Oxycontin vs Fentanyl?

Question

I'm take 50mgs of Oxycontin 3xday.... plus (2) 5mg oxycodones 4x day...... for a total of 190mg of Oxycodone a day between the fast release and slow release tablets.
I want to take a break from this medicine for a little while...maybe switch to something else..... I thought about Suboxone but was told it don't help pain too much and I have a cronic pain issue that needs to be controlled so I was told to ask about going on a pain patch called Fentanyl for awhile then going back on my current meds.... was told I can switch back and for if I need to in order to not get used to one or the other.
My question is.... at my appointment in a few days I want to ask about switching to the patch but if I take 190mg a day of Oxycodone then how much micrograms is that for Fentayl... what will he more than likely give me maybe 25mcg every 3 days to start or the 50mcg... or the 100mcg? I'm curious.... will I also be able to keep my breakthrough meds while on the patch?

Answer 1

The amount you are taking will be close to 75-100 mcg of Fentanyl every 72 hrs



Because you need to get on this gradually, you will probably start on 25mcg patch, but becaue you are used to more meds, probably 50mcg. and work your way up to the dosage. You can take the percocet for breakthrough, you will have no choice but to do that. I would definitely try and get rid of that oxycontin though.



I went by this Conversion chart as a back up-- although I knew how much because I take that much and more

http://www.globalrph.com/fent.cgi



Another way they do the conversion

http://www.mywhatever.com/cifwriter/library/70/4932.html

I

am currently on both of these meds and the combination IS so much better then taking that oxycontin- I could never handle that oxycontin for some reason

I have quite a high dose of Duragesic(fentanyl) but I change my patch every 48hrs

and 10-12 perc prn (i am about to decrease that I dont feel I need them

This all goes along with 2 Spinal Column stimulators which I THANK GOD for a break. because that took me off all the other meds I used to take.



I would be more then happy to discuss the Fentanyl patch with you- I have been on it now for 10 years(whoa i just realized that) I have had chronic pain for 20.. this patch I am sure saved my liver! lol



I hope you do bring it up to the DR!! I am behind you 1000% and you can ask me ANY QUESTION while in transition.

Answer 2

Fentanyl Patch Vs Morphine

Answer 3

Fentanyl Vs Oxycodone

Answer 4

Try the patch. It works extremely well for chronic pain management.



I have a cervical spine injury and have been in a pain management program for several years. I currently take oxycodone, hydrocodone and morphine sulphate for pain along with a few nerve damage meds daily.

I was on the patches for about 6 months and they worked great. I had to go back to the pills due to a change in one of my nerve damage meds.



I see a lot of people at the pain management clinic and every one that has been able to use the patches has liked them.



The one thing you don't want to do is to listen to anyone that tells you they work better if you cut them..Fentanyl is about as strong as pain meds get and by messing with the patches you risk the chance of overdosing.



The other thing that I ignore is the people saying how bad pain meds are and that somehow you'll become an addict and start robbing people. Those people that say things like that have never been in chronic pain. The kind that never goes away, the meds just make it hurt a little less.



Here is something that I do that has worked well for me communicating my condition to the doctor.



Start a daily journal of your pain. Nothing fancy, I use a notebook.



Record:

Where you hurt

When you hurt

How bad the pain is on a scale of 1-10

How the pain in effecting you in your daily life and what you can and cannot do because of the pain.



Take it with you to your doctor. It's hard to communicate your condition in the few minutes you have with the doctor.



I've done this for several years and every doctor I have shown it to thought it was a great idea.



Here are a few links that I use that might be helpful to you.



http://health.dicovery.com

http://www.webmd.com/pain-management/default.htm

Answer 5

This Site Might Help You.



RE:

Oxycontin vs Fentanyl?

I'm take 50mgs of Oxycontin 3xday.... plus (2) 5mg oxycodones 4x day...... for a total of 190mg of Oxycodone a day between the fast release and slow release tablets.

I want to take a break from this medicine for a little while...maybe switch to something else..... I thought about Suboxone but...

Answer 6

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Morphine is made from opium and has been around for centuries. It is the classic narcotic on which all others are modeled and compared to. Drugs made from opium are called opiates. Another opiate you may have hard of is heroin. Oxycontin, on the other hand, is a synthetic opioid. These drugs are produced in a chemical laboratory and have the properties of morphine to varying degrees. Both are used to treat pain, but the synthetics are thought to have less of the unwanted effects of morphine such as nausea, itching, constipation and respiratory depression. Several opioids are used in medicine including hydrocodone, meperidine (demerol), oxycodone, fentanyl, alfentanyl, remifentanyl, sufentanyl. All of these drugs are dangerous. Any of these can kill you if not used properly.

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20 mg IR adderall-$2.00 each

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Answer 9

http://algosresearch.org/PracticeTools/NarcoticCalculator.html



conversion table for opiates







http://www.rxfiles.ca/acrobat/CHT-Opioid.pdf



opiate quick ref chart (this a very helpful thing to have for anyone taking opiates)

Answer 10

Are you chronic or terminal? Either way you need to discuss all these concerns with your Dr. You could ask for a referral to a pain management specialist. They are the best equipped to assess your condition and what meds would be best.

If you are terminal, I don't see why they wouldn't allow you to take the breakthrough meds.

Answer 11

All of the questions you asked need to be discussed with your doctor.Once on the patch they usually stop the breakthrough pain medication all together as the patch supposedly doesn't allow breakthrough pain. It really depends on why your taking the medication in the first place , how long you've been taking it., and how effective it's been.You do realize the patches cost about $150-$200 each don't you?

Answer 12

they both suppress pain, however morphine only suppresses certain types of pain

Answer 13

Have you spoken to anyone about a drug pump? or a SCS?

Answer 14

all i can say is get off of the oxys right away. my bro was needing to take them . and got addicted very quick!! and almost died. go on somthing other then oxys there terrible!