Has anyone tried Buprenorphine patches?

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Nazifa

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Hi there

I am currently waiting for an appointment with a spine consultant at my local hospital due to a prolapsed disc at L4/L5 giving me severe sciatica in my left calf. I was prescribed Amitriptyline and Co-codamol 15/500 (as well as Naproxen) about 6 weeks ago for the pain and also started on Gabapentin nearly 2 weeks ago.

A week ago the pain was so excruciating I was unable to walk unaided and have since been off work. I saw my GP today who suggested using Buprenorphine patches. He reckoned that they work better than most other drugs. The only thing that concerned me was not being able to take Co-codamol with them as I find that I cannot move from the edge of my bed, even to go to the loo, until after about 1/2 hr after taking Co-codamol in the morning. The pain in my leg is too bad to stand on it. So I feel I need something that will give me an immediate boost initially. He's now upped my Gabapentin dosage and also my Co-codamol to 30/500.

I was just wondering if anyone has tried the patches and whether they work. Would they mean I could do away with the Co-codamol and the rapid semi-relief I get from them.

Thanks in anticipation
 
Hi,

I have been given Butrans patches. They stay on for 7 days. Day 1, 2 and 3 the dose is building in your system and on day 3 it is at it's max. There is no see sawing up and down just constant painkiller all the time, its there when you wake up so no dreadful dip in the morning waiting for meds to kick in, and no lull in the afternoon.

Although I now change on day 6 as they seem to be used up too fast,

You may need to start on 5mg then 10 then 15 (10 and 5) then 20 then build for a couple of weeks to see what dose you need. You may be fine on the 5mg, I was for ages as it just took the edge off the mornings for me.

Good luck and if you want any more info let me know
 
Many thanks, Cassie.

That sounds very reassuring. My GP did mention they stay on for 7 days and that you gradually increase the dosage strength.

Just one question well actually two, you mention the dose takes about 3 days to build up, do they have sufficient pain-killing effect in those first few days to replace the co-codamol? Also, is it the first three days every time you change the patch or just the initial 3 days when you start using them?

Thanks again, I think I'll give them a go.

cheers
Cat
 
It takes 3 days to build to the dose in the body then it stays constant, so first path days 1-3 building then 4 5 6 7constant then change and day 1-7 constant etc.

I was able to leave off the other pain relief as I rested waiting for the patches to work as I started them on a Friday
 
Thanks for replying, Cassie. They sound much better than keep popping the co-codamol, I'm definitely going to give them a go.

cheers
CatMac
 
Good Luck, a couple of things I find help, keep a diary and jot down where you put the patch so you don't put one on the same place for 4 weeks, also no body lotion on the area for a few days before or they seem to not stick so well.

In fact it's handy to keep a pain diary so you know if its doing any good and what happens
 
Good points Cassie. I've never been any good at keeping diaries, but I must admit I've currently got loads of time on my hands as I'm unable to go to work, so that will keep me occupied

Thanks for all your help n this.
All the best
CatMac
 
I am useless at keeping diaries too but my chiropractor suggested I keep one of my symptoms and now I have over two and a half years of notes. It's far easier jotting down LHL pain ( left hand leg pain) or RHS numb ( right hand side numb etc) I also can look back and show my docs evidence of how the meds do or dont work etc.

I am not into tittle tattling about real life so maybe this is journalling instead?

Try it and maybe you might find a vent too? Also we could always message each other lol to pass the time? You must like cats?
 
Love horses, sadly can't ride anymore, or even look after them though thankfully my son has taken on that role for me now.

When are you due to start the patches?
 
Started the patches Tuesday evening, so 5pm yesterday was my 72hr deadline. I think they're working.

For the past couple of mornings the pain on sitting up in bed was bad but not agony or excruciating like before. Also yesterday afternoon I managed to walk to the kitchen and back (total about 12mtrs) which I havent been able to do for over a week now. I also feel I'm walking more upright and normally come the afternoon/evening, rather than lopsided with my left hip feeling locked. Still need a stick though but hopefully things are looking up.

It would be nice to be able to get out to the car occasionally just for a run out (as a passenger I mean) and change of scenery. I'm fed up with the confines of the dining room (where my bed currently is), living room and downstairs loo! Still I'm hoping to get to sit in the sun lounge this weekend sometime to participate in the Big Garden Birdwatch. One day at a time for me at the mo.

Do you keep horses at home and are you able to get to see them from time to time? That at least would be some consolation if you cant ride any more.
 
That sounds a very good start then. Did they give you the 5mg patch? I think the pain relief gets better with consequent patches too

I have only two horses now and yes they are at home and I can hobble out to see them, It is so frustrating not being able to ride anymore but I have accepted that now as there isn't an operation yet that can fix me properly. so it's better than driving myself mad trying lol.
I can recommend memory foam pillows to sit on in the car lol helps with the bumps.

Hope the birds turn up
 
Hi Cassie

No, they've started me off on 10mg patches. I've phoned the surgery twice in the last couple of weeks moaning about the pain and nothing I'm on working, and both times had the same doctor phone me back. He's probably fed up with me and thought he'd start me on a higher dose to shut me up ::lol:

Well, either they are doing some good or I'm getting used to the pain as it seems much better in the mornings. My leg still hurts like hell when I first start walking, but I know that's coming now and it's normally desperation for the loo that motivates me!

Sorry to be nosey, but why isnt there an operation that can fix you? What's wrong? I know I'm probably going to opt for an operation if they recommend it as I cant live like this for the rest of my life.

As for the birds, just one magpie in the whole hour I was watching! We usually have loads of sparrows, blackbirds, jackdaws etc but they must have decided to pack up and holiday in Spain or something this year

cheers for now
Trina
 
I started using those patches, but it itch and burn, so I've been wondering is it normal? Am I doing something wrong?
 
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    ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Tuesday RMT available,๐Ÿ’„sexy very young girl Mimi๏ผŒlong legs ,natural c cup,very good looking amazing massage nice body slide,really popular ๐ŸŽlong hair Lucy Q smile,very good looking ,strong to relax oil ,back walk,more.. hair Lucy Q smile,very good looking ,strong to relax oil ,back walk,more experience.must try๐Ÿ˜๐Ÿ‘
  38. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  39. Jennyโ€™s Spa:
    โœ…๐Ÿ’‹๐Ÿ”ฅGOOD NEWS GOOD NEWSโœ…๐Ÿ’‹๐Ÿ”ฅ ๐Ÿ’‹Cambodian Princess Suki will return to Jennyโ€™s Spa next Tuesday June 3rd๐Ÿ’‹ ๐Ÿ˜˜The famous superstar Cambodian Princess Suki from Annie Spa will be working at Jennyโ€™s Spa in Etobicoke next Tuesday June 3rd with Tina & Jenny๐Ÿ˜˜ ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only OPEN 10am to 9pm MONDAY to SUNDAY Suki๐Ÿ˜is beautiful short petite tiny sexy student from Camb
  40. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 2 Young Beauties Today at Alice Spa. Open 10am to 9pm: AMY (10am โ€“ 9pm) is a young, petite short & slim Taiwanese, former dance instructor, firm natural B Cups, pretty face, firm natural titis, super play good, bbbj, cim, rim, dfk, all services. JESSICA (3pm-9pm) is from Hong Kong, super busty D Cup, 5'2", 109 Lbs
  41. ForeverWarden:
    Tuesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular for her exotic massage & services.
  42. bnwellness_wilson:
    We have 4 young girls are working today, young fun Ivy 36DD with big buttocks 30โ€™s open mind and young cute slime Sophia 30โ€™s, young flirty Mia 25โ€™ with curve body and pretty GFE Lina are providing deep tissue massage, pls call 4163985777 bomok appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  43. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: EMMA, JENNY & CINDY. EMMA is a very beautiful slim Chinese honey with C Cups, beauty face, & nice services to drive you wild. Jenny has a medium build, nicely curvy with a slim waist, pretty face, and very flexible skills. Jenny will make you very happy. CINDY is slim & incredible
  44. starjey888:
    Cof
  45. SugarLoveSpa:
    Tuesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CHRISTINA, MIA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York. CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile. Come and enjoy. TIFFANY is an amazing slim petite
  46. ใ™ใฟใพใ›ใ‚“:
    Larissa , Gabby , Sunny, Kimmie , Christine and new Lora on duty at top norch wellness. Call 437-522-9961 now
  47. EMSpa_schedule:
    ๐ŸŽ‰Come visit us!๐ŸŽ‰ Today (Tuesday), our amazing attendants are Ada ๐Ÿ’œ, Christina ๐Ÿคฉ, Cici ๐Ÿค—, Ivy ๐Ÿ˜˜, Monica ๐Ÿฅฐ and Connie ๐Ÿฅฐ. Call us at โ˜Ž๏ธ (905) 479-6668 โ˜Ž๏ธ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  48. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ MONICA, ASHA, JANVI, MONIKA, SASHA, AMANDA, PAOLA, MALIYA, PREET, SARIKA, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  49. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy, she can provide a great massage and wonderful touch and super service. Angel is so sexy, especially her 34C breasts and her big juicy tight bum you can wors
  50. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd, Unit C6 ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ ROXY, ๐Ÿ‡ฒ๐Ÿ‡พ AMY, ๐Ÿ‡ป๐Ÿ‡ณ MIKA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (7PM) ๐Ÿ”Ž Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking: bit.ly/bookinggoldenlove
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