Hi, I am new to this board community but not new to Fentanyl patches. I have been on them for almost 7 years for severe fibromyalgia and a type of arthritis. I started out on 25 for a year, then 50 for about 4 years, then 62, and now I'm up to 75 mcg/hr every 2 days for the past year, and I hit the wall, for me, with dealing with the tolerance and dependence issues, and I want off. My pain has been under fairly good control for the past 4-6 months (I also take oxycodone 10 mg 4-5 times a day) so I want to try and get off the Fentanyl if I can, or at least reduce the dose. I HATE the cravings for more due to the tolerance/addiction!!
I did the first step down to 62 (50 + 12 patches) about a week ago and with the help of clonidine for a few days, the horrible dread anxiety and other withdrawal wasn't too bad. What I'd like to ask is: Does anyone else have experience with tapering by 12 mcg/hr at a time, and has it worked for you? I read about the terrible stories of withdrawal being so awful and I am so scared that I will hit a time when this will happen.
This drug is such a trap for people who have chronic pain but are not terminal due to the addiction problems. I had to learn this the hard way and I just pray to the Lord that I will be able to get off or at least reduce it. But then, what do I do about my pain?
Welcome to the forum. I don't personally have any experience with Fentanyl but do know that others have successfully tapered off and so can you. I'm sure someone will come along and be able to give you firsthand knowledge.
As for the pain, many of us here decided to deal with our pain without the use of narcotics. I'm here to tell you that it can be done. There are so many different ways to do so. Many times we have to figure it out all on our own. Doctors tend to treat the pain and not the what's causing the pain. I don't know for sure but I bet there's a Fibromyalgia forum on medhelp to where you can get some ideas of what others are doing to help. At the top of the page click on "forums". It will bring up a huge list of all the different forums that medhelp has to offer.
There are also many non narcotic prescription strength pain meds out there. I'd recommend trying some. If one doesn't work, try another. You will eventually find one that will work for you.
Be sure to stick around this forum. There are some wonderful people who will bend over backwards to help you get through this. You will make some great friends along the way.
I hear you...I did a long and slow taper off of Fentanyl patches and I was at the dosage you are when I started. We can't give out taper advice as it's against MH policy...i will tell you I tapered quicker than my doctor suggested and I experienced mild w/d for a few months until I got low enough to switch medications and jump off.
I, too have RA and several other autoimmune illnesses. It's important to have an alternative pain management plan in place before you go off the medication. Personally, I do yoga, massage, infrared saunas, hot baths, and a lot of deep breathing(:
I have been opiate free for 61 days and my pain is significantly less than what it was on the drugs. I can't tell you how transformed my life is...So know that there is hope. I still have my bad days but find I can get by with a couple of tylenol arthritis and a lot of heat. Communicating with your doctor and being honest and open and realizing that YOU are in charge of your recovery is important. You may want to talk to the doc about switching from the patch to another long acting opiate that is easier to taper (this is what I did) I know the road ahead seems long but I promise it's worth it. And so are you(:
There is amazing support here...Keep posting...
Hi and thank you for your comments and suggestions. I am new to this forum, so sorry for the delay.
I did my first step from 75 to 62 without too much trouble, so I have hopes that going to 50 in a couple weeks will be not too bad. But the achiness and pain is worse, so I need to get working on that. I have a lead for a new pain management Dr in my area (I am 1.5 hours away from a large city (Phoenix) so I need to get up the "courage" to make an appointment and see what he has to offer. Thanks again for your reply.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.