Susie is right about the patches being difficult to keep on during the summer. In fact, I chose to go off them for the summer and probably will return to them in the fall. It really depends on the person and their metabolism whether or not the patches will last the full 72 hours but for most people they do last that full time. '
The matrix has been changed for most of the patches now, it is in the adhesive rather than in an alcohol based matrix. The adhesive matrix patches are much better at a standard absorption rate than the gel matrix used to be so there are fewer problems with rapid absorption than there used to be.
Fentanyl is a great pain medication if you need it but some do take some time to get used to the medication, like any other pain medication it has it's pluses and minuses when it comes to side effects.
Opana is a hydromorphone medication, similar to fentanyl in it's place on the pain medication scale. I tried it and didn't like it because it caused too much nausea, but I know of many others who have had great pain relief with it and minimal side effects.
For someone with chronic pain who is taking a medication with tylenol in it, the maximum daily intake of acetominophen isn't supposed to be more than 3 grains or 3, 000 mg and most often less is recommended because of the long term impact on your liver.
Most of the time, when medications are changed, they take what the daily dose of your current med is, convert it to the new med and then reduce the daily dosage by around 25% sometimes more for cross tolerance. Cross tolerance simply put means that the new medication is reduced in the event that there are side effects and for another reason and that is that the new medication might work better for you at a lower dose. It is also so that the doctor has some tweaking room to adjust your dose if you need it.
Most percocet has 500 mg of tylenol in it, so taking 5 a day is putting you right around the maximum daily dose of tylenol. Most PM doctors like the keep the intake of tylenol around 2500 mg a day if you are going to be taking something long term.
Hope all of this helps you out some,
PS Hi folks.........miss you all.
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too