Avinza, Duragesic?

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Lynn
Regular Member


Date Joined Jan 2003
Total Posts : 492
   Posted 4/18/2008 12:30 PM (GMT -7)   
I would like to ask you all if you know much about these? I saw a different PM doc today (in the same practice) because my regular doc is on vacation. Anyway he questioned why I was taking two short acting pain meds 1) oxycodone 30mgs am and pm and 2) percocet 5/325 1 or 2 tablets per day for break through pain. I was kinda taken aback because I thought the oxycodone hcl was long acting. I said well that explains why I had a hard time going 12 hrs between then doesn't it.... he then mentioned the Avinza and Duragesic and told me to check to see if my insurance will cover them. I already know it will not cover oxycotin.
Anyway it does cover both so I am curious as to what you might be able to tell me about them. I realize what works well for some does not for others, but some views may help which direction that I go.
Thanks for the info.. Lynn
Dx'd with crohn's 1983, resections 83,85 and 89 Double Strictureplasty 2005, Dx'd COPD 2000, Psoriasis 2002 and Fibromyalgia 2005.
Currently takeing Humira, Pentasa, Lomotil, Elavil, Sinemet, Skelaxin, Advair, Abuterol, Oxycodone and Xanax as needed


Green Bird
New Member


Date Joined Apr 2008
Total Posts : 1
   Posted 4/18/2008 3:34 PM (GMT -7)   
I'm sorry for the pain you're having, Lynn. But the good news is that your doctor is trying to work with you. I have tried the Duragesic fentanyl patches and they are used for long term chronic pain, such as it sounds like you have. They are 80 times stronger than morphine, however they've worked very well for me. They are changed every 72 hours, although most people who have used them say they last only 48 hours. Mine lasted 48 hours. They are expensive but if your insurance will cover them than I suggest you try them out!

I've never tried Avinza but I think they are a form of morphine. As we speak, I am trying to wean off of my morphine 30 mg oxycontin and struggling with the withdrawal symptoms. But I wish you luck. Barb

lassieluv
Regular Member


Date Joined Apr 2008
Total Posts : 254
   Posted 4/25/2008 4:48 AM (GMT -7)   
I have been on Duragesic 75mcg patches for more than 6mos. Yes, they are a big help for about 48hrs then thay taper off. My neighbor's pm dr has her's ordered to replace every 48hrs but I think that is unusual for drs to do - I wish they all did! I still take oxycodone 5mg every 12hrs for breakthrough pain. In my situation, I think I could use a little more, but I'm making it okay at least the first 48hrs.

You also should be aware that your body will become dependant on the pain patches as with most other pain meds. My dr started me off with 25mcg, then 50mcg, and now 75mcg. He doesn't want to go any higher because he will have to ween me off them when the time comes, hopefully after my surgery.

I wouldn't be afraid to use the duragesic patches, for the most part they are a good long acting pain reliever.

Hope this helps a little. Good luck with your pain issues.
Do not forget to entertain strangers for by so doing some have unwittingly entertained angels.  (Hebrews 13:2)


TexasJen
Veteran Member


Date Joined Dec 2006
Total Posts : 649
   Posted 4/26/2008 7:25 PM (GMT -7)   
I've used the patches for quite a while, and they really help. I like the 24/7 coverage, and most brands will last the full 72 hours. Watson pharmaceuticals began selling a generic patch this year, and theirs are terrible. They dispense too quickly and the last 12 hours are just h**l. For me, the patches made by Mylan are the best.

Most people eventually have issues with patches staying on the full 3 days. If you have very oily skin, you'll have issues with that. I use a tegaderm cover over mine that is made by Nexcare, and it works really well unless I stay in the pool too long or sweat a great deal. Some people notice they get woozy if they run a high fever or are out in the heat. Higher body heat can cause the patch to dispense more quickly, which causes those symptoms. I've only had that happen twice in 3 years. I've had the best results keeping the patches in place by putting them anywhere on my ribcage. I've tried using my arms, but I tend to scratch them off in my sleep that way. You just have to experiment and see what works.

While fentayl is a great deal stronger than morphine, you can't look at it that way like you're taking the top of the heap medication. To show you how strong it is, other opiates are measure in milligrams but fentanyl is measure in MICROgrams. I went from 6 norco a day (one norco containing 10 mg hydrocodone) to a 25 mcg fentanyl patch and didn't really notice any change other than better pain management. I didn't get high, or goofy (well, goofier anyway) or fall asleep drooling on my chest. Hopefully that gives you a better basis for comparison. :-)
Living in the Republic of Texas minus a gallbladder, a couple of cervical discs, appendix, uterus, and 18" of colon; but still alive and living with my husband, 2 dogs, 1 cockatiel, 1 quaker parrot and 2 gold fish. 

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