• C-roc C-roc
    August 16, 2012
    What is stronger than Fentanyl?
    C-roc C-roc
    August 16, 2012

    I have been suffering a severe knee injury for the last 10 months. They have me on 100mcg patches every 48 hours, and 4 percocet 10-325 a day. Nothing is even touching the pain! I put the patch on before bed and I MIGHT get 6 hours of relief the next day, that's it. From what I understand this is pretty strong stuff. What can my PM doc try next, what is stronger than the fentanyl?

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FROM OUR EXPERTS

  • Cort
    Health Guide
    August 20, 2012
    Cort
    Health Guide
    August 20, 2012

    There's not much stronger than Fentanyl. According to an opioid comparison chart on Wikipedia a drug called sufentanyl, etorphine and carfentanil are all much stronger than fentanyl. Sufentanyl is used almost exclusively during operations, etorphine is used to immobolize elephants and is for veterinary use only, and carfentanil is the same. 

     

    Some people just don't respond well to opioids; my girlfriend in one of them. There are other possibilities; they include antidepressants such as cymbalta which turn out to be able to reduce pain in people without depression and anti-convulsants such as Lyrica and neurontin. 

     

    Since anxiety is a great pain enhancer and it's hard not to be anxious when you're in alot of pain you might also try stress reduction courses. MBSR (mindfulness based stress reduction) was developed to help pain patients who did not respond to narcotic drugs. Courses can be found across the US.

     

    Good luck in your search! 

     

    • C-roc
      August 20, 2012
      C-roc
      August 20, 2012
      Thank you for your ansewer. I acually have had cymbalta, lyrica, Neurontin, and many, many other antidepressant type, and nerve type medication. I do find that Xanax helps slightly with the pain, and anxiety that comes along with it. I've even considered amputation. My surgeon seems to think that that is the next step. It gets VERY fruserating at times to say the least. I'm sure 99.99% of the people here can relate. Thanks again. READ MORE
    • Karen Lee Richards
      August 22, 2012
      Karen Lee Richards
      Health Guide
      August 22, 2012

      You might consider asking your doctor whether an intrathecal pain pump would be an option for you.  It's an implanted device that delivers opioid medication directly into the spine.  Because it doesn't have to go through the digestive system, greater pain relief can be accomplished with much smaller doses of medication.  Here is some more information:  Intrathecal Pain Pumps

       

      Before you seriously consider amputation, I'd like to suggest you do some research on phantom limb pain and discuss what you find with your doctor.  Although it seems like cutting off the body part that is causing your pain should get rid of the pain, that's not always the case.  Pain signals actually come from the brain.  Once a pain path has been established, sometimes the brain will keep sending pain signals even though the original source of the pain is gone.  It would also be a good idea to get a second opinion before taking such a drastic step.  Perhaps talk to a pain specialist who has experience with phantom limb pain. 

       

      I wish you the best and hope you find a way to get your pain under control.

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FROM OUR COMMUNITY

  • deezill February 04, 2015
    deezill
    February 04, 2015
    Ive been stuck in the same boat. 100Mcg patches every 48 hours and sublingual spray fentanyl 1600mcg 4 x a day. Doesn't even touch it anymore... after so many years on them ive become tolerant to opies. The only way i make it through.is by chewing/cheeking the patches and since thespray is a liquid i draw it up and bang those "beaches". Most of the time now, since ive worked up to it, i usually hit 10 at a time. Normal dose in post surgery pain relief in the recovery room is 100mcg,but im banging 16 mg, yes thats mg! Finally pain relief.... call me what you will but going to the needle is a better options than goin to the lead and powder for pain relief, of which I've almost opted for many times. However, be safe no matter what you do. :) READ MORE
    • hendrixharvey
      October 23, 2015
      hendrixharvey
      October 23, 2015
      To deezilI it's sad but true I agree if it's prescribed for you at such a level however (I also understand to a certain point about Phantom pain through a family member who has passed and a friend affectionately known as pegleg or peggy believe or not he still feels his leg pain, severe and it was amputated) I too suffer chronic pain and the break through pain is also unexplainably painful. I live in England UK been on similar meds different names same types and I have felt daily for years about putting myself to sleep (euthamisam for suicide) that being said we don't legally have firearms so... I have even asked doctors about a letter to go to dignitas but they won't. I feel like animals are treated with more compassion. Before I go to bed (most of my life is spent in bed serious spinal issues) to try to sleep actually sleep I hope I fall asleep and don't wake in the morning or whenever I wake usually lucky to get an hour to two and think b#ll0ckz I'm still going. If you have this serious pain which I am not suggesting that you don't. You must be suffering with depression. Speak to a psychological Dr or indeed a shrink(the difference is the shrink can prescribe medication in my country at least) about how you feel and try to get treatment for depression if you're depressed which u sound like u are. It's hard when you are told basically it won't go away, the pain that is. Don't think of powder and lead. Easy saying that but I would have, had there not been a prison sentence for getting the powder and lead. With my pain I find it intolerable that's the chronic the break through has me in tears not sobbing just tears obviously it's even sharper stabbing pain. I know what a stabbing feeling feels like literally as a blade went in the back lumbar region about 5 inch straight in missed my spine by about a thousandth of an inch. Please try what I have suggested and let me know.. It's important to me to be able to help people like yourself. It makes my life feel like there's a point in my being. PLEASE reply to the suggestion ASAP. I wouldn’t wish this pain on anyone...it's cruel how much your pain you can be subject to without losing consciousness. GET IN TOUCH. It's hard to make friends too stuck in all the time living by myself. Feels like nobody understands especially the doctors. If they could feel it for a week they would probably feel like us too. They make us feel like we are exaggerating. It's so wrong. Plus you getting intouch with me might help us both... I look forward to hearing from you. I dunno 04:51 hear and have been awake for 72+ hours. Wrong on so many levels...Sorry about the essay lol I completely empathize with you but only you know your pain...:-) READ MORE
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