Use of the fentanyl dermal patch.

Posted by kenc @kenc, Sep 2 9:06am

Has anyone been prescribed the fentanyl dermal patch; and if so, is it effective in treating pain management?

Interested in more discussions like this? Go to the Chronic Pain Support Group.

Where would they inject the Botox to treat PN of the feet? The nerves in the feet and toes are pretty small which is why they are effected so badly by DM.

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My understanding is that Botox is normally used to treat inflammation.

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@terry1976

Unfortunately, IMO, each state makes their own rules re Rx of opioid, and it's a mess. It's the political rebound from the illicit drug use/unscrupulous practices of prescription meds layered upon the use of illegal drugs. Chronic pain patients have been dumped in many places. Colorado was actually a better case for my husband to re eive care. The southeast USA is a nightmare. In Colorado he could get a 90 day rx, see doc in person every 6 months IIRC. In other states it's every 30 days and jump through hoops, getting the pharmacy to fill. Have to call.and chat with our lovely pharmacist every day of renewal, to verify it will go through. Same dose of 20 mg per day for 15 years, never abused the meds or the system.

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Yeah each state has its own rules, and the Drs need to be very careful, sometimes too careful. It's sad really because the majority of people who need these drugs have a difficult time getting them. Purdue Pharmaceutical did a huge disservice, criminal actually, in producing these drugs by the millions. They were overprescribed and incredibly addictive. Many lives were lost, others ruined. And fentanyl is an incredibly dangerous drug that should only be used according to a Dr's prescription and supervision.

Some common sense is in order. It's a lot like abortion where barbaric rules endanger the health of women. And again, each state has its on byzantine rules.

I realize that's cold comfort for people who truly need help.

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@maricopajoe

Yes. I went into Serotonin Syndrome due to pain clinic missing the Pristiq I was taking. After telling pain clinic tgree times why they where confused as to why. Be careful with this patch. Sadly now I cannot get off Opiods without it.

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And if you stay on buprenorphine long enough there will be withdrawal symptoms from that drug if you should stop taking it suddenly. It's still better than being addicted to other opioids.

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@heyjoe415

Yeah each state has its own rules, and the Drs need to be very careful, sometimes too careful. It's sad really because the majority of people who need these drugs have a difficult time getting them. Purdue Pharmaceutical did a huge disservice, criminal actually, in producing these drugs by the millions. They were overprescribed and incredibly addictive. Many lives were lost, others ruined. And fentanyl is an incredibly dangerous drug that should only be used according to a Dr's prescription and supervision.

Some common sense is in order. It's a lot like abortion where barbaric rules endanger the health of women. And again, each state has its on byzantine rules.

I realize that's cold comfort for people who truly need help.

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Amazing how the federal gov'ts war on drugs turned out.

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@kenc

Amazing how the federal gov'ts war on drugs turned out.

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Yeah the people who needed to be punished are still in business, while the people who need legitimate pain relief have to beg. Doesn't make a lot of sense.

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@kenc

My understanding is that Botox is normally used to treat inflammation.

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Botox was originally used to treat over perspiration as well as cosmetic reasons. Some doctors found that their cosmetic surgery patients using Botox had fewer headaches, thus it’s use in headache treatment.

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any information about pain pump for SEVERE adhesive arachnoiditis? Pain management is a farce. I am fused from C3 thru my sacrum. was paralyzed with MRSA meningitis Have tethered cord in C6 & sacral. Have permanent supra pubic catheter, from paralysis So drug resistant, i have to go on IV antibiotics for UTI's Can't do most of DR Tennant's recommendations. Can't get a decent specialist for treatment. Severe shortage of specialists in Phoenix area. Finally got a neurology appointment....said no treatment except steroids. He gave me several Medrol dose packs & valium Was doing ok for a long while, but now pain, severe disability, can't sleep. can hardly walk with a walker. I do use 5 lb weights & do squats (when i can) Have evaluation next week for pain pump. No one wants to treat me, which i understand. Now experiencing severe depression & hopelessness. Don't really want the pump, but don't see any alternatives. Does anybody get relief with the pump? DEA controls oral meds so severely, i don't see any other options. I'm basically bed ridden for 20 hours a day

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i was prescribed those patches for years before my Dr and I decided to switch away from them.
It is the medication I'd be least likely to try again. The potential down sides of using them are severe with my spouse and I having to be hyper focused on where my toddler was coming into contact with me.
The directions basically state stated any incidental contact with the non-medicated side of the patch should immediately result in an ER visit. The other side? Well, we thank God either ever happened. That went for any of the wrappings of the patches, too. My spouse is a Godsend but we both were very happy to no longer having even the unopened pouches in the house.
Also, we live near a very large city but often were stuck calling around our approved pharmacies for almost half days to find any locations to bring the script. A number of individual pharmacies would flat out refuse to even look if they had any in inventory unless we were there with the physical script in hand (even though most even then were transmitted electronically. This was a huge hindrance when there are located far enough away that w/ traffic it might honestly be a four hour round trip just to find out once we arrived that, "No, sorry. We don't actually have any in stock."

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@laurenseavertson

any information about pain pump for SEVERE adhesive arachnoiditis? Pain management is a farce. I am fused from C3 thru my sacrum. was paralyzed with MRSA meningitis Have tethered cord in C6 & sacral. Have permanent supra pubic catheter, from paralysis So drug resistant, i have to go on IV antibiotics for UTI's Can't do most of DR Tennant's recommendations. Can't get a decent specialist for treatment. Severe shortage of specialists in Phoenix area. Finally got a neurology appointment....said no treatment except steroids. He gave me several Medrol dose packs & valium Was doing ok for a long while, but now pain, severe disability, can't sleep. can hardly walk with a walker. I do use 5 lb weights & do squats (when i can) Have evaluation next week for pain pump. No one wants to treat me, which i understand. Now experiencing severe depression & hopelessness. Don't really want the pump, but don't see any alternatives. Does anybody get relief with the pump? DEA controls oral meds so severely, i don't see any other options. I'm basically bed ridden for 20 hours a day

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Ive had a pump for about ten years. I've seen some improvement from its use but nothing like we hoped. In my case the pump seems to help with the body nerve pain but not enough. I don't ask for increases as my all the time head pain with frequent stabbing seems to worsen whenever we increase the pump dosage.
I am on my 2nd as they need to be replaced every 7yrs. The initial installation wasn't as traumatic as I feared. The replacement had some extra nerve pain but only was significantly higher than my normal issues for about a entire day. So, far less of a pain increase issue than I'd imagined.
The medicine inside the pump MUST be replaced on a regular basis, in my case every 4 wks. It can be increased, decreased, and even mixed with others, like nausea medicine. I've probably had the cocktail in mine swapped completely twice. So, once implanted there is still some flexibility.

The negatives, 1) I cannot miss an appointment. Too long of a delay will now cause my body to loudly beep (though, I've yet to experience this). 2) Any change in medicine takes at least a full month to do anything about. So trying something different that is less effective leads to at least a worse month, or longer If I don't contact the office with enough time prior to my appointment to order the original cocktail. 3) Tests like MRIs become much more difficult to get approved and scheduled. Even with 3 specialist and a GP all wanting it done doing so took 2.5yrs. A portion of which was a tech who "knew better" than my surgeon and insurance about IF an MRI was even possible. (finally had it done, the pump automatically shuts down, it was very painful and MRI showed nothing...) 4) Insurance changes are absolutely to be feared. Ive possibly had God on my side, so far, through several changes. Original Dr was dropped from our insurance but another good Dr in the same practice is still listed, etc. so could even be seen by both. I don't look forward to trying to find a different practice if this one is dropped.

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