1326023 tn?1274867436

how much fentalyn is equal to 300 milligrams of morpjine?

I have had severe knee pain since I was ten years old.I was hit by a truck as a pedestrian in 1990 at ten years old,and the doctors did 6 major knee sugeries trying to fix it,in which the pain in it got just got worse I was prescribed to take at home lortabs and percocets for several years.Then at 18 they said they thought I was getting addicted to them and they quit prescribing me pain pills,ecept darvacet,which did nothing forthe pain.I started doing street drugs when they cut me off.I took heroin mainly,because it eased my pain and Iiked it.I felt like I had no choice but to take heroin.I never shared needles though.
             Well,i was hit by a truck again November 22,2002.I have been prescribed morphine ever since.But they raised the morphine levelsa few times.But I have been on the same milligrams of it for about four years now,which is 3 hundred milligrams of time released morphine to take every day, taking it as
prescribed doesn't help the pain at all.I have to take 600 milligrams of mophine at one time every other day,and that helps me a little.I can't live a happy like  this,being in terrible pain and feeling terrible on the days I skip taking the morphine.That is why I want to see another pain management asap.My current pain management I know is a liar,because for one thing when I asked him  about 3 years ago,what 300 milligrams  of morphine to take every day is equal to in a fentanyl patch he told me that it would be at least 100 or 110 and that he would have to look it up in his charts to see exactly what it is. when,I last seen him,he showed me
me in his computer that being prescribed 300 milligrams of morphine a day is equal to only 75 micrograms of a fentanyl patch.I believe he definately made that file up on his computer.They're giving me the option ofgetting prescribe the 75 microgram patch and taking me off the morphine completely.I can only bear the pain to walk a little with a cane on the days I take my morphine,and try my hardest to sleep on the days I have to skip taking my morphine,which is every other day.I know I will never have a happy life like this.I DO HAVE VERY SEVERE PAIN.Of course I am addicted to opiates though,without a choice.They will not give a nee repalement,and all they will do is fuse my right leg with a rod.I have heard of 3 people that had this done with their leg and they had alot more pain after the leg fusion and one of them even had the hurt the hurt leg removed,which now he doesn't have bad pain any more,except he does have what I think is called phantom pain,where you feel like your hurt leg is still there sometimes.Please somebody tell me what 300 milligrams of morphine to take every day is equal to in fentanyl patches?I really need to know this if I want to live a happy life.My right leg is very messed up for the rest of my life,unless they ever give me a knee replacement.I know I am physically addicted to strong opiates.But I have to be in order to stand the pain at all.God BLESS YOU ALL,AND THANK YOU FOR READING THIS LETTER,
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271792 tn?1334979657
Hi & Welcome!

You have surely been through a lot. The only thing I can suggest is that you either listen to your current pm doctor or find one you are comfortable with. If you are going to stay in treatment you will need to trust your doctor.

You may also want to post in the pm community here at MH. There are many members there who can understand your situation and perhaps make suggestions. I have provided the link for you:


Just so you know, it is a violation of our guidelines to give out drug information. I was not ignoring your question.

Best of luck to you.
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Avatar universal
You may get help on this over in the Pain Management forum.  I don't know anything about the Fentanyl patch (or very little.)  But I had a fusion in my hand in March and now have more pain than before.  I've found some great help in the pain forum.  I, too, am physically dependent on my medications, which I hate.  But there's a difference in being dependent and addiction.

Good luck finding the information you need.
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736475 tn?1281259327
i am sorry. i have no idea of the equivalent, but your story touches my heart. there are alot of crummy docotrs out there. io found a good one on heretohelp.com. just put in what type of doctor you are looking for and pick a radius and you'll get a list. might just be a fluke, but i found a good doctor. he actually sits and discusses goals and ways to achieve them. he really is "here to help". you are in my prayers. good luck with this hard row to hoe. peace, sway
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Avatar universal
Derek - I would definitly check out the pain management forum on this site.  They are great over there and can probably give you some first hand knowledge.  I looked up a conversion chart for Fentanyl. I found a few charts and they are all basically similar.  315-404mgs of morphine is equivilant to about 100 mcg of fentanyl.  Thats oral morphine.  The IV morphine chart is different.  I do know that fentany is one of the strongest opiate medications available.. I believe it is much stronger than oral morphine.  At least that is what I have heard and read.  I also saw a show on TLC (Dr. G Medical Examiner) and she also stated fentanyl is the strongest opiate medication you can be prescribed.  Be very careful with the fentanyl, do not abuse it.  Find a treatment plan that treats your pain without abuse. Fentanyl is no joke and not something that you can play with (they all arent but fentanyl is very dangerous).  I wish you a lot of luck and send many prayers to you that you find a good pain managment plan.  God bless.
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1315836 tn?1288999642
Roughly 3mg of fentanyl is equal to 300mg of morphine depending on route of administration.
Helpful - 0
Avatar universal
Hi Derek,

First off, Welcome to he Pain Management Forum. I'm very sorry for what you have been thru. You have suffered more than ten people EVER should in there entire lifetime!!

When you compare Morphine to Fentanyl you most remember that the Fentanyl is anywhere from 80 to 100 times stronger than the Morphine. It is the strongest pain reliever available to us from what I understand. I am on the Fentanyl patch. I'm on 50 mcg  (micrograms). However,please remember  that is the way the  Fentanyl is measured and NOT in mg's.  It is VERY possible that your Dr. is telling you the truth.  It is very possible that is what he will start you with and go up from there to see what works for you. Is that what he wants you to try? Or are you wanting to give it a try?
If you go on this med PLEASE don't mix this med with ANY drugs that aren't legal. You really have NO idea how potent this drug is. I know that you have been on many of the "Big Dog" meds  but please be careful with this drug. It has killed many people who were not careful with it.

There area many of us that have no choice but to take the Opiates for us to be able to function. Just please leave the illegal meds alone as they can definitely kill you plus if you are caught taking not only could you be in trouble with the law but you would lose your Pain Management probably for life! Believe me I'm not exaggerating about this at all!!

Thank you for posting on here and I hope that we have been able to give you some insight on this. I hope that you didn't take my post the wrong way as I truly only want to help you!!

I hope that you will keep us updated as to your progress and add your expertise to this forum as well.

Wishing you the best of luck....Sherry
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