Hydromorphone To Fentanyl Patch

My husband has been on hydromorphone 24 mg extended release for well over a year with great results... no break thru pain etc.. Recently workers comp has requested that he change to the Fentanyl patch due to cost. Almost immediately he had horrible side effects that have continued... He is on day 3 and just been told that it's because he is in withdrawal from the hydromorphone and they are increasing the Fentanyl. Does anyone else have any input on this? Fentanyl vs hydromorphone? Any help/info would be appreciated.

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What is the dose he has been prescribe of the Fentanyl patch?

The ratio from 24mgs of Hydromorphone would be 0.32mgs of Fentanyl, so yes, if he was given too low of an amount, he might be dealing with withdrawals issues.

What side effects has he been dealing with? The FDA lists the typical withdrawal effects as possibly including nausea, dizziness, headache, fever, chills, diarrhea, and rebound pain.

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