Discussions that mention duragesic

Pain Management board

hapy jack,

In a way it is you. Unfortunately, because of your past use of very strong narcotics, you have a high tolerance for these meds. Your system probably laughs at codeine and tramadol. So, that's one challenge.

The other challenge is that your condition may be getting a bit worse. This happens to a lot of us. Our pain level shoots up and we kinda automatically think it's tolerance to the meds. But sometimes it's our condition that has worsened.

You may have both things working against you. I think primarily you are not receiving anywhere near the amounts of opioids you need for pain. This happens to a lot of folks who have a history with opioid abuse or are actively using. They simply have a higher requirement for opioids. Doses that would kill me might be just right for your pain.

The problem is finding a doc willing to prescribe the level of narcotics you need. And there's always the trust issue. Docs find it awfully hard to trust ex-addicts enough to prescribe opioids. There is some good news. There are now drugs on the market, and many others that are soon to come out that are more tamper resistant or have a delivery system that makes them less likely to be abused. The fentanyl patch is one of the best. Duragesic is a patch loaded with a matrix including fentanyl that is applied to the skin and slowly delivers the drug through the skin and into the bloodstream over 48-72 hours. Of course, it could be abused by breaking open the patch covering and consuming the contents. But, the matrix is very toxic if injected and also if swallowed. There are other meds coming that are mixed with anti-opioids that if injected bring on immediate withdrawal.

What level is your pain at? On a scale of 0-10 where 0=no pain and 10=worst pain you can imagine?