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Duragesic

A MyChronicPainTeam Member asked a question 💭
Columbia, MD

Comment about Duragesic (fentanyl). You may want to include that this drug is predominantly used as a sedative for a variety of procedures. The problem with taking this or using the transdermal patch can cause you to develop tolerance to all forms of Fentayl, including its uses as a sedative. Due to my being on this path for about 6 months, Fentanyl no longer has any affect on me for sedative uses (such as a cardiac catheterization - try that without adequate sedation [been there, done that]!)

April 13, 2017
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A MyChronicPainTeam Member

Hey everyone. .....
I've been on Fentanyl (Duragesic )for 4yrs......and I was put on it by my pain doc. ....inn the hospital. ....I requested to get off of 580mgs of morphine a day. ....that's right 580...
The ER doc said that was enough to kill an elephant. .....
It keeps me calm. ....especially when I'm out of break thru meds. . ...I'm now on 50mcg from a75 mcg....oxycodones 15mg every 6 hrs and 30mg instant release morphine for when I think I need to go to three ER....
CRPS is aweful. ....please duo as your MSs ask. ....I have 8 manila envelopes 3"thick ... my medical record.....and a word of advice. ....get a copy of your medical record for yourself. .....
((((Hugs)))) Spanky

June 27, 2017
A MyChronicPainTeam Member

Fentanyl has been used for years by anesthesiologists for sedation prior to surgery. They sometimes combine it with Versed, a benzodiazepine somewhat related to Valium/diazepam. These are also typical meds used for sedation-only requiring procedures (endoscopies, cardiac catheterizations.. Because of the long time that I have been taking diazepam for TMJ dysfunction as well as sometimes for anxiety disorders, I have a tolerance to Versed. Because of the temporary use of the fentanyl patches 10 years ago, I am now tolerant to that drug. So now they have to use a drug named propofol for sedation/anesthesia, and even there we have to be careful.

For a good site to get information on US approved drugs, try this link - it provides FDA approved indications. https://dailymed.nlm.nih.gov/dailymed/. If you try to read a package insert (usually for physicians and nurses) pay attention to what are called "Black Box Warnings." These are severe warnings that the FDA has decided to include in the labeling after previously before unnoted severe AEs or severe or serious AEs that are now being reported in a much greater percentage of the population.

If you have any questions on how to read an FDA-approved package insert (like the clinical trials and post-marketing AEs, I'd be more than happy to discuss that with you (I used to write this type of material.)

Blessed Be!

April 17, 2017
A MyChronicPainTeam Member

I don't disagree with your premise. After the initial "blunder" by the FDA, Paramacutical companies and Physicians when existing warnings were made obvious, and hard to miss were given regarding the drug. I still have to wonder about the use of it Pre-Op in the USA given it's original warning about the depression of respirations which has been put boldly on all Fentanyl literature/packaging. I am not a Pharmacist or Physician but past patient in multiple forms, (no more). I found the patch helpful as a last resort but ended up with such a high dosage a past surgeon demanded that I was mistaken because" someone of my stature could not function". He was wrong ! He was a Surgeon with a God complex anyway...

April 16, 2017
A MyChronicPainTeam Member

Please do what your MDs ask

June 27, 2017
A MyChronicPainTeam Member

Thankyou for the information. It helps to know what your dealing with.hugs.

May 16, 2017

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