Fentanyl

Just Fentanyl itself - the rest is a gel suspension that allows for timed release of the patch dosage.

Almost all over-the-counter pain medications can be taken with fentanyl. Example: Tylenol, Ibuprofen, Aleve, Advil, Naproxen, and Aspirin all have no interactions with fentanyl.

On a side note, fentanyle should never be taken in combination with any MAO Inhibitors.

Fentanyl patches come in 12.5, 25, 50, and 100 microgram (mcg) doses. They

can be mixed to obtain an optimum dosage level.

You should NEVER downstep your fentanyl patches by CUTTING them. The way the drug is delivered, this will completely mess up how the medication is absorbed and metabolized into your system.

If you're going some 50 to 25, get a prescription for the patches at the lower dose. If you're already at the lowest dose and looking to gradually step it down, do so by only uncovering half of the sticker, apply the patch and then use tape to hold down the half that is not yet exposed. You can use the same principle to step down to a quarter of a 25 patch, but never use scissors to cut the patch itself.

40 days

None! My God! Eating a fentanyl patch could kill you!

Everyone is different, but I was clear after 72-84 hours.

No. They are not chemically related and must be tested for individually and specifically.

yes it does made by Mylan. They stay on much better and work just as well if not better because they don't come off as easily.

Fentanyl will show up as fentanyl but this is almost never tested for. It is a special test which is also expensive and I would only suspect it being tested for if one had access to it, i.e. anesthestiologist.

Jackpot and china girl

Duragesic (Fentanyl Transdermal) patches are used for Primary Chronic Pain; they last for up to 3 days depending on the patient and tolerance level. For example, I'm one of a small percentage of the population that only gets 48 hours from my patches, and that's due to my high tolerance level - I've been using them for 9 years.

Percocet (Oxycodone and Tylenol) is used for Breakthrough Pain - Breakthrough Pain is that pain which the patient feels after activity causes pain being controlled by the patches to exceed the pain controlling capability of the Fentanyl. Percocet, being an Acute pain drug, is used to compensate for the temporary increase in pain.

The combination of Fentanyl patches and Percocet is very common - I myself have used the combination in varying strengths and doses for a very long time. While I'm currently using the strongest doses available, at times I've had to increase my dosages and augment them with other opiates such as Demerol and MS Contin.

Vicodin, like Percocet, is prescribed for patch users as a pain breakthrough drug. Normally, you'd take it in instances where increased activity has increased your pain level beyond the patch's control point (breakthrough) and you need something short term to handle the pain.

You can also use it if you've waited a bit too long to change out your patch to a new one. It usually takes a while for a new patch dose to ramp up to where you're feeling the effects, so in those cases, you can use Vicodin to bridge the withdrawals until the Fentanyl takes effect.

Supposedly there isn't any long term research data on Fentanyl use or other opiates.

However, I can tell you that after 9 years of using 100 micro patches at doses of 100 and 200 (2 x 100 patches) that I don't have any problems with it. I also use a rather large quantity of Percocet 10/325's for breakthrough pain (120/150 per month) and I have no ill effects from that either. I've used both for the same period, and use other less potent opiates prior to using these.

Absolutely not. It will cause the med to absorb to quickly and may cause death.

yes

You can, but it's typically not recommended since both drugs are chronic pain medications generally prescribed in their timed-release form. Either one or the other is used - OxyContin lasts up to 12 hours, while Fentanyl, generally prescribed as a transdermal patch, can last up to 72 hours. Oral Fentanyl and OxyContin can used, but again it's generally not done unless the Fentanyl is in pill form and short acting. Fentanyl is more likely to be prescribed as the primary chronic pain med with Percocet (which has Oxycodone, the base drug for OxyContin, the time release version) for breakthrough pain.

As long as you're using one as a timed-release drug and the other in short acting form (4-6 hours), it's okay. It's using both together in timed-release versions where problems can arise.

It is perfectly ok to use both, contrary to above. I suffer from chronic pain, and take 20mg Oxycontin 2 times a day, and apply a 75mcg fentanyl patch every 72 hours. I have been on each seperatly and I find several pain "holes". but on both, I can actually function to 95% of my original capabilities.

Actually the above poster is correct. I take 240mg of Oxycontin a day and my dr prescribed 100umg fentanyl to better even out the levels of narcotics I had in my system. Now this just happened to be what worked for me so you should ask your doctor before trying. Fentanyl is some bad mojo if abused.

You don't. You get Watson brand and eat them.

roughly a dollar per microgram..nomore than that ...but u can make them last a long time...i get the mylan brand and u can chew them a bit , then save it and hit it back and forth for a couple of days,,,,gel doesnt last as long but makes u really really high and comming off of them is abitch unless u have methadone to fall back on...

It depends entirely on the individual. Fentanyl stays in the system for a lot longer than acute meds do, so you've got several hours to either put a new patch on or swap the old one. Ideally, you want to put a new patch on a couple of hours before the old one is supposed to expire, but it's important to note that the normally prescribed 72 hour mark doesn't apply to everyone, and isn't fixed in stone, something that a lot of pain doctors have trouble understanding.

Fentanyl transdermal patches regulate the dosage by body heat - this means if you're engaged in physical activity or anything else that raises your body temp, the dosage delivery is increased, and the expiration time is decreased. Also, a small percentage of the population (myself included) require a 48 hour change rather than 72. It's more typical of high-dose opiate patients like myself.

The problem lies in that for many years, Janssen Pharmaceuticals' literature on Duragesic had 72 hours as the effective dosage period. However, they knew that some people didn't get that much. Though they finally changed the literature about 4 years ago to say that 48-72 hours, a lot of doctors don't keep up with those kinds of minor changes, and a lot of pain patients don't understand the proper way to communicate with their pain doctors. The real problem is that if you're getting patches based on a 72 hour dosage rate, and you're falling shorter, you'll wind up having less patches for your monthly prescription. In those cases, keeping an accurate Pain Diary is essential in showing your doctor that his prescription isn't right for your particular case and needs to be adjusted. If you're a fairly new Pain Management patient, or have an idiot for a pain doctor, it can be frustrating.

Where you place the patch is important as well. I've always used my biceps in the 10 years I've been using them, since it's easy to add them and the skin doesn't flex as much as it does in other areas. Even during the times when I've had to increase to 200mcg (2x100mcg patches), I still use both arms, taking on patch off for a few hours to let the skin breathe, clean it, then put a new one on, and then do the same with the other one.

As I said, if you overlap the patches (put a new one on in a new location as the other one is about to expire) you'll have no withdrawals to deal with. It takes a couple of hours for the new patch to ramp up to full delivery, so as the old one is getting weaker the new one is slowly catching up. The result helps to keep your overall maintenance dose fairly steady.

Yes, they will both show up as opiates.

No

Depends on the area of course.Im in West V so its expensive since pain pills are the drug of choice around here.They go from 9 to 10 doll a piece!

As long as your duragesic patch has been applied properly, you should have no problem showering with it on. If you take hot showers make sure that you dont leave the water on the patch for very long, it can cause the medication to disperse into your body faster, that could cause breating problems which may lead to death. Also no heating pads on your patch. If you have kids make sure you dispose of them properly, there has been several deaths of children and pets that have stepped on them and stuck aswell as chewing on them.