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temesic doseage

I am now down to 3 mg.of methadone, I have temgesic (buphenorphine) tablets and I am wondering if anyone knows the ususal dose to take to control the withdrawal symptoms.  It is the .02mg. pills (sublingual). I took one and it didn't help much. I just want to make sure that I don;t over do it. In a few more weeks I will be completely off of the meth. and then will I have to take a higher doseage of the temgesic?  And how long should I stay on this med, I just want it to help with the end of the withdrawal syptoms.
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352798 tn?1399298154
Whoa, this is too long for addicts. Also this is an old post. so please post this to a new post. Post a Question button at top of page. See ya on the new post.
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Avatar universal
Hi , I have been lurking with lots on my mind reading many sites I found this site most helpful to lurk so figured why not ask away,

I was on 8 darvacet-N-100 a day  6 Soma 350 a day and 5- 7.5mg tranxene a day 15 years and  I never had pain control I had extreme lower back pain  blood in urine unexplained from 1998 after menegitis burning pain and  more blood in urine which got worse and worse 10 years more pills more ER visits for breakthrough pain, with torodol shots, with compezine or fenegrn for nausea Dilaudid shots, demorol shots, with antinauseants nothing held me,I  was then told I also had Fibromyaligia and this was cause of back pain and possable hemeatura

In 2004 my Dr started me on 25.meq duragesic Fenetnyl patch I was 170 pounds I had gained 10 pounds a year within 2 months I was on 50 meq patch to 75 to 100 I went to a pain managment for asbout 6 months I was at 100 meq every 72 hours and al pills.I had to ask another Dr for help a pain managment Dr cause I feared for my life and wanted off all drugs as I was still on all same pills..Never eating but gaining more and more wt almost 200 pounds.and syill in pain now taking 3 10 mg compazine a day too Eerytime I went to a Er I was told I had dangerous low Potassium and they kept me for that, as well as pain managment gave me diladid or what noteven morphine often SR

Hospitals treated me like teh addict I looked like  and hypochuindriac cause I ahd back pain but they said Your obese lady lose wt well I had always been from 89 pounds to 110 highset wt I really was so humiliated many staff said who is your Primary hematura is not from Fibromyaligia  Scans were doen Cts and MRis a Tumor on adrenal gland above right kidney was prresennt I was told by Primary it was mostlilily a
The pain  management Dr immediately told me stop all pills, she meant all  all pills Stop with patch go down to 75 meq I did and NO WITHDRAWL, wow so I went from 100 to 75 no withdrawl to 50 no withdrawl to 25 no withdrawl still I started not good pain managemnt so at 25 my Drs said 2 DarvacetN -100 and 1 Soma 1 Tranxene might be a good schedule
  Okay I stayed steady so went  evntually went to 12..5 meq patch the absolute lowest they make I am on 1 Darvacet-N-100 and 1 Soma  350 I am going off that 1 Soma tonight! I am not worried about that I want to get OFF the 12.5 patch but not go up on pills again

BTW I am down to 83 pounds as I went off all drugs I just lost wieght naturally was always around 110 83 is low for me as I am 48 and eating, but in what Dr sayd is chronic wasting But in 2003 was diagnosed with Braest cancer it is now found started in in Kidney, adrenal and kidney endocrine MENS!!! metabolic Endocrine nephratic Cancer syndrome system and thryoid and liver I know I will need pain managment for possable surgery I want off the patch problem is as I go down off Darvacet N and Soma My B/P is higher and higher potassium lower and lower I am on Triameterine HZTZ 75/50 for blood pressure and 4 10 meq potassium extended tabs I can barely swallow that I have  5 tumors in thyroid and larnax

What is safest way to do it ? whenever I ask My Dr she says" don't be silly your on lowest patch and 2 DaravcetN is reasonable That is Nothing you should be on more you have cancer "she refuses to give me a  tapper off scedule off cause my B/p has been really climbing and potasium lowering as I go lower on meds Does anyone know about covering parts of patch with insulating tape or over a week or so I have read sites on it want to know if its safe? Or also I see extending patch say 4 days then 5 days then 6 which would be 72 hours and a tapper off  would that help.? Thank You so much
I have  suc hrespect for you all been there done that and it was dam cancer since 1999  if you have chronic pain wih symptoms and not getting relief please do not keep throwing drugs at irt without a second opinion This cancer was found in a ER visit for uncontroled pain and with hematura but I alraedyt had 3 timors (nodules ) in thyroid she said were benign most lily and malignat pheocromoctytoma on adrenal gland she said was probobly a adenoma
No I do not want to sue her I actually blame myself for staying with a nice Primary treating my pain with  pills so many years I am more angry with hpopsital stays that saw tumors and did not question me or her more..I realize my B/p is going real high but I am so afraid of mixed drugs since I saw Heathe ledger final autopsy and my nmetabolisam is so differint with edocrune cancer I just wa nt off everything till the actual end of life

Blessings
Tiea
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Avatar universal
Hello everyone, I was just trying to find out some info for my mom...she is currently on 200 mcg patches of Fentenyl. She needs to have another back surgery (her 4th) and her doc told her she has to be completely off the Fent. He lowered her dose to 175mcg, and she could only handle it for 4 days. She is now "beating herself up" for being so weak, and is even considering NOT having the surgery so she can keep her dose the same. She can't imagine not having the Fent. She has to be completely off the Fent to have the surgery, otherwise, she could die on the table. My question is could Methadone help her wean, and could she have the surgery on Methadone?

Thank you:)
Helpful - 0
Avatar universal
Hello everyone, I was just trying to find out some info for my mom...she is currently on 200 mcg patches of Fentenyl. She needs to have another back surgery (her 4th) and her doc told her she has to be completely off the Fent. He lowered her dose to 175mcg, and she could only handle it for 4 days. She is now "beating herself up" for being so weak, and is even considering NOT having the surgery so she can keep her dose the same. She can't imagine not having the Fent. She has to be completely off the Fent to have the surgery, otherwise, she could die on the table. My question is could Methadone help her wean, and could she have the surgery on Methadone?

Thank you:)
Helpful - 0
Avatar universal
Hello everyone, I was just trying to find out some info for my mom...she is currently on 200 mcg patches of Fentenyl. She needs to have another back surgery (her 4th) and her doc told her she has to be completely off the Fent. He lowered her dose to 175mcg, and she could only handle it for 4 days. She is now "beating herself up" for being so weak, and is even considering NOT having the surgery so she can keep her dose the same. She can't imagine not having the Fent. She has to be completely off the Fent to have the surgery, otherwise, she could die on the table. My question is could Methadone help her wean, and could she have the surgery on Methadone?

Thank you:)
Helpful - 0
Avatar universal
first of all i would like to say that all last week-end i did nothing but look for help to detox/withdrawl from vicodin, an 18 month habit. i read all the conversation on the forum.  i also searched the web intensly for some kind of help.  a 30 day detox was out of the question, i have two small children and my husband has to work, i guess if push came to shove we could have some how worked it out.  in any event i found the help and it is working, it will be five days (horray) sunday morning!! i found a program called medical assisted detox, i was given medicin for the stomach cramps, valium for the hebbie gebbies, and a light form of sleeping pills (all in limited quanities). .. the trick is you must have a caregiver to stay with you for 4 days,and it is the CAREGIVER THAT ADMINISTERS THE MEDICINE - YOU ARE NOT ALLOWED TO TOUCH THEM YOURSELF. therefore i only had to expose myself to one person, instead of the whole family, i actually had two caregivers (my bestfriend and my husband) so that they took two shifts.  now on the seventh day (only two more for me) . . .i will be getting an implant placed just above my pubic area that is a opiate blocker, which means, if i use i will not feel the effects, i have been comfortable and not having any craving. so if anyone is interested the name of the program is PROJECT STRAGHT. i found it on the web or if you want to call for more info the number is 1-888-DETOX-911 or look on the web.  Good Luck and Godspeed . . . . .
Helpful - 0
Avatar universal
Hey Tohmas
I was just wondering how that buprenorphine works tokeep someone well who has an opiate addiction. I took Talwin one time while I was on methadone and being an antagonist it put me right into withdrawl! If this stuff is also antagonist I was wondering why it don't just make people sick. Don't know if you know that much about it but thought I'd ask anyway. Catch ya later bro, I'm getting ready to take a ride to Ocean City on my harley with a few friends. Should be a nice putt, at least I'll be out of the house. Take care man
Big Jim
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Avatar universal
LTA,

I figured I would post a site for you since I have also been looking into this. It is a great site and should answer quite a few of your questions, and anybody else's.

http://buprenorphine.samhsa.gov/

It is a agonist/antagonist so it unique in that it is an opiate, although it doesn't quite give you the buzz at all, more of a feeling of well being from what I have heard here and read. It will also send you into withdrawals if you use while on it. Not that you would want to use while you are on it, also from what I have heard. Since it takes away the cravings.

Here is some copied info on its release and stuff from the site as well.

The Drug Addiction Treatment Act of 2000 (DATA 2000) expands the clinical context of medication-assisted opioid addiction treatment by allowing qualified physicians to dispense or prescribe specially approved schedule III, IV, and V narcotic medications for the treatment of opioid addiction in treatment settings other than the traditional Opioid Treatment Program (i.e., methadone clinic).  In addition, DATA 2000 reduces the regulatory burden on physicians who choose to practice opioid addiction therapy by permitting qualified physicians to apply for and receive waivers of the special registration requirements defined in the Controlled Substances Act.

On October 8, 2002 the Schedule III narcotic medications Subutex
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Avatar universal
If you used Fent. hair gel I would ride my mountain bike from Pa to CA just to lick your hair!  Peace bro that was a good one!  Pamela
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Avatar universal
Thomas - BEHAVE!....you sick-o! Take your sedatives and calm down, already!!!!....smile.   Love, Lisabet
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Avatar universal
RITMFF................That was really good guys...........
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Avatar universal
In that case, there's no telling where I might spread that gel.

Thomas
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Avatar universal
Now I remember why I like to peruse some of these "finer" threads!!!

Be good...and badddddd..........

Chezz
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Avatar universal
I can just picture you with that hair style and the fentynal in chunks all over your head!!!Your to much!!Thanks for the laughs!I still want to know why he would snort gel though?!It would have to be plastered all over in his nose on the way up!Talk about f---ed up sinuses!!!    Jerri
Helpful - 0
Avatar universal
Snorting? Thats just insane. I dont know how you function on that many mg? 250? that is alot! I put the 100mg patch on and that just about knocks me out !
It does work wonders though. You dont even have to pop pills when you have it on. Its nice to forget about pills when you wear the patch cause it takes care of the pain for you. Anyway, I hope your okay, cause snorting that (if your serious) is so dangerous. Please take care of yourself and I hope you feel better.
Have a good weekend all of you!
Love-Erika
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Avatar universal
Well, since the gel apparently enables the skin to absorb the Fentanyl from the patch, I imagine the gel would enable the nasal membrane to absorb Fentanyl -- probably much faster than skin. I've never tried it, but Fentanyl is supposed to be rockin good ****. If I was reasonably sure I wouldn't OD, I'd be tempted to snort some gel. It would undoubtedly be uncomfortable at first, but, once that Fentanyl hit your bloodstream, I doubt if you'd care what was up where ...

Of course, with something as potent as Fentanyl, overdose is always a possibility. I hope that by posting, Duragesic Idiot recognises that and will take it easy with the Fentanyl.

Hope you're well, Jerri

Thomas
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Avatar universal
Hi all, i see my admitting to snorting the durgesic gel met with some distaste.  That is to be expected.  I unfortunately was NOT kidding about it.  It's pretty easy to divide a patch up into quadrants and figure out how many mcg's you get from each "snort" so to speak, so as not to overdose.  It doesn't burn, it's water soluble and dose nothing to my nose.  Well my head is another story.  i know it is bad and I don't feel judged by your comments about it, just the concern for me your expressed, thanks.  PS the fent gel in the hair thing is a funny pic, very very expensive hair gel I must say.  I am careful though, I know my limits of using, not my limits of stopping though.  I would never overdose, I don't have enough supply to do so, I have to ration to the next month which also becomes a problem b/c I tend to snort the max and am left with very few pathches to wear which can then send me in to w/d's UGLY fent w/d's.  So I am battling controlling my urge to snort so i can save some to wear b/c I actually do have very bad cervical spine problems that the drug works for.  Well, gotta run, peace all.
the idiot
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Avatar universal
I use Fentanyl gel to style my hair like Ace Ventura.

Thomas
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Avatar universal
I don't know how you would "Snort" Gel, but you should realize that ingesting fentanyl in any form other than the slow-release patch is asking for an early death. That's the truth, and I'm sure that there are many people who post in this forum whom will back me up on that fact.....

I hope you were just kidding.
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Avatar universal
Hi every one, I am new here.  I am currently on the duragesic patch 250mcg q2days.  My new doc is trying to get my dose down.  The patch works wonderful.  I also abuse it though.  I wear one 100mcg and "snort" the gel in the extra's.  It works well for breakthrough pain but I also do it to get high which I am not proud of.  I will post more about myself in another post but just wanted to add the comment about how great the patch works for pain.  I have reverse cervical lordosis, tortocollis and am being worked up for spinal cord compression at the moment d/t the prior two things.  I am so sick of taking pill afer the pill.  If you can get a doc to write it for you it will really help.  Just don't get into snorting it like I did.  I feel like such a cheat and a loser doing it.  Nice to meet you all. Looking forward to getting to know you better.
The Idiot
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Avatar universal
You are going to pay around $225 for a box of five of those 100's.  You would probably do well on a fifty.  When do you get insurance?  You could go to a pain doc after you get it and mention you had the patch in the past and it worked far better than anything else.  You could also bring it up in the course of conversation....."You know doc, someone on my pain forum mentioned they use the patch and say it works great and they don't wake up in pain" or whatever.  That would most likely work if the doc happens to be a fan of the patch.  Some docs do like the patch because they feel the patient will be more compliant.  But, the patch can be abused very easily.  I read your question on another thread and it mentioned you are taking about seven vic es a day and then thought about that 100 you slapped on and I caught a chill down my spine.
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Avatar universal
Check out this chart and you can see how that 100ug/hr patch stacks up against other opioids:   http://www.globalrph.com/narcotic.htm
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Avatar universal
So glad to see you back !!!  Please post about your experience --- I really think it would benefit us all.  Love you, Lisabet
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Avatar universal
is it really equivalent to that many vics? cause It does not feel like it. Why is that? I would feel higher taking all those vics than just this. It slowly goes into your system is that maybe why? I dont know but I have never felt this good since I was 10 years old just before I got this painful disease. What should I say to my doc? I want to be able to say I tried this and it worked. I know it sounds dumb but I have never felt so good and have no desire to pop pills at all when its on cause the pain is under control. Should i not tell him and just wait until I get insurance and tell the pain mgnmt doc? Im lost you guys. Thank you for your support and guidence it means the world to me. Thank you both of you from the bottom of my heart.
Luv always.  Erika
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