Fentanyl Patch Wearing Out (Page 3)

Hello. I am on the fentanyl patch, 125mcg every 72 hours. And ever since starting the patch I have been able to once again be more active. I exercise for an hour every morning and walk in the evening. My dr said the patch will last me 72 hours but by 48 and sometimes less, my pain begins to return and I start feeling withdrawl symptoms I use to feel on oxy or percs. I've tried telling my dr that I need to change every 2 days but he insists that this does not happen to anyone else. Does anyone here have the same issues? And are you feeling better results from different brands of the patch?

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Your doctor is full of s***. Any type of pain meds will last longer for some people than others. Take methadone. Some people can take 40 mg and it will last 2 days while others take over 500mg and they start feeling pain in 12 hours. Talk to a pharmacy as they can tell you more about pain meds than any doctor.

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I'm replying 11-29-17. In the literature that comes inside every box of Mylan patches it states that some people need to change patches every 48 hours. Can't argue away that recommendation.

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I had a similar problem. The duragesic patch did not last 72 hours so my doctor prescribed extra patches with directions to change every 48 hours. I have been enjoying a good quality of life. I work full-time, cook dinner at least 5 nights a week, babysit my grandchildren (crawling around on the floor after them), shop and do most things I did before medical conditions caused chronic pain. Insurance company has decided that I can only have 10 patches every 25 days rather than 15 every 30. I am now involved in an external appeal. I refuse to return to being bedridden and forced to take disability when a few more years I will be eligible to retire with benefits and the pension I have been working towards for the last 29 years. Used as directed, under the supervision of a pain management doctor fentanyl can restore a person’s quality of life. Not all people with accesss to fentanyl are addicts looking for a high. We are respected professionals contributing to society.

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That’s a big dose. You can ask for it to be changed every 2 days but I wouldn’t complain to much cause that’s a unusual amount of dosage and maybe your BT meds need to be adjusted.

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Re: Dixie (# 40)

I cut my patches and use 2/3 patch for 2 days after doing this twice I wear the two 1/3 pieces on days 5&6. In the paper work inside each box of Mylan patches it states some need a 48 hours regimen!

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Hi Jessica,

Your Dr. needs to read the information that comes in each and every box of Mylan patches (only kind I'd ever use). So 2 things (you didn't ask about the 2nd one).

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Re: Scott (# 45)

I prefer the Mylan patches as well but must accept whichever pharmacy gives me. I do not like the large patches with the reservoir. I don’t think the medication is absorbed as uniformly as in the Mylan brand. The reservoir patches also cannot be cut if you are trying to taper down on strength but can’t go down a full 25 mcg/hr without withdrawal or severe breakthrough pain.

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Fentanyl patches only work for 48 hours for most people including myself. My pain specialist prescribed dosing at 48 hours for 10 years. I would be very hesitant to stay on this drug for more than a few months - it took over my life and I really suffered.

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Fentanyl 72 hour cycle.
It is absolutely correct what your doctor has told you. Technically you can wear a patch with your strength a fourth day and be covered for pain. I know no one wants to hear this, but it’s not the Fentanyl. It will last for three days no questions asked. There is still enough Meds on the patch to kill you even after three days of use. If you don’t believe me ask a lab to test how much remaining medicine is remaining leftover.

I was on 100mcg for years and just recently weaned myself of it and switched to Hydromorphone CR. This is going to sound stranger... lower your dose to a 100 and maybe down after a while to 75 MCG. I bet you will feel better. I did and feel much better. There is such a thing as toxicity and I think you are experiencing or tolerance could also very well be the issue.

Please don’t feel I’m judging you because of the F word. As long as you are receiving the med you won’t suffer withdrawal or any discomfort and you will be surprised that your head may actually clear making you feel better. I’d say try and see for yourself with your doc allowing you to go back up if needed.

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