kimbell1
Board Addict
Reged: 08/20/03
Posts: 306
Loc: Route 666, Painville, Texas 6...
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The patch contains Fentanyal which I understand is very strong. I have asked others who have tried the duragestic patch who all have stated little or no relief from this patch.
I have read that there are some new pain medications that are supposed to give adequate pain relief but no euphoria.
Any knowledgeable information on the patch's effectiveness?
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madmikey
Stranger
Reged: 03/28/04
Posts: 13
Loc: Northeast U.S.A.
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Hi Kim,
At One time my pain management Dr Prescribed the durigesic. I found it to be a major hassle as the patch does not stick well even with the free bioclusive patch coverings that the drug company Jannsen will send you. I found them to be quite uncomfortable to wear as an active person. Yes it will relive the pain somewhat,but you will also need some breakthrough meds such as hydro, etc. when the pain flare ups occur. Personnally I would think it's only good for bedridden people. As for being able to shower or swim you can forget about that. All the patches do is fall of. Then it was a major hassle to get the Dr. to replace them and the insurance co will say it's too soon and then it's a big nut outa pocket because they are not cheap. No you will not feel any euphoria either, but that's not what it was designed for. I hope I've been able to help anwser some of your questions. PM me if you would like additional info. Have a great day!
Mikey 
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kandi
Veteran
Reged: 05/07/02
Posts: 681
Loc: Maryland
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Quote:
The patch contains Fentanyal which I understand is very strong. I have asked others who have tried the duragestic patch who all have stated little or no relief from this patch.
I have read that there are some new pain medications that are supposed to give adequate pain relief but no euphoria.
Any knowledgeable information on the patch's effectiveness?
I am on the 50 mcg. patch and I notice little, if any difference whether I'm wearing it or not. They suck, IMO. I have an appt. with the ortho surgeon tomorrow, and am definitely going to ask for something stronger.
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Monte Montgomery ROCKS!
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LumbarSpasm
Silent Chaos
Reged: 05/07/02
Posts: 1538
Loc: USA
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Initially most opiates cause euphoria in most people.
Tolerance developes and euphoria wanes.
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LumbarSpasm
Or just a pain in the butt?!
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 892
Loc: usa
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Usually the dose must be titrated to effect...and for the first 72 hours and perhaps beyond you will need short acting opiates...usually full efficacy is not established until worn at least 72 hours & then titration of dose begins...Euphoria in pain patients is more uncommon than common...in other words if the dose treats the pain, most pain patients report little "euphoric" effect...although, getting pain relief after being in pain is a euphoric experience...
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tone
Veteran
Reged: 06/29/03
Posts: 554
Loc: Chicago
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no the patch is not specifically designed for no euphoria, its simply a potent synthetic mu agonist, so potent that the dose can fit on a skin patch and be time released that way, thats all... although time released medicines tend to be less abused than immediate release pills...
however painmeds that cause no euphoria are being looked into, such as opioids with a tiny dose of an antagonist to cancel out exicitory effects, and also fight tolerance... and also opioids that are more receptor specific that would cause less euphoria.
People should understand that when fentanyl is described as "strong" that this doesnt mean its strongly euphoric, or stronger effects, it just means potency, that it takes less milligrams for the effective dose.
analogy: xanax is active at about 8th of a milligram in many people, and comes in quater miligram pills, that doesnt mean its stronger feeling than GHB, which is active at much, much higher doses, it just means it takes much less for the effective dose.
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Excellent post, tone. I think people are often under the misconception that "stronger" means more effect or more effective. Stronger just means it is more potent--takes much less of that substance to have an equinanalgesic effect to morphine (the industry "standard.")
But, as with any addictive substance, any formulary of any narcotic can be misused or abused if a person really wants to.
Another thing to point out is that MANY people equate the euphoric effect of opioids to whether or not it is "working." The euphoric effect is not synonymous with the drug's analgesic effects!
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Never underestimate the predictability of stupidity.
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oldnavy170
Board Addict
Reged: 05/12/03
Posts: 357
Loc: New York
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Quote:
Another thing to point out is that MANY people equate the euphoric effect of opioids to whether or not it is "working." The euphoric effect is not synonymous with the drug's analgesic effects!
I agree with you here. Actually when I get the euphoric feeling thats the key to when the meds kick in. I guess I never thought of it this way before.
Great Post!
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Luv714
Banned for posting "PM me for good source" which our rules we equal making offers
Reged: 02/16/02
Posts: 184
Loc: NorthEast USA
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I just started the "patch" today... and have MS for breathru pain... dont feel anything yet, but put it on at 3:30, and is now almost 10pm.... hopin tomm will be better, they wanna get me on a constant level of pain relief so that I can do what I need to do (Lung cancer pt).. Will post back and let u know... Hope this helps someone
Luv714
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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Here's my experience with this. My dog had a blown CCL (ACL in humans) and had surgery to rebuild her ligament. She was sent home with 2 dyuragesis patches on her back. 80mg and 20 mg (?) I think those were the doses. One was big and one was small. They stuck really well on to her shaved back, they also worked REALLY well for her for three days. When they ran out of meds, I knew it. she was screaming in pain. Had to get her another big patch and administer a shot of morphine in her butt.
I have no personal experience with these, but I saw what they did for my beloved Lab. They gave her relief from excrutiating pain. I know it said on the patch not for post surgical pain, but I am glad they gave it to her for that. I think the patches were a godsend for her.
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icthrmls
Stranger
Reged: 05/06/04
Posts: 2
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Im on the 50 sticky.......And HELL YEA IT EUPHORIC to be able to function normally...like100000000 x better than any punk pill would do. Now if your inner junkie is asking this, then youll hate it, unless you eat the gel.
Its really hard to tell who is jonesing for there next fix here, or needs legit relief.
...I got these from my family doc, along with perc and oxy oral for BT.
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