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.
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.
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
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,
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.
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.