakthrough pain. I don't know what's going on but I have to wait and see.

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                      #25
                      the muscle skeleton they are talking about is to see if there is something wrong inside you they can fix, could be anything from a loose or broken screw or bone pressing on nerves.
                      cauda equina

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                        #26
                        Originally posted by WonderDerek
                        The 25mcg wasn't working well enough so I upped it to 50mcg's today and I still have horrible pain, or at least earlier I did. I had a few beers with a friend not to long ago and took 3 Vicodin and my pain still is shitty. I don't want to but I might have to go up to 75mcg's . The Fentanyl constipates me like you wouldn't believe but the pain really is screwing me over. I can't sit in my wheelchair without being in severe pain and college starts in less than a month. I don't use my pain medicine to get high like alot of people do, I take my medicine to get relief. Sometimes the relief is there and sometimes there is nothing. I went see my rehab doctor today and told her about my pain problem and she told me that if it continues to get worse like it has been, I'm going to have to have some tests done to check if there's a problem with my muscular skeletal system(don't know if that's it). I THINK the Fentanyl is working but I still have horrible pain. I was given a prescription of Vicodin with the Fentanyl for breakthrough pain but it seems as if I ALWAYS have breakthrough pain. I don't know what's going on but I have to wait and see.
                        Derek
                        Im not trying to be mother hubbard but drinking and Fentonyl is a very bad combination and add vicodin to that.......you may be making an appearance at the ER for overdose/poisoning.

                        Please be careful. Fentonyl is a very powerful drug. I had to change my father's patches when he was dying of lung cancer.....he was only on 50mg. There is a warning that comes with it that it slows your breathing..........when combined with alcohol you could stop breathing all together.......
                        T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

                        My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

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                          #27
                          I second Daisy's Mom vote here Derek .... pick your poisen, don't mix em.
                          T7-8 since Feb 2005

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                            #28
                            Derek,
                            If you dont go over what the doc says, dont sweat the meds for breakthrough.

                            That being said, you should not be eating your "Viccccies" daily. If you do, you need to ramp up the patches.
                            Also, since you are young...think about dumping the acetominophen in the Vicoden.
                            Drinking ANYTHING with tylenol is a big no-no.

                            I would try to ramp up on the opiate and find the lowest possible amount of tylenol that makes it work. I found the 7.5 percs split in half worked just as well as a full 3.5 perc did.
                            (Same pain control, half the acetominophen)

                            I really posted here to warn about something concerning the patches.

                            For me, they worked great on pain. Best pain control I ever had.
                            HOWEVER, they made me a raving A-hole to live with.
                            I was Mr argue, nasty, sarcastic, bad choices right and left.
                            Worst part is, I did not see it till my wife showed me by threatening to move out.

                            I would watch how you feel emotionally. Talk to close friends, family.

                            Also, DO NOT cold turkey off of them.
                            You can DIE. If you have been on them for a few weeks even, ramp slowly off. I was on 100's for 9 months and stopping cold turkey was worse than my SCI.
                            There have abeen a few people who were not even told about this.
                            If you are on 75's for a month and you forget to change it, you will know what a junkie goes through when they kick dope.

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                              #29
                              Originally posted by thenose
                              Derek,
                              If you dont go over what the doc says, dont sweat the meds for breakthrough.

                              That being said, you should not be eating your "Viccccies" daily. If you do, you need to ramp up the patches.
                              Also, since you are young...think about dumping the acetominophen in the Vicoden.
                              Drinking ANYTHING with tylenol is a big no-no.

                              I would try to ramp up on the opiate and find the lowest possible amount of tylenol that makes it work. I found the 7.5 percs split in half worked just as well as a full 3.5 perc did.
                              (Same pain control, half the acetominophen)

                              I really posted here to warn about something concerning the patches.

                              For me, they worked great on pain. Best pain control I ever had.
                              HOWEVER, they made me a raving A-hole to live with.
                              I was Mr argue, nasty, sarcastic, bad choices right and left.
                              Worst part is, I did not see it till my wife showed me by threatening to move out.

                              I would watch how you feel emotionally. Talk to close friends, family.

                              Also, DO NOT cold turkey off of them.
                              You can DIE. If you have been on them for a few weeks even, ramp slowly off. I was on 100's for 9 months and stopping cold turkey was worse than my SCI.
                              There have been a few people who were not even told about this.
                              If you are on 75's for a month and you forget to change it, you will know what a junkie goes through when they kick dope.
                              Yep, don't just stop taking the neds with out first talking with your doctors.

                              At some point you will need to re-think the amount of opiates etal your taking with out results.

                              If your kicking up the dose and get little help from it. getting stoned is not the long term answer.

                              Neuropathic pain does not always respond to these drugs.

                              Alan
                              L4/L5 CES

                              www.DRAFT.cc
                              http://www.facebook.com/profile.php?id=1024602574

                              Messages from Alan Maccini and are produced utilizing voice recognition software. As a result of this on occasion a misrecognition of a word will occur and while spelled correctly will result in an unintended word appearing. We apologize for any errors.

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                                #30
                                How's it going Derek, have you found a dosage that helps yet? Does you doc know you're changing doses? If not you could land yourself in a heap of trouble being identified as an abuser and he could pull all narcotics. Don't land yourself in a situation where you run out of meds before he'll let you have a refill, that would force you to go cold turkey. NOT fun.

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