Oxicontin vs fentanyl topical patch

[jws1217]

Hi all

I have received alot of great info from this site and would like to thanks all especially Dr Wise Young.

My question is that I stopped taking Oxicontin 80mg x 2 per day along with Oxicodone for breakthrough pain 5mg 2-3 times daily. What is the max daily does for the fentanyl topicalpatch
and does anyone know what the eqivalint to the above drugs I was taking would be equal to the Fentanyl

Also what is the best med for breakthrough pain? I have tried oxicontin 5mg and loritab 7.5 neither seem to help.

Thanks Mark

[This message was edited by Jws on 08-22-03 at 09:26 PM.]

[whiterabbit11]

Can't tell you much about oxyc. but I'm on 200mcg's of duragesic patch scrips every 72 hrs. and they work as well as anything or better that I've had w/o leaving me fuzzy headed. Believe it or not plain old darvocet n100 (2) work better than the stronger percocet, vicodin for my breakthrough. I have times when nothing controls it except I.V. Demerol but I've had some Pain blocks that help for awhile and Bac. pump for spasms and AD control.WR

[jws1217]

Thanks for the info I see they make a 100mcgs patch are you on 2 at one time? No Pharmacist could give me the equivalent to 180mg of oxicontin. Just wondering what it would be.

Thanks

[Wise Young]

Please see my comments in Trying to move on to Fentanyl Patches (http://carecure.org/forum/showthread.php?t=45036)

Wise.

[whiterabbit11]

I use 2 100mcg patches. They do better if you put 2 new ones on after 48-60 hrs leaving the old ones on so you keep a steady dose cuz after 48 hrs it starts getting weak and the newones take 12 hrs to take effect. WR

[luke00]

I am currently on oxycontin 40mg x3 daily. I too am trying to move across to fentanyl and am asking the same questions.
I tried to reduce the oxycontin slowly and introduce the fentanyl as the oxycontin is only just holding off the pain.
I reduced the nightly 40mg by 20mg and used a 25 fentanyl patch. This didnt work and so I added another 25 patch. This didnt help.
From what I have read it seems that 200mcg is the norm for fentanyl. Based on this and the fact that 50mcg wasnt holding back the reduction of only 20mg oxycontin I got scared, abandoned the patches and went back to oxycontin.
Not much help I know but I just want you to know that I am in the same boat.
With regards to breakthrough I take 10mg oxycodone instead of 5mg. At one stage I was prescribed up to 10mg every 3 hours!
I also take 75mg amitriptaline per night for nerve pain. It really helps but can cause havoc on the bowel when mixed with the oxycontin. It can also cause drowsiness.

[luke00]

Me again.
It looks like our questions are answered in a posting a few down from yours called "trying to move onto fentanyl patches", as pointed out by Wise.
I guess I should have read that before posting my reply.
Sorry!!