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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Use Fentora Cg Buccal Tablet Pen For Chronic

Can I use Fentora cg buccal tablet pen for chronic intractable migraines? I Have been using injectable Dilaudid 8mg IM mixed with 50 mg Benadryl 3 times daily pen for BOUT 20 YEARS . I CAN NO LONGER USE IM INJECTIONS BECAUSE OF MASSIVE SCAR TISSUE and ruined muscles i top of legs, thru out button ND TOP OF ARMS FOR 20 YEARS AND THER IS NO PLAC LEFT FOR MORE INJECTIONS MY TOP OF LEGS nd button are very swollen AND Pinfull. think I hVE EVEN CUT OFF CIRCULation ER told me last week if I continue IM injection I could need legs amputATED t some point. Need another delivery system (i.e.Pin pump or chNGE IN medication. Dr. recommending either Methadone tabs for pIN ATrting at 10 mg 4 times daily while using IM DILAUDID nd BenDRYL UNTIL HE Can titrate methadone up to level that will work on migraine or Fentora 200 mcg Buccal tabs, again while using IM dilaudid and benADRYL while raising level of Fentora to level that Manages PAIN OR USE OF Fentanyl citrate 400 BuccL LOZENGER - ACTIQ - DUE TO EXPENSE of
FENTORA TABS - ACTUALLY ALL FENTnyl expensive pYING OUT OF POCKET AAGE 65 AND MEDICARE NO LONGER COVERS OPIODS. VERY OPOID TOLERANT as using 24mg dilaudid ND 50-100 MG BENADRYL
ALMOST 4 TIMES A WEEK - 80 ampules dilaudid eery 3 weeks ND UP T0 300 MG BENdryl I'm daily. TolerNT
TO ALL TABS OF MEDS Since tried everything availBLE FOR MIGRAINES and a cranIAL lockjaw dystonia aince my 20's - 40 years. Don't know why TO DO NOW IN Place of injectBLE DIlUDID FOR MIGRAINES OR
cranial dystoniA (WHICH Have been using 50-100 mgs 3 times daily IM - only thing that SOMEWHat works. Think I damGED CENTRal nervous system and mDE DYstoniA worse w all the IM injection. Strangely,
injectable DilAUDID does not work Tat all without addition of Benadryl. ER started me this way 20 years ago.
ER uses up to 10 mg Dil with IV and 50 mg BenDRYL IV FOR MIGRines. Went to detox this week from DilUDID INJECTIONS and thought I would use Suboxone to help but I never g
went into withdrawal after 4 days ao didn't use suboxone left today 3 Daya earless they were doing nothing for me and didn't know anything BOUT CHRONIC PAIN I NEVER GET A "HIGH" FEELING ` Just Pin relief AND FUNCTION NORMally. After paying $10,500 to detox center for nothing ND THEY won't reimburse me, THEY DONT Take medicate. Have been all over nation to all top hospitals with top neurologist and pain docs nd hVE TRIED EVERYTHING, SPENT WELL OVER MILLION $, Tried all preventTIVES and hundreds of thousands on holistic meds and nutritional IVs, botox, all 3 nation migraine hospitals, ND NOW 40 yeRS Later at ground -0- with nothing else to try, (and ALL muscles ruined) Got violently aaick using methadone ND Dilaudid together,
Now also suppliers are not making brand opiods any longer - which do work better tHan generic, insurNCE NOT COVERING OPOIDS (MEDICre) outrageous prices ($3000 for 28 fentur PILLS - ONE WEEK supply) Where do I go from here ND Cn Methodone or FentorA TABS OR actin work prn for mIgrINES and at why dose given my tolerNCE LEVEL? Oral Dil does not work either Help!!FentNYL Ptch cN NOW BE USED ONLY FOR cANCWE Patients deliver minimum amts DILY. DONT Wnt to take something everyday ONLY PRN

Mon, 9 Jan 2017
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Can I Use Fentora Cg Buccal Tablet Pen For Chronic