Mark,

I've read Duragesic is available in a generic brand now.  Would Medicaid cover 
that?

(and yep... I know about getting backed up, too <grin>)

Best,
Tod

---- Mark Jackson <[EMAIL PROTECTED]> wrote: 
> I've tried it Tod and it worked pretty good but I had to stop using it
> because it backed me up if you know what I mean.
> I tried using it again about 2 years later but now medicaid won't pay for it
> and it's quite expensive.
> 
> Mark Jackson
>    RollinOn
> 
>  
> 
> -----Original Message-----
> From: Tod E. Santee [mailto:[EMAIL PROTECTED] 
> Sent: Wednesday, May 21, 2008 2:00 PM
> To: [email protected]
> Subject: Re: [QUAD-L] pain - How about a patch?
> 
> Dear Friends,
> 
> I'm wondering if anybody with pain issues has tried Duragesic Patches (a
> transcutaneously absorbed fentenyl).  It's a drug is intended for chronic
> pain in people used to narcotics... basically, if/when hydrocodone
> (Vicodin), oxycodone, oxycontin, hydromorphone and other opiods don't work
> or stop working.  If you haven't tried or can't take those 'lesser' opiods,
> this would likely NOT be an option since opiods can cause trouble breathing
> in people not used to them. 
> 
> The patches deliver 25 micrograms (mcg) per hour, or 50mcg/hr depending on
> dose and the patches last about 3 days.
> 
> These were the ONLY thing that really worked for me.  The only problem I had
> was that I fell into the group of less than 3% of patients who got diarrhea
> using them.  Most people get constipation from opiods ... this one gave me
> wonderful pain relief with 5 hellish days of "the squirts."  No
> anti-peristaltic or intestinal anti-spasmotics (like belladonna, atropine,
> librax, etc.) helped so I had to give up the patches.
> 
> Note: I had terrible diarrhea for days after a recent surgery.  We kept
> thinking antibiotics messed me up or maybe I got a C-diff infection.  I
> later found out reading notes that I was given IV fentenyl by my
> anaesthesiologist.  (Now I list it as an "allergy.")
> 
> But, I do have a friend who is a high-level para with chronic pain who does
> very well with the patches as far as pain and has no ill effects.
> 
> Just a thought as an option for anyone looking for non-surgical or
> non-implanted pain control devices.
> 
> Hope this can help somebody!
> 
> Best,
> --Tod
> ---- [EMAIL PROTECTED] wrote: 
> > Corie,
> >  
> > It sounds as though we've been down the same path.  I've  tried all 
> > the meds that you've mentioned, with all the same results.  I  haven't 
> > had any pain medication put into my pump since I've had it.  I will
> inquire about the Prialt.
> >  I've read up on it, and it sounds pretty scary,  but so did some of 
> > the other medicines that I've taken.
> >  
> > My Baclofen pump works very well for controlling the  spasticity, but 
> > it will be an bonus, if I can get pain medication put into my  pump 
> > that actually helps the pain.  Thanks for this information.  I  will 
> > talk to my doctor about it.
> > 
> > Naomi
> > 
> > 
> > C4-incomplete, quadriplegic since July 2005 due to Transverse  
> > Myelitis

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