Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)


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Old 10-06-2015, 11:09 PM #1
stillsmiling stillsmiling is offline
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Default Pain Patches

Hi everyone, Today at my PM appt the Dr. changed my pain medication due to an allergic reaction. My new Rx is Fentanyl 25 mg patches along with Percocet 10 mg when needed. I was wondering if any of you have used the patches, and your thoughts about them. Thanks.

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Old 10-07-2015, 07:57 AM #2
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hi still. i have used pain patches and they help a little but not alot. but i have never tried fentanyl patches so i can't speak for them. the pain meds help manage my rsd pain better. i hope that you find some pain relief soon with the patches and meds the dr prescribed to you. soft hugs my friend.
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Old 10-07-2015, 11:56 AM #3
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Thank you

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Old 10-07-2015, 09:55 PM #4
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Default Dear stillsmiling :)

I'm on a pain patch but it's the BuTrans and I only change it once a week. I have small fiber neuropathy.

About a year ago I had to go a week without a new patch....even though I was in terrible pain I did find out that it helped me some. I use it along with Percocet 10mg up to 3 times a day.

I also had the same thing happen with gabapentin and was without it for 6 weeks. I also found out during that time that it was helping me.

So even though I had bad times I'm glad that I actually know they help me. Not perfect but it does help.

If you have problems keeping the patch on you can use the 3M Tegaderm film. It's clear and goes over the patch.

Good Luck and keep us posted.

Debi from Georgia
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Old 10-08-2015, 06:17 AM #5
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While 25 mcgs of Fentanyl is still a relatively small dose you should (hopefully, fingers crossed) get some relief. The good thing about the patch is that it gives you a constant supply of medication so it should help even things out.
Personally I recommend changing sites or sides when you change patches to help prevent any irritation.

Good luck!
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Old 10-08-2015, 08:08 AM #6
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Thanks Debi and NurseKris for your great tips and well wishes.

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Old 10-08-2015, 11:07 AM #7
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Quote:
Originally Posted by NurseKris View Post
While 25 mcgs of Fentanyl is still a relatively small dose you should (hopefully, fingers crossed) get some relief. The good thing about the patch is that it gives you a constant supply of medication so it should help even things out.
Personally I recommend changing sites or sides when you change patches to help prevent any irritation.

Good luck!
Not sure about your box but mine is very specific about not using the same patch site for at least 21 days. I use 2 places on my upper left arm and all over my upper back. The back of my box has places to put info so I can always look back and see where I've used it over the last few months. I did use my upper legs 2 different times but I don't think it helped as well. The package says use upper body but I had read somewhere that others got the same relief on upper legs so I tried it.

For some reason (pain dr has never heard of this before) I cannot use it on my right arm. This is my worst SFN arm. The one time I did use it the pain all up and down the arm began almost immediately. My daughter begged me for 5 days to let her take it off and put another one on in a different site and I finally gave in.....what RELIEF when that patch came off. So I stay away from my right arm now

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Old 10-09-2015, 08:12 PM #8
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Thanks Debi for this info. I sure love this forum! I love learning from others here. It's nice to be understood by people that have first hand experience with this crazy disease! Hugs

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Old 10-09-2015, 08:42 PM #9
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Almost every oral pain med I have ever tried made me so sick to my stomach that I preferred the pain to the nausea.

That is what is so GREAT about many types of pain patches. I can use them without being sick to my stomach on top of dealing with pain.

Another benefit is not having to wait until your body metabolizes a pill.

Another benefit, it the dosage is TOO strong, you can take a patch OFF. You do not usually get to un-swallow a pill once you find out it is too strong. You have to wait it out until it gets out of your system.

I realize many people use BOTH, oral meds AND pain patches, but I am somewhat limited to just patches or I need to take pills to counteract the nausea when I take an oral pain med. The anti-nausea meds usually make me sleepy so that can be both good and bad, depending on one's situation and time of day.
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Old 10-09-2015, 09:33 PM #10
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Thanks Hopeless. I have a bad problem with getting nauseated. It's awful. The medicine to treat nausea makes me sleepy too. Whew.....it's always something huh?

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