**Just my thoughts and suggestions...not a Dr.***
Fentanyl patches are one of the strongest meds available. I was actually extremely surprised that your Dr. went from codeine to this medicine...Not that I don't think you have the pain to warrant it...but this medicine is supposed to only be prescribed to opiate tolerant patients...
It actual states that opiate tolerant is to have been taking a minimum of 60mg of Morphine daily for more than a few weeks without this alleviating the pain properly..and overdose can occur by not following this guidline..
and the natural progression from codeine is to Norco/Vicoden, then Percocet, then to a LA med like Oxycontin or Morphine , then to the patch starting with a 12mcg or Methadone.
Again...I am not saying that your pain is not needing a strong medicine to help...just the way this Dr. is going about
it seems way too aggressive and skipping some steps..
This particular medicine takes time to build up in your system...as in your blood plasma levels..That is why it is prescribed to be changed every 72 hours. It has a long half life.
I'm not sure how many days you have been on this now but it can take a few weeks to a month to really give a new medication time to let your body adjust unless someone is having life threatening side effects.
A good BT medicine that I use is Oxy IR 5 mg as it doesn't have any Tylenol to hurt your liver, and a low enough dose to have control over your dosage. My Dr. prescribes 1-2 every 4 hours as needed...(no more than 8 in a 24 hr. period) which gives me flexiblility when I have good days to not take any...
What other type of medicine (you say seizure med) is he suggesting?
A good regimine in just regards to medicine...for a chronic pain patient...is usually a long acting medicine...a BT med as needed, some sort of muslce relaxer. and possibly an anti-depressant and/or nerve pain med as so many of us have low seratonin levels with our bodies trying to fight pain each day and go through surgeries. As well as some take a sleep aid...there are natural ones or prescript
ion as getting to stage 4 sleep is imperative to restoring our bodies and help us deal with chronic pain.
Now..not that everyone has to have all of these...
For me...I wanted the most possible ways to be flexible with my medicine..my LA medicine is MS Contin...which again..I can still take as needed and can choose none on good days if I want...same with my muscle relaxer..only when needed.
The good part about
the patch for those who take it...is the constant release of medicine..which peaks at 20-27 hours...
Please be extremely careful with this medicine...it needs to be worn above the waist...not in any place where you 'sweat' or is rubbing against clothing. Avoid any type of heat...blankets, heating pad or long hot showers and no hot tubs...this could cause an immediate release of the medicine and respiratory failure.
This is not just info from me learning from my Dr. and online research..but I was prescribed this by my Primary Dr. many years ago..She was wonderful and caring and trying to help but did not know much about
this medicine..I had not been opiate tolerant at the time...
After applying a 25mcg patch..I took my morning shower...and wound up on the floor..passed out..and rushed to the hospital. It has also been linked to many deaths due to improper dosage/release...
*** I am not trying to scare you away or tell you or others not to take this medicine..It is truly a good medicine when used properly..so I hope I am not misunderstood...just wanting to share my story and information.
Are you currently on a muscle relaxer as well?
If it were me, after a few weeks to a month, if your pain levels are still above a 5 on the pain scale...which is what most PM Dr.s feel is acceptable with a chronic pain patient..than I would suggest adding a BT med and trying that before going higher...
Just my thoughts...certainly NOT a Dr. so please work with him as I certainly hope that this medicine..along with all the other modalities you use, helps keep your pain low...I truly wish and pray for that for all of us!!!
I use this term a lot..but having chronic pain is a marathon...and takes much trial and error and many different things as well as team of people..Dr.s/Pharmacists/Counselor, etc. to keep us at an acceptable level which unfortunately will not be 0 again most likely:(
SB and "the pup who snores loudly"
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha"))
ACDF with hardware, allograft bone Nov. 2005
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
PM since 2006
Post Edited (Snowbunny21) : 2/4/2010 4:46:23 AM (GMT-7)