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Everyone's different of course, but in general, any meds that increase metabolism or are respiratory depressants should be avoided. Usually anyone who's opiate tolerant enough to use Fentanyl patches on a regular basis isn't going to have problems with respiratory depression/arrest, but you don't want to push it if you're not sure.

Anything that increases body metabolism (e.g., Ritalin, Adderall, Phentermine, etc.) or raises body temperature should be discussed with your doctor prior to use also. Fentanyl patch doses are released transdermally through the skin, and are activated / controlled by body heat. Any increase in metabolism tends to lead to an increase in body temp, and that in turn can increase the dosage delivery rate to the point where you'll get the effects of overdose. The indications are confusion, dizziness, and a general feeling of helplessness and being "stuck in a loop" that you can't get out of.

If you start feeling that way, the 2 things you need to do are to take the patch(es) off (don't fold them - you can re-apply them later with Bioclusive bandages or medical tape on the edges), and get into a cool shower to lower your body temperature quickly. Drinking something cold to lower your core temperature helps a lot also.

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12y ago

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