I also use the fentanyl patch and have COPD on top of it, brought on by years of asthma. Fentanyl does interfere with respiratory problems, so make sure that you and your spouse are both aware in the event that you have trouble with your asthma or apnea to watch your breathing.
As far as increasing the fentanyl goes, you are on a very, very low dose of fentanyl so maybe a small increase might not be a bad idea, as Stella Marie suggested, the 12.5 mcg patch might be just enough to cover the increased pain from standing or walking for more than a few minutes. And a breakthrough med if you start experiencing pain during the 48 or 72 hours that your doctor has you changing the patch. It is not uncommon for chronic pain patients to need something for those times.
You could also talk about how the patch doesn't seem to last for the 72 hours intended for it to last for. Are you using the gel based patches or the ones that are tape? The gel ones are well known for seeming to not last as long as the tape versions.
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