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Old 02-11-2013, 02:19 PM   #1
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Get off fentanyl with withdrawls?

Is there anyway to get off fentanyl patches with withdrawls? I do have Percocet 10/325 and I am wondering if I use them will I still have withdrawls? I have chronic pancreatitis and RA so honestly I am not sure if I can have a life without but it is always hanging over my head that I have to have a patch on. So I am wanting to just use Percocet so I feel like I have some kind of control. Thanks

 
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Old 02-11-2013, 03:48 PM   #2
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Re: Get off fentanyl with withdrawls?

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Originally Posted by gmi123 View Post
Is there anyway to get off fentanyl patches with withdrawls? I do have Percocet 10/325 and I am wondering if I use them will I still have withdrawls? I have chronic pancreatitis and RA so honestly I am not sure if I can have a life without but it is always hanging over my head that I have to have a patch on. So I am wanting to just use Percocet so I feel like I have some kind of control. Thanks
Not sure if you mean *with withdrawals*......or do you mean WITHOUT withdrawals?

Are you sure the Percocets you have are not actually hydrocodone(brand name Norco)? As the dose you stated is (NORCO) which is 10mgs of hydrocodone,and 325mgs of acetaminophen?

The other question I have is which is much more important is why would your doctor suddenly take you off Fentanyl patches....as that is a MUCH stronger opiate than either Norco,or Percocets for that matter?

Ferd

 
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Old 02-11-2013, 06:32 PM   #3
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Re: Get off fentanyl with withdrawls?

ferd-
why would you think OP percocets are Norco? I have percocet(oxycodone)10mg w/325 acetaminophen for bt pain.

GMI-it depends on what strength of patch you are on and for how long-you should not stop the patch on your own CT-your doctor i am sure would taper you down. But if you do stop the patch CT and you have been on it stable for awhile-there will be no avoiding w/d's-even with the percocets-the W/D from fentanyl is fearce and you will take the percocet thinking it will help-it will very temporarily-and then you will be one hurting pup. Are you wanting to stop the patch because your pain no longer calls for a LA strong med? If that is the case-great-but you should have your doctor taper you off-there is no need to go through a nasty withdrawal.
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Old 02-11-2013, 08:16 PM   #4
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Re: Get off fentanyl with withdrawls?

I definitely agree to discuss this with your doctor. They can taper you off on the patches, switch to another med to taper off, or switch you to another long acting med. It can be dangerous to stop meds on your own, let alone a breach of pain contract if you have one. I'd discuss how you feel about the meds, your current pain levels, and goals for pain management, so the both of you can decide on what plan is best.

Its likely a hefty goal no matter what your patch dose to drop that and rely only on what you are now given for breakthrough. You should have some options though. I hope your doctor can work with you. I too didn't like the idea of the patch, the side effects, or the pain relief. Pills were much easier for me and didn't intrude as much on my life. Best wishes.
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Old 02-12-2013, 04:27 AM   #5
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Re: Get off fentanyl with withdrawls?

Quote:
Originally Posted by BB07 View Post
ferd-
why would you think OP percocets are Norco? I have percocet(oxycodone)10mg w/325 acetaminophen for bt pain.

GMI-it depends on what strength of patch you are on and for how long-you should not stop the patch on your own CT-your doctor i am sure would taper you down. But if you do stop the patch CT and you have been on it stable for awhile-there will be no avoiding w/d's-even with the percocets-the W/D from fentanyl is fearce and you will take the percocet thinking it will help-it will very temporarily-and then you will be one hurting pup. Are you wanting to stop the patch because your pain no longer calls for a LA strong med? If that is the case-great-but you should have your doctor taper you off-there is no need to go through a nasty withdrawal.
Hi BB

After writing the post,I realized that Percs are also dispensed in the same dosage # 10/325 (with the difference being 10mgs of oxcy instead of hydro),but wasn't near my computer to change it.You are correct though.In fact I have been prescribed them myself in the past.My Bad

My bigger concern was how/why would his doctor suddenly take him off such a powerful opioid(Fentanyl) so suddenly?Hopefully the OP will explain

Thanks Again BB
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Old 02-12-2013, 02:52 PM   #6
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Re: Get off fentanyl with withdrawls?

So sorry, yes I meant without withdrawals. My family doctor which is the me overseeing my pain meds says he does not think tapering off fentanyl helps. He thinks it is easier to just tuff it out and says the withdrawals will only last a few days.
I am not even sure I can function without fantanyl. I do have chronic pain mainly from cp but also RA. I am wanting to get off the patch for more than one reason. The main one is the worry of one day having to deal with coming off it. I am on 100 mcg now and it does help but I don't want to be on it forever. I am afraid the longer I am on it the harder it will be to get off. The other reason which is not a good one is that the RA is getting worse and one thing that does help is soaking in a hot bath or hot tub. Also using a heating pad is a big help. Of course all of theses are limited with the patch on.
I still have daily pain that is keeps me from functioning even with the patch and oxycodone. So, I might be wishing for something I can't have, I have to admit I am a control freak, I miss life without all theses meds in my system and just trying to find a way to have as much control as possible.
One more thing, I was a Probation Officer before I was forced to take a early retirement. I have seen what drugs do to,people and it scares the craph out of me. I know there is a difference in taking needed meds and the miss use of drugs. But, my fear is the outcome is often the same,
Btw, I don't think I said this but, my doctors are not recommending me go off any of my meds. They do not think it is a option. I am looking for answers cause as we all know they are nt always right 😊

 
Old 02-12-2013, 03:39 PM   #7
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Re: Get off fentanyl with withdrawls?

Oh lord

Your doctor actually said to *tuff it out*?That is a horrific travesty IMO or else I am missing something??

I dont even know what to say/post.......but truly hope/pray hope that other members on the Fentanyl patch will offer some sound advice on withdrawal help

Ferd144

** i also see you started another post tonight....its probably best to keep everything in ONE thread so its easier to help/follow

Last edited by ferd144; 02-12-2013 at 03:44 PM.

 
Old 02-12-2013, 03:48 PM   #8
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Re: Get off fentanyl with withdrawls?

Thanks for the tip. I will try to keep to one post. I noticed when reading post that alot of people see a pain management doctor and was wondering if I should be. I might not have these concerns if I was. About the time I was first put on pains we had two clinics shut down in my area and I think it affected me being able to get one to see me.
My family doctor is not concerned too much about me getting off the patch cause he dont think I need to at this time. But, he thinks weening off is harder than just getting to over with. I came here after a google search and was amazed at what I read. I did not know it would be so hard to stop it.
Thanks and sorry for the bad posting lol first time on a forum like this ��

 
Old 02-12-2013, 04:02 PM   #9
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Smile Re: Get off fentanyl with withdrawls?

Quote:
Originally Posted by gmi123 View Post
Thanks for the tip. I will try to keep to one post. I noticed when reading post that alot of people see a pain management doctor and was wondering if I should be. I might not have these concerns if I was. About the time I was first put on pains we had two clinics shut down in my area and I think it affected me being able to get one to see me.
My family doctor is not concerned too much about me getting off the patch cause he dont think I need to at this time. But, he thinks weening off is harder than just getting to over with. I came here after a google search and was amazed at what I read. I did not know it would be so hard to stop it.
Thanks and sorry for the bad posting lol first time on a forum like this ��
Without a doubt ,see a PM doctor as soon as possible.It has become quite hard to find doctors that treat/understand pain the last few years.

IMO a PM/or PM clinic will be your best shot

GL
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Old 02-16-2013, 01:05 PM   #10
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Re: Get off fentanyl with withdrawls?

I haven't been around for a WHILE! Sorry. Then I saw this and it reminded me of some struggles I've had over the years, so...
100mcg/hr is a LOT of Fentanyl to be on. There are dangers to "jumping off" an amount like that 'cold turkey'! It's not so much a matter of will-power, character, or personal strength. My concern is the huge degree of PHYSICAL Stress that hardcore withdrawal puts the BODY through, sometimes resulting in folks having-- seizures, strokes, heart attacks...
It is awesome to get off meds if you WANT to and if you CAN! There's a lot of Physical Therapy that you can do for recovery-- if it's appropriate for someone in your position.
For me, I have to remember that lots of people get stable on their meds over time, forgetting that it IS the meds that got them stable in the first place. Then they are disappointed when they go off the meds and relapse into the Pain Disorder... I have switched meds, cut down, increased... I take Fentanyl also-- because of Ulcerative Colitis (oral meds don't get into my blood stream predictably). I know what you mean about not feeling "in control"-- but at least the dosage is consistent!

I WISH YOU WELL!
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Old 02-16-2013, 10:15 PM   #11
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Re: Get off fentanyl with withdrawls?

Hello. How's things going for you now? I was up to 100 mcg. on the Fentanyl patch 18 months ago. Because of a fast move to AZ., from Cali., I wasn't able to get my refills again. (not going to go into details of why. It was personal family business). All I had for withdrawal was Klonopin 1mg. I ended up having a seizure and was in so much pain that it even hurt to breathe. It was about the most painful and agonizing 2 weeks of my life. And that was even by taking a benzo. If anyone ever tells you it's no biggy, and you can get through it, they've never been through it before. It's so dangerous. And then no Pain Dr. or ER or Primary Care wants to take on someone in that kind of shape! That's got "drug addict" written all over it to them. The ER's would barely give me a couple Tramadol, but noone will give someone like me in that condition a narcotic. What a horrible place to ever be in. Noone deserves that.

 
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Old 02-18-2013, 10:40 PM   #12
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Re: Get off fentanyl with withdrawls?

Quote:
Originally Posted by gmi123 View Post
Is there anyway to get off fentanyl patches with withdrawls? I do have Percocet 10/325 and I am wondering if I use them will I still have withdrawls? I have chronic pancreatitis and RA so honestly I am not sure if I can have a life without but it is always hanging over my head that I have to have a patch on. So I am wanting to just use Percocet so I feel like I have some kind of control. Thanks
Hi,
Two weeks ago I returned home after a 5 day stay in the hospital. I have had three previous presentations of the same symptoms but never received a diagnosis. This time the drs found my lipase level was over 1200u/L and diagnosed it as acute pancreatitis. So I was given dilaudid iv for pain 2mg/2hrs and a strictly IV diet for 4 days. It managed my pain but when I was discharged all I got was a script for 4mg hydromorphone tablets, no instructions, and a severe addiction withdrawal problem.
My primary care doctor set up a schedule to decrease my use of hydromorphone combined with a prescription for clonidine and hydrooxizine pamoate. I got over the hump with this combination.
I have chronic pain from spinal injuries and need to continue that medication. In the past I was prescribed fentanyl, when I re-injured my spine and punctured a disk with osteophyte bone fragments.
I didn't have help to get off fentanyl then. It was hell for over a week. I lost nearly 20 pounds. I would not repeat that again without help.
Don't do this on your own.
Also, be careful about any pain med with acetaminophen attached to it. Kidney, liver, stomach problems can arise from too much use.

 
Old 02-21-2013, 07:03 PM   #13
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Re: Get off fentanyl with withdrawls?

gmk-

I am prescribed 100mcg Duragesic Patches(along with oxy 10/325 for bt).It is the only medication that gives me good pain control, and I have been tried on most if not all the other oral LA medications and I didn't get the good pain control I needed, I suffer terrible pain(s/p serious traumatic accident) I also take other meds for neurologic brain/body permanent damage, etc. I also have to get 200 mg inj of testosterone inj every 2wks; long term use of narcotics depletes that hormone, it gives me back energy and sex drive-which was a God-send to my marriage, my husband has been so patient and supportive and am lucky to have him.

The patched allow me to do laundry(med loads) and fold and put away. it takes me all day but at least i can do it, and I can make dinner for my family and lite house cleaning-no heavy lifting-this may sound trivial but to me it is a miracle and I feel useful/important again, where before I coud not leave my bed due to the unbearable pain.

I have also learned(the hard way if you know what I mean)not to discuss my medications with ANYBODY-if I am asked or if a nosy so-called friend or neighbor, even family inquires about my accident and/or meds, I keep my answers very "vague" lol.

I am not ashamed of the meds I take as they allow me to function. I am under the care of some very fine and compassionate doctors, especially my Pain Specialist.

I think that is the key to good treatment when you have this complex problem-CP, having the best doctors you can find and tell them and their staff every once in awhike that you appreciate them and all that they do for you. Especially when you tell the staff cuz imagine the BS they probably have to put up with from lets say "difficult patients"(for lack of a better word-LOL)

Best wishes to you and everyone G.
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Old 02-22-2013, 12:15 PM   #14
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Re: Get off fentanyl with withdrawls?

GMI,
I'm sorry for getting to this thread so late, but I wanted to let you know that withdrawal off fentanyl is not much different than for any other long acting opiate. Tapering can be done, under the supervision of your doctor, but it can also be done "cold turkey", which I don't recommend simply because any starting or stopping of a medication should be done under the supervision of a doctor. Just my personal belief. I was on far more fentanyl than you, at one time in my life 300 mcgs per day, and several other similar type pain meds all at once for RSD, I am currently also on fentanyl and just cut my daily dose by 50 mcg, with no adverse effects and I have been on fentanyl this time for almost two years maybe a little longer. Anyway, withdrawal from opiates is NOT life threatening, unless you are talking about benzodiazepines, no matter what you may read on any forums. It is very much like a severe case of the flu, with some people having stomach upset, headaches, diarrehea, muscle spasms and cramps, hot and cold sweats, and some can experience some other symptoms usually seen with the flu....there are many over the counter meds that can help to manage those symptoms- pepto bismal, anti diarreheals, coke syrup for upset stomach, gatorade or similar electrolyte drinks to ensure hydration, hot showers and heating pads for muscle spasms and cramps if you have them, topical rubs to ease muscle aches, and soups to eat, as well as melatonin to help sleep if those fail , tylenol pm works too....the worst of withdrawal is typically day three, even with the patches as that is when your blood plasma levels start to really drop. Once you get to that point, it does slowly start getting better after that point. It is usually over by day 5. I did stop taking my fentanyl at 300 mcgs without a tapering plan and while it was not the most pleasant experience, it also was not nearly as bad as what I had been led to believe it would be. I think that the picture we paint in our heads also plays a huge part in what we believe it will be like and those types of images, where we allow the worst things we read on the internet to change our perception can make it worse.
The best option would be for you to talk to your doctor and ask him to reduce the fentanyl patches in dose , every 3 days or so....not sure what your changing schedule is- but if you are at 100 mcg now, he could drop the dose by either 25 mcg at your next patch change, or there is a 12.5 mcg patch that could be a smaller step down, and could be used to reduce each step down to make it easier for you. As you can see , it would take a few weeks to come completely off the fentanyl that way but it would make it a very easy taper. The other option he has is to convert the fentanyl to an oral med- and then taper you that way. For instance, if he converted you to oxycodone ( this is not an accurate conversion- just an example) but if he coverted the patch dose to oxycontin/oxycodone- and say that conversion gave you a dose of 60 mg of oxycodone a day, he could give you either 2-20 mg per day, then give you some 5 mg oxycodone for any additional withdrawal that isn't managed by the 2 doses , 12 hours apart....then he could have you drop the dose of the oxycontin to one 20 mg dose in the morning and then one 10 mg dose at night, along with a 5 mg oxycodone if needed for a few days, and then reduce the morning dose to 10 mg with the additional 5 mg dose if needed for a few more days . The best taper usually reduces the total daily dose by about 20% at each reduction. Once you have reached the 10 mg in the morning and 10 mg in the evening dose of oxycontin, that is the lowest dose of the extended release version, so from that point, he would have you take something like one 5 mg tablet every 6 hours, for three or four days, then take one away , and stay at that dose for a few days, then reduce yet another dose, until you are at one dose per day, and then you would be finished...all of that was just an example of how the coversion could be done.
The key to a successful taper is to try to keep in mind that once you make a reduction in dose, do not go back up..... if the doses are reduced around every 3 days, it allows your body to adjust to the new dose, without too much trouble, and stabilize for a day, then you reduce it again.....
I hope that this helps you some, and I would discuss those options with your doctor.
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Old 02-22-2013, 12:56 PM   #15
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Re: Get off fentanyl with withdrawls?

oh hold me back!Tough it out! Is he sane?My heart is bursting knowing all of the physical and emotional pain your in.yes you can go to another pain med ,but the way all your friends here are saying.You need a pain managment Dr. to help you .You deserve a life with your pain under control.I came off the 75 patch for the reasons you have.it interferes with everything.I thought i would just cold turkey.i found a pain manage ment Dr. after the worst thing I,ve ever done.
Please don't take all of this on your shoulders.There is help.
That Dr. took an oath do no harm.My prayers are out for you.
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