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Re: Duragesic » shelliR

Posted by Elizabeth on April 16, 2002, at 21:20:00

In reply to Re: Duragesic » Elizabeth, posted by shelliR on April 11, 2002, at 9:48:10

> It's supposed to be potent, but for some reason it doesn't hit me as well as the buprenorphine.

It's not supposed to "hit" -- it's a patch, it releases a little bit at a time. But anyway, did you find out what the equivalence ratio is between buprenorphine and transdermal fentanyl?

> I've gone up to 75 mcg. I'm definitely better than I was a week ago, but still not feeling good as with oxycontin or bupe.

Huh. I wonder if there's something more going on here than just trouble finding the right dose. Absorption problems, maybe? I don't know. (BTW, speaking of things that can go wrong with Duragesic, I hope you were warned not to use a waterbed!)

> > What was your most recent total daily dose of buprenorphine, BTW?
>
> 0.8, twice a day. And bad rebound depression in the morning.

Yeah, I think t.i.d. dosing is preferable. I'd want to take a fourth dose at bedtime if it weren't so activating.

> Hey, I was just trying to stay alive. And this doc says "this is what I want to do", so didn't exactly take much initiative. :0)

Goodness gracious. Well, good luck with it! I hope you find a dose that does the trick for you.

> I just got my hospital records from my detox off oxycontin. I am in total shock to report that the doctor pulled me off of 240 mg oxy using .1 mcg (yes, POINT ONE) of buprenorphine. There was a reason that I was on the floor screaming.

0.1 mcg? Are you sure? Might it have been 0.1 mg? That seems more reasonable; 0.1 mg (always put the 0 before the decimal, good practice) is one-third of a cc, while 0.1 mcg is one three-*thousandth* of a cc. One-third cc is a pretty modest amount, but it's not outrageously low.

-elizabeth


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