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I AN 67 YR OLD FEMALE WITH PULMONARY FIBROSIS and

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Posted on Sat, 16 Feb 2019
Question: I AN 67 YR OLD FEMALE WITH PULMONARY FIBROSIS and have been on fentanyl patch for 7 yrs. my Dr. has abruptly gone out of town and can't be reached to refill my prescription until 1/28 and that will result in me being 4 days with my fentanyl patch. I am so scared of detoxing or having seizures or extreme pain, etc. PLEASE advise me what to do... Thanks, D.Warner
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Answered by Dr. Kaushal Bhavsar (57 minutes later)
Brief Answer:
No need to worry for seizures.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Oral fentanyl is causing more withdrawal symptoms.
Topical fentanyl is not associated with withdrawal seizures.
But you need to be ready for pain.
You will definitely have more pain once you stop fentanyl.
You need to take other centrally acting (acts on brain) painkiller like tramadol for pain relief.
Tramadol is scheduled drug and hence require prescription.
You can also take over the counter Tylenol or Aleve for pain relief.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14660 Questions

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I AN 67 YR OLD FEMALE WITH PULMONARY FIBROSIS and

Brief Answer: No need to worry for seizures. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. Oral fentanyl is causing more withdrawal symptoms. Topical fentanyl is not associated with withdrawal seizures. But you need to be ready for pain. You will definitely have more pain once you stop fentanyl. You need to take other centrally acting (acts on brain) painkiller like tramadol for pain relief. Tramadol is scheduled drug and hence require prescription. You can also take over the counter Tylenol or Aleve for pain relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.