Friday, June 26, 2009 michele37, Community Member, asks

Q: is fentanyl 50 mg stronger than 70 mg of vicodin?

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Answers (4)
Cort, Health Guide
6/27/09 3:57pm

It's hard to tell. Both are very strong drugs.  Fentanyl, which contains oxycodone, is one of the strongest narcotic drugs on the market. Vicodin, which is also used to treat severe pain, contains hydrocodone, a  strong narcotic but not thought to be  quite as strong as oxycodone.  The "strength" of a medication, though, also depends on how well you respond to it. Some people may respond better to Vicodin then to Fentanyl. 

 

http://www.healthcentral.com/chronic-pain/find-drug-25098-25.html

http://www.healthcentral.com/chronic-pain/find-drug-25443-25.html

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zodpie, Community Member
7/21/11 12:43pm

fentanyl does not contain oxycodone. duragesic patches contain fentanyl, fentanyl also comes in suckers. Fentanyl is the actual medication narcotic. Hydrocodone is your best bet because if you are not familiar with fentanyl, do not take it. stay on what you have. but the fentanyl is a bit stronger than 70 mg of vicodin/hydrocodone.

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Karen Lee Richards, Health Guide
6/27/09 8:10pm

Your question is a bit unusual and several aspects of it concern me. 

 

As a general rule, fentanyl is much stronger than Vicodin, which is a combination of hydrocodone and acetaminophen.  However, are you talking about fentanyl tablets or the transdermal patch?  That makes a big difference. 

 

Also, Vicodin doesn't come in 70 mg. dosages.  The only dosage the brand name Vicodin comes in is 5/500 (5 mg. hydrocodone and 500 mg acetaminophen).  The highest dosage any brand of hydrocodone/acetaminophen medication comes in is 10/650.  The maximum number of tablets that should be taken in a 24-hour period is 6, which would total 60 mg of hydrocodone/acetaminophen.  So 70 mg of Vicodin is more than should be taken in a day. 

 

The other thing that concerns me is that it would be highly unusual for a doctor to prescribe fentanyl if you've been on Vicodin without trying other strengths of pain medications first. 

 

If you'd like to give me more information as to why you're asking about these two specific medications, perhaps I could better help you.

 

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just curious, Community Member
6/13/10 2:36pm

I have been on Hydrocodone for 4 yrs 10/325 and have no Problems controlling my Pain. I have moved from Texas to Georgia and here I have nothing but HUGE Problems with Doctors wanting to prescribe Hydrocordone. My New Doc in GA took me down to 3 Hydrocodone and I couldnt deal with the Pain. Please notice I was controlled with taking 4 to 5 per Day. Now she prescribed me the Fentanyl Patch which is too strong for me and barely can keep that Patch on. It falls off during Showers and I got a little scared because I dont feel NO MORE PAIN. I have been diagnosed with chronic Pain and was situated and now I have to take those Patches which personally I dont care for. Why would a Doctor gave you such potent ( higher Med then Hydrocodone)?????  Also I have to report since I have moved to Georgia every Doctor I have seen give me Lecture about Hydrocodone being a Street Dug? Why would I get rid of some Med if I need them?

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Karen Lee Richards, Health Guide
6/14/10 4:05am

I don't know why a doctor would switch you from hydrocodone to fentanyl.  The only thing I can think of is she may be more comfortable prescribing the patch because it's not as easy to abuse and they're not usually sold on the street like pills could be.  Since you're a new patient to her, she may not feel confident yet that you wouldn't abuse the hydrocodone. It sounds like maybe Georgia has had a lot of problems with people selling their hydrocodone if all the doctors have expressed concerns.  If you feel the fentanyl is too strong, talk to your doctor about it and tell her your concerns. Hopefully she'll be willing to work with you to find a medication and dosage you're both comfortable with.

 

As for keeping the patches on, here is a link to some information that may help:  Keeping Duragesic (fentanyl) Patches On

 

 

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skymarshal, Community Member
7/17/13 12:36pm

Hydrocodone does come in 70, 80 and even 100 mg or more. They are compounded and the acetaminophen is lowered to 200 or even 100 mg. People make take up to 3 doses of the compounded hydrocodone per day (1 every 8 hours). Most pain clinics will provide compounded hydrocodone, but not your regular PCP.

 

 

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"T" Berry, Community Member
8/ 5/09 12:28am

Fentanyl at the beginning, when I was taking the 25 mircro/hour worked pretty good, I was also taking Davocet n 100 and Parafon Forte, every 4 to 6 hours. But until about a year or so ago, I stopped taking Parafon Forte and Davocet n 100, instaed, I was taking Lortab fro break through pain and Valium for muscle relaxant, 5 mg.several times a day. I had 3 hip operations, one of which was to try to get the Femur head on my first hip to try to get it to reform the circulation, but this failed and I had a total hip replacement in my right hip. I was about the year 2000. I never was able to get rid of the pain in my new hip, it stil bothers me today. I had my second hip replacement in 2005, and the Doctor put in a hip that was larger than the one he required, now my left leg is 1 centimeter longer than my right one...should have sued him but missed the 2 year cut off. I also had a back operation in about the 1980's, a fusion in my lumbare spine, and probably will need another one in the not to distant future, all causing mis- alignment and pain from my middle back through my legs....in the groin moderately severe at times in my right groin...like a stabbing pain, to a pain and weekness in my bursur sack of both legs, with the occasional, and inability to gain strength in either of my legs...releying on a cane most of the time. I should have sued him because he did my first total hip, and he put in an oversized hip in my left hip...you would think he would have note from the first surgery to compare to see that there was such a size difference, so that such an agreeious mistake in the size if the new artificial hip could be averted.

Anyway, the only different form not having the surgery done and having it done is that my legs don't lock when the jagged fermur ball doesn't stick on the sockey. My pain level is pretty significant, and I went from a fentandyl 25 patch, Davocet and Parafon Forte to a 50 micron/ hour patch with valium....my muscle relaxant and Soma at bedtime.I have a difficult time geting around as it is and I am 52, I fear what it will be like in 10 to 15 years. I feel that I am under medicated, I need to take double the Valium and soma as it is and run out way before my month is up.

The Lortab I have been taking for years, and they are not very effective anymore...even when I take more than should.

Are their any other combinations that wor better than what I am now taking...I feel that if I hadn't found the Lord, my days would have been over long ago.

Please speak to me about these things, I go to the

Doctor on Friday, and need some way to convince him that all that he had done for me is appreciated, but  the gameplan we are executing now is not working, and  help me enlighten him with a newset of plays so that I can have a life that is easier to get up to every morning.

 

need some advice

TLBerry

TLBerry45@aol.com

PS I THINK HE IS AFRAID, WHICH I CAN'T BLAME HIM TO GIVE NESOMETHING MORE EFFECTIVE, HOWEVER, HIS FEAR IS DIMINISHING MY QUALITY OF LIFE, AND I FEEL THAT THAT IS A DECISION THAT I SHOULD MAKE, AND I MAKE IT INFORMED.PLEASE HELP IF YOU CAN AND INFORM ME OF OTHERE PAIN MANAGEMENT DRUGS THAT MAY HELP ME WITH MY ABILITY TO SUFFER LESS AND ENJOY LIFE MORE.

 

THANK YO AND GOD BLESS,

 

TIM BERRY

 

IS THERE ANY MEDICATIONS FOR BREAKTHROUGH PAIN THAT I MAY NOT KNOW ABOUT, OR ARE THE OTHER GOOD MUSCLE REAXANTS THA WORK BETTER THAN SOMA AND PARAFORN FORTE THAT YOU WOULD SUGGEST.

 

 

 

THANKS

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Tiza, Community Member
11/ 1/09 8:33pm

OH, my goodness, Tim, I sure do feel for you.  I'm in pain, I'm 56, but I feel so for you and your constant pain. Currently I take as much natural stuff as I possibly can, but I don't think in your case that it might help you unless you take some decent magnesium. You do need some other doctors, and I know there are many out there.  And you will be in my thoughts and I hope that Yahweh heals you of your pain and suffering. I really do pray that. In my view, though, people who are suffering need pain medicine, or need to go to a pain clinic to help them learn to slowly control their pain without so many meds. I only say this from family experience.  Sometimes the meds end up making the pain worse, which I forget what you call it.  I have a brother-in-law in a such a case where the meds actually have made his pain so much worse through the years. 

 

But I think that you need another doctor's advice and opinion. I really do believe this, Tim. Being in extreme pain takes its toll on us, so you need to seek out another doctor and be evaluated by him and see what he can do.

 

Until then, may Yahweh heal you and be with you!

Tiza

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Just a Man, Community Member
5/23/11 5:55pm

Ask your doctor aout a muscle relaxer called Methocarbam. This is an old medecine, is not a narcotic and blocks the pain receptors in the brain. I am on Hydrocodone and my 81 yrar old doctor added the methocarbam for muscle spasams. It is inexpensive and works almost as good as the Hydrocodone, the 2 will work together.

 

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KweenXanax, Community Member
10/25/10 2:11pm

Actually..If U Took 50mg Of Fentanyl U'd B Dead..Fentanyl Iz Mcg{mico-gram}..So YES..The Fentanyl 50mcg Iz WAY Stronger Than 70mg Of Vicodin.!!!!

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By michele37, Community Member— Last Modified: 05/20/14, First Published: 06/26/09