Morphine Sulphate Er And Ir Vrs Hydrocodone With Fentanyl Patch

for 3 years my dr. was prescribing me three 60mg morphine sulphate er and four 30mg ms ir daily. when it became impossible to get MS in Florida, he switched me to Fentanyl patch 12MCG/HR every 3 days and 7.5mg-200 hydrocordone , 1 every 8 hours. the pain was unbearable and I felt terrible. cold sweats, shakes, could'nt think straight. when I asked him to increase dosage, he increased the patch to 25 MCG, but said there was more MS in the 7.5-200 hydrocodone than the 30mg tabs of ms. do you agree? Also, how does the patch equate to the Three 60MG MS er I was taking daily? Prior to this Dr.,after I moved 200 miles away,, my orthopedic surgeon was prescribing me Oxycontin, or oxycodone. When I called him 3 years ago and told him The new pain management Dr. switched to MS, he said its less of a dosage, but you'll do ok on the MS. So i've been taking about 180mg MS ER and 120mg MS IR or equivalent for over 8 years now. Is the hydrocordone and patch about the same, more, or less pain medication as what I was taking, if so how much difference? Am I going through detox on top of feeling this unbearable pain? If so, what do you suggest I do, I am unable to do much now physically and mentally. took me one hour to write this.

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OK, I'LL SIMPLIFY- Compare for me" three 60mg tabs MORPHINE SULPHATE ER and four 30 mg tabs MORPHINE SULPHATE IR daily" to
"one 12MCG/HR every 72 hours and three 7.5mg-200 hydrocodone daily".

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I was on 45mg 3xday morphine sulfate ER. Started going to another dr and he prescribe fentanyl patch 25mcg and hydro 10/325 every 4 hrs (5 a day). He told me that wasn't equivilant to my morphine dosage but wanted to start out low. Now I'm once 50mcg patch and it's a lot better but still not as much relief as I got from the morphine.

Google fentanyl patch equivilance to morphine and it'll bring up a chart. According to it, you should be on the 50mcg. Good luck!!

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No wonder i went through extreme withdrawals. dont wish anyone should feel like that without help. I'll use the chart link you sent to open the doctors eyes. Talk about a pain and suffering legal case. take care, tyvvm

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You are very welcome! Some drs don't know their heads from their asses and they think that since it's so much stronger than morphine that it should be much lower. But that's not near true. Also, that chart itself is taking precautions. For instance, I'm on the 50 and by he end of the day (I have small kids to take care of), my back is easily a 8/9 on the pain scale so I feel like I should be on the 75 or at least a 50 and 12.5 patch but I'm not the one who has control of that. And yes, w/d's suck so bad!! I've experienced more times than I wish from drs not sending meds out on time (when I was going to the va---never going back!!). Good luck!! I hope they increase it!!

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ITS JUST SO HARD IN FLORIDA TO FIND A GOOD MED DR. SINCE THE LAW WAS CHANGED, NO NEW ONES CAN OPEN, SO WE ARE STUCK WITH INCOMPITANCE. SORRY ABOUT THE CAPS, NO GLASSES, TOO MUCH PAIN TO LOOK FOR THEM. I'M IN CENTRAL FLORIDA, WHERE THE NPI IS god AND THEY ABUSE THEIR "POWER". ILL KEEP LOOKING, BUT ITS HARD AS I CANT DRIVE FAR DUE TO PAIN. ENJOY YOUR HOLIDAYS, I WILL TRY.

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I'm also in Florida...north Florida. And since I've moved here (few months ago) I've had my fair share of 'god like syndrome' drs. But I think I may have finally found a good one. Only time will tell. But it's not just Florida. Good PM drs are hard to find everywhere. It's really sad when drug addicts can get meds before a legitimate chronic pain patient can. I wish you luck!! And happy holidays to you as well!

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I was on fentynal patch125mcg/3days..my 125 released anywhere between 15-30mgs morphine hour depending on how hot my body was :) the patch is :*+" nasty to come off! Before switched to that was on Morphine MS 500mg/day! Stupid drs never tested me started pills 13 am now 31.. I quit the patch June went down to Ms and have now cut back to 90/day :). But sadly its not helping anymore. I don't want to increas so should switch? Please someone help drs aren't lol 20 yrs later!!

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I keep trying to find a dr. that will prescribe me 1/3 of the meds. 've been taking but i'm not having any success finding any tnat prescribes any morphine. the 25 patch continually falls off me, even though i take all precautions they say to keep it on. so im taking 15mg ms er 2x daily and 45 mg ir 3x daily. thats the most my new dr. will prescribe dispite mri's and xrays showing 3 punchered disks, and my l-4 pusched back to the left, l-5 back to the right, and s-1 back to the left, all enchroaching on nerves. then there is a total dislocation on my sternoclavical clearly on xray, and when i move my right arm in a particulay way, it pops out and my skin bulges out below my neck. its inoperable so a permanant dislocation to live with. when i was lowered to 60mg er 3x daily, and 60 mg ir 3x daily, i could bear the pain and enjoy life. now, its existing. cant even drive over 10 min. got to find a real dr. in central fla. before i cannot function at all. maybe i'll try to find where the addicts get their meds.....lol

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Oooh drives me addicts get them.. I do allz that stuff to keep my meds. They limp in holding back soon as have script in hand ru outta office lol... I had the same problem with my fentybal patch... My pharmacist gave me tegaderm patch.. Its like 4 times bigger then 100mcg patch and never came olff again! - know my drs tryijg to bug me. I said excuse me I was taking 150mg dilaudid and hydro combined or 500mg morphine a day... I myself cut out 400mgs. I said don't you dare try talk like I just want pills said if just wanted pills why cut myself off. 20 yrs of narcotic pain killers inst fun! I live on island 3 miles long with maybe 3000 people... 80% of people who get pain killers don't need them sell them.. Now drs in trouble and the people who actually need them and jump thru all the hoops and get all the scans shouldn't be cut off.... I said you wanna manage it... Ok I will call you 4 times day when need meds you just bring them. I'm fine with that. If I had car would pick them up everyday at drugstore to prove that actually do need them!

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That is a massive decrease. u must have had withdrawals. a 100mcg fen patch is equal to getting about 10mgs of hydrocodone an hour and u were taking 300mgs of morphine a day. when taken oral is equal to 300mgs of hydrocodone. so now u take 22.5 hydrocodone in a pills and a 100mcg patch which is about 1mg to 2mgs an hour. say 24hours times 2mgs max is 48 plus 22.5 70.5 mgs at the absolute most a day that is 230 mgs of morphine of hydrocodone a day less. like I said when taken oral they're mg for mg, but if u where to IV morphine it's almost 3 times stronger then hydrocodone. 230mgs less a day that is huge that's why it took u so long to write that u are withdrawing badly but he put u to 25mcg which is equal to 4mgs of hydro max 96 plus 22.5 118.5mgs from 300 that's huge wow

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In regards to your question, #3 60mg MS ER & 30mg IR, is equal to a 75mcg Fentanyl Patch. Considering the increased dosage you are on, it is equal to a 100mcg Patch. I was on only 30mg of MS ER & 15mg MS IR, had digestive issues from the MS & poor pain relief, so I was converted to a 75mcg Patch, which was stronger, than my dose of MS. Dr's are careful, when changing meds & converting dosages, as patients react in different ways, therefore, they start new RX's low & titrate up, according to pain relief & toleration.
12mcg & even 25mcg Fentanyl Duragesic Patches, are ridiculously low & the Dr. made a poor choice, I SUPPOSE, erroring on the side of caution? If he won't increase, I'd change Dr's. I realize, this post is old, but I figured, I'd give my two cents, in case someone else could use it.

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If y'all are having difficulty getting the patches to stick... Try using rubbing alcohol on the spot (I found that the flat hard area above my breasts the best), let it dry, then carefully stick the patch to that area & hold it there tightly for a few minutes, smoothing it out as you hold it... Use alcohol to remove the glue too!! Just make sure that you move the patch around or you WILL get a skin irritation from the glue and the medicine!! Trust me on this one... I've been wearing them for about fifteen years!! Your upper arms and such just don't work!! You need to use an area where the skin and muscles don't move much!!

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