Discussions that mention duragesic

Pain Management board

[FONT="Tahoma"]Yesterday (June 9th) my doctor decided to change my LA pain med from the fentanyl patch (Duragesic) to Methadone b/c my pain is no longer responding to the patch. I honestly love the patch for a variety of reasons, the most important being the GREAT pain control it provided until recently. Anyway, I'm not very familiar with Methadone and am hoping some of the wonderful people here on the board can provide me with any information about it. I'm looking for any bad side effects, should I take it with or without food, does Methadone work as well, or better, than fentanyl...etc.

My doctor is having me slowly come off the patch...until yesterday I was on the 100 mcg patch...my doctor has instructed me to:

- yesterday I applied a 75 mcg patch, and in 3 days from yesterday...
- I will apply a 50 mcg patch, and in 3 days from that day...
- I will apply a 25 mcg patch

My biggest concern is experiencing fentanyl withdrawl. Does anyone think I'll have a problem with withdrawl based on how my doctor is slowly taking me off the patch?

At the same time my doctor started me on Methadone as follows:
- take 1 tablet (10 mg) twice a day for 3 days (starting yesterday, June 9th), then take 1 tablet 3 times a day for 3 days, then take 2 tablets twice daily thereafter.

I have percocet (I have always had) for breakthrough pain. Will I need a B/T med with the Methadone?

I have back problems and I know I will be having another back surgery in probably a few months or so...to your knowledge, will I be able to stay on Methadone through my surgery and recovery?

I appreciate any advice!