Yes, but they don't last as long, so in the long run they're actually more expensive.
Duragesic patches were recalled because there were negligible tears in the patches, thus releasing more fentanyl than should have been released per hour. These patches were taken off the market, the pharmaceutical companies (including the ones that made generic patches) rectified the problem and then the patches were on the market again.
It can, but generally doctors prefer to prescribe Percocet or plain Oxycodone rather than Dilaudid (hydromorphone), unless the patient has problems with morphine intolerance (both Dilaudid and Fentanyl are synthetic opiates).
Fentanyl originally was developed as an anesthetic, and is still widely used today for surgical procedures where the patient needs to be conscious (relatively) and able to respond to commands (e.g., bronchoscopy). Fentanyl is 100 times more potent than morphine (100 micrograms of Fentanyl is equivalent to 10mg's of Morphine). Fentanyl patches (Duragesic, e.g.) use concentrated doses of Fentanyl delivered to the bloodstream transdermally over extended periods, which make them ideal for long term chronic pain patients.
I have been using Duragesic (fentanyl patches) for severe chronic pain caused by RSD since September 14, 2002. When my primary care doctor used a urine drug test to find out if I was really using my Duragesic patches, the test came back negative, even thoigh I really WAS using my patches. However, a blood test did show the level of fentanyl present in my blood. The funny thing is that the level of fentanyl in my blood is higher when I use my 125 mcg brand name patches from Janssen than when I use my 125 mcg generic patches from Sandoz, Mylan, and other generic manufacturers, whose names I do not remember.
No - Fentanyl is a synthetic opiate, and was first synthesized by Dr. Paul Janssen in 1960. Though typically used as an anesthetic, it's also widely used in transdermal patches for severe chronic pain. It is also the strongest opiate, being 100x stronger than morphine.
Fentanyl is available in various strengths, commonly measured in micrograms per hour (mcg/hr) for transdermal patches and in micrograms per milliliter (mcg/mL) for injectable forms. Transdermal patches typically come in strengths such as 12, 25, 50, 75, and 100 mcg/hr, while injectable fentanyl can be found in concentrations like 50 mcg/mL and higher. The potency of fentanyl is significantly greater than that of morphine, making precise dosing crucial to avoid overdose. Always consult a healthcare professional for appropriate use and dosing.
YES...fentanyl is much stronger.
Fentanyl patches are designed to be applied to areas of skin with a good blood supply, such as the upper arm, chest, or back, rather than the soles of the feet. Applying a patch to the soles may hinder its effectiveness and absorption. Additionally, the skin on the soles is thicker and may not allow for optimal medication delivery. Always follow your healthcare provider's instructions regarding patch placement.
You can, but you won't notice any effect other than maybe feeling a bit more relaxed. Fentanyl is the strongest opiate (100x stronger than morphine), and cannabis isn't even close to affecting anyone who's using patches on a regular basis.
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.
Fentanyl is the strongest opiate, and is approximately 100x stronger than morphine.
Yes, fentanyl is significantly stronger than Percocet. Fentanyl is a synthetic opioid that is estimated to be 50 to 100 times more potent than morphine, while Percocet contains a combination of oxycodone and acetaminophen, which is less potent than fentanyl. Due to its strength, fentanyl carries a higher risk of overdose and is typically used in more severe pain management scenarios.