Re: Fentanyl
- From: Hawaiian Wayne <birdie998@xxxxxxxxxxx>
- Date: Tue, 04 Sep 2007 07:13:15 -0000
On Aug 31, 5:48 pm, Codee...@xxxxxxxxxxx wrote:
On Mon, 27 Aug 2007 15:35:54 -0700, PAINxtreme <dave...@xxxxxxxxxxx>
There was a recent article where an opiate naive patient in a military
hospital was recovering from minor repiratory surgery, just to help
him sleep better. (in 2005)
They didn't say what strength it was, but he was given a fentanyl
patch which killed him by overdose.
I could swear the warnings say not for post operative use, or acute
pain. Now, of course they're digging up every fentanyl related death
possible, though there weren't many.
However, it's not a "horrible" drug for chronic pain, when titrated
properly, and care is taken not to get it overheated, so as to release
too much medicine at once.
As usual, this is one more scare story without all of the facts.
codeee
On Aug 27, 3:32 pm, Joe B <mong-gu-di...@xxxxxxxxxxxxxxxx> wrote:
On Mon, 27 Aug 2007 09:45:01 -0700, LooseCannon
<lambchop...@xxxxxxxxx> wrote:
Vengeful wrote:
Was prescribed for post-op pain -- 75mcg/hour. I just read some of the
side-effects, and comments regarding addiction. Evidently this is a
potentially horrible drug.
Does it make sense to call my physician today asking about an alternative?
I assume you're talking about the 75mcg/hr patch? Jeezlouise! WTF is
yer doc thinking? One of the things the fentanyl patch specifically
listed NOT to be used for is post op pain!
Sorry for *Center-Posting* but the above is exactly the first thing
that came to my mind when I read this message.
To the OP--
I also wonder what pain meds (dosage, tolerance, length of use, etc)
you were on prior to surgery....that is if you don't mind....as that might
shed some light on the doc's choice.
This is prolly some half assed attempt to stop patients from selling
their meds, cuz these are considered to last 3 days/72 hrs as patches,
but giving someone something for a problems its listed specifically not
to do is insane! And ANY opiate can be abused or addictive, but the
only way you are going to become addicted is to MISuse the drug to get
high as oppose to take as directed as long as you only need it, to treat
the pain only and when the pain subsides, stop taking it. Your main
concern should be controlling the pain w/a safer method and worry only
about abuse if you find yourself taking the med for reasons other then
to get outta pain.
From the BLACK BOX warning on Duragesic (found atwww.duragesic.com,
duragesic being the name brand in case you are on a generic):
"Because serious or life-threatening hypoventilation could occur,
DURAGESIC® (fentanyl transdermal system) is contraindicated:
in patients who are not opioid-tolerant
in the management of acute pain or in patients who require opioid
analgesia for a short period of time
in the management of post-operative pain, including use after
out-patient or day surgeries"
If the Fentanyl is being prescribed purely for post op pain, and not
for an ongoing chronic pain condition, it is the wrong choice. It is a
wonderful long term drug for chronic pain, and I have used it safely
and successfully for 6 months, along with methadone.
You didnt mention the surgery you had, or how the Fentanyl is
administered. What was the surgery, and is it a Fentanyl patch or are
you receiving it intravenously?
Tylenol can be a horrible drug, as can any used improperly or
irresponsibly. Responsible prescribing and use is the key to any
drug's safety and efficacy.
Please explain your situation in more depth. I presonally cannot
offer a professional answer, but from my experiences, and the other
folks here can contribute a more informed lay-opinion.
But my itnitial take is Fentanyl isnt a first line choice purely for
post-op pain.
Deus Vobiscum,
-dave- Hide quoted text -
- Show quoted text -
Aloha All!
OK...so where the hell is Vengeful?
There is only a few things that "newbies" (or veterans) do that really
pisses me off and this is one of them. Here we go out of our way to
help this person who seems hell-bent on changing their med because of
an article from who-knows-where that was obviously biased against
Fentanyl patches when in reality, if Vengeful would kindly answer our
questions, could very well be the PERFECT medication for them. How do
we know if s/he was on the patch months before the surgery? If so,
then wouldn't the patch be the thing to keep using until they
recovered enough to titrate OFF of them?
Oh well, we may very have wasted some of our valuable time on someone
who posted and never looked back because they already had made up
their minds anyway.
GGGGgggrrrrrrrrr!!!! (Methinks I need a tranquilizer! LOL!)
Aloha,
Hawaiian Wayne
.
- Prev by Date: Re: Mom defends reaction to Iraqi passengers
- Next by Date: Re: magnet placement for back pain
- Previous by thread: ha ha for you all
- Next by thread: Re: Fentanyl
- Index(es):
Relevant Pages
|
