I have been having acute back and nerve pain for many years, after a failed spinal operation. I am currently taking 50 Mcg.patches of Fentayl plus 50 Mgs of Tramadol.. 4 times a day. My primary care doctor has now prescribed adding 50 mg of Lyrica, twice a day.
Can I start the Lyrica while still on the patches and Tramadol and How can I reduce the Tramadol while continuing Fentayl with the Lyrica with minimalTramadol withdrawal symptoms.
I was on Tramadol for 4 years before being switched to stronger medicines. How long have you been taking the Tramadol?
My doctor replaced 1/2 of my daily Tramadol dose with Vicodin and I continued that for a year. I did get very uncomfortable withdrawal symptoms from the Tramadol when that switch was made. However...
My doctor a year later completely took me off the Tramadol and replaced it with Morphine ER with Percocet for break through pain and I had no withdrawal symptoms from stopping the Tramadol at all!!! By the way, when I stopped the Tramadol completely, I was taking the same amount as you per day.
The amount of Fentanyl you are on is stronger than the starting dose of Morphine that I was on when I stopped taking Tramadol. And, the fentanyl dose is much much stronger than the Tramadol so I don't think you should get any withdrawal symptoms.
I would just try to not take it anymore and see how it goes. But first and foremost make sure your doctor is okay with this.
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