Fentanyl

Fentanyl isn't really something you have to try to avoid. First off, avoid having a serious chronic pain issue like cancer, then avoid having a doctor write a prescription for duragesic. If somehow obtain a prescription, your next step would be to avoid filling it at your pharmacy. If you somehow have managed to fail at this point, your last option would be to NOT place the patch on your skin.

If patient is truly allergic to either Demerol or Fentanyl (i.e. anaphylaxis or anaphylactic shock), then give morphine. Both drugs mentioned above are synthetics, which are completely different family from morphine, which is an alkaloid. Hope this helps.

Most probably. However, there are subtle differences that may allow you to take codeine. There are other opioids that you may be able to take. Hydrocodone (Vicodin) and oxycodone (Percocet) may work for you. You might also consider tramadol which is totally synthetic. Good Luck.

This has always been a problem for Duragesic users like myself, particularly during the Summer months. However, there are several ways you can help keep your patch(es) in place:

1. If you're using Duragesic and not the generic patches (most people like me who've used Duragesic for years can't use them), Janssen Pharmaceuticals, the maker of the patch, has a program for users of their patch to deal with the problem. Qualified individuals are sent a package of Bioclusive cover bandages to place over the existing patch. Bioclusives are transparent bandages that work like any other, but are just transparent and have different properties. The Bioclusive is large enough to fit over a single 100mcg patch and hold it in place. The information is in the Duragesic box, or you can call them directly at the number on the back of the box. The Bioclusive program is one of the menu items. Note that it is ONLY for Duragesic users; if you're using the generic patch, you're not qualified for the program.

2. Skin Prep - Skin Prep is a medical adhesive skin preparation, normally used by Colostomy patients who have much greater adhesive/adhesion requirements. Skin Prep preps the skin by adding a thin layer of a chemical that increases the adhesion of whatever it's stuck to. The key to using this though is that you must be absolutely precise in its application where the adhesive edges of the patch are to go. If careless, you can block the skin area where the patch membrane is when you apply your patch, thus preventing a full skin area for drug release.

There are 2 versions of the drug; one stings, the other is a 'non-sting" version. But the stuff works.

3. Medical/Surgical tape - You can use medical tape on the edges also. If the patch has come off, don't toss it if it's still intact and not stuck to itself. Clean the area where it was thoroughly, then put the patch back on using tape on the edges to hold it in place. Once removed from the skin, the patch adhesive is no longer strong enough to hold it in place on its own, so it needs tape or something like a Bioclusive patch to hold it. It takes a bit of time, but if you've got enough Fentanyl left in the patch, it'll start transferring within an hour or more depending on your body heat.

Having said that, at times requiring 2 100mcg patches myself every 48 hours (I'm in a small percentage of the population that only gets 48 hours out of the patch) I eventually figured out that the best way to keep them from coming off while sweating was to ensure they were put on properly in the first place. The only way to do this is to remove all skin oils from the area where the patch is going to be.

Ah, you say - but the directions say not to use alcohol for skin preparation, right? Actually, yes and no - the directions say not to use alcohol and THEN apply the patch. The reason for this is that Isopropyl Alcohol leaves a residue that can block drug release. So how do you get around this problem?

The answer is to use Isopropyl to clean the skin area, the to rinse/flush the area with water afterward to remove any residue left by the alcohol. Be sure not to use any soaps either, as they leave residue also.

Having used 1 or 2 100mcg Fentanyl patches for over 10 years now, I've always used them on my biceps, since for me they're the best place which affords the least skin flexing. Where you place your patch has a major effect on its adhesive capability as well. Any patch must be placed above the waist; many cancer patients I've known who've used them prior to passing on had them placed on the back. Anywhere you place the patch is supposed to be free of any body hair, as even small hairs can interfere with the patch. I've use mine for so long in the same place on both arms that hair doesn't grow there anymore, but when first starting I had to shave the areas where I put the patches. If you're wondering, I switch arms every time I switch change patches. You must give the area where you place your patch enough time to breathe and replenish itself.

I also offer this advice to any Fentanyl Patch user; as Schedule 2 opiate patients, all of us know the extreme restrictions placed on us by Federal Law, including the "minor problem" of only being given 30 days worth of medicine, only to lose one or more to sweating. I learned many years ago to maintain at least a 30 day emergency supply of all of my opiate medications, both primary and breakthrough (120/150 Percocet 10/325's per month). It is not easy to save up that much - if you have a good relationship with your Pain Specialist, you can always ask for extra, but be absolutely honest in why you're asking for it. Having had more bad doctors than good, it took a long time for me to find a good Pain Specialist, so be sure you've got a good one before saying anything if you should choose to try and bank extras for emergencies.

In my case, I used my breakthrough meds to substitute for my patches on those days when my pain wasn't as bad. It typically takes me a year to save that much - I've always kept my doctor informed, and he in turn has always given me a little extra in my prescription when my emergency supply ran low due to problems with my HMO or some other stupid reason. But I had the same doctor for 9 years, and I was one of his best patients. Never break the trust between you and your Pain Doctor - ever.

Those who have specific or further questions concerning patch adhesion may email me at the address at the top of my Supervisor Bio page.

133 a box of ten "generic". 5 in a box

don't have to dry it to smoke, just squeeze globs out on foil and smoke that shi. you can let the globs dry up on the foil before smoking if you want, makes for a bigger hit but it all burns up faster. IDk about injection, stuffs strong enough to eat smoke or whatever. no need to IV

yes, it is an opiate. I wouldn't be comfortable that my system is clean unless it's been appx 10 days. But, there are many variables. If you have a fast metabolism then it can be as little as 3 days. I suggest drinking a lot of water. Good luck.

Never, EVER, cut a fentanyl patch! The patch is designed to time release the medication through the material. If you cut the patch, the medication's release will no longer be appropriately "time-released". Technically, you are supposed to wash your hands after applying the patch as well. Fentanyl is 80 times stronger than morphine and can easily put someone into a coma or kill them if they are abused. If these patches have been prescribed for you, it is imperative to follow the instructions exactly as prescribed, and to be certain to wash your hands after applying. Cutting a patch could inadvertently release the medication in a significantly quicker manner, and cause a lot of harm. It is very dangerous.

Nothing. just a lot of water and heat. Don't use a cotton, it'l clog your pin. It's thick, so u have to heat it and mix it a lot to suck it up.

50 mg would kill you dead. No question. The correct dosage you are seeking is 50 mcg, micrograms, instead of milligrams. The difference: 50mcg = .05mg 100mcg = .1mg 1000mcg = 1mg.

It depends on how you take it. I'm finding the most common answer to state potentially up to 3 days or 72 hours but it depends on if its a patch you wear, a patch you're putting in your mouth, or a pill you're eating. WEARING A PATCH ON YOUR SKIN SHOULD BE THE LONGEST DETECTION TIME BECAUSE IT WILL STORE IN YOUR FAT. I MIGHT BE WRONG BUT I THINK ORAL OR IV WOULD BE THE SHORTEST DETECTION TIME.

ULTIMATELY, GO TO A METHADONE CLINIC OR AN NA MEETING AND GET HELP. DON'T WIND UP LIKE I WAS. I'M 2 YEARS CLEAN NEXT MONTH AND I'M HOLDING 2 PATCHES RIGHT NOW AND DEBATING A REAL QUICK RELAPSE.

When used IV, they often start with 50 MICROGRAMS of Fentanyl for pain. If needed, they go up to 100 MICROGRAMS. In contrast if they are using morphine they give 1 MILLIGRAM then go up to 2 MILLIGRAMS. 1 MG = 1000 MICROGRAMS. So doing the math, the fentanyl is 20 times more potent (50 x 20 = 1000) The main difference is fentanyl wears off in an hour whereas the morphine will last 2-4 hours. Fentanyl is used in anesthesia, for pain pumps and epidurals where you need fine control. If you overdose with Fentanyl a single dose of NARCAN to reverse usually is all you need as the Narcan lasts longer than the fentanyl. If you over dose with Morphine you might needed repeated shots of the Narcan because the Morphine lasts longer than Narcan. The biggest danger of fentanyl is powdered fentanyl can be quickly absorbed thru the lungs or skin.

As far as concerns with Fentanyl transfer to a female during conception, it's a non-issue. The only real concerns are for nursing mothers using Fentanyl themselves, since Fentanyl is excreted in breast milk. No congenital defects have ever been reported by women who were using Fentanyl during pregnancy.

Methadone is an opiate medication (specifically an long-acting opiate agonist). It is prescribed in tablet form to treat pain, and in liquid form (at specially approved clinics) to treat opiate addiction - especially when withdrawing from heroin.

Methadone is a DEA category 2 medication (as is the case with all other opiates, with the exception of codeine).

Yes you can. But it would be a waste for the most part. Methadone has blocking properties and will clog up your opiate receptors. Taking any opiate after Methadone is mostly useless. You will not feel any pleasurable effects from the other opiates. I have heard that taking other opiates with Methadone will help with pain, but that the euphoria of the opiate will not happen.

Fentanyl is roughly 80-100x stronger than morphine. It is often used with benzos for surgeries. It is only prescribed for home use for those who are opiate tolerant, in otherwords, those who have been taking high doses of opiates for long periods of time, due to moderate to severe chronic pain. Use by those who are not opiate tolerant is extremely dangerous, and many people have died from abusing Fentanyl, just like any drug. Fentanyl is very safe for those who use it as prescribed and for a valid purpose, but is definitely not something that should be used by someone to, 'get high'. Abuse happens with this narcotic, just like with any other drug, but the likelihood of addiction is small for those using it as prescribed.

I currently am on fentanyl 100mcg with 4mg dilaudid and 50mg ultram. The patch and dilaudid are for my cronic back pain after major back surgery to remove 3 discs associated with spinalcerebellaratrophy also called opca. The ultram is for migraines.

I've used fentanyl patches in the past for chronic pain, but was not opioid-tolerant enough for them to be appropriate until now, several years later. Regarding the question, based both on experience and info I've found on the web, it takes fentanyl patches about 12 hours to begin working, and about 24-28 hours for peak pain relief to start. And, as I'm sure you know, they should last for (and one should only use one every) 2 - 3 days.

The amount of time it takes for the amount of drug in the body to reduce by 50% is called the half-life. It takes approximately five to six half lives for the drug to be cleared from the body. The half-life for fentanyl patches is 9.5 to 12.4 hours. Multiply that by 6 and it could take up to 74.4 hours to clear the drug. You can do the math. Fentanyl lozenges-approx. 7 hours.

Duragesic takes a few hours to kick in and is supposed to last up to 72 hours (like how Oxycontin is supposed to last 12 hours) but most people find it lasts 36-60 hours. From my experience I've found fentanyl patches to last about 48-54 hours. In regards to drug testing, assuming it's a UA, fentanyl takes longer to clear than most opiates, it would take AT LEAST 48 hours after the removal of the patch (assuming you wore it for at least 2 days)

100 mgs all at once will kill you. Only VERY slow releasing patches come in high doses. Injections and pills come in micrograms...usually 50 or 100. 100 miligrams given all at once is a fatal overdose.....by a lot.

Fentanyl is a narcotic that is used to manage pain in chronic pain sufferers, people with cancer, people with allergies to other pain medications and other pain related situations. Fentanyl is 50 to 100 times more potent than morphine. Hydromorphone or Dilaudid is 5 to 8 times more potent than morphine. Just to give you a comparison. The drug should not be taken recreationally and is highly addictive. I take it in patch form for my kidney condition and even after three years taking it I still get loads of side effects. Also you cannot just stop this cold turkey as you can die. I have gone to bed forgetting to replace the patch I removed after wearing for 72 hours, when I wake up less than 3-8 hours later I am curled in the fetal position, shaking and my whole body aches. Withdrawal is really bad. The upside however is that if this drug works for you it can be a good pain relief. In any case always ask your doctor first to see if you need narcotics and if fentanyl is right for you.

i smoked fent a few hours ago and just passed one of the higher quality home drug test for opiates (oxy, morph, vic...) no problem.

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.

In a study of 7 patients given fentanyl in surgery -

Fentanyl and its two metabolites (norfentanyl and despropionylfentanyl) were extracted from samples and analyzed by gas chromatography/mass spectrometry.

Unchanged fentanyl was detectable in urine in all patients immediately postoperatively and in 3 of 7 patients at 24 hours.

By 72 hours, fentanyl was undetectable.

Norfentanyl was present in larger quantities than fentanyl immediately postoperatively and was detected in all patients at 48 hours and in 4 of 7 patients at 96 hours.

minimum 50 cents micro-gram per hour 1 microgram is .001 milligrams

$85 bucks cash for a 100ng/hr patch is high price between 50-70 is reasonable. Cheaper sometimes in the midwest and out east.

When it is applied to the skin, lidocaine is released into the epidermal and dermal layers of the skin, reducing pain at the site of the dysfunctional nerves damaged by the prior herpes zoster infection