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Generic Duragesic patch
  1. #271
    iknow is offline New Member
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    Don't take the Fentanyl patch from hell. It only works anyway only half the time. You will itch horrible 2 days and throw for another whole day just to use the patch. And it only works 1 day out of the 3 day dose. I was on the highest dose and still barely marginal relief.

    I was on Fentanyl patches for 3 years 100 MCG/hr. Where I lived not one doctor knew how to tapper me off. When I got down to the 50 patches I went into acute withdraw and was for a month 1/2 unaware like a light was turned off. I couldn't walk or talk or eat. My husband took me to the emergency several times where I was treated horribly like a drug addict. The last trip to the emergency my heart stopped and my resportory system shut down. It damaged my heart and I got a virus on it that they have no cure for. Before I went into withdraw I searched the internet for a place that was certified to give Suboxone. Many place won't give this to you unless you have abused Fentanyl and would not accept me. I found a place in another State. A doctor has to be certified to give Suboxone. It brought me right out of withdraw the minute the doctor put it under my tongue. I was told I would have no withdraw from Suboxone but went through 2 horrible withdraws from this also. It was not as horrible as the Fentanyl though. I feel sorry for anyone who has to come off of either Fentanyl or Suboxone and most doctors are unsupportive. I found a wonderful doctor that got me through this but had to go to another state. Suboxone is 2 drugs mixed together. One of them is what they give to herion addicts. Even though I had 2 withdraws from it....it is the way to go. I had 2 withdraws from it because they took me off too fast the first time. And had to put me back on it. I lost down to 85 pounds because one of the symptoms from it....I could not stand any smell or the taste of any food. I am so thankful to be off of these and wish the best to anyone having to go through this. You must find a caring doctor who is certified to help you get through this. Also you need to see a phychiatrist. I didn't , I was going to but didn't follow through. I have been off of these now for 6 months and am still feeling effects from the Fentanly. Good luck and my God also help you through this.

    Someone who knows[:I]

  2. #272
    iknow is offline New Member
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    You will go through hell to get off this patch! They don't even work but 1 day for the 3 day dose. The other 2 days you will itch horribly and throw up all day. I was on Fentanyl patches for 3 years 100 MCG/hr. Where I lived not one doctor knew how to tapper me off. When I got down to the 50 patches I went into acute withdraw and was for a month 1/2 unaware like a light was turned off. I couldn't walk or talk or eat. My husband took me to the emergency several times where I was treated horribly like a drug addict. The last trip to the emergency my heart stopped and my resportory system shut down. It damaged my heart and I got a virus on it that they have no cure for. Before I went into withdraw I searched the internet for a place that was certified to give Suboxone. Many place won't give this to you unless you have abused Fentanyl and would not accept me. I found a place in another State. A doctor has to be certified to give Suboxone. It brought me right out of withdraw the minute the doctor put it under my tongue. I was told I would have no withdraw from Suboxone but went through 2 horrible withdraws from this also. It was not as horrible as the Fentanyl though. I feel sorry for anyone who has to come off of either Fentanyl or Suboxone and most doctors are unsupportive. I found a wonderful doctor that got me through this but had to go to another state. Suboxone is 2 drugs mixed together. One of them is what they give to herion addicts. Even though I had 2 withdraws from it....it is the way to go. I had 2 withdraws from it because they took me off too fast the first time. And had to put me back on it. I lost down to 85 pounds because one of the symptoms from it....I could not stand any smell or the taste of any food. I am so thankful to be off of these and wish the best to anyone having to go through this. You must find a caring doctor who is certified to help you get through this. Also you need to see a phychiatrist. I didn't , I was going to but didn't follow through. I have been off of these now for 6 months and am still feeling effects from the Fentanly. Good luck and my God also help you through this.

    Someone who knows


    quote:Originally posted by moodstar53

    Hello,

    I'm new to this site. I ran across it because I am researching all I can to find out about how people feel about these "patches." I am glad for those who say they like the fentanyl patches, but please take note of what I have found. First, the patch is what caused the DEATH of my father last year, who was elderly. Second, fentanyl is almost a hundred times more powerful than morphine, and as far as cutting the patches--this only INCREASES the chances that you will overdose on these things. The sandoz patches, are the SAME AS DURAGESIC--they only have a different name, they are Janssen's generic, the maker of Duragesic. I found this out from the Janssen topic on another message board called cafepharma.com This was stated by the sales reps. who market and sell them to doctors and hospitals. The sales reps are aware of the dangers, but they have to make a living off of something that is killing a lot of people. Next, the Mylan patches uses a matrix form of delivery instead of the "gel" that is enclosed in the original Duragesic patches. There was a Citizen's Petition originated by a Doctor D. Brookoff to get the FDA to NOT approve the generic matrix patch earlier this year because "the delivery system in the new generic is even more dangerous that the gel patches." Well, the FDA approved it anyway. The FDA have their hands stuck in the pockets of the big pharma companies anyway. All that I found out about fentanyl and these patches is that TO ME, THEY ARE EXTREMELY DANGEROUS. Of course, if I had my way, I would have them ALL removed from the market. Not only are people abusing them, thinking they can cut them open, snort or eat the fentanyl inside, to get high, only to overdose almost instantly. (I have folders filled with printed info from these cases). Also, everyone do not metabolize the fentanyl the same, especially the elderly. The fentanyl is SUPPOSED to be time release to SLOWLY be absorbed into the skin, then released into the bloodstream. As with my father, we didn't find out all the risks (the doctor did not tell us or get our informed consent) and before we knew it, my dad was starting to have symptoms which included sweating profusely, coughing, hallucinating, and worst of all, difficulty breathing, or depressed breathing and hypoventilation. These were warned about in the insert (I found out too late) and also on the Janssen website. It is more dangerous to the elderly, but I have accounts where even 30-40 yr. olds have overdosed from the lowest dosage, 25 mcg which is what my dad was on. I am in the process of reporting this doc to the Med Board for overprescribing, not getting informed consent and several other issues. I tried to get legal help, but no atty. will take the case because they know that it's hard to get justice for a 96 yr old, the economic damages is just non-existent. So, my recourse is the tell as many people as possible of the dangers, and especially those who have elderly family members. Usually, once they succomb to the patch, then they try to say the person had all these "pre-existing conditions" that caused their death. My father had prostate cancer and congestive heart failure, neither of which was anywhere NEAR end stages at the time the patch killed him. His doctor first prescribed it when my dad entered the hospital for DEHYDRATION--So, be careful to ensure that your children, pets, others accidently ingest or allow the patch to accidently get stuck on them, becuase it could be fatal. Every time I read on these boards about the side effects people are experiencing, I cringe in the hopes that no one will die from these things. Again, those who are getting relief, I'm glad for you, but don't take these things lightly. THEY CAN KILL YOU!!!! Do not believe that you can "cut" these things to lower the dosage--that is definitely a no-no. Janssen is soon to market a 12.5 mcg patch which is half of the lowest dosage. The 25 mcg proved fatal to my father, and there was nothing to "wean" down to. Most of all, MY FATHER WAS NOT IN ANY PAIN THAT EVEN JUSTIFIED HIM PRESCRIBING IT IN THE FIRST PLACE! These patches are being used to get high, as a murder weapon, and as a tool to commit suicide. My guess that before it's over, all these patches will be banned.

  3. #273
    PaulRemski777 is offline Junior Member
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    On the patches that sweat off..I'd suggest using the stickey overlays available through most pharmacies..ask the pharmacist if this will impact absorption of the opiate. Duragesic patches, Mylan or whatever, are all a less expensive time release opiate...and must be titrated properly to get the CoRRECT basal dosage.

    All opiates have a tolerating impact..so forget the concept of NOT tolerating to the opiates..unless you use them very rarely, and your pain is unusual.

    By defiinition, whether in pill or time release or patch form..you will eventually (for me around 3-7 months)TOLERATE TO opiates..and must increase dosages in order to get the same relief.

    We can reduce it to any language we care to....but opiates are addictive or produce dependency..I prefer the latter language nuance....as i have been functional for 16 yrs in chronic pain, and on different regimens of opiate therapy. Yep, therapy. You will eventually tolerate to them and need to INCREASE doses. It is your choice in intelligent diaglogue with your physician.

    Thank you for all the posts.

    Paul Remski

    Paul Remski; 16 yrs Chronic back pain patient; 4 wks post detox and returning to work as TBI rehab specialist. Email: PaulRemski@twcny.rr.com

  4. #274
    brians2000 is offline New Member
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    quote:Originally posted by teenangel


    It is so sad to see so many of us with different opinions about certain products that are made available on the market.I did read some of the comments that were made and wow, its like a battlefield. To really and truly understand what one feels, well it is a journey that you alone take. I believe that it is great that we have pain management, cause I know I for one do not like being in chronic pain. But any type of highly dangerous potent narcotic should be locked up and only given with a signature. The person using the product should be liable for what they are taking, and the company making the product should also be held liable for the product given.
    I am the mother of a 16 year old daughter who died from what was classified as an accidental drug overdose. It was later made available that the product she died from was a drug called "fentanyl" 80 to 100 times stronger than morphine. Three men panicked and dumped her body in front of a garbage dumpster. All they got was 6 months and I received a life sentence for someone else's neglience.My daughter was not an addict, but had started experimenting 2 months before her death.
    It is very hard still after 18 months to not be consummed with what happened to her and daily I research on something else that I can do to make narcotic drugs only accessable through signed prescriptions. Here I was so worried about marjauna, hash, oil, and even coke....but being nieve I not once thought of prescription drugs. I feel sad for anyone who has lost a loved one through any type of death, but when it is so unexpected, it is much more difficult to understand. All I can say is please use this drug with a lot of caution as you don't want to leave family members behind who will mourn your loss for the rest of their days. We all think we're undis-structable, it will never happen to us, but guess what it does. Thanks and be kind to others, it is how they feel and their opinion, as they are trying to help you, not put you down. I have lived on anti-depressants since she died and now realize that even those are dangerous so have slowly reduced my medication and hope to be off totally in a month. I notice what it does to me and I don't like the effects of shaking and feeling unknown things. I sympathize with those of you who really need this type of drug to get through painful days. Noone knows whats its like to feel pain, no matter if physical or physcological. I only know what it feels like to have a herniated disk and siatica and have gone for joint facet injections. If we require a pain medication than that is at the descretion of the doctor and the patient. I don't know about you but I do what my doctor tells me as I trust her judgement in what she is prescribing to me, but only for me. I guess we all have to take risk and do what is best for us, not what others think.Travel in good health and be safe. Mom of teenangel

    sarah

  5. #275
    brians2000 is offline New Member
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    quote:Originally posted by teenangel


    It is so sad to see so many of us with different opinions about certain products that are made available on the market.I did read some of the comments that were made and wow, its like a battlefield. To really and truly understand what one feels, well it is a journey that you alone take. I believe that it is great that we have pain management, cause I know I for one do not like being in chronic pain. But any type of highly dangerous potent narcotic should be locked up and only given with a signature. The person using the product should be liable for what they are taking, and the company making the product should also be held liable for the product given.
    I am the mother of a 16 year old daughter who died from what was classified as an accidental drug overdose. It was later made available that the product she died from was a drug called "fentanyl" 80 to 100 times stronger than morphine. Three men panicked and dumped her body in front of a garbage dumpster. All they got was 6 months and I received a life sentence for someone else's neglience.My daughter was not an addict, but had started experimenting 2 months before her death.
    It is very hard still after 18 months to not be consummed with what happened to her and daily I research on something else that I can do to make narcotic drugs only accessable through signed prescriptions. Here I was so worried about marjauna, hash, oil, and even coke....but being nieve I not once thought of prescription drugs. I feel sad for anyone who has lost a loved one through any type of death, but when it is so unexpected, it is much more difficult to understand. All I can say is please use this drug with a lot of caution as you don't want to leave family members behind who will mourn your loss for the rest of their days. We all think we're undis-structable, it will never happen to us, but guess what it does. Thanks and be kind to others, it is how they feel and their opinion, as they are trying to help you, not put you down. I have lived on anti-depressants since she died and now realize that even those are dangerous so have slowly reduced my medication and hope to be off totally in a month. I notice what it does to me and I don't like the effects of shaking and feeling unknown things. I sympathize with those of you who really need this type of drug to get through painful days. Noone knows whats its like to feel pain, no matter if physical or physcological. I only know what it feels like to have a herniated disk and siatica and have gone for joint facet injections. If we require a pain medication than that is at the descretion of the doctor and the patient. I don't know about you but I do what my doctor tells me as I trust her judgement in what she is prescribing to me, but only for me. I guess we all have to take risk and do what is best for us, not what others think.Travel in good health and be safe. Mom of teenangel

    sarah

  6. #276
    brians2000 is offline New Member
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    I get a rash also and I would also like to know what causes the rash and what we could do to eliminate it. I was on the patch four years ago and I had to stop because of the rash. Last week I was put on the patch again and I have already gotten a rash from the first patch. If you find out what would help please send me a message and I will do the same. Thanks, Brian
    quote:Originally posted by FusedSpine

    Tommygun-

    I had problems with the Duragesic patch (rash, itch, etc.) The Mylan brand patch doesn't react with my skin. It's also a lot smaller and can be cut to custom-tailor the dose (regardless of what anyone else says; there's no gel inside, the fentanyl is in the adhesive.)

    Don't discard after 48 hrs if you think it's not working, there's enough active ingredient to last 100 hrs. I "overlap" them one day to get the most out of them. Hopefully I won't need them for very much longer, I was on them a year then had my spine fused from T-11 to S-1 in March. In the hospital I had to have huge doses of I.V. morphine (4 mg/10 minutes) + 100 mcg patch. The back pain is 90% gone, it's WONDERFUL! But being on Fentanyl 100mcg + MS Contin 120 mg/day + MSIR 240 mg/day has caused a bit of a dependence problem. But I'm down to 66 mcg patch (there's the benefit of the "cut-able" Mylan patch) + 60 mg/day MS Contin, so the end is in sight.

    There is a new problem however, the pharmacist said Blue Shield will only reimburse her for the cost of Sandoz generic. It seems a lot of people like the Mylan ones more and are asking for them; this apparently hasn't gone unnoticed by Mylan and they jacked up the price. I may end up paying "full coach fare" for them (which I'd do; Duragesic/Sandoz="no sale".)

    One other thing, I have to use Tegaderm with them because they don't stick so great in the shower. Tegaderm seems to be pretty hypo-allergenic, so I'm hoping your problem was just with the Duragesic adhesive, and Mylan + Tegaderm won't cause you any problems.

    Good luck!!

  7. #277
    thekid_22 is offline New Member
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    Hi. Im new to this site.
    I am suffering from tennis elbow,golf elbow and a C6 problem vertibrea(maybe spinal arthritis). I am 52 years old and somewhat healthy except for this problem i have been dealing with for the past year. i am off work and the way it seems is i may never be able to work again (construction) I was on prescription drugs for 6 months then they decided i had enough and wont give me anything else. I was on anti inflammatory,muscle relaxants,pain killers and had at least 4 cortisone shots that had no effect on me. So after speaking to a friend he gives me these duragesic patches. he tells me he tried one and could not tolerate the high and side effects. he has an endless supply of them and is willing to give them to me seeing me in pain with no meds.
    Now, I AM NOT A DRUG ADDICT,although in my youth there was nothing i would not try or do to get high.But that was then and this is now. i am hrting and just want it to stop. I deal with the pain because i have no chioce,UNTIL NOW.
    Now my dilema is this.( before i took any i checked it out online and was shocked on some of the reports.) Is this drug ok to try even though it was not prescribed for me. Will i become addicted to it,or should i say become dependant of it.
    I am not brave enough anymore t just try it. I need more input before i slap one on and as of now i am ready to deal with the pain >> the risks,based on them reports.
    Please advice
    Thanks a bunch
    Garry


  8. #278
    1Foxyldy is offline New Member
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    Hi Iam new to this forum and am not actually on this medication. I work in veterinary medicine and we use Duragesic patches on some of our surgery patients. I know that we were going to be ordering some of the generic to save on cost but most of you are saying that its not the greatest for multiple reasons. I appreciate the info given and Im sure it will reflect the same on my patients.

  9. #279
    shredded20 is offline New Member
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    I would highly recomommend NOT using the patches or any other type of strong opiate e.g. oxycontin, etc. The addiction to them and withdrawels from them are far worse than the pain you are in now. I wouldn't have believed it either but I've lived through the hell that they can cause...please do not start those patches. Good luck and I'll pray you'll make the right decision.

  10. #280
    tomcat21 is offline New Member
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    I have been using Fentanyl patches for several years now. I started with the Brand Name Duragesic, then the Sandoz brand. I now use the Mylan Labs brand.
    I absolutely like the Mylan Brand a lot better. For me it jsut seems to work better, stick better, etc.

  11. #281
    brians2000 is offline New Member
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    Do you know if you can order the bioclusive dressings off of the Duragesic website?
    quote:Originally posted by StevenDD

    quote:Originally posted by md2003

    Hey people, I've read over and over again about the patch not sticking, or coming off in the shower etc, etc. If you have ever been on the original duragesic, all you need is call them and they will refer you to JOHNSON AND JOHNSON BIOCLUSIVE, which is a transparent dressing/tape that goes over the patch to prevent it from all of the above. It is also free. When I was in the hospital, and the nurse applied the patch on my arm, she even used BIOCLUSIVE ON TOP OF THE PATCH. Johnson&Johnson are behind the original Duragesic, therefore they supply the transparent/ hypoallergenic/viral barrier that goes along with thier product(Duragesic). All one need's to do is call and ask 1-800-817-1916 or 1-800-526-7736. I believe the 817 number is the latest.
    You can also go to www.duragesic.com, if I remember right. They will only supply you with #2463 which is 4 inches by 5 inches, but they are easily cut to suit your desire. You are also able to write(which i do, the date and time when applied, using a permanent marker and it doesn't wash off either. I actually thought everyone using these things, were also using the the tape(BIOCLUSIVE)too.
    Anyway, just call, as I said, they are free, and come in packs of 50. Good Luck, and stop applying these things without some sort of MOISTURE VAPOR PERMEABLE/ HYPOALLERGENIC/VIRAL BARRIER.........I'm just typing exactly what it say's on the packaging

    md2003
    SD
    Removed Large Intestines at birth 1971
    spine fusion 1977
    360 spine fusion T5 to pelvis with Harrington Rods
    360 revision surgery with new Harrington Rods and Pedicle Screws

  12. #282
    SilverTears is offline New Member
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    I have been on fentanyl transdermal pain patches for some time. I started on 100mcg and have tapered down to wearing a 25mcg mylan patch plus one 12mcg janssen patch. I can't wait until I'm off of them, but I never had any trouble getting them to stick.

    My Dr.is helping me with the taper. It would be nice if they had a patch you could cut in half, as one of the replies stated. I have to wait three months between tapers. There is also a mini w/d each time.

    Good Luck To All,
    ST

  13. #283
    cygnetboy is offline New Member
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    Hello!

    I've been on the Duragesic® Transdermal System for 7 years now (currently at 50 µg/hr) for severe peripheral neuropathy, and have used BIOCLUSIVE™ #2463 dressings for the last 5 years. For the first two years, I too had difficulty with the Duragesic® patches remaining affixed to my skin, which is why I requested the BIOCLUSIVE™ dressings.

    The BIOCLUSIVE™ dressing is made by Johnson & Johnson Wound Management, a division of Ethicon, Inc. The Duragesic®/BIOCLUSIVE™ Program is administered by the Customer Contact Center of Ortho-McNeil Janssen Scientific Affairs, LLC. Their telephone number is (800) 526-7736. Their normal business hours are 9:00 a.m. to 5:00 p.m. EST (Monday through Friday).

    The ordering process for the BIOCLUSIVE™ dressing has become significantly more difficult in the last year, as the cost of the BIOCLUSIVE™ #2463 dressings now retail for $80-$120 per box of 50. I'm sure that some inventive soul figured out that they could order them for free from J&J and then resell them to make some extra money (they're currently selling for $49.99 on eBay), hence Ortho's extra security procedures when ordering them.

    You cannot order them off the website. Here are the procedures to request them: You need to call the number above to arrange for your initial shipment. They will ask you for the NDC number for your Duragesic® product. Generic drugs do not have the same NDC numbers as their "Retail" cousins, and the ordering process will NOT proceed unless you give them a valid NDC number from your box of Duragesic®. Then, they will send you (by mail) a form for you to fill out and return; and with it, you will have to send back physical proof of purchase of your Rx. This means that you actually have to send a copy of your Rx, which must show the following: (1) Drug (must state Duragesic®), (2) Date of Purchase (within the last 90 days), and (3) Your name, which must match the customer name on the form that is sent to you by Ortho.

    So, if you take the Sandoz generic brand or the Mylan generic brand, they will NOT send them to you. J&J will only spend the extra cash (BIOCLUSIVE™ & Shipping) on you if you're spending the extra cash on their "name brand" product, as I do.

    Refills of the BIOCLUSIVE™ patches are similar, with you having to provide the same kind of PROOF each time you request a new box, along with a special form that they send you with your refill.

    So, if you do indeed take the Duragesic® Transdermal Fentanyl System, you'll get BIOCLUSIVE™ for free; but if not, you'll have to pay for them yourself.

    Regards,

    Cyg.

    quote:Originally posted by brians2000

    Do you know if you can order the bioclusive dressings off of the Duragesic website?
    quote:Originally posted by StevenDD

    quote:Originally posted by md2003

    Hey people, I've read over and over again about the patch not sticking, or coming off in the shower etc, etc. If you have ever been on the original duragesic, all you need is call them and they will refer you to JOHNSON AND JOHNSON BIOCLUSIVE, which is a transparent dressing/tape that goes over the patch to prevent it from all of the above. It is also free. When I was in the hospital, and the nurse applied the patch on my arm, she even used BIOCLUSIVE ON TOP OF THE PATCH. Johnson&Johnson are behind the original Duragesic, therefore they supply the transparent/ hypoallergenic/viral barrier that goes along with thier product(Duragesic). All one need's to do is call and ask 1-800-817-1916 or 1-800-526-7736. I believe the 817 number is the latest.
    You can also go to www.duragesic.com, if I remember right. They will only supply you with #2463 which is 4 inches by 5 inches, but they are easily cut to suit your desire. You are also able to write(which i do, the date and time when applied, using a permanent marker and it doesn't wash off either. I actually thought everyone using these things, were also using the the tape(BIOCLUSIVE)too.
    Anyway, just call, as I said, they are free, and come in packs of 50. Good Luck, and stop applying these things without some sort of MOISTURE VAPOR PERMEABLE/ HYPOALLERGENIC/VIRAL BARRIER.........I'm just typing exactly what it say's on the packaging

    md2003
    SD
    Removed Large Intestines at birth 1971
    spine fusion 1977
    360 spine fusion T5 to pelvis with Harrington Rods
    360 revision surgery with new Harrington Rods and Pedicle Screws

  14. #284
    cygnetboy is offline New Member
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    Mylan gets FDA OK for new Duragesic dose

    The Associated Press - PITTSBURGH
    January 31, 2007, 10:49AM EST

    Drug maker Mylan Laboratories Inc. said Wednesday that the Food and Drug Administration approved the company's fifth strength of a line of generic pain patches marketed by Johnson & Johnson Inc.

    The FDA approved Mylan's 12 microgram per hour fentanyl transdermal system, a generic version of the Duragesic pain patch sold by J&J unit Ortho-McNeil.

  15. #285
    Shades_of_grey is offline New Member
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    As I was quickly skimming to this thread, reading with some amusement the flame war between the obviously emotionally unstable "Moodstar" (or something like that) who lost her 96 y/o father, and everybody else, I did notice a post later on that was of concern to me.

    I do not have the time right now to go through this thread again to find the post in question. I'm not even sure how long ago it was posted.

    The person had severe problems with a cycle of sweating/freezing, not sleeping, etc etc.

    There seemed to be a couple of responses that were sypathetic to the "symtptoms of withdrawal". And for anyone who has not had a previous reaction to "too much" fenanyl, this would seem like a reasonable conclusion...

    The danger of this is that to say that this is "withdrawal" would be to encourage the person to take more/continue applying patches...

    Unfortunately, I have also had these symptoms, hot/cold/sweating/freezing/not sleeping and, at first, I attributed them to something else. However, it turned out that it was actually the duagesic patch that was the culprit. Certainly not withdrawal. My doctor noticed that my face had turned grey looking, apparently a side effect of a slow overdose. I switched back to a high dose of OxyContin and all the symptoms disappeared. Who would have thought it was too high a level of opioids, not withdrawal? Why do the OC's not do anything like this?

    Many questions that can be answered when I have more time. I cannot spend any more time on the forums today, but I did want to get it out there that my experience should be considered and not immediately jump to the conclusion that someone with these symtoms is in withdrawal... Could be very dangerous...

    Sorry if this post lacks in diplomacy but unfortunately time is a factor

    Gotta go - I really enjoyed reading all your posts (well, most of them) - I will try to get back to this soon!!!

    For whoever posted about this problem, I hope you read this and it is not too late. For all I know that was posted a long time ago...

  16. #286
    MRP
    MRP is offline New Member
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    Default Patches and how to keep them on

    I am brand new to this forum, and appreciate all I have read here concerning Fentanyl and OxyCodone. I especially like the fact that almost all on this site are using the drugs for their intended purpose, and take to task those who show up and post about how to abuse the drugs. I have been in cronic pain for years, and have only recently; about two years ago found a pain mgt. Specialist who knows what to do, and I am comfortable with. In reply to one comment on here about how to apply the Fentnayl patch, aand make it stick, I use a product called tegaderm transparent dressing. This is applied over the patch, and is water proof but allows the skin to breathe. It is approved by both my doctor and Pharmacist, as I had trouble with the patch staying on when active or swimming. It also helps when you have children, as they cannot lick the patch and have any transfer of Medication. Thank you to all who are here to help and to those here to abuse, please leave. I and others who are new to this, need info and this is the only place I have found that is open and honest. I look forward to many good conversations in the future. write you soon.

  17. #287
    caseyn08 is offline New Member
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    Default

    to dstaley, u said u cant gain weight, there is 2 medicines, which if ur on medicaid or medicare it takes a while to get em covered, first there is marinol. i dont like it. its sythetic thc. all it does it make me sleep. second there is Megace which generic is megastrol and it helped me gain so much weight im 6foot 6 and i gained about 20 pounds in about a week on it, like no matter how much i ate i never felt full, and the megace is about $1200 for a month and marinol ranges (depends on dose) anywhere from 400-1600 there is no generic for that one. talk to ur doctor about it, i even lowered the normal appetite stimulant dose and it still works for me.

  18. #288
    ultimatecheek is offline New Member
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    Default suresite

    My doctor gave me these, and although they are a little expensive they work very very well. The patch doesnt come off until I say it comes off!

    Hope this helps
    Last edited by Anonymous; 10-20-2015 at 09:29 PM.

  19. #289
    Logan Five is offline New Member
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    1

    Talking Opioid Tolerance...

    so far after almost 20 years of dialysis, and ESRD almost 35 (I'm 35 yrs old). I have become pretty opiod tolerant. I used the patch along with morphine for a couple of weeks, then doubled each dose(by prescription, I don't play with my doses unless I know it's safe) and noted no change. No change in pain relief, no nausea, tiredness, dizziness,....nothing. stopped the patch because it was more of a nuisance, and the large dose patch was so big, I ran out of non irritated places to put it. (it was the adhesive that was irritating, not the drug) After stopping right off, pain mgmt was surprised to find there was no after effect. Again, no nausea etc. What does it take? I was going to ask about Actiq or fentora, but I know even pain mgmt mds have a hard time prescribing it for any non-cancer chronic pain. I'm pretty tired of fighting myself to live all the time. i don't have a long acting that does any thing. and if i find something, it only takes the edge off for a half hour or so. Of course pain mgmnt sees this as a breakthrough. Still makes no difference in the quality of my life. My counselor had a good quote..."if your getting hit in the head 19 times with a baseball bat, and you take a drug that cuts it down to getting hit in the head only 15 times with a baseball bat, it is an improvement, but it's still pretty bad, and your life insn't any better." At least I found a counselor who seems to understand, and a NPA that has taken an interest in my case. Strong Memorial pain management in Rochester, NY has made a difference, even if they have just given me hope by virtue of people who care. Any body else having such depths of opioid tolerance. there are so many different receptors, is it possible that certain conditions like strenuous opioid therapy, or neuropathy, or even aluminum intoxication have a permanent effect on opioid receptors in general? Well it's out to the forums now...

  20. #290
    Xtremteen7 is offline New Member
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    Default Been on these for the past 5 years!

    Since i have had a lot of experience in these patches i just wanted to share a lil bit of my first hand experience. I have been on all of the different doses from 12mcg to 100mcg's, and both generic and brand types. As for the strengths of each; at first I could tell a little bit of difference (brand being stronger) but i think it was mainly due to how comfortable and not wanting to risk more pain problems if I changed to generic, since I had been on the same brand for a while. Today i Perfer the generic because of the smaller size and more flexable material. I know ppl have given advice on things to help keep the patches on but what I use is called Tegaderm like member MRP has mentioned. It is a transparent dressing that is typically used to cover an IV. It's very thin, sticks VERY well and is easy to apply. They have many different sizes. I buy them at my local medical supply store or you can order them online. As for the cutting the patch in half, my pain specialist told me that you are allowed to do that but tape the end closed or fold half of it over and then tape it (or cover it with a dressing like Tegaderm) that way. While on the patches I am also on a Catapres/clonidine patch to help with withdrawl symptoms. I also have oral meds for breakthrough pain which usually keep me out of the ER for IV meds. The orals are a Hyrdomorphone 4mg up to 24mg/day and Fentora 200mcg up to 400mcg every several hrs. Hope this has helped.

    If someone can tell me how to contact the company to see about reducing the cost of the RX i would GREATLY appreciate it. thanks
    Desiree =)
    Last edited by Anonymous; 08-08-2007 at 11:28 PM.

  21. #291
    Xtremteen7 is offline New Member
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    Default

    hey hun, I know how you feel. I've been going through this chronic pain for 7 yrs now and I'm only 22 yrs old! Hard to have a normal life.

  22. #292
    momto3 is offline New Member
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    Default new here..... have lots of questions

    Hello.... I just started using the patches 4 weeks ago after 2 years of continuous use of vicodin 750. this past summer my pain level esclated so bad that a 120 script lasted 19-21 days.. along with 6 other meds... still was landing me in the er because of the intense pain. the patches have been a great help although I notice that if I dont chance them imediately when I feel them starting to wear off in the third day.. I am having to play catch up with other meds as it were to try and keep the pain form esclating out of control.

    Also I am noticing that some places just dont work as well as others for the patch and that twice now that I had to change the patch after 2 days because it felt like it wasnt working anymore....

    Have other people had simular problems?? are there ways to get around this??? Am I not on the right dose?? I am using the 50 streigth.

    thanks
    momto3

  23. #293
    mpvt is offline Advanced Member
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    Canada.
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    Default

    It will take you awhile to find were they work best for you and that's normal.Most doctors have you change the patch every 2 days as by the third day your using your bodies reserves(very little reserve) and you end up spending a full day playing catch up as your fentanyl serum level drops way down.Try and put thie patch on as early on the third day as possible until you see your doctor.He may change the patch to every 48hrs or put you up to 70mcgs.Good luck.....Dave

  24. #294
    sum1searching is offline New Member
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    Post Thoughts of Detoxing.....

    I have been on the duragesic patch for almost three years now. I am considering going off the patches, but I am not sure I can tolerate the pain I experienced again. Does anyone have any advice???

  25. #295
    mpvt is offline Advanced Member
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    Default

    If the duragesic has stopped working then there is methadone or the pain pump.If your planning on going opiate free then you need to do a very slow taper before you can get off them with little difficulties....Dave

  26. #296
    apopsshop is offline New Member
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    Default

    Quote Originally Posted by mpvt View Post
    It will take you awhile to find were they work best for you and that's normal.Most doctors have you change the patch every 2 days as by the third day your using your bodies reserves(very little reserve) and you end up spending a full day playing catch up as your fentanyl serum level drops way down.Try and put thie patch on as early on the third day as possible until you see your doctor.He may change the patch to every 48hrs or put you up to 70mcgs.Good luck.....Dave

    hello can you please email me I have not figured out this system and would like to ask you and share with you similar problems and wish to talk drectly if you woudent minde 52 years old man with no entitions at all med talk only . UDIDIT7@SBCGLOBAL.NET -Thanks -John

  27. #297
    apopsshop is offline New Member
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    Default dave /john/any-one

    Hello,
    Dave the 75 patch will it work longer ..? is this what your saying up the mc and lasting power will happen reason the half life is this the reason ...?

    I have been around looking re. the patch lasting one day ...you are the only person to have asked the question re. the 24 hours all in a day it's gone from good to nothing...Please can you tell me about your findings and what your doctor told you ..?
    I like the patch but bu 40 hours its gone out !

    Sure hope to here even a little info back from you ...
    -John Stephenson

  28. #298
    apopsshop is offline New Member
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    Sep 2007
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    Default cut in half.....?

    Quote Originally Posted by Xtremteen7 View Post
    Since i have had a lot of experience in these patches i just wanted to share a lil bit of my first hand experience. I have been on all of the different doses from 12mcg to 100mcg's, and both generic and brand types. As for the strengths of each; at first I could tell a little bit of difference (brand being stronger) but i think it was mainly due to how comfortable and not wanting to risk more pain problems if I changed to generic, since I had been on the same brand for a while. Today i Perfer the generic because of the smaller size and more flexable material. I know ppl have given advice on things to help keep the patches on but what I use is called Tegaderm like member MRP has mentioned. It is a transparent dressing that is typically used to cover an IV. It's very thin, sticks VERY well and is easy to apply. They have many different sizes. I buy them at my local medical supply store or you can order them online. As for the cutting the patch in half, my pain specialist told me that you are allowed to do that but tape the end closed or fold half of it over and then tape it (or cover it with a dressing like Tegaderm) that way. While on the patches I am also on a Catapres/clonidine patch to help with withdrawl symptoms. I also have oral meds for breakthrough pain which usually keep me out of the ER for IV meds. The orals are a Hyrdomorphone 4mg up to 24mg/day and Fentora 200mcg up to 400mcg every several hrs. Hope this has helped.

    If someone can tell me how to contact the company to see about reducing
    the cost of the RX i would GREATLY appreciate it. thanks
    Desiree =)

    Hello re. cutting the patch in half ...for sure not the jell patch Never cut it ! however I want to know if you can or have cut in half the non jell... for using it the next day ..? for me this patch works good for a day then I barly feel it working , up to 40 hours and nothing Pain is back . I was thinking of asking for the next up from 50 to the 75 to cut in half and use it at the 40 hr mark ..? has any body had or having simeler ideas..?

  29. #299
    apopsshop is offline New Member
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    Sep 2007
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    8

    Default cut non jell patch for the next day

    Hello re. cutting the patch in half ...for sure not the jell patch Never cut it ! however I want to know if you can or have cut in half the non jell... for using it the next day ..? for me this patch works good for a day then I barly feel it working , up to 40 hours and nothing Pain is back . I was thinking of asking for the next up from 50 to the 75 to cut in half and use it at the 40 hr mark ..? has any body had or having simeler ideas..? have experences with this or a bad idea all toghter ....? again this is with the mylan patch non jell...!

  30. #300
    apopsshop is offline New Member
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    Sep 2007
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    Default fentanyl new users old users ...?

    Hello have a question or care to share re. the patch ....? Please send me a email to UDIDIT7@SBCGLOBAL.NET

    Please know... Happy to talk re. the patch and would like to talk to someone using it as well .

    I have posted some of my thoughts above and have had no responces yer Octorber 3rd -2007

    Thanks.
    John

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