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Absolutely - in fact, most patients in Pain Management programs who are using Duragesic (myself included) have an acute pain medication like Vicodin or Percocet for "breakthrough pain", that pain which on occasion is a bit stronger than the patch will take care of. It usually occurs during periods of increased activity, or when the cause of the pain gets a bit worse due to other factors (cold, barometric changes, bad attitude, or just life in general).

It's important to keep track of how much you're using though - if you're using a lot of your breakthrough med, your patch dose probably isn't cutting it and needs to be increased. It's a trade-off though; I've always opted for using more Percocet to control breakthrough, since it gives me more control (once the patch is on, it's on, whether there's breakthrough or not). Having said that, I also know at what point I need to increase my Duragesic dosage if I'm using more Percocet than I know is normal for me. For relatively new patients (3 yrs or less) it takes a bit of time to know how your body reacts. Over 13 years I've got it down pretty good.

Remember that Duragesic is a long-term, chronic pain medication, lasting from 48-72 hrs depending on the patient. Vicodin and similar meds are acute pain medications, lasting only 4-6 hrs, and only for treatment of occasional pain.

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Q: Can you take Duragesic patches and Vicodin at the same time?
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