Occipital Neuralgia and other Cranial Neuralgias For discussion of Occipital Neuralgia, Glossopharyngeal Neuralgia, Nervus Intermedius (or Geniculate Neuralgia), and Vegal and Superior Laryngeal Neuralgia. (Trigeminal Neuralgia has its forum below.)


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Old 12-05-2008, 01:32 PM #1
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Default fentenyl patches?

Anyone have experience with fentenyl patches? My pain specialist gave me a script for some and I filled it but haven't tried one yet. I am kind of scared to. I don't want to put one on and go out and have side effects. Any feedback you can give me about them would be helpful and appreciated.
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Old 12-05-2008, 04:13 PM #2
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Yes I tried them for a month or so, for Neuropathic pain of physical origin. Have to report negatively insofar as I seemed to suffer all the side-effects and none of the possible benefits. Side-effects vanished pretty quickly when I ceased using the patches. But individuals vary greatly so you won't know whether they will help in your case until you try. Best wishes.
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Old 12-05-2008, 08:34 PM #3
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Yes I tried them for a month or so, for Neuropathic pain of physical origin. Have to report negatively insofar as I seemed to suffer all the side-effects and none of the possible benefits. Side-effects vanished pretty quickly when I ceased using the patches. But individuals vary greatly so you won't know whether they will help in your case until you try. Best wishes.

Oh geez! I am also one of those people who is really sensitive to meds and has side effects. I have the world's worst headache going right now, so I am about to slap one on. It's either that or saw my head off.

Thanks for the feedback. Sorry they didn't help you.
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Old 12-05-2008, 08:37 PM #4
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I tried them, but I should say I tried only one. I got so sick vomiting from it that I took it off and never put another one on. Good luck to you.
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Old 12-06-2008, 01:27 AM #5
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I tried them, but I should say I tried only one. I got so sick vomiting from it that I took it off and never put another one on. Good luck to you.
I;ve had it on for 5 hours now and so far, so good. *knock wood* no side effects that I can tell.

Today is THE WORST pain I have been in in 10 months, aside from when I had the meningitis headache. I came home and lay down at 5 and thought I was seriously going to die. I thought my head would just explode it was hurting so much.

The patch seems to have stomped the tension headache at the front of my head pretty good, but the ON headache is still raging. I will be taking a sleeping pill tonight for sure.

I can't fugre out why this is "flaring" for lack of a better description. It feels like it's gotten 10 times worse in the last 2 weeks since the rhyzotomy. Believe me, I am NEVER doing that again!

I see my pain specialist on Thursday next week, at my weekly appointment and believe me, I will be asking her if this is normal. Either it's getting way worse or my tolerance of it is waining.
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Old 12-06-2008, 05:07 AM #6
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I'll be waiting to hear what she tells you about it. Have you tried changing your sleeping arrangement(pillows) etc.. I found that since my ON has gotten so bad that I can't use the pillows I used to and had to switch to a semi-soft pillow. I used to use the cervical ones, but for some reason they aggravate the occipital nerves, which doesn't make any sense to me. Has your doctor mentioned any anticonvulsants?

Take care
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Old 12-08-2008, 09:40 AM #7
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I'll be waiting to hear what she tells you about it. Have you tried changing your sleeping arrangement(pillows) etc.. I found that since my ON has gotten so bad that I can't use the pillows I used to and had to switch to a semi-soft pillow. I used to use the cervical ones, but for some reason they aggravate the occipital nerves, which doesn't make any sense to me. Has your doctor mentioned any anticonvulsants?

Take care
No she hasn't. It may be because in addition to the ON, I also have MS and am on drugs for that too. Believe me, it's complicated.

Right now I am not getting proper sleep. I have sleeping pills but am reluctant to take them constantly. Last night I was drifting in and out of sleep and my head was killing me.

You know, I can totally see how people in pain can end up addicted to painkillers and sleeping pills. ON certainly screws you over for sleep and the pain is just brutal.

I have 2 soft pillows. I tend to fold the top one in half, as I sleep on my face.

I switch out my fentenyl patch today so we'll see how that goes. SO far I am not impressed with it. It's not more helpful than the morphine and it's definately more expensive and not covered unless my doc files the papers saying I need to have it.

I head to the pain specialist on Thursday again this week-I pretty much have a standing appointment till Jan. when I have my lido drip trial.
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Old 12-09-2008, 05:00 AM #8
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I second the pillow issue. They are my enemy!
I hope the pain patch continues to help.
I hear you on the flares (or at least I think we are experiencing the same thing.)
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Old 12-11-2008, 09:49 PM #9
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Went to see my pain specialist today and told her about the bad week I have had. Yesterday I got dizzy, shakey and nauseated all of the sudden from the patch. She said it would take about 2 weeks to get the pain altering effect working from the patch so if I could hang on it should be worth it. She wrote me a script for an anti-nausea med they give to cancer patients on chemo to help me with the side effects.

I put another patch on this afternoon and wham! I got the sick feeling coming on again so I took one of the nausea meds and it helped. THANK GOODNESS!

She also said that she talked to the rest of the pain team and it looks like I am going to get the ONS trial lead. not sure when, but I will try and find out a ball park timeline next week when I see her.

I have a Lido infusion scheduled for Jan. 12th so she's given me enough meds to get me through till then as she will be off over the holidays.
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