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PostPosted: Fri Oct 07, 2011 4:46 am 
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Hi, I had knee replacement surgery about six weeks ago and am starting the intensive rehab tomorrow. My sub doc who is a psychiatrist talked to my surgeon before the surgery and convinced him to let him take control of my post op pain. I've been on 16mg of Suboxone for about five years and was pretty calm about the post op pain. Well it took me 5 days to start withdrawal which happened to be surgery day. Yeah! Let's just say my doc prescribed 30 Mgs of roxycodone every eight hours. Well iwas in hellatiuos withdrawal that whole day and called him and he doubled that. I had to take 160 Mgs of Roxys a day just to stay out of withdrawal and take butt loads of Aleve for the pain. Well tomorrow I start the hard rehab and my doc put me on 25 mcg of fentanyl. Tomorrow will be four days without subs and I went a head and put a patch on, so far no withdrawals, the patches take seven to fourteen hours to really start working and I don't want to get trapped in no mans land because my withdrawal from subs happen quicker than fast and my muscles seize. My main worry is am I taking enough fentanyl (25mcg) to be effective?


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PostPosted: Sat Oct 08, 2011 1:06 pm 
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Hi, I have never switched between oxy and fentanyl but after doing some research on the internet I have found that if you were requiring 160mg a day of oxy you need the 100mcg/hour fentanyl patch. I looked at other conversion sites but all were about the same. Here is a link to one http://www.onlinelawyersource.com/durag ... onversion/
I hope this helps you.


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PostPosted: Sun Oct 09, 2011 11:30 am 
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I went to that link you told me about, and now I know why I'm in withdrawal even after putting on another patch making it 50mcg total (with my Dr's ok).the rehabs not as bad as I thought so I went back onto the Suboxone and feel much better.


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PostPosted: Sun Oct 09, 2011 3:08 pm 
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Well I was never on Fentanyl but I was on fentora for a long time which is basically instant release fentanyl. I don’t know if the doses are different but I was prescribed 800mcg and would take up to 1200mcg at the very end of my addiction. But this dose I found out later was very dangerous and way beyond the norm but that is what 7 years of 300mgs of oxycontin will do to your tolerance.


But forget all that 50mcg will be more than enough to help your pain even with the suboxone you are taking some very strong medication right now. Just be careful with the patches because they don’t work right away and it happens all the time people put another patch on come tomm. you are on way to much and sick, just keep in touch with your DR over this time period and GET OFF IT AS SOON AS YOU CAN. Because it is way to easy to like this shit I promise.

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Yes these drugs saved our life's. But does that mean we have to give the rest of our life to these drugs?


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PostPosted: Mon Oct 10, 2011 10:11 am 
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I am glad to hear you are feeling better! Keep us posted.


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Dr. Jeffrey Junig, M.D., Ph.D.

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