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Wednesday, July 23, 2008 corina asks

Q: Is oxy contin and fentynal patches used in conjunction as a treatment for chronic pain?

I suffer from chronic pain due to herniated discs as well as degenerative disc disease along with several other issues. I have tried many medications and therapies. The only time in the last 6 years that I have felt that my pain was somewhat controlled was when I started the fentynal patch along with my regular medication which is oxy contin.

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Answers (8)
7/31/08 5:36pm

I've been living with chronic pain for about 18 years now and in all those years I have never heard of a doctor that would "EVER" prescribe those 2 medications together. They are simply too dangerous taken together, now if you take one or the other alone with some other lower class pain medication for the "breakthrough" pain that happens often with Oxycontin and the Fentanyl Patches, you would most likely have better success. It sounds like you are seeing a regular doctor instead of a Pain Management Doctor, I would search for a specialist in Pain Management and transfer all my care to him. That's what I did a few years ago, it took me over 10 years to find a Pain Management doctor that only deals with chronic pain patients, it was the best thing that I ever did. The level of care and treatment that I have had since is 100% improved, they know how to manage chronic pain patients effectively and are up to date on all the latest techniques and the medications that become available for pain relief. There are so many other medications that can be used in combination together that can help lesson a persons need for a lot of narcotics, they may still need some narcotics, but with the help of the other medications that they use, they can be limited. Also, I now have a Medtronics Spinal Implant that reduces my chronic pain down from a 9 to a level 3, it's like an internal TENS units that is always on. That also reduces ones need for the narcotics, so please try and find a Pain Management Specialist for your care and treatment. Using those 2 medications together, Oxycontin and the Fentanyl Patches are just too dangerous, I'm surprised your pharmacy even filled the prescriptions without questioning them. Good luck to you.Smile

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7/23/08 10:37pm

To answer your question as well as i can i must first break down both of these medications. Oxycontin is extended realese Oxycodone ( an opiod analgesic), Fentynal is also a opiod analgesic. In my personal opinion i do not believe a doctor will prescribe these pain managment aids in conjunction as there is great danger of overdose and possibly death with that large amount of opiods in your system. I am also a long term sufferer from back pain and have been prescribed many treatments as well, in my best opinion to truly treat back pain attempt easy rehabilitation to strengthen the back and continue the oxycontin treatment (after 3 months of rehab, the pain in my back[ while still on Oxycontin] has gone from a daily 7-8 to a 3-4 on a scale of ten). Hope I could help from one sufferer to another.

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8/ 2/08 10:57pm

I asked for basically the same 'cocktail'. I was taking oxycodone for chronic lumbar back pain from disc herniations and DDD, and a friend told me about fentanyl patches because I still complained about constant pain. He has lumbar disc problems but I wouldn't consider his back problems too extreme. He told me his doctor (a pain specialist) has him on dullaudid, methadone, morphine, and fentanyl patches (75MG) all at one time. My mouth dropped open. Neverthe less, I asked for and got the patches to go with my oxy, but a week later my doctor took me off them saying she should not have prescribed them to me, there was a real fear of respiratory distress. I have a high tolerance for opiates and my relief with the patches at their normal dosages was minimal so I discontinued the patches. I don't know if this info helps at all, but it's what my experience is.  Good Luck!..Tommy

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9/ 2/08 8:36am

I HAVE BEEN STRUGGELING WITH CHRONIC PAIN FOR MORE THAN 3 YEARS NOW, AND FOR THE LAST YEAR I HAVE BEEN USING THE FENTYNAL PATCH AT 125MCG (ONE 100MCG AND ONE 25MCG) ALONG WITH OXYCODONE INSTANT REALEASE 30MG FOR BREAKTHROUGH PAIN.THIS IS THE FIRST TIME IN A VERY LONG TIME THAT I AM ABLE TO TAKE CARE OF MYSELF AND MY FAMILY WITHOUT BEING IN SO MUCH PAIN, THAT I COULD ONLY CRY, AND WISH FOR DEATH IN SOME QUICK FORM.MY DOCTOR WORKED WITH ME NON-STOP FOR THE PAST 3 YEARS, I HAVE TRIED EVERY PAIN MED, ANTI-DEPRESSANT,MOOD STABILIZER,U NAME IT.

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8/ 2/10 11:24pm

I have been dealing with a similar situation, and I was taking Norco 10/325's and MS contin.  My MS dose has gone up to 60 mgs 3x a day since March of this year when I started on 15mgs 3x a day.  My Norco's seem to help my syrong pain better, however my PM doc feels short-acting meds. can actually cause more pain, and I do agree.  Today he put me on Fentanyl 50mgs AND my normal morphine and Norco.  I have a very high tolerance when it comes to opiads for some reason, and even with increases, my pain stays at a 6-7 all the time.  I am NOT feeling "high" or anything like that, but feel good so far.  It's only been today, so I will keep you up to date, but as in the other answers about Dr's NEVER prescribing those meds. together, well, I personally am glad my doc is willing to try this combo.  He says everyone reacts different to meds. and that we need to keep trying until my pain is controlled.  I wish you the BEST of luck, but I would definatley give those meds. a try!!  I've heard of docs prescribing all kinds of crazy combo's and if your comfortable trying it out, just don't take more w/o asking the doc.  You may need even more...who knows but you.  GOOD LUCK and God bless...M.

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12/ 8/10 12:05am

I take Fentanyl patch, 100 mcg/hr, along with Oxycodone and Soma for breakthrough pain. My pain is fairly well controlled on this regimen.  I do worry about long-term affects to my organs, though.  Does anyone else think of this?

 

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2/ 3/11 9:45am

i currently take both. i wear 100 mcg patch with a 50 mcg patch. breakthrough pain is managed with 30 mg roxicodone twice a day.  i have never over dosed so i don't know what everybody is complaining about. i've been at the same pain clinic for 8 years. hope this helps. God be with you

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11/15/11 10:56pm

 I am a 33 yr old mom of 2, I to suffer from chronic pain for 11 yrs throughout my entire body, now i have been taking all differant opiates and some have worked for a good amount of time but then I would build a tolerance. This last time I was in to my pain management Dr. swiched me to the fentynal patch 100 and a 50 every 48 hrs and also oxycodone immediate release for breaktrough I have only been on this for a week and im already feeling better control of my pain and i hope this will continue. I hope this will help you also no deserves to suffer with horriabe pain. good luck god bless

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