Jess - I am currently on butrans 15 mg. It actually worked so well for me the first few days that I tried it, I thought all my problems in the whole world had been solved, lol. I also started out with the 10 mg patch and dilaudid for BT pain, but that combination was BAD for me, headaches, nausea, it was terrible. So now I'm on the 15 mg butrans with percocet 10s 3x per day for my breakthrough pain. I would say that it's working OK. I really wish I could take the percocet 4-6 times a day because my breakthrough pain is really bad, I can go up to an 8 in no time at all and stay there for hours. You may want to ask about
percocet for BT pain instead, although, to me that kind of defeats the purpose of the patch. I figure I need to stay on it for at least a month before talking to my doc about
The dilaudid (4 mg) did NOTHING for me when I was on the patch but I can definitely feel the percocet working. Which is odd considering that dilaudid is so much stronger than percocet. I don't know, oral dilaudid has never really done much for me pain-relief wise, and it is very short-acting when it does work. When I've had surgeries the nurses have always been surprised when I'm RX'd dilaudid in the hospital and I ask for IR Morphine instead because it's so much "weaker" (I think dilaudid is 8x stronger than Morphine).
The last few days before I change the patch are pretty bad pain days. My doc said I can change it after five days. Someone recently told me that butrans will be available in the states in other formulations besides transdermal, as it is in the UK. Like pills or sublingual strips. To be honest, I kind of hate being a person who tries a fairly new medication. I worry about
it being recalled or taken off the market in a few years, lawsuits, that kind of thing. I guess I watch too much late-night TV, lol, with all the ads promoting the class-action lawsuits.
It's very interesting that there is a lot of conflicting info out there about
whether or not Butrans lessens the efficacy of breakthrough opiate meds. My doctor told me that since there's no naloxone in the patch, it doesn't work that way. I don't really believe him though, because I can tell that my breakthrough meds don't work as well with the patch on as they do without. Jess, I also received the med with very little instruction. The first one I put on fell off and I kind of freaked out because there was no way I could prove it to my doc, but they didn't question me. If you have a problem with yours coming loose, use Tegaderm over it, works like a charm.
I'm also recently (after being on it about
3 weeks) having a LOT of itching and some pain at the site where I put the patch. I mean A LOT of itching, so bad that I'm afraid of scratching the patch off.
As you may have read in other threads, I medicate with medical marijuana as well, and without all three, the patch, percocet, and the MM, I'd be in bed all day most days. And honestly I believe that I get the least relief from the patch. It is so much easier though because you don't have to keep track of any pills.
My next move is to perhaps ask about
a fent patch or a pain pump. I really like the idea of not taking any pills (or minimal amounts). Just makes life easier in general, y'know?
Did you post an introduction as a new member? I see adenomyosis in your signature, and that's something I've been diagnosed with (hysterectomy 8.29.14). I would love to learn more about
your story. Hope my experience can help you.
Post Edited (Backtolife) : 9/7/2014 6:31:49 AM (GMT-6)