fortunately there are several generic types of fentanyl patches available. the duragesic patch gave me a bad dermatitis, but i have no problem with the one i am on now by Teva pharmaceuticals. also make sure to alternate the site each time. as far as something comparable to fentanyl, its an animal onto its own; its about 100 times stronger than morphine. hope everything worked out well for you
Your basically just going from one opiate to another so if you do that there wont be any withdrawl symptons. I have personally used suboxone and its not painful to go off of it. I didnt have any remarkable withdrawl issues especailly compared to coming off of percocet or vicodin. I think suboxone is a great way to get off of pain meds and is effective at keeping you feeling good and not being sick until the withdrawl period is over. After that you will probably do fine on your own. Good luck
The problem with Suboxone being that it is also a highly addictive drug, and the withdrawal from Suboxone is just as difficult, if not moreso, than any of the others.
Sub in both of its forms (Subutex for the beginning of treatment and Suboxone for the maintenance phase) is a drug that is used to treat opiate dependence, however, like methadone, it too is addictive, so once you use Subutex and Suboxone to get away from the opiates, you then have to detox from the Suboxone. It's kind of an out of the frying pan and into the fire thing. Both Subutex and Suboxone are sublingual tablets, meaning you put them under your tongue to dissolve. Subutex is strictly buprenorphine hydrochloride. You begin treatment with this, and then when you are ready to move into the maintenance phase of the treatment, you switch to Suboxone, which is buprenorphine hydrochloride and naloxone, which guards against the meds being misused to get a high from them. My neighbor went through the whole subutex/suboxone thing and it took her almost two years to get away from them after she stopped taking opiates.
If you really want to detox instead of remaining in pain management, the best thing to do, since you cannot tolerate the fentanyl patches, is to find something that comes in tablet form (oxycontin, oxycodone, hydrocodone, whatever) and use it to wean down and get yourself off the opiates that way. If you do it that way, you won't experience withdrawal, or any withdrawal you do experience will be minimal. Also, since you'll be under your doctor's guidance, he can prescribe other things to help mitigate the withdrawal symptoms that you might encounter, so it won't be a case of going it alone, as so often happens with people who are trying to detox because they're taking the drugs illegally. Also, if you get away from the opiates that way, once you're done, you're DONE! You don't then have to get away from what it was that helped you get away from the opiates.
Make an appointment with your PM doctor and discuss your concerns with him. If you truly want off the opiates, tell him that, and tell him that you would like his help in getting away from them. I'm sure he'll make sure that you have a relatively easy time of it, after all, he can't force you to take them, and it would be medically negligent of him to refuse to help you wean off of them. Good luck! I wish you well in whatever you decide to do about it.
Ghilly
Hi Sharonanne:
Sorry to hear of the dilemma with your Fentanyl Patch. Thank goodness you're not on a really high dose. Fentanyl is one, if not the hardest opiate to come off of so you're really going to have to be prepared.
Your Doctor will most likely know what's best for your system to make it as comfortable as possible. I'm guessing that he thinks you don't need CP Pain Therapy anymore?? Or is it you that doesn't need the help?? I'm not sure why if in pain you need to stop. You haven't made that clear.
The only drug that I know of to make your transition possible without horrible side effects is a drug called Suboxone. You may want to talk with your Doctor about the possibility of starting you on that.
On the Oxycontin question, yes, that is an opiate with dependency issues so if you're looking to stop opiates all together, you don't want that.
Take care and I hope things go well for you.
Mollyrae
tks for getting back to me but isnt oxycontin an addictive drug also??? and do you know what wds i will have if i do a new drug??? tks
I am sorry I have been so busy.
If you are wanting to get off all narcotic pain medications then I am sure your doctor will assist you in doing so. As far as replacing the patch it is really up to the doctor as what he prescibes but oxycontin is a good equal in my opinion. Talk to the doctor and tell him what your goals are.
Let us know how your doing.
Again I am sorry for my late response.