fentora 200 mg equals how much in oxycodone?

[pulskaki]

I have really never seen the lollipops how do they work out??? seem like they may be working out for you better fr right now..... Today my pain sucks... I am now verry stressed maybe I should check out the lollipops and see if they will be good for me...
Thanks for the info.
kim

[brianpain33]

Originally Posted by caress

get a definitive answer I can take to my HMO primary care physician with the goal of switching from 5 mg oxys ( up to 8 a day) to the lollipop as a breakthrough pain management.

I really do not think you should go on the fentanyl lollipop because it will increase your tolerance to narcotic medications very, very quickly. Also keep in mind that they only last for a short period of time for the pain. The real goal should be to get the pain level down to a reasonable level for most of the day which would mean an appropriate amount of a LA medication and not a BT medications, especially not one of the strongest BT meds available. Please try the fentanyl patches before suggesting the lollipop. It keeps the level of fentanyl in your body at a constant dose which is what you need. You might need to even go up to 100mcg or higher dose of the patch but that is no where near the 200-800mcg dose in each of those lollipop. Please think about what you are suggesting. Sure I would love to try the lollipops but I know what would happen and it is exactly what I have told you. I don't want to have the tolerace to narcotics that is ridicuously high. Just please think about going on the patch first.

Brian

[Executor]

Brian is right about the patch keeping fentanyl in your body around the clock. If you want the exact recommended conversion, look at the drug's (Duragesic is the brand name) patient/Dr. literature, they have a conversion chart of daily average morphine/morphine equivalent to the fentanyl patch. It can found on-line....It comes in the box with the patches. A pharmacist can give it to you as well. For example, those on 10mg of OC 3x day are converted to the 25mcg fent patch. Since it's 25mcg per hour, thats 600mcg per day. The fent lollipops come in 200mcg, 400mcg, 600mcg, 800mcg and so on. So, you could make your conversion that way.

The lollipop is very quick in your body, and therefore, very quick out. Works in less than 5 minutes, but is gone within 2 hours, sometimes less. They have a blood plasma graph (Actiq is the brand name) in their patient/Dr. literature (that comes in the box) that documents this concept. It can be found on line as well. It shows a very quick and sharp peak, and then the bottom drops out. Works great for BT pain, but isn't appropriate as a only med. You should be taking some type of LA med (which will keep your blood plasma levels elevated and constant) and then something short term for BT. Without something LA, your "ups and downs" will be miserable.

Also, beware that the lollipops are EXTREMELY expensive and most insurance plans only pay for them if you have Cancer....Unless you've got great insurance.

Good luck and hope this helps.

Ex

[caress]

Thanks for the concern, Brian. I am on a LT medication- 40-80 mg oxycodone time release taken BID- they are supposed to last 12 hrs, but I experience breakthrough pain about 6 hours or so later, or earlier if I do something to aggravate my back, like too much exercise or work that is too much. I have a degenerative disc at L5-S1 with almost no disc material- so its bone on bone, plus "failed back surgery syndrome" which includes a damaged nerve to the left foot resulting in numbness, pain, and occasional zings like being stung by a wasp or electrocution. So, the plan I have been on for the three years since the surgery has been to take my TR med early in the morning a couple hours before getting up, then take the 5mg oxy as needed up to 8 a day. I take another 40 mg in the late afternoon, which gets me through making dinner and taking care of my family. When I was prescribed the fentanyl 200, I was pain free for the first time in years, and one sucker kept me feeling great for several hours. Then, my P C Provider decided not to give them to me, based on a misunderstanding with the oxycodone. Now I have a different Doc and want to get them to let me have some for times I just am in serve pain and can hardly walk.
I think I ended up with less narcotic in my body. I did not have any side effects, and it worked! So it is obvious why I want them as a choice, at least, for pain management. Of course, my HMO is afraid of abuse, but, my goal is to be healed, not a drug addict. Since they botched my operation, you would think they would want me to at least have a better quality of life! I have been a pilates instructor and personal trainer for 10 years before my injury.
Aloha, Caress

[brianpain33]

Originally Posted by caress

When I was prescribed the fentanyl 200, I was pain free for the first time in years, and one sucker kept me feeling great for several hours. want to get them to let me have some for times I just am in serve pain and can hardly walk.
my goal is to be healed, not a drug addict.

Caress,
I feel for you, I really do but you need to understand what is going to happen if you do start using the fentanyl lozenges (which I doubt you will even be able to get again). I want to say that there are times when I am in severe pain and I don't think any "safe" amount of narcotic would get me pain free in those times. I wish that I could have the losenges in those times as well, but I know that it might increase my tolerance to the fentanyl or other narcotic in general very quickly. Just think where are you going to be in 20 years if you start using these losenges and your tolerance becomes astronomical and you have to beg a doctor to try to prescribe enough of a narcotic to even make a dent in your pain. I am really trying to "save" you from reaching that point and then saying "crap, I wish that I would have listened to the people that were warning me this would happen". I am not saying this because I don't want you to have relief, but I want you to have effective PM for many, many years. Let us know what you decide and what your doctor and insurance company does.

Brian