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Paulington
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Joined: 11 Mar 2009
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PostPosted: 23:08 - 19 Oct 2010    Post subject: Fentanyl Reply with quote

Following on from other painkiller-related threads...

I have gone back to the Doctor and expressed my loathing for Tramadol in it's uneffectiveness, she after much deliberation has amended my meds to:

Paracetamol
Amitriptyline
Diclofenac
Tramadol (for breakthrough pain, maybe oral morphine next visit)
12mcg/hour Fentanyl transdermal patches.

Has anyone had any experience with these transdermal patches? She said it's roughly equal to around 1.2mg IV morphine every hour. I will come back when it has kicked in as it has a lag period as it has to enter the fat cells first before it is distributed.

Apparently this is basicially the tippy-top of the painkiller pyramid, so I'm expecting good things!

Thanks. Thumbs Up.
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Frost
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PostPosted: 23:13 - 19 Oct 2010    Post subject: Reply with quote

I'm expecting your next thread to be posted from a Burmese poppy field.
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stinkwheel
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Joined: 12 Jul 2004
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PostPosted: 00:09 - 20 Oct 2010    Post subject: Reply with quote

Short of IV morphine, there is not much better for analgesia. Fentanyl is actually more potent than morphine, it just has a plasma half life measuerd in seconds which is why it needs to be delivered in a sustained release form.

Just remember, that stuff is the real-deal, schedule 2, full agonist opiate with everything that entails.

If you're sore enough to need it, fair enough, it's inconspicuous and should be pretty effective. Take it for as long as it's needed, stop when it's no longer needed. Review your meds regularly.

Stock up on the syrup of figs.
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carlosthejack...
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PostPosted: 08:07 - 20 Oct 2010    Post subject: Reply with quote

Fentanyl? WTF is wrong with you?
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The999Kid
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Joined: 11 Jan 2008
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PostPosted: 10:24 - 20 Oct 2010    Post subject: Reply with quote

stinkwheel wrote:


Stock up on the syrup of figs.


Amen! Otherwise you'll strain yourself and you'll need a different kind of analgesic!
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hellkat
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Joined: 12 Jul 2004
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PostPosted: 10:32 - 20 Oct 2010    Post subject: Reply with quote

My god, is that the correct spelling of amitriptyline?

Only I constantly mis-spell it, so I have had to write (what I think is) the correct spelling on my wall in big pink letters ... and even all the doctors in my office are like "oh yeah, I need a sign like that".
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Paulington
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PostPosted: 11:58 - 20 Oct 2010    Post subject: Reply with quote

Thanks for that Stinkwheel, really informative post. Karma.

Carlos, I have healed femurs (broke both) that are unioned with bilateral femoral nails and a wedged vertebrae in my neck and back thanks to breaking them. That's where the pain is coming from.

Hellkat. Laughing! It took me a while to figure it out too, it's a pain of a word to spell but the drug itself is okay!

It's been 18 hours since I put the patch on and no real difference in noticeable pain yet, the Doctor said the first patch can take up to a day so I am holding out!

Thanks guys. Wub!
____________________
"Four wheels move the body, two wheels move the soul."
Current Vehicles: '89 Kawasaki KDX200, '99 Yamaha XV535, '00 Honda ST1100 Pan-European, '08 Suzuki GSX-R1000, '08 Mitsubishi Lancer GS4 2.0 TDCi, '15 BMW 1 Series 116d Sport Turbo.
CBT: 27/08/08. Theory: 04/09/09. Module 1: 16/09/09. Module 2: 01/10/09.
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Ariel Badger
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PostPosted: 19:02 - 20 Oct 2010    Post subject: Reply with quote

Try sticking the next patch on your nob, it may absorb better through the thinner skin.
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The999Kid
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PostPosted: 00:22 - 21 Oct 2010    Post subject: Reply with quote

Ariel Badger wrote:
Try sticking the next patch on your nob, it may absorb better through the thinner skin.


and your missus will think your a sex god if you have a bit of 'how's your father'! The anaesthetic will make you last longer than you ever thought humanly possible
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carlosthejack...
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Joined: 16 Aug 2010
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PostPosted: 06:43 - 21 Oct 2010    Post subject: Reply with quote

Paulington wrote:

Carlos, I have healed femurs (broke both) that are unioned with bilateral femoral nails and a wedged vertebrae in my neck and back thanks to breaking them. That's where the pain is coming from.


Ouch. That explains it then. Must have been one hell of a off?
____________________
Responsibility. It's a difficult reality for some. I'm running the 2014 Sheffield Half Marathon on behalf of Bluebell Wood Childrens Hospice. Please sponsor me, even if it's just a quid.
DonnyBrago: "I think you may be confusing rain and napalm..." Paulington: "It's not what you ride, it's how you ride it."
Current rides: '05 VFR800 VTEC, '57 Mondeo 1.8 TDCi #58LEGEND
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Paulington
World Chat Champion



Joined: 11 Mar 2009
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PostPosted: 08:05 - 21 Oct 2010    Post subject: Reply with quote

carlosthejackal wrote:
Paulington wrote:

Carlos, I have healed femurs (broke both) that are unioned with bilateral femoral nails and a wedged vertebrae in my neck and back thanks to breaking them. That's where the pain is coming from.


Ouch. That explains it then. Must have been one hell of a off?


Unfortunately, it really wasn't. Sad.

Take a look here: https://www.bikechatforums.com/viewtopic.php?t=185399.

I've put another patch on since after shaving and scrubbing the area a bit more and the pain seems to have reduced but I don't have any of the nasty morphine side-effects, odd.
____________________
"Four wheels move the body, two wheels move the soul."
Current Vehicles: '89 Kawasaki KDX200, '99 Yamaha XV535, '00 Honda ST1100 Pan-European, '08 Suzuki GSX-R1000, '08 Mitsubishi Lancer GS4 2.0 TDCi, '15 BMW 1 Series 116d Sport Turbo.
CBT: 27/08/08. Theory: 04/09/09. Module 1: 16/09/09. Module 2: 01/10/09.
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