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Medical Forum / General / Pharmacy / July 2004

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Duragesic question

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RockDog - 10 Jul 2004 11:04 GMT
Is it common for users of Duragesic to not get a full 72 hour
therapeutic benefit?  Prescription information is to apply a  patch
every 72 hours.  I find that after 48 hours, the medication has lost its
effectiveness.  Does anyone else have this problem or am I alone?
Emma Chase VanCott - 10 Jul 2004 18:58 GMT
: Is it common for users of Duragesic to not get a full 72 hour
: therapeutic benefit?  Prescription information is to apply a  patch
: every 72 hours.  I find that after 48 hours, the medication has lost its
: effectiveness.  Does anyone else have this problem or am I alone?

Here's my Duragesic question: does it cause constipation that is as bad as
the other opiate-like analgesic?

Emma
Nicole H - 14 Jul 2004 03:45 GMT
Yep, all cause constipation.  When you weigh the constipation vs the chronic
pain, most go with the constipation.
My pain dr put his instructions to prevent chronic pain on the web at one
point.  if interested, i will email it to you
nicole
> : Is it common for users of Duragesic to not get a full 72 hour
> : therapeutic benefit?  Prescription information is to apply a  patch
[quoted text clipped - 5 lines]
>
> Emma
Emma Chase VanCott - 15 Jul 2004 17:39 GMT
: Yep, all cause constipation.  When you weigh the constipation vs the chronic
: pain, most go with the constipation.
: My pain dr put his instructions to prevent chronic pain on the web at one
: point.  if interested, i will email it to you
: nicole

We had a CNS/NP (Pain Management) talk to our Critical Care class. She
said codeine is the worst.

But as you know, some cause -=more effect=- on GI motility than others.
That was my question.

I was wondering if route of admin (e.g. oral, dermal, injection routes)
changes constipation effect.

(And how Duragesic rates on the continuum.)

Emma
rxempress - 11 Jul 2004 15:35 GMT
We had a patient that also claimed the patch worked 48  hours.  We called
the manufacturer and they said there are reported cases of this occurring.
Dr  wrote rx for apply patch every   48 hours.
Nicole H - 14 Jul 2004 03:44 GMT
On the chronic pain newsgroup, there are several people who don't get 72 hrs
of relief.  They change their patch every 48 hrs.
> Is it common for users of Duragesic to not get a full 72 hour
> therapeutic benefit?  Prescription information is to apply a  patch
> every 72 hours.  I find that after 48 hours, the medication has lost its
> effectiveness.  Does anyone else have this problem or am I alone?
 
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