Fent not doing the trick

[RobOC]

I just got rxd the 25mcg/hr fent patches. Previous to this I was on 24mg of sub a day and I have found that the fent alone doesnt even seem to keep me out of WD or even put a significant dent in my pain. Should this happen, should 25mcg/hr be enough to keep me well? I am taking them as prescribed and am starting to get pissed. I also got oxy ir 5mg to take 5 times a day which are almost gone as I have been useing those to ward off WD. I find I have to take about 2-3 every 60-90 minutes. What have you guys experienced with swtching to the patch, anyone else feel like it was not sufficient? Any info will be appreciated. Thanks

[SpecialGuy69]

I've found that the mcg/hr on the patch is approximately equal to the oxy dose it'll hold ya from. What I mean is: a 75ug patch will hold you if you use 75mg of OC at a time. A 50ug would hold you if you use 50mg OC at a time, etc.

According to my (I'm sure very flawed) theory, your 25ug patches would only hold you if you had a very small habit. 24mg is a large amount of subutex- I've never needed that much, even coming off some pretty huge habits. Anyways, this leads me to believe that your OC habit was probably more than 25mg at a whack.

So, you need more fent! Try doubling up. Or put a heating pad on the patch. Or use a hairdryer to heat it up. Or put an occlusive dressing on it. Or shave the area to the point of irritation before applying the patch. Or try another method of fent ingestion. I would think absorbtion through skin is an inefficient way to get the fent into your body, and that if you used a more efficient method, you might have enough fent in that script to hold ya.

Comprende?

[insaneike]

Well fent takes a long time to build up in you when u wear em... I member when I was first put on em I tried wearing them because 'fent is dangerous and easy to OD on!' Though like the 4th day of wearing them, n the 2nd patch kinda early, it FINALY started easing WDs! But I went for a few days in WDs while wearing a patch, and u wont even feel SHIT from them for a good 24hours to me.

and the 25mcg/hr patches are equivlant to 37-67mg of Oral Oxycodone per day. I can give the equivlancies for the other opis too, it's in this pamplet that comes in my fent boxes.

later

[SpecialGuy69]

and the 25mcg/hr patches are equivlant to 37-67mg of Oral Oxycodone per day. I can give the equivlancies for the other opis too, it's in this pamplet that comes in my fent boxes.

laterSo that kinda confirms my rough conversion- if you are taking 25 mg of oxy 2-3 times a day, a 37-67 mg equivalent dose would get you right. So, I guess you could use my formula- oxy dose size=mcg/hr

If you want to have 'em kik in faster, try heat.

[insaneike]

Oh no man, your estimate was WAY off... as to me wearing my 25mcg/hr aptches are more liketaking two Roxi 30s(IR OXY 30mg) a day...
Unless you mean 25x3/day... in that case it would be KINDA right... but a patches mcg/hr being converted to be equiv to that much oxy is complete shit man... and 75mcg/hr ones are equiv to 130-157mg of Oral oxy a day... way more than 75mg man :p

and if this helps, the 25mcg/hr ones WORN as intended are equiv to 80-134mg of Morphine and 10-17mg of Hydromorphone. Dunno if that helps but it can't hurt to have more info y'know?


Just figured I'd enlight you a tad on the equivlancy things, as saying a 75mcg/hr patch is equiv to 75mg oxy is kinda dumb and misleading...

and tot he thread starter, give it ATLEAST 24hrs before you notice any real effects. Now with teh fent patches the peak or 'mean' effect won't hit till the 12-14th day of wearing them(not same aptch of course:p). God, I member I was pissed they wern't even helping WDs when I put on them at first, I even went to the ER cause they wernt helping and got a shot(w00t).


All in all, wait till 2-5 days before it really takes effect man and I hope ya get feelin better!

later

[SpecialGuy69]

What you said:
Oh no man, your estimate was WAY off... as to me wearing my 25mcg/hr aptches are more liketaking two Roxi 30s(IR OXY 30mg) a day...
Unless you mean 25x3/day... in that case it would be KINDA right...
What I said, the post before:
if you are taking 25 mg of oxy 2-3 times a day, a 37-67 mg equivalent dose would get you right.

I specifically said this. Read the posts before you trash 'em, Ike. I'm sure you know more about fent than I do, but I was just trying to give the guy some type of baseline conversion. I'm sure it's not very accurate, but it's close enough to keep you from going into w/d's if you follow it.

There has been too much flaming and shit going on lately, so I'm not going to get into an argument with you about this, Ike. Just think before you type- it's much more accurate and respectful to call a post "wrong" instead of "dumb" and "complete shit". Be cool, man.

[exitwound]

I just got rxd the 25mcg/hr fent patches. Previous to this I was on 24mg of sub a day and I have found that the fent alone doesnt even seem to keep me out of WD or even put a significant dent in my pain. Should this happen, should 25mcg/hr be enough to keep me well? I am taking them as prescribed and am starting to get pissed. I also got oxy ir 5mg to take 5 times a day which are almost gone as I have been useing those to ward off WD. I find I have to take about 2-3 every 60-90 minutes. What have you guys experienced with swtching to the patch, anyone else feel like it was not sufficient? Any info will be appreciated. Thanks

Most docs totally over-estimate the strength of fentanyl. They are paranoid due to the high rate of overdoses that occur with the stuff when people mis-judge the dose conversion, and tend to overcompensate by under-prescribing it.

My own doc made much the same mistake while I was temporarily on the patches, he wrote them for 1/3 of the dose I actually needed.

24mg of Sub is almost as high as the doses get, so you should probably be on the 50 or 75mcg patches, minimum.

[Porgie]

I just left my doctor's office about 5 hours ago and he gave me the 75 mg patch. This is the second time he has prescribed the patches for me. He did it last year but it was only the 50 mg patch. I've never eaten or smoked the fent. I don't know how and I'm afraid I'll ruin the patch if I start cutting them up. Not that I 'm above abuseing some drugs..I have all my life but I trust this doctor and he knows I have drug problem so I want to be a good patient. Thing is I'm also on Suboxone...about 4 mg a day later. I'm wondering if I'm going to feel the fent at any mg?

Last year I wore two and three patches at a time. I didn't start off with three..I just didn't take the old ones off when I started another patch..and I seldom waited the 3 days for a new one. It was more like every or every other day.

I tried to get him to give me pills but he said the Fed government required that narcotics used for chronic pain had to be timed released and he felt like Fent. patches worked the best for me because although expensive they are cheaper than timed released morphine.

I going to stop the Suboxone (duh) and maybe add another 75 mg patch in the morning. I'm not in withdrawals and not in much pain but I'd like to feel good....does anyone think you can get a nod on Fent.? Or do I have to smoke or shoot the fent.?

[cmin7b5]

See Globalrph for patch conversions.
Also, the best way to do fentanyl is to take a pill (oxycontin, dilaudid etc.) of a pure opiate agonist and mix it with the gel from the patch.

1. Lift up one corner of the patch and cut the corner off about 1 millimeter into the resevoir.
2. Using a credit card and starting from the opposite end from the cut, squeeze out the gel until you have all of it on the card.
3. Put the gel on a mirror.
4. Take your pill and crush it up using a dollar bill.
5. Take the powder from step 4 and add it to the gel.
6. Put a pair of latex gloves on.
7. With your index finger rub the gel/powder mixture around on the mirror spreading it out and dissolving any little pill chunks until it covers an area about 4 square inches.
8. Allow it to dry
9. With a razor blade scrape up the powder/gel and put it in a vial.

This works REALLY WELL for snorting but be careful. 1 patch is supposed to last 3 days so keep that in mind when you calculate your dose.