HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Pain With Renal Failure And Bladder Pace Maker

default
Posted on Fri, 8 Aug 2014
Question: I have a 8 yr bad medical history disabled kidney failure XXXXXXX for 6 yrs then bladder pacemaker stage two skin cancer chronic pyelonephritis I've been on 150 fentanyl patch and need to find other way to control pain addicted to patches please help would pain pump work
doctor
Answered by Dr. Gaurav Katiyar (6 hours later)
Brief Answer:
Patch is safest

Detailed Answer:
Hi,

I have gone through your query. You have already been diagnosed with:
Renal Failure
Have Bladder pacemaker
Stage II skin cancer
Chronic Pyelonephritis

Now coming to your query. You are already on Fentanyl Patch for pain. Fentanyl is given to you because it is safe for renal failure patients. Pain pump need Morphine and ziconotide for direct pumping into fluid around Spinal Cord. Both of these medicines are contraindicated in renal failure.

So in your case pain pump will not work. If the Fentanyl patch is not working there is no need to stop it suddenly as it will lead to withdrawal symptoms.
You should consult your doctor for another route of Fentanyl like sublingual spray or fentanyl lozenges (like Lollipop). It is more effective than present route.


Hope I have answered your query. If you have any further questions I will be happy to help.
Regards
Dr. G.Katiyar
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Gaurav Katiyar

General & Family Physician

Practicing since :2008

Answered : 642 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Pain With Renal Failure And Bladder Pace Maker

Brief Answer: Patch is safest Detailed Answer: Hi, I have gone through your query. You have already been diagnosed with: Renal Failure Have Bladder pacemaker Stage II skin cancer Chronic Pyelonephritis Now coming to your query. You are already on Fentanyl Patch for pain. Fentanyl is given to you because it is safe for renal failure patients. Pain pump need Morphine and ziconotide for direct pumping into fluid around Spinal Cord. Both of these medicines are contraindicated in renal failure. So in your case pain pump will not work. If the Fentanyl patch is not working there is no need to stop it suddenly as it will lead to withdrawal symptoms. You should consult your doctor for another route of Fentanyl like sublingual spray or fentanyl lozenges (like Lollipop). It is more effective than present route. Hope I have answered your query. If you have any further questions I will be happy to help. Regards Dr. G.Katiyar