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Is It Safe To Come Off Fentanyl Abruptly?

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Posted on Fri, 10 Oct 2014
Question: is it safe to come off fentenyal 50 and 10/325 cold turkey when you have underlying health issues and steroid dependent s well or should I taper down but then the pain is still there ?also I have copd,scoloisis ostepirosis chronic pain from 3 failed back surgery fibromyalgia
doctor
Answered by Dr. Dr. Matt Wachsman (17 minutes later)
Brief Answer:
Opiate withdrawal

Detailed Answer:
is not as serious as the alcohol withdrawal that killed XXXXXXX XXXXXXX Poe.
You might have increased sympathetic tone (somewhat elevated heart rate, sweats, gooseflesh) and diarrhea.

You WILL have increased pain.

But these are very rarely fatal unless there is underlying heart disease.
However, there just isn't a good reason to do this alone!
There are several medications (non-narcotic, Non-addictive) that can seriously lower the symptoms of withdrawal (clonidine.. blocks stress hormone effects; various anti-nausea and anti-diarrheal medications). There are milder and safer alternatives like suboxone (a combination weak narcotic plus a blocker of additional narcotics.. it has a limit on the amount of narcotic effects you can possibly get with it.. giving more past a certain point doesn't really do any more).
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Dr. Matt Wachsman (14 hours later)
thank you
doctor
Answered by Dr. Dr. Matt Wachsman (42 hours later)
Brief Answer:
You are welcome

Detailed Answer:
You are welcome. You can close this query and rate the answers.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Is It Safe To Come Off Fentanyl Abruptly?

Brief Answer: Opiate withdrawal Detailed Answer: is not as serious as the alcohol withdrawal that killed XXXXXXX XXXXXXX Poe. You might have increased sympathetic tone (somewhat elevated heart rate, sweats, gooseflesh) and diarrhea. You WILL have increased pain. But these are very rarely fatal unless there is underlying heart disease. However, there just isn't a good reason to do this alone! There are several medications (non-narcotic, Non-addictive) that can seriously lower the symptoms of withdrawal (clonidine.. blocks stress hormone effects; various anti-nausea and anti-diarrheal medications). There are milder and safer alternatives like suboxone (a combination weak narcotic plus a blocker of additional narcotics.. it has a limit on the amount of narcotic effects you can possibly get with it.. giving more past a certain point doesn't really do any more).