switched from 300mg mscontin daily to 75 mcg patch (watson) fentanyl

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maninpain1980
Regular Member


Date Joined Dec 2012
Total Posts : 27
   Posted 12/21/2012 9:00 PM (GMT -7)   
Hi all i am a 32 year old male, with chronic pain l4-l5 l5-s1 ddd, few other things.  Here we go, I was taking 100mg er mscontin x3 daily and was referred to another pain managment place here locally.  So, she changed me to 75mcg patch q 72 hours.  I was also given 15mg ir morphine for inbetweens.  I started monday and @ hour 60 i was hurting so bad, but didnt wanna call whining when it was not even day 3.  So here it is saturday morning and believe me, i thought it was in my head but it isn't these things dont work for 72 hours. 
Not only is the 75's not working but they arent doing what they are supposed to do.
 
I guess in the morning i'll call the number that was given to me, but, I am scared.  This is the reason I have never liked switching meds, what works for some doesnt work for others.  I am this close to going to the ER, but weirdly, my heart isnt beating like crazy nor is my bp off the charts.  Most of the time when i go to ER my bp is around 180/100 or so.

Njbackpain
Regular Member


Date Joined Nov 2012
Total Posts : 42
   Posted 12/21/2012 10:50 PM (GMT -7)   
Patches only worked 36-48 hours for me. Ur not going crazy. It does take a week or so to adjust, btw. Hang in there.

maninpain1980
Regular Member


Date Joined Dec 2012
Total Posts : 27
   Posted 12/22/2012 9:34 AM (GMT -7)   
Called and luckily have a pain clinic that cares, it's small enough that my doc on call wasnt scared to tell me that it was ok to put on patches every 48 hours. Also told me since it was day 2 I could go ahead and put new one now and leave other one on until tomorrow. Thank God

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 12/22/2012 10:03 AM (GMT -7)   
A few thing about patches.

Like any kind of medication their effectiveness will vary from person to person. It can take time for you and your doctor to determine the proper dose and if they are going to be effective. Finally you may need to experiment to find the best part of your body to place them. Skin type, fat content, sweat and oil pores, etc can effect how well the medication is absorbed into the system.

In general for best results make sure the are is clean and dry and if needed remove any body hair in that location. The more of the patch that is in direct contact with the skin the better the medication will be transmitted. For best cleaning of the application sight use rubbing alcohol (unless it causes irritation). The cheapest way to go about it is a bottle and some cotton balls. The easiest is to use an alcohol pad which usually can be found with the diabetic testing supplies. The pads are not overly expensive and will only cost a $1 or $2 more than the bottle and cotton balls for the same amount of uses.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 12/22/2012 11:53 AM (GMT -7)   
Just FYI but to clean the skin before applying the patch the directions state to NOT use any type of alcohol wipe, lotion, or oil. Only use a bit of water and pat dry to clean an area where the patch is going to go.

The instructions also state to not apply the patch anywhere below the waste as it doesn't circulate through the bloodstream as efficiently.

Please read all the instructions that come with the patches as it can be very dangerous to do things like take a hot shower or use a heating pad. I wound up in the ER with too much medication in my system when I first started the patch because of my regular shower temperature. I ended up going off the patches moreso because I like having more control over my dosage of medication each day as some days I don't need the full amount and others I do.

As mentioned, it usually takes a bit of time to get used to a new medication but it seems that you already spoke to your Dr. and they went ahead and bumped you up to the 48 hours as well as overlapping the patches....

So, hopefully this will start working for you and help with your pain levels.
SB (Snowbunny) and the pup that snores (my yellow lab:))

3, two-level, cervical fusions over the past 11 years. The last one was anterior and posterior with lots of fun titanium!
Still have active herniations along with knee problems and another Morton's neuroma in left foot.
I try to find joy in each day even with chronic pain:)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25343
   Posted 12/22/2012 5:56 PM (GMT -7)   
i am on fentanyl 75 like you, but my oncologist/pm had to switch me from every 72 hours (3 days) to every 48 hours (2 days) after the first month. we found a pattern was taking place, that on every 3rd day, i was back to being in severe pain. the switch from 72 hrs to 48 hrs made a big difference in handling my pain. might be worth mentioning it to your doctor

david
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)

maninpain1980
Regular Member


Date Joined Dec 2012
Total Posts : 27
   Posted 12/23/2012 12:48 PM (GMT -7)   
thanks for your caring thoughts i really appreciate it
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