Withdrawal from Fentanyl Patch to Dilaudid Pain Pump?
I'll be getting a pain pump implanted soon and they'll be using Dilaudid. I'm now using the Fentanyl patch 75mcg. When I did the trial they said don't worry, there won't be any withdrawal. I kept telling them how sensitive I am. I did have withdrawal, but it was only because it took a while for the new patch to take effect after they removed the trial pump with morphine (24 hour trial).
So I'm really nervous about this. I've tried cutting a very small bit of the patch off (it's adhesive, not gel, I would never cut a gel patch) and get some withdrawal just from that. They think it's like a 1:1 thing and shouldn't be a problem, or if they start slow they'll give me enough of the patch to make up for it, but I still think I'll be in withdrawal because they're different meds in different places.
Any experiences or advice?