Re: Just Started Fetanyl Patch.....Any difference between brands?
Hi Steeltown - The conversion depends on the amount of oral medication that you were on. If you were on between 67.5 and 112 mgs. per day of oxycodone then you should be transitioned to a 50 mcg/h fentanyl patch. If you were on 17.1 to 28 mgs. of hydromorphone, you would also be switched to the 50 mch/h patch. These are the recommended conversions from Janssen, the company that makes the Duragesic Patch. I disagree that you can convert your oral med dose to the patch dose by just counting the number of pills you are currently taking. There are many different dosages and it should be based on that, not the ## of pills. I'm currently coming off of the patch. I was on the 100 mch/h patch and the doc has titrated me down by going from the 100 to the 75 for 2 days, then the 50 for 2 days, and now I'm on the 25 with one more day left. Then I will stop. I'm very nervous about how quickly she has titrated this med downward! I am also on 150 mgs. of oxycodone per day. Memere (K'Mac)