Duragesic - Pain Management Message Board

robbygrl · 03-15-2006, 03:59 PM

i was also just put on them,25 mg pathches,pharm had to order. starten fri,,im woried will make me tired -was on percocet 10/650 6/8 day for lupus,fibro and hern l4-l5 ,,i like the perc's cause i have 2 kids and they gave me the uppity- energy bursts,, will the patch do same,,hey if it works for pain releif great and if i get lucky too not have bad exp w/ the patch -all 4 it but need to be alive for kids not high or tired feeling,,the percs,norco,vic all in that class gave me energy,,also if any one can tell me what too do- too start , im worried about breakthrough and pmd doesnt believe in meds for btp,,if start patch fri 2pm and take a perc at 2 ,,can i take another 3/4 hrs later and if so how long before patch kicks in and once put on at 2 and do the 3 hr perc dose when should i take last perc dose and if patch lasts 4 48/72 hrs when do u suggest i take the perc again for breakthrough ,dont want to overdose or get extremly high or tired ,,want pain free uppity,energized periods too care for family,,pmd also gave me methadone for pain 2 weeks ago before these patches was afraid too try,,didnt want tiredness or no energized spurt any comment on methadone for relief and feeling got when taken have 5mg but didnt try,,so glad found this board,,any comments will do,,basically will i get the uppity feeling with patch as did w/ perc,,how too take percs up too patch applial,when too do breakthrough dose,,then comments on methadone feeling,stories,etc thanks pain friends,,hope all r well and tryen to live pain free and the best they can

friendly_one · 03-15-2006, 06:09 PM

Hi Robby...I'm on Duragesic (150 mcg) as well. If you are expecting that burst of energy or a euphoric feeling like you say you get with percocet or vicodin, sorry, you won't get that feeling with Duragesic. Generally, you get the opposite feeling....being extremely tired, sometimes you can be dizzy (not buzzed) and feel faint, and a lot of people get very nauseous. These feelings can last a couple of months or the entire time you are on Duragesic. I've been on it for 4 years and I still get easily tired and nauseous from time to time. With these feelings aside, it does work well for pain, at least for me. Some people report no pain relief. Duragesic has to build up in your system. Generally, you have to change your patches a couple of times before you feel the full effect, sometimes longer. You won't feel anything for at least the first 12-24 hours after you put the first one on.

I would not take any percocet with the Duragesic if your doc did not prescribe it to take for b/t pain. You said your doc doesn't prescribe b/t meds. Fentanyl (Duragesic) is a very potent med. If you have never been on it, you don't know how you will react. Do you really want to increase the potency by taking a percocet?? You could possibly O.D. If you have b/t pain, please talk to your doc BEFORE you take anything. He needs to be aware of your pain and any additional meds. Also, are you drug tested through your PM doc? If so, do you want to chance it by taking percocet with the Duragesic if your doc did not intend for you to? The percocet will show up as a different drug in your system than the Duragesic. You know what that means...termination from PM, at least in my clinic and many others. Just be careful, ok?? Talk with your doc and let him know how you are feeling after starting the Duragesic and let him make the decisions on what to to. Take care and please let me know how you are doing, ok??