Is It Okay To Chew A Fentanyl 50mg Pain Patch? (Page 3) (Top voted first)

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I've been prescribed fentanyl 50mg pain patches and i was just wondering if it's okay to cut one in half an chew on it?

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351

Stupid people asking stupid questions. Then stupid people answering the stupid quuestions.

Can you make yourself feel high off H (sure)
Can you die from H (sure)
Can you chew fentanyl (sure)
Can you die from fentanyl (sure)

I know people who would pick up any pill laying in the dirt in the street and insufflate it and hope it was something good. What it ultimately does is make the fda crack down on pharmacies. Making it next to impossiblle for regular people to get their meds filled. Cause the pharmacies now automaticaly think people are skeezers. I can not tell you the headaches I have getting my fentanyl filled. The pharmacy was actualy in the hospital/drs office. They made me sign an agreement ro only get my meds there and they never have rhem and I cannot go somewhere else.

Wanna feel high? I mean super high? I hurt if you put a loaded gun up your nose and pull the trigger. The residual blood and brain matter mized with the gun powder really gets you off and you'll never need any other drug ever again. Of course there's a possible overdose problem. But hey I think you'll be ok. Oh and you can chew on your tounge for a few minutes before you pass away.

(This info has not been approved by the fda and is not designed to cure or treat any desease) except curing america of savages.
Lol

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497

So I just chewed up a 100 mg patch and this is my first time ever even touching a patch. Should I be concerned this is too high of a dose I also swallowed it?

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541

It is not a waste by chewing them. In fact you get most of the medicine because sublingually is quickly absorbed into the blood stream. Your misleading people by stating nothing will happen if they chew fentanyl. So they will go do it and end up dead. It's very dangerous chewing fentanyl. Im a paramedic and picked up many od's and DOA's from chewing fentanyl. The patch was still in their mouth. DO NOT CHEW PATCHES. Your playing roulette with your life. You may be ok 1 time and dead the next. Even cutting them into small pieces isn't a safe practice. You can't measure the exact amount your actually putting into your body because it's measured in micrograms, due to how strong it is, not milligrams.

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542

Ty last post...all I'm trying to say is why go tell someone oh yeah u are fine to do that...when u don't know that person or what could happen with them...I think regardless of what u feel on the subject itself,that those comments arnt necessary 4 people to hear. Mainly for their safety..we all have ideas on what these meds will and won't do but WHY say oh yeah go ahead and do it ur good...idk?

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543

Could not have been explained any better. Nicely said. I know most say that the 4 letter words are all they understand but I bet they understand nice too.

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556

U still r not using them as u should...and if u have to turn them in u would not b able to all cut up..but I get all the scenerios..I know I can handle a ton I've been on pain med for 10yrs and am Givin ALOT as my script..but everyone is different and some people cannot handle any amount of these while others have a built up tolerance...but the issue is not using them as directed is not doing the so called right thing so to say and chewing them is because u need more n more and the pieces u cut will pry get bigger n bigger..it's just unsafe n I would be careful is all or u will end up being in a hole thats hard to dig out of..just be safe and stay safe and best of luck to all of us that have to use these things..it's not easy to be in pain or have to take all these meds to help it...it's a hard way to live..I wish there was an easier way for us with cronic pain to live a normal life besides taking these Damm things...but it's either not able to do anything for the day or take these mess so I need to live 4 my family but these pills n patches are definitely taking a little part of my soul along with them...it's a vicious cycle..good luck and best wishes 2 us all...

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601

The first two comments, if I'm reading it correctly, indicated to the person asking the question is that this is NOT safe and should NOT be done. Am I right

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602

I would strongly recommend not cutting open the fentanyl patches. I did and overdosed and nearly died. Luckily the EMT had narcon. I was in the hospital for three days. Right after I od'd I had to be put on narcon Bc I had ingested a lot and I wasn't safe until it was out of my system. This was the worse mistake in my life. Don't cut them or bite them if you want to continue to be alive.

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610

I cannot believe some people on here are giving advice about chewing a PATCH, and dammit its people like you guys seeking your HIGHS that us true sufferers can't get what we need, I am so pissed right now. Chewining a patch is just stupid and irresponsible.

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613

This is the ONLY reason why we care about addicts overdosing and dying. There are many people that have chronic pain. Pain that is not temporary, such as a sprained ankle, or a broken leg that healed. We have damage to our bodies that will not go away. We hate taking drugs such as fentanyl, Vicodin, Percocet, etc. The reason pain management patients are being forced into caring about i*****s that use opiates recreationally is they are increasingly making it more and more difficult for those of us that use our medication, under doctors care, to get them prescribed when needed. No one in chronic pain would want anyone else to suffer as we do. Yet, people that use opiates just to feel high don't care about us. As pain management patients, we are required to have U/A's, pill counts, and increased scrutinization. They don't give a rat's ass about us, yet WE are forced to care about them. As if our lives are not hard enough as it is. I never even knew what Vicodin was before my journey through pain began from failed fusion surgery of my L4/L5. Like I said, we are forced to care about people that use opiates for a high.

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632

To MethaContin85:

Our streets are flooded with prescription pain killers and narcotics. It's easier to get illicit drugs than it is to find a deal at Walmart... lol but I just want to say @MethaContin85 you are NOT a recovering opiate addict.. All you did was switch dealers to a licensed and insured dealer.. They draw more profit than street dealers but if one of their customers overdoses then they are protected.. Methadone was the first physical addiction I ever had and that was from recreational use... The effects were just as good as Oxy but methadone lasts all day... You are not in recovery. You still feed your addiction daily. They have just led you to believe you are in "treatment/recovery"...

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656

Good Morning Everyone-

I want to comment on a few important subjects to dispel some misinformation. I also want to give real advice if anyone wants to listen.

So, I will start by saying I am a CPP that has bracchial plexus neuropathy, complex regional pain syndrome, herniated discs and many other issues that come from 20 years of playing football. I started receiving pain management medications in an effort to stay on the field. Those medications were different from opiates or opioids and generally were aimed at numbing or desensitizing through anti inflammatory properties. After my years of being a big strong man that could handle pain (lol),a very great doctor finally convinced me that gaining back quality of life and living with somewhat mitigated pain was not something for me to prove I was strong enough to not need, but rather I was unfortunate enough that it was obvious I did. After that time (June of 2010) I have been on medication that are of the opiate/opioid class as well as neuropathic medications, heavy combination of PT, active release therapy, many inj's. and so on. I won't go through the details of how I finally got my diagnosis, but I will tell you that it can be a really... Well, a really unnerving process. I lived with no desire to take any meds, was convinced to finally try, but as my diagnosis was hard to actually find, I found myself being treated like a seeker. I had one doctor straight up say it and I just laughed and left. If you find yourself in that situation, please don't give up. The glory of my story comes after and would have never happened if I quit.

So skipping ahead to when I had my diagnosis, it is important to know that bracchial plexus neuropathy is my main issue and accounts for 80-90% of my pain. Nerves in the bracchial complex do not grow back well at all, even in infants or in adult trials using stem cells. Be your issue pre ganglion or post ganglion, if we are dealing with the nerves to your arm through the thoracic outlet/bracchial complex, real recovery is extremely unlikely (more likely in pre ganglion issues though.)

Due to the status of my issue in the face of current medicinal practice and technology, the only way I have effectively found relief has been through a multi-modal approach to pain mitigation. I would like to tell you the different regiments I have been on, but note that in every case I have done physical therapy, nerve glides, active release therapy (type of chiropractic approach), and I have gotten any inj. you can think of,from stellate ganglion blocks to facet joint inj's. to steroids and even a bracchial plexus block (worst idea ever.) Now, knowing that I have done these things consistently through the duration of my treatment, I will now detail the medications I have been given:

-i started by getting hydromorohone 2mg alone as a prn along with neurotryptiline.
-this lasted only a few months before I switched to MSContin 30mg ER and the same prn script.
-ms contain didn't agree with my stomach so I switched to oxycontin and oxycodone as my pen (20 ER and 15 IR)
-unlike most, I despised oxycontin. I didn't even take the whole month before I switched. I then went to hydromorphone ER (exalgo) and hydromorphone IR (dillaudid)
-after a while I switched to the fentanyl patch and still used the hydromorphone as my prn.
-i got up to where I used 15 100mcg patches per month and I was prescribed 4 4 mg dillaudid a day. (this was the exact prescription I was on when we finally got my real diagnosis and I stayed in this for 4 years with no increase)
-i had insurance troubles and found myself going on my 5th month of paying full price out of pocket for these meds (2k+) and all of a sudden I couldn't make the money work. As a result I went to a methadone clinic because I needed something to avoid the wd and help with the pain enough to work. (this was the single biggest mistake I ever made)
-my mistake wasn't in going to a clinic or some lame social stigma people complain about. Come on, if you have verified, documented, serious issues there is no doctor that won't work to help you. If you don't show respect, dress wrll, clean up, and present yourself as a respectable and honest person, well then your issues with social stigmas are on you.
-methadone was an issue for me because I stabilized at 70mg but the doctor there wanted to help my pain more so he gave me more and more and more. I ended up at 135mg per day. This was my issue because that was just way too much. I got side effects like weight gain and libido suppression and even crazy sleep cycles. Things I never had on any other medication.
***hey,I went from 135 mg of methadone for 2 years to back on my fentanyl and prn script over night. Never had a doctor act like it wasn't the right move or like I shouldn't do it. I have never experienced a real informed doctor actually doubting my issue. I don't think it's that common when you have countless diagnostics and documented procedures.
-the fentanyl was not working for me as well as before, which honestly sucked. However, me and my doc switched me to oxymorphone ER 3x40mg a day and oxymorphone IR 3x10mg a day.
-quick note... I stopped listing anything but the opioid.. However, I started with neurotryptiline and moved to gabapentin and then to lyrica with cymbalta as an off label neuropathic med (of those the cymbalta being least effective.)

That is my current prescription and it works like a boss. 3 oxymorphone er and 3 ir along with lyrica and cymvalra. Without meds my pain will sit between a 7 and an 8 on the real scale. I will breakthrough around 9 and rarely up to a 10. This isn't said lightly... A 9 is crying and a 10 is crying nonstop and the inability to move. With my meds working at the absolute best I can get down to a 5 and almost a 4.

Now, hopefully people can tell I have experience with fentanyl and can see my issue wasn't ever taken lightly. With that said, I need to state some things about the patch. Depending on brand, the patch is either a gel-matrix (ie the newer duragesic or the my lab or reformulated sandoz) or it is a gel pouch (Watson or the original duragesic). In either case, the medicine can never be guaranteed to be distributed perfectly uniformly. If you cut a gel-matrix patch, no matter how precise you are, it could be a very different dose than expected. Cutting the gel pouch patch makes even less sense since the only option post slicing is abuse and misuse. HOWEVER, while I would personally argue that if you need to cut a patch, well you are going about things the wrong way. I won't judge you, people are so little when it comes to trying to judge others. It makes me laugh. I would strongly recommend you keep communication with your doctor open instead. Tell him or her your issue and why you feel you need to misuse the med. In my experience the doctors want you to be ok. If you aren't getting relief they will work with you (ie my change to oxymorphone from fentanyl.) if you have documentation and many years of proof that you have battled for quality of life, I haven't met a doctor that won't work with you ( DEA be damned.) if you don't have time or documented proof then I could see a doctor being far more suspicious.

So say you tried and your doc is suspicious and there will be no chance your meds get changed. Ok, you feel you have to misuse the patch. Well I feel awful for you. However, you can do buccal absorption of fentanyl relatively safely. That's why they make subsys and actiq and even sublimaze. Don't ever do this fast or without being opioid tolerant, but you can do it. I personally never did but I have researched it more than I care to admit. This was to satisfy personal curiosity but it still sounds iffy. Never take any thing like this if you are not tolerant and always feel your own limits. Just don't by in to the shame society puts on you, that's on them.

Quick aside, no, it isn't my fault your loved one used a drug and overdosed. I never misused meds and would never recommend someone should. However, if this is going to happen then mitigating danger is far more useful than hate bashing a judging. I am sorry, but when a person chooses to abuse a med, that is only on them. Not the supplier, not some ten times removed pharmacist or doctor. It is squarely on them. They were either desperate for pain releif, for which I sympathize, or they wanted to be high, with which I couldn't sympathize with less. Dealers she'll drugs because people will misuse them or at least use them off script. That is a fact. It isn't their fault someone uses the drug. I mean look at the state of the war on drugs (laughable) or even worse look at prohibition. Did that stop or even curb use? Hell no, it actually just made transactions and the abused product many times more dangerous.

Emotions tend to make people think very weird. I feel the pain of loss and I hope it never happens to anyone again. It will though. While I feel that pain and sympathize just try to be smart about real fixes. Eliminating the meds makes everything far more dangerous. It is just reality.

So, my last point is two fold. First, I am a great cause study in how meds can work really well when used appropriately. I have never been ashamed and I never will be. by he fact I use my multi-modal approach to maintaining an (albeit limited) quality of life. Secondly, I know many things about all the meds and techniques I listed. I am a resource to anyone who wants to learn or needs advice. PLEASE use me. Ask questions and express concerns. I am a man without judgement and with experience. I could help a lot...

All of my best.

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674

I strongly suggest that you refrain from prejudiced remarks and from labeling everyone a "junkie". If you have something constructive to say, go ahead; be objective about it, but this is not the place for judgmental comments. There are genuine people here in genuine pain seeking answers from others with experience and knowledge.

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27

Hey y'all! I've been on the Fentanyl Patch at 25mcgs/h, which I think some of you have been mistaking for MILLIGRAMS! MCGs stand for MICROgrams which for 25mcgs=approximately 4.1 milligrams. Fentanyl is given in IVs at 50, 75, and 100 MGs!!! Chewing on 4.1mg is not going to kill you IF you have a tolerance for opiates. However, I definetley would NOT CHEW A NEW PATCH. I have been on the patch for just about 3 years now and am prescribed other narcotics for my breakthrough pain. If I am dying of pain and my path isn't due for another 12 hours or less, (my patch is changed every two days as opposed to the normal 72 hours, because my body absorbs the medicine faster because of the immense amount of pain) I will take a patch off early and chew on the remainder of the medicine and though I don't get a high, which I don't want anyways, it effectively takes away my pain and usually is even able to hold me over until the next patch is due. Obviously abusing prescription drugs or using them in anyway other than the way they were prescribed is illegal and I'll-advised unless you have a cool and understanding doctor who encouraged me to chew when necessary and only after the patch has been used for at the very least a day and a half. Please be careful out there and DON'T ABUSE YOUR MEDICATIONS! I hope this feedback helped! Good luck and may all of your alls pain be eased! Best wishes! :)

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32

ya chewing them is deangerous...im on methadone due to my former dark adiction...but when i want to get a buzz, which is only like twice a month(cuz of money) ive stopped wasting my time and money on oxys cuz two 80mg tabs doesnt get my buzzed or high at all...maybe a little bit itch on my nose but thats it....so ive saved myself the money by buying 100mcg fent patch(ratiopharm)...i actually have a half of one in my mouth right now...this site isnt used for ppl to bash drugs...its not used for ppl to identify pills...its used for more then that...for someone that doesnt know about chewing patches or someone that needs this med for pain i can see there frustration when they read this but u have to understand that ppl like me use these sites to find out what is safe and whats been done in the past,although everyones different it eases the nerves when ur decideing to use somthing new....if u dont have a tolerance definatley DO NOT F***ING CHEW THEM...no matter what anyone tells you....i chew them becuz of very bad teeth pain....my teeth are f***ed from all the oxys i use to do for 5 years and im scared to go to the dentist...well more embarrassed then anything....and i use these patches to catch a real buzz....but im on 70 mgs of methadone...and two 80s is 80 bucks where a 10mg patch is 60....so..yea id rather chew a patch...i have a tolerance to opiates especially the methadone so this is why i do them...when i first tried them i was terrified but it was upto me if i wanted to do them or get rid of them...its not the dealers fault for ODs and Deaths its the user who is at fault for buying it....like the person up above said the drug dealers dont want there clientel to die cuz they lose money in the end....jus saying...be safe...dont chew these things unless uve done alot of research on the internet for hours and read what ppl feel like when they do them , then decide if its a smart thing to do....i almost didnt do it but i read this thread and i a te smal peices...and now i know my body well enuf to knwo how much to chew....BE SAFE EVERYONE WHOS DOING THIS...READ LOTS....DO RESEARCH B4 PUTTING YOURSELF IN HARMS WAY...

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54

Yeah. I have alot of experience in this area. If you chew/suck on a used patch....there will still be some fentanyl left.
Yes. Chewing on 'em releases the medicine WAY faster. In minutes rather than hours: 72 hours.

The effect will only last about an hour or two though.

You'll find yourself addicted to chewing/sucking 'em and they won't work as well the other way (on your skin). After a while, your tolerance will build so much that you will go into withdrawl while still wearing a patch and find yourself feeling a bit ill unless you suck on a piece.

Then you'll give in and suck on more and more pieces until you run out of patches WAY before you're supposed to.....then you'll have NO pain meds.

The withdrawl is the worst pain I've ever experienced. It's not worth it in the long run, but chewing patches does work.

The only cure for opiate withdrawl is buprenorphine (suboxone & subutex). NEVER take suboxone (due to it's nalaxone content. Subutex is fine.) while under the influence of opiates. It will cause an almost immediate, precipitated withdrawl. Worse than normal opiate withdrawl. Look into it. Be careful.

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74

Well said my friend. So very sorry about your wife. My father is also suffering through stage 4 liver,skin and pancreatic cancer. As no living creature human living thing should have to go through. Several narcs prescribed same cocktail as your wife was taking or close. He is taking 150 of the fentenal patch tho watching him go thru this and seeing his pain is....is I can't even find words to describe it? Hearing these forums angers me...saddens me for everyone the cancer patients. Chronic pain patients as well as the addicts who suffer. The highs are great I will admit...I was a active addict for 10yrs, inactive and recovering will be a battle for life. But with that I have life....not cancer, not a possible OD. After going thru watching someone who needs needs needs pain meds has brought me to a different level in my own battle of not needing them but wanting them. I have no pain greater then watching him die and no high can make that pain subside. Sucks. To be numb thru this would be wonderful....to be high enough I maybe could fog some of the grueling sights but I have a deep respect that god continues to humble me and shows me the difference between a want and a need. Life and death.

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83

Reading all your posts is so damn annoying. Okay look all you inexperienced and arrogant people. These kind of sites are used for education, not to bash on other people over and over. The person wants to know if he can chew a fent patch, YES you can, just please be careful, this medication is made for people (like me) who have a high tolerence. By high tolerence I mean high. I laughed so hard at the person named like singmealulliby er something cuz they said they have a very high tolerence cuz they take 10mg oxys.. Aha I am not proud but I have pain problems as well and I've gotten to the point I am given 120 mg of oxy a day and 160 mg of OPANA a day and opana is soo much stonger. Go to real sites if you want help and education like bluelight site. They didn't bash on people about this topic, they had many replies and even provided a chart that says hey if you take this much of oxy, opana, morph and so on then you should take this much fent, they educated people without 1 single person bashing on other people. If you want education of pain meds either search better sites and get real information or post after me asking for my email and I can answer so many questions for you and if I can't I'll get you the answer for you and show you real information. I am here to help anyone who needs help reguarding pain medication cuz I've been thru it all! Thx and Hey if you just wanna get high, to each is own, just be careful.

I am here to help, post after me asking my email and we can talk and I will educate anyone who needs/wants it.

And remember, people post questions like this and others about drugs because they want INFORMATION. So they dont kill themselves or others, not to be bashed. I will not bash anyone I will just answer your questions. Be easy people and I hope to help people here like I do other Places.

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272

@judge and Lu, yes, I know the patches can fall off, in 7 years of using them AS directed I have had 1 fall off and I knew within minutes that it had. What I take objection to is Lu's statement that she wanted to sue. To me that is the way you try to pass blame for something that is either your fault or no ones fault, just an accident. I also just don't believe that no one spoke to you about the dangers, most pharmacy's have a spot you have to sign stating that you are refusing the right to speak with the pharmacist . The patches come packaged with instructions of use and proper disposal. They clearly state the patches are dangerous to children, pets and caregivers. They state on the outside of the package that they are only to be used on opioid tolerate patients. They also state on the outside of the package to keep out of reach of children and pets. How many warnings can they give? As I said I am sorry for your loss but how us it the Dr's fault, how does suing him, the pharmacy or maker going to help? It only makes it harder for those who need pain meds to get their meds as all the good Dr's are afraid of being sued for things they have no control over. They could just leave us in pain.

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346

I honestly cannot believe that this discussion has lasted this long. I've read the replies - but didn't really need to. Of course it is NOT okay to chew a Fentanyl Patch. Fentanyl patches are to be applied to the skin only. The amount of people flagrantly abusing prescription pain medications astounds me -- these drugs are intended for people who are experiencing pain, not for someone to catch a buzz. It's no wonder fewer and fewer MDs are willing to prescribe medications to relieve pain. Those who are just after a buzz are basically making life very difficult for folks in legitimate pain.

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