Discussions that mention duragesic

Pain Management board


for 6yrs ive been on pain meds about 3 years ago i went to my current dose 200mcg duragesic patches with dilaudid for bt. for the last couple of years ive been doing less and less and staying in bed longer w/o any change in my condition. Now ive been having more and more days of sweating/anorexia/nausea etc. Could i be in withdrawl by just not increasing my dose for several years?? thank you
[QUOTE=judi12;3674596]for 6yrs ive been on pain meds about 3 years ago i went to my current dose 200mcg duragesic patches with dilaudid for bt. for the last couple of years ive been doing less and less and staying in bed longer w/o any change in my condition. Now ive been having more and more days of sweating/anorexia/nausea etc. Could i be in withdrawl by just not increasing my dose for several years?? thank you

Very possible. Have you changed brands by chance (of the same med)?

Ex
[QUOTE=judi12;3676477]And to Executor same meds but i switch between sandoz and brand w/o much difference. Thanks all..

Ahhhh....Here lies a big part of your problem...As I suspected. I didn't want to say anything however, until I heard back from you.

I strongly suggest you do a search on this board for a thread called "brand vs. generic- major findings." I won't rehash everything here, but long story short, there is often a difference between a "brand" and it's generic. The Hatch-Waxman act of 1999 was passed in response to escalating drug prices in the 90s.....According to the FDA, the act pretty much created the current generic system/market.

Generics are permitted a 20% window of the active ingredient, which helps keep costs to the consumer down. A med that is +/- 20% is considered "close enough" or "bioequivalent." While this is true for most meds, it creates an issue with pain meds. Not only is 20% difference a lot for pain meds, but especially so for potent meds, like fentanyl. The generics must stay within 20% of the brand....But brands must be dead on across the board as part of the truth and labeling via the FDA. If a pill says 10mg, it must be 10mg. But, generics are given leeway as a way to control costs and prices to the consumer.

When I was on the patch, I noticed huge differences between the brand, Duragesic, and Sandoz. I never tried Watson or Mylan, so I can't comment there. My Doc forbid me from using Mylan, however. He told me that if I filled it and had problems, to not call for a replacement because he warned me...How about that for a statement! I found the Duragesic to be much more potent, and stuck better too (I assume, higher quality glue). I would suggest trying to stay on one or the other if you can. This way, you won't have the yo-yo effect of up and down.

Hope this helps, and let me know what you think after you read the other thread...There's lots of good info in there by many people.

Take care, and I hope you feel better.

Regards,

Ex