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Has anyone tried Buprenorphine patches?

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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    Wednesday 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Kelly & Kiki. Kelly is slim and attractive with very slight curves, a nice bum, and rockinโ€™ services. Kiki is very attractive, young, about 5โ€™4โ€ and 110 Lbs., slim with a banging body. Kiki is very popular for her great attitude and services.
  32. ForeverWarden:
    Wednesday 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: Bella & Sasa. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Sasa is a slim & sweet Korean lady, about 5โ€™4โ€ with C Cups.
  33. New Oriental Health Centre:
    Vivian & Happy are here today๐Ÿ’„~๐Ÿ“žCall ๐Ÿ“ฒ Text: (647) 381-2688 ๐Ÿ’„ Make Your Day Incredibly Delicious ๐Ÿ‘ Our girls provide lots of service options & are Extremely Open-Minded ๐Ÿค— We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  34. Bellagio Wellness &Spa:
    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐•„๐”ธโ„โ„‚โ„ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ MARCH 27th , ๐“ฆ๐“”๐““๐“๐“”๐“ข๐““๐“๐“จ ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 7๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒน๐Ÿ†• LILIAN ๐ŸŒน๐Ÿ†• CHERRY ๐ŸŒน CECELIA ๐ŸŒน๐Ÿ†• SUNNY ๐ŸŒน๐Ÿ†• SOPHIE ๐ŸŒน ๐ŸŒนERICA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ ๐Ÿ†• LILIAN & ๐Ÿ†• SOPHIE & ERICA & ๐Ÿ†• SUNNY & CECELIA & ๐Ÿ†• CHERRY โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€
  35. hiyamickey:
    6 young sexy girls working @ 3555 14th Ave unit #7 Markham, โ˜Ž๏ธ๏ผš905-470-8082
  36. Lulu1980:
    Good afternoon guys๐Ÿ˜˜ Today we have Jessica and Samantha and Jessica here for you๐ŸŒน๐ŸŒน๐ŸŒน, awesome table shower with body slide super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜๐Ÿ˜5124 Dundas St W Etobicoke โ˜Ž๏ธ 416-817-3366
  37. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEEN ZOE NOW AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆBLASIAN ALIYAH & SEX GODDESS ZOE
  38. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ MAY, ASHA, MALIYA, SANA, AMANDA, PRIYA, ANAYA, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  39. SpringGreen.:
    Today we have 5 girls on Tuesday: New polish girl gigi ๐Ÿ’‹๐Ÿ’‹Salina- Eurasian beauty and breast lovers delight with nice rear with fun Mika - Japanese beauty who is wild and a fan favorite with exceptional service Candy - a sweet treat who enjoys her cream filled lollipop treats buny...
  40. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , sweet new girl Amy and pretty GFE Ella, cute open mind Lina and friendly Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  41. Moneylee:
    All season wellness center : Young girl Big-breasted big Big boobs big butts Cindy , Young girl big breasted beautiful buttocks charming temperament big boobs Lulu,Student big boobs buttocks Vicky, Enchanting sexy petite deep massageSherry ,๐Ÿ  address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  42. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Mimi , Young girl big boobs beautiful face deep massage Bobo ,Young beautiful face sexy body and good deep massage star ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  43. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ NEW GIRL SELINA: A TALL SLENDER YOUNG ASIAN GIRL, VERY NICE ASSETS AND VERY SERVICE ORIENTED WHILE ALSO ABLE TO PROVIDE AN RMT LIKE MASSAGE ๐ŸŒธ DAISY: A PETITE CURVY ASIAN GIRL THAT IS VERY FRIENDLY AND NOT TIP HUNGRY ๐ŸŒธ JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  44. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am 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 Summer๐Ÿ˜˜, a very feminine woman, very sexy, affable and nice looking woman. Professional RMT Massage and provides great massages and incredible service. Must try the service of summer. Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy
  45. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Young Sexy Chinese Jessica, Slim Chinese Lisa
  46. 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: Eva & Helen. Eva is young, slim, innocent & demure looks, but donโ€™t let her innocent looks deceive. She can massage & service very well. Helen is a sweet and very lovable Asian beauty with just enough curves to tease you, and an attitude to please you.
  47. 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๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Tracy & Vivian. Cindy is on VACATION๐Ÿ˜ข, and is expected to return around April 7๐Ÿ˜. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular for her exotic massage, bbbj & cfs.
  48. Moon&beauty:
    MoonMoon spa/416 887 8801,/8131Yonge st #203 / 3hot Asian girl today
  49. Sunrise Health Centre:
    ๐Ÿ’„Crystal & Michelle are here Today! Call/Text: (647) 325-8086 ๐Ÿ’ฆ We have Hot & Sexy Girls Every Day. They all do Extra Services & are Very Open-Minded ~ Drop In Anytime - Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  50. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEEN ZOE NOW AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆBLASIAN ALIYAH & SEX GODDESS ZOE
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