Ms Contin/oxycontin Vs. Butrans Transdermals

Hi, first of all, thank you in advance for all your assistance! I have been in 2 different car wrecks, as well as a 2 time cancer survivor. I've recently had to switch doctors as my PCWORLD has closed her practice. Anyways, I was able to find another PCP, but he has switched my pain medication from Oxycontin 60 mg ER 2x's daily to MS Contin 60 mg ER 2x's daily, he did keep my Percocets 7.5/325 2x's daily for breakthrough. Obviously the MS Contin does not work as well. My question is, he has recommended me to switch to Butrans (buprenorphine) transdermal patches. Is anyone familiar with this and if so, could you please tell me of your experience, i.e. does it work; what are the pros &/or cons. Thank you!

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I would advise you to get back on oxycontin rather than ms contain only for pain. Even then the withdrawals are unbearable if cold turkey off them if you've been on them awhile.

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Well I am now on the big purple OxyContin (120mg) x 2 plus dipipanone/cyclizine x 3 or Palfium® (dextromoramide) 2x 10mg plus 1 x 5mg up to three times daily. If you are in the USA I seriously doubt if 60mg OxyContin, now the real ones are banned (I have tried your highest strength, which is only 80mg, marked 'OP' & they are garbage, feeling about HALF the strength of real, not 'plastinated' OC like you get everywhere else.) Those USA OPs also give you terrible GI tract side effects. You would be far better off and get more analgesia from 60mg MS in my opinion. I sometimes take 300mg MST Continus (known in two or three countries as 'MS Contin') as a change of scenery which is roughly equivalent to my 120mg OC. Actually 360mg twice daily is more like the same. And sometimes changes cue needs to diamorphine tabs 10mg x5 up to 3 x daily but bioavailability of the tabs is so low I am going to get the ampoules of powder and take with the intranasal delivery kit available from any medical supply shop. 60mg per dose, but may need the 100mgs.

In the past I was on Fentanyl patches. Durogesic D-Trans and generic Actavis plastic matrix patches are not nearly as effective as Dolforin, which has a reservoir of fentanyl emulsion. I think Mylan make such a patch as well. They are twice as effective. As for buprenorphine patches, you can not take opioid rescue meds with them as it is a partial antagonist and you would either suffer a little withdrawal feeling or far less than the expected analgesia from, say, dipipanone, or both. For sure. That is a medical fact. Also the patches are rather low dosage. Only the sublingual buprenorphine in doses 2 and 8mg, intended for opiate substitution in illicit users, seem to help my pain. When you are measuring buprenorphine in micrograms - the recommended moderate pain tablets are only 200mcg, 0.2mg, - it simply is not strong enough.

I would find a pharmacy that dispenses reservoir transdermal fentanyl if you find those are effective which I, with my very high pain scores DO, unless you can get non-US OxyContin. Otherwise you could ramp up your dosages and just rotate immediate release like Oxynorm or Sevredol (morphine sulphate, of which my rescue dose is 80mg so primary dosage would be probably 4 x 50mg tabs four times daily, or 40-45mg Oxy four times. Summarizing, you will not feel the full benefit of rescue meds if you take buprenorphine Butrans patches but RESERVOIR fentanyl does the job very well indeed. Dolforin, by the way, is made by Gedeon Richter and is certainly up to their usual very high quality standards. I just prefer my 120mg OCs plus the wonderful dipipanone and dextromoramide, two of the best analgesics on the market.

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I was on the patches for two months and they are awful...you feel like your soul is on fire. That may sound dramatic but there no other way to describe the feeling...I personally wouldn't recommend the patches to anyone. Patches provide a really strange feeling w/o relieving any pain.

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What reason did your new doctor give for changing your meds around? A lot of new PCP do this and it drives me nuts when the patients normal pain therapy is helping them with no ill effects and they want to start messing with things, why did they mess with your meds?

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