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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Use Fentanyl Instead Of Norco? Have Severe Pain

Hi. Is it appropriate to go from Norco to Fentanyl 50 mcg/hr patches?
I was taking 7 to 8 Norco's /day and having loads of breakthrough pain. My doctor added Fentanyl 25 mcg/hr patches; no difference. Then he raised it to 7 or 8 Norco's/day plus the 50 mcg/hr patches. No relief; no difference. The Mallicrkrodt literature doesn't mention Hydrocodone (Norco) in its conversion charts. Why?
posted on Sat, 18 May 2013
Twitter Sat, 18 May 2013 Answered on
Twitter Tue, 21 May 2013 Last reviewed on
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Psychiatrist 's  Response
Hi there ~

I understand your concern for your becoming addicted to narcotics or opioids. I also think that Norco and Fentanyl are not the same thing though they belong to a common class of medications. I do believe that sometimes it takes some time to start having the effect of the medication when you first start on it. You may have to wait for a while before you start getting pain relief. I hope this helps.

Take care and have a lovely day!
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Can I Use Fentanyl Instead Of Norco? Have Severe Pain

Hi there ~ I understand your concern for your becoming addicted to narcotics or opioids. I also think that Norco and Fentanyl are not the same thing though they belong to a common class of medications. I do believe that sometimes it takes some time to start having the effect of the medication when you first start on it. You may have to wait for a while before you start getting pain relief. I hope this helps. Take care and have a lovely day!