It's extremely common for Duragesic patients to have Hydrocodone, Oxycodone, or other acute opiate meds (Demerol, Methadone, etc.) as their breakthrough medication. Remember that patches are for primary, chronic pain; increased activity can cause the pain to increase past the point of patch effectiveness, which is termed "breakthrough pain". In those cases, an acute (short term) pain med like Vicodin or Percocet is used to deal with the short term increase.
I myself have used Percocet 10/325's for about 10 years in conjunction with my patches, about 120/month. At some point though, if breakthrough becomes constant, then it's time to re-evaluate the need for a higher dose patch or patch combination. I've had to deal with this several times over the years, and I prefer to use pills because it gives you more spot control of the pain. But for severe increases (see my bio for more), adding another patch is really the only way to go.
No - Hydrocodone is a much weaker drug than Fentanyl is. Fentanyl is 100x stronger than morphine.
The patches contain a time-release Microgram (MICRO, not Milligram) dose of Fentanyl in a gel suspension.
If you are talking about Fentanyl patches, no you don't want to use another narcotic on top of that. Fentanyl is very dangerous and is only used for people with severe pain that does not respond to stuff like hydrocodone.
No
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Yes, plenty of people have overdosed and even died from shooting up Fentanyl patches, both the gel containing patches and gel-less patches. The amount of Fentanyl in patches contains several days worth of Fentanyl, depending on the strength of the patch and a persons tolerance the total amount of Fentanyl can kill even the most tolerant of people several times over. Proceed with extreme caution when venturing into the IV injecting of Fentanyl patches!
yes
Transdermal fentanyl patches (Duragesic) are a common example of a long-acting opioid drug often used for cancer pain management.
No - they only contain Fentanyl in a transdermal release suspension gel.
of course
oxycodone hydrocodone Fentanyl
Fentanyl patches delivery slowly. If you rub the patch and then rub your mouth you could overdose in a matter of minutes. You need to be real careful with the patches and use them as directed. Do not just keep adding patches.
My doctors have had me on both fentanyl patches, fentanyl citrate suckers, and oxycodone for years. There has been no problems.