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While each person of course is different, for many of us in formal pain programs it's actually very common. Duragesic is your primary pain control med, while the Oxy is your breakthrough. Gabapentin is what's known as an "augment" drug, as it and similar drugs in its class have been found in research to help augment opiate therapy. The exact mechanism isn't fully understood, and it doesn't work for everyone. Never did for me. Your drug mix is actually very commonly prescribed for long term pain.

So you understand how much someone can tolerate, my current dosages are 1 100 micro Duragesic patch and Percocet 10/325's for breakthrough pain. I normally use between 120/150 per month. At times I've had to increase my patch dose to 200 mike's, and add 100mg Demerol and 30mg MS Contin when things get really bad. I've been using the combination dosage of Duragesic & Percocet for almost 9 years now. I've known of other patients who were terminal cancer patients that were using up to 6 100 mic Duragesic patches. I've literally been to the edge of the abyss when it comes to pain, but that kind of dosage tells all of us there are areas of pain we never want to see.

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I take gabapentin, while wearing the Fentanyl Patch (50mg) and taking Perocet occasionally for spinal nerve damage. I have had no interactions that I can tell. Gabapentin is usally well tolerated and doesn't seen to interact with much. I am on the 50 patch and also on 4800mg of gabapentin a day and also tke 5/325mg of oxy for breakthrough reliever about 8 a day, Gabapetin is an anticonvusive drug that was for epilepsy and guess what the patch and oxys side effect are convusions so they cancel each other out. I have been on these drugs for over two years and they are very safe to be together as long as you stay away from alcohol. That will really mess you up

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Q: Is it safe to be taking Gabapentin and Oxycocet and be on the Fentanyl Patch for treatment of Spinal Stenosis?
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