Fentanyl and Actiq - Pain Management Message Board

djemcee · 12-29-2006, 12:10 AM

I am currently on Fentanyl with Percocet for B/T Meds.

I am on the 50 mcg/hr every 48hrs. and Perc's 10/325 taken 2 pills 4hrs. apart if I need to control B/T pain. I would say some days I could take 8 Percs, and others not take any.

I like the Fentanyl patch and it seems to be a great option for me. I was wondering if a break through med needs to be a different med to work and help because it is a different chemical or if the same med for B/T is o.k.

I like the Fentanyl drug, so I was wondering if Actiq would be a good B/T med. Does anyone use Actiq for B/T meds. Is Actiq short acting. Does Actiq bypass the stomach like a patch does. Is Actiq basically Fentanyl?

Does anyone have the patch and Actiq for B/T? How is it working for you?

Does Actiq come in different Doses? Can it come in about the same dosage equvalent as 10/325 percs?

Cheers,

Cali Chris

Sorry for so many ?'s

erfan · 12-29-2006, 02:42 AM

Actiq has been approved for cancer b/t pain only although many Docs do rx off-label. However, after reading some articles about this in the WSJ and other credible papers, I'd expect a crackdown on off-label use. Insurance might not cover it of not for cancer b/t pain.

Actiq is absorbed through the cheek and it starts working in as fast as 5
minutes.

Is it better to have same med for base abd b/t? Some say yes, others say no.

It might be best to have different receptors covered.

KEVINNKY · 12-29-2006, 08:24 AM

I Currently Use The Fentanly Patch And Oxycodone For Bt Pain. My Pain Doctor Has Discussed Actiq With Me But The Problem Is That It Has A Very Short Half Life And Is Only Good For About 1 Hour Of Bt Pain Relief. I Have Recently Switched To Hydromorphone For Bt Pain And It Works Much Better Than The Oxycodone. My Pain Doc Trys To Switch The Bt Meds Alot To Avoid Tolerance. Hope This Was A Help. I Was Offered Actiq And Tried It For About A Week It Was Useless.. It Nocks You Out For An Hour And Then You Are Right Back In Pain. Hope This Helps.

KEVINNKY · 12-29-2006, 08:24 AM

I Currently Use The Fentanly Patch And Oxycodone For Bt Pain. My Pain Doctor Has Discussed Actiq With Me But The Problem Is That It Has A Very Short Half Life And Is Only Good For About 1 Hour Of Bt Pain Relief. I Have Recently Switched To Hydromorphone For Bt Pain And It Works Much Better Than The Oxycodone. My Pain Doc Trys To Switch The Bt Meds Alot To Avoid Tolerance. Hope This Was A Help. I Was Offered Actiq And Tried It For About A Week It Was Useless.. It Nocks You Out For An Hour And Then You Are Right Back In Pain. Hope This Helps.

KEVINNKY · 12-29-2006, 08:25 AM

I Currently Use The Fentanly Patch And Oxycodone For Bt Pain. My Pain Doctor Has Discussed Actiq With Me But The Problem Is That It Has A Very Short Half Life And Is Only Good For About 1 Hour Of Bt Pain Relief. I Have Recently Switched To Hydromorphone For Bt Pain And It Works Much Better Than The Oxycodone. My Pain Doc Trys To Switch The Bt Meds Alot To Avoid Tolerance. Hope This Was A Help. I Was Offered Actiq And Tried It For About A Week It Was Useless.. It Nocks You Out For An Hour And Then You Are Right Back In Pain. Hope This Helps.