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Duragesic Patch/Fentora for severe pain control

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    Duragesic Patch/Fentora for severe pain control

    I am a new poster here but a long time lurker, so I already feel at ease and I like to know I am not alone in this painfull hell. For almost 1 year I've been seeing my physiatrist/pain specialist. We started out on the usual stuff: Norco, Tramadol, Percocet, etc. ~3 months back. he put me on Kadian (long-release morphine) which didn't do so much but make me naseous. I called him 2 days later and a family member went to pick up a prescription for Duragesic (he's familiar with my family bwecause they drive me to all my appointments and I couldn't sit up without sweating and vomiting). It was for Mylan brand 25mcg patches #10. I put it on and the next morning could actually sit up. My pain was still bad however so the next month, he put me on 50 ug/hr Duragesic brand to change every 48 hours with Fentora fizzy buccal tablets in 100mcg for in-between pain. Those are so hard to deal with but I feel I need a berakthrough pain med. Has anyone taken "Actiq"? How did that relieve the pain? My coccyx is crooked with an old hairline fracture that showed up on a bonescan. The pain is unbelievable but the Duragesic works pretty great.
    Sorry this is so long but I know I'm not alone here. Any advice would be so nice.
    Michaela

    #2
    I am on Duragesic 50 patches also, I have been on them for almost 4 yrs. I tried going off of them a while back and when I was off them completely I couldn't hardly sit up and it was so painful for me to walk. I called my Dr. and was told to put one back on, that I would more than likely have to wear one the rest of my life.
    I change mine every 72 hrs though.

    Comment


      #3
      Duge,
      this is somehow encouraging news: 4 years and still at 50mcg/h. I forget to mention, my level is C5-6 but incomplete. All of my Drs have said the incomplete part is the main reason for this mind-blowing bone-pain. I am very thankfull to be on this. It doesn't thrill me to be on anything the rest of my life, but I'll likely be on it, too, along w/Baclofen and everything else.
      Do you ever need rescue medication?

      Comment


        #4
        The first couple years I was only on 25's but still had alot of butt pain. When I went to the 50's that pretty well stopped. I am a T 12 incomplete. My feet hurt so bad...... Nothing has made much difference with those.
        I havn't taken anything else probably in over a year, but when I did it was lortabs.

        Comment


          #5
          Duge
          Have you been examined for plantar facitis? I have it in both feet. Extreme pain, like an ice pic going through the heel area. Night Splints have helped a lot along with proper orthotics, it has really alleviated the majority of pain.
          Has physical therapy done anything for you guys? My doc keeps sending me back but it doesnt seem to ever do anything for the pain.

          Comment


            #6
            Medic, I walk on my heels, that's part of what makes them hurt so bad. I have no strength in the toe part of my feet, my toes curl down also. PT did me alot of good, but nothing has done my feet any good. they feel like I am walking on broken glass

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              #7
              I have severe chrinic pain from 4 levels of disc bulges/herniations and dessecrations alomng with 2 levels of spinal stenosis, spondylosis, scoliosis.

              I wear a 100 mcg Fentanyl patch that does nothing for me. Thankfully, I am allowed up to four 30 mg Roxicodone a day and that takes the edge off.

              Right now, Actiq and Fentora are approved for only Cancer pain although off-label use is obviously done.

              Cephalon says it will seek approval for Fentora for non cancer pain.

              Comment


                #8
                The Durgesic patches DO work. I've been on them for a few months and they work wonders. I am on the 50mcg Fentanyl lasting 3 days. Only problem I've had was thinking I had one more than I actually did and I had to go a few days with no patch, no patch = pain and withdrawls . I also get 30 Vicodin ES's for breakthrough pain, which really don't do squat considering the pain that I have is a 29 on a scale of 1-10. The Durgesic patches do work wonders though, excellent medicine.

                Anyone else find that their pain has shot through the roof because of the weather changing? It's just starting to get cold down here and cold weather hurts. Even worse, this Louisiana weather will be hot one second, and cold the next which KILLS my back. I know it's due to the change in humidity, barometric pressure, temperature, and other small things but is there anything we can do for that?

                Comment


                  #9
                  Whenever it gets "cold" down here in Florida (say, 50 degrees or so), I feel it all right.

                  Comment


                    #10
                    Originally posted by wolftrades
                    Whenever it gets "cold" down here in Florida (say, 50 degrees or so), I feel it all right.
                    I wish . Warmer temperature = Derek feeling okay. Anything other than warm, humid weather causes me severe pain.

                    Comment


                      #11
                      coccyx pain

                      Michaela
                      I can atest to your coccyx hurting. 3 and 1/2 years after my injury and me screaming that my ass is killng me. Especially when I am sitting, I finially got the right person to look at my tailbone. My was broken so instead of cureing in it goes out. If yours hurts that bad you can have it taken out, I did. I am sure that it made a big difference I just am unable to tell cause I had such bad side effects from methadone that was in my pump. (weight loss nearlly 45lbs which I could not afford to lose) So now instead of my coccyx hurting I have tow ishials sticking out down there. It is almost like sitting on my elbow bones.

                      Just wanted to let you know of the option of the coccyx being removed.
                      Spinal

                      Comment


                        #12
                        Originally posted by spinal-c6-c7
                        Michaela
                        I can atest to your coccyx hurting. 3 and 1/2 years after my injury and me screaming that my ass is killng me. Especially when I am sitting, I finially got the right person to look at my tailbone. My was broken so instead of cureing in it goes out. If yours hurts that bad you can have it taken out, I did. I am sure that it made a big difference I just am unable to tell cause I had such bad side effects from methadone that was in my pump. (weight loss nearlly 45lbs which I could not afford to lose) So now instead of my coccyx hurting I have tow ishials sticking out down there. It is almost like sitting on my elbow bones.

                        Just wanted to let you know of the option of the coccyx being removed.
                        Spinal
                        Spinal
                        I hope its ok to ask you this...its a little off topic of the thread. I have been hurting out of my mind in my lower back/butt for years. Its getting to the point where I cant walk without assistance and Im only 30 yrs old. All of the drs Ive seen have told me if it was broken, it would have shown up years ago when the pain began. What kind of dr finally listened to you and what test showed it was broken? I had no idea that the coccyx could be removed.
                        Sending a pain free day your way!!
                        Thanks for your time!
                        Hurtin Bad

                        Comment


                          #13
                          my doc is starting me on 10 or 12 duragesic. is this gonna touch my pain after 60mg oxy?

                          everybody here seems to start at least 25mg. thhoughts???////

                          i'm miserable.

                          Comment


                            #14
                            There are some different conversion charts here. He may be starting low to be conservative though.

                            I didn;t even know they came in 10 mcg/hr. I thought the smallest patch was 25 mcgh/hr.


                            ooops ..... here is the link for the charts.

                            http://www.globalrph.com/fentconv.htm
                            Last edited by sjean423; 18 Mar 2008, 4:02 PM.
                            T7-8 since Feb 2005

                            Comment


                              #15
                              25 is the lowest dosage for the patch as far as I know of. My doctor started me at 25 it made me feel so much better, but I was still in pain so they increased it to 50 (With percocet or vicodin 2x day if needed for breakthrough pain. I am now taking 75 mgs and feel great! Sometimes I'll almost forget the pain I use to be in and how much the patch is helping. I've only been on it fr about 3 mths now and it makes me very tired. I am worried that one day my doctor will take me off this medicicine. I skipped a patch (actually two) and it was horrible withdrawl. I really hope that doctors slowely lower my dosage. I'm really scared of not being on it and dealing with all that pain again and I'm also really worried about withdrawl.

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