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Can I Withdraw Fentanyl Patch Inspite Of Using Oxycodone For Pain Management?
Question: I have been taking pain meds for 14 years due to herniated disks in my cervical neck. since the initial injury, my disks have started to bulge. I also have gone thru 2 surgerys for oral cancer, losing 1/2 my tongue and lymph nodes in neck. I am on oxycodone 30 mg. every 4 hours for breakthrough pain, also use a fentanyl 75mcg. my question is first is would a delayed action oxycodone like maybe an 80 mg every 12 hours and the 30's for breakthrough? instead of the fentynal patch ? is that even a possibility, before asking my pain doc. also, if you have 120 pills and this would last 10 days at 12 a day, and you have a new script for 120 more, do you have to wait the full 12 days before filling the new script or can it be filled 2 or 3 days early?
Brief Answer:
feasible but not advised
Detailed Answer:
Hi, i ll answer your questions as per the number
1. Though the drug regimen you are suggesting is feasible, it shall prone you for few major complications. A. Drug dependance and, B. Opioid induced hyperalgesia i.e. when you tend to use a single opioid for your pain management, it tends to get less effective. C. Side effects like constipation though are there with all the opioid s it increases markedly when a single drug is being used.
2. Regarding the new prescription before the drugs prescribed in old exhaust, A. Usually the drug controller does not allow this to keep a strict check on the illicit/ non medical use of the drug. B. the policy may vary but in any case to get a fresh stock of the drug you ll need a fresh prescription from your doc with his office seal whether before or after the expiry of the old prescription and emptying of your stock.
Regards
feasible but not advised
Detailed Answer:
Hi, i ll answer your questions as per the number
1. Though the drug regimen you are suggesting is feasible, it shall prone you for few major complications. A. Drug dependance and, B. Opioid induced hyperalgesia i.e. when you tend to use a single opioid for your pain management, it tends to get less effective. C. Side effects like constipation though are there with all the opioid s it increases markedly when a single drug is being used.
2. Regarding the new prescription before the drugs prescribed in old exhaust, A. Usually the drug controller does not allow this to keep a strict check on the illicit/ non medical use of the drug. B. the policy may vary but in any case to get a fresh stock of the drug you ll need a fresh prescription from your doc with his office seal whether before or after the expiry of the old prescription and emptying of your stock.
Regards
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Dr. Rohit Gulati
Pain Medicine & Palliative Care Specialist
Practicing since :1999
Answered : 252 Questions
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