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Thread: Trouble with Buprenorphine (Norspan) Patch

  1. #1
    Junior Member
    Join Date
    Aug 2003
    Sydney, NSW, Australia

    Trouble with Buprenorphine (Norspan) Patch


    I hope someone can help me.

    I have been on a truckload of medication for the past 5 years for chronic nerve pain. This includes-
    oxycontin 30mg morning, 20 mg afternoon, 30 mg evening
    Neurontin 1200mg x3 daily
    + others
    I have also had pain procedures like ketamin infusions and nerve blocks, not to mention extensive cognitive behavioural therapy.

    Recently for no reason, I have had a substantial increase in feeling & sensation, which has only increased my nerve pain.

    My pain Dr. has recently prescribed me a 5mg Norspan (buprenorphine) patch. The plan was that if the patch worked I might be able to try and reduce some of the oxycontin (which I have been on for 5 years now). He also gave me a prescription for a 10mg patch if the 5mg one didn't work.

    A few days after starting the patch my pain only increased. I managed to wear the patch for 6 days but could not continue it any more. Since removing the patch 5 days ago the pain has not decreased back to its normal level.

    Has anybody else had a bad reaction reaction like this?

    Also, is there any information comparing the relative strengths of buprenorphine to oxycontin?

    Many thanks!
    Last edited by luke00; 06-20-2007 at 04:29 AM.
    Anything else is a bonus

  2. #2
    i just read where a clinical trial was scheduled to start comparing tramadol to norspan for osteoarthtics hip pain.
    i would consider tramadol a bit weaker than oxycontin.
    i take tramadol with Oxycontin , i find it works pretty well.
    i prefer to take tramadol/ultram for breakthrough pain during the day rather than oxycodone.

    it sounds like norspan is somewhere around the level of tramadol, which if it works would be good.
    why your pain is increasing is the mystery, it sounds like it was increasing before the norspan and it is continuing to increase,
    maybe there is something going on that is causing the increase, changing to generic version or changing the manufacturer of the generics of your normal meds may also do it,
    cauda equina

  3. #3


    that link you gave does not open . can you check it. thanks
    SM/ACM Surgery in 1999

    When the world says "give up"; hope whispers "try one more time"

  4. #4
    buprenorphine is a partial antagonist of other opiates, (as well as a partial agonist).
    the partial antagonist quality of buprenorphine can put you into withdrawals to your oxycontin....even though both oxycodone and buprenorphine are derived from the opium alkaloid thebaine....they are very different.....if your doctor didn't know this he is not
    learned on the's almost malpractice if you ask me
    Last edited by Steven Edwards; 02-13-2010 at 12:54 PM.

  5. #5
    Buprenorphine is used as for veterinary analgesia. But I have not generally heard of it being used for analgesia (pain relief) in humans. It is sometimes used when people want to get off narcotics, to help prevent withdrawal.

    The previous poster is correct - buprenorphine as a partial agonist may block some of the effects of the oxycontin.

    If a patient is on buprinorphine, they may actually require higher doses of opioids such as oxycontin. Here is one source:

    This site is a charitible foundation that has to do with the treatment of addiction, so I cannot say how impressive their credentials are. However, at least in the US, buprenorphine is used the most in the treatment of addiction, and what they say does sound correct.

    "The basic issue with analgesia in the buprenorphine-maintained patient is that while buprenorphine has analgesic properties, it is a partial agonist. This means that not only will it block the cravings associated with opioid dependence, but because of the high affinity of buprenorphine for opioid receptors it may also block the analgesic effect of other opioids."

    "In a situation requiring additional opioid analgesia, the dose of the full opioid agonist required may be greater than usual. It is known that, depending on the effect measured, using higher doses of a full agonist opioid may overcome the blockade caused by buprenorphine."

  6. #6
    I am on a 5mg Norspan patch together with clonazepam, it is working on me. Remember it should be placed on the breast or stomach. I am changing once a week and I feel it if I forget to change.

    But I have never eaten morphine, I get sick from it, I get sick from Tramadol too.
    TH 12, 43 years post

  7. #7

    buprenorphine patch

    After having chronic pain for 12 years, I have been trough many treatments. I have been stable on buprenorphine sublingual tabs(8 mg tid) for several years now. I had previously been on Duragesic patches and oxycontin tabs which worked well for 2-3 months and then of course you get tolerant. Also it seems so of the responders are confusing suboxone(which has narcan in it) to subutex(pure buprenorphine). However, there is not one pill of any type that does it all. For me, I incorporate Remeron(an antidepressant which also helps pain), an NSAID such as etodolac or aleve, together with Glucosamin/Chondoitan(NO MSM). Also Baclofen for breakthrough. I am fortunate in that my pain source is in my thoracis spine which is close to the surface and therefore I occassionally use a lidoderm patch for 3 or 4 hours for temporary relief. Not a fan of opoids because All of them have tolerance probems after 2 months or so and then they just don't work at all and in fact make the pain worse. Unfortunately about the only way to get off them
    is to undergo some type of rehab. Been there, done that. I will answer email

  8. #8
    The Norspan patch is 5 microgram, not mg, and I have used it for three years and not increased it. But I have never increased any pain medication I have got, it is still working the same. I have tried to stop but the pain is coming back.

    The only bad thing is that it is going to be changed every week and it is scratching if I don't put it on the right place.

    My daughter is working as a cancer nurse and they use Norspan patches too on the cancer patients when they are in pain. We are very different when it comes to pain medication, some things are working on some people and not on others and the dose depends on the body, not on the pain. My ex father in law used 75 microgram in the end and he had no pain. He had prostate cancer who spread to the skeleton.
    TH 12, 43 years post

  9. #9
    Senior Member
    Join Date
    May 2006
    Somewhere in the Rocky Mountains
    Quote Originally Posted by metronycguy View Post
    i take tramadol with Oxycontin , i find it works pretty well.
    i prefer to take tramadol/ultram for breakthrough pain during the day rather than oxycodone.

    I do the exact opposite
    I take Tramadol ER 200mg in the morning and a Oxycontin 5mg in the evening for breakthrough

    I have never heard of Norspan.
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

    My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

  10. #10

    Oxy and tramadol

    i take tramadol with Oxycontin , i find it works pretty well.
    Hi Mike,
    I take 80 mg Oxycontin extended release (40 mg am and pm) and have oxynorn (oxycodone) for breakthrough pain. I vary this regime with a tramadol one consisting of 200ER and 100 IR for breakthrough pain (up to 400 mg a day). All this under supervision of my pian consultant. I much prefer tramadol to oxycodone and would rather use this with Oxycontin for breakthrough pain than the oxycodone. My pain consultant wants me to take oxycodone when I take Oxycontin (because they are the same “family” of opioids) but I would prefer to take tramadol immediate release. So I was interested to here that someone else is taking oxycontin with tramadol for breakthrough. I will discuss this with my pain management dr. Thanks for posting this info.

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