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Do You Have Suggestions On My Pain Issues .
Posted on
Wed, 15 Aug 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 15 Aug 2018
Answered on
Thu, 9 Feb 2023
Last reviewed on
Question : Dr. Do you have suggestions on my pain issues . . . my Pain Dr. has me using Buprenorphine Transdermal System . . .I also us Gabapentin 800 mg 3x daily . .1x morning, 1x dinner 7 1x bedtime . . & 600 mg at lunch time .. . My pain issues have not be soo successful . . the patch is for 5 mg per hr 1x per wk . .I do have 3rd stage kidney diease . . I only take estrace 1 mg & provera 2.5 mg per day . (.hormone program ) . . Thank You again Mary C
Brief Answer:
fentanyl and IDET suggested
Detailed Answer:
Hello,
You seem to have a quite large range of pain medications and still not successful.
You can use Fentanyl transdermal patches for pain.
You can consider microdiscectomy that is a surgical procedure that resects part of the disc to relieve pain.
Please discuss with your doctor for IDET (intradiscal electrothermal annuloplasty), a type of invasive surgery, alternative for back pain.
Hope I have answered the question.
Let me know if I can assist you further.
Thanks.
fentanyl and IDET suggested
Detailed Answer:
Hello,
You seem to have a quite large range of pain medications and still not successful.
You can use Fentanyl transdermal patches for pain.
You can consider microdiscectomy that is a surgical procedure that resects part of the disc to relieve pain.
Please discuss with your doctor for IDET (intradiscal electrothermal annuloplasty), a type of invasive surgery, alternative for back pain.
Hope I have answered the question.
Let me know if I can assist you further.
Thanks.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I want to stop using the Buprenorphine Transdermal System . .How do I detox from this medication . . .Doctor only suggested stop put the patch on . . Please advise me if I need to do anything further . . .this program of the patch has not done me any improvement of pain . . .Thank you .
Brief Answer:
Lower dosage gradually.
Detailed Answer:
Hello,
Don't stop buprenorphine patches suddenly.
The dosage should gradually be tapered down every 7 days to avoid the potential for withdrawal symptoms. If you stop it suddenly you will experience withdrawal symptoms like dysphoria, restlessness, rhinorrhea, lacrimation, myalgia, arthralgia, nausea, vomiting, abdominal cramping, or diarrhea.
You can use low dosage packages every 7 days.
Talk to your doctor about it.
regards.
Lower dosage gradually.
Detailed Answer:
Hello,
Don't stop buprenorphine patches suddenly.
The dosage should gradually be tapered down every 7 days to avoid the potential for withdrawal symptoms. If you stop it suddenly you will experience withdrawal symptoms like dysphoria, restlessness, rhinorrhea, lacrimation, myalgia, arthralgia, nausea, vomiting, abdominal cramping, or diarrhea.
You can use low dosage packages every 7 days.
Talk to your doctor about it.
regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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