Fentanyl withdrawal

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I’ve lived with cancer for over ten years I had a massive operation in 2018 and had lasting pain for a long time after. I was first put on Pregablin but didn’t get on with it so saw a specialist pain team and was put on a 12mg fentanyl patch. I stayed on the patches as the pain went away and only comes back if I over did it. I then had another recurrence recently that required more surgery a nurse flagged me to the pain team. Who then told me I should never have been on the patches so long and need to stop them?(no one ever told me this…tbh I think I slipped net with covid) As I was just recovering from surgery they agreed to keep me on them for a while longer till things settled down? I’m really anxious about stopping them as I tried once and had major restless leg syndrome and they keep telling me it will be hard. I’m still on 12mg. The pain consultant is so un approachable and very “old school” I feel I can’t have an open discussion with him. The rest of my team and the hospital are absolutely amazing so I don’t really want to make a fuss so hence why asking here. What can I expect? 

  • Hi Asleberry,

     

    Thank you for getting in touch with us and welcome to the online community.  I hope you find it supportive and helpful.  My name is Adrienne and I’m one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

     

    It’s completely understandable that you would be worried about stopping the fentanyl patches, given how long you have been on them for.  It’s difficult to know what you can expect with regards to withdrawal as not everyone experiences all of the withdrawal side-effects and some get them worse than others.  Some reactions may include insomnia, restlessness, nausea and irritability and you can read more about that here.

     

    I know you feel that your specialist pain consultant is unapproachable but they are there to support you and it’s important that they do so.  If you are concerned about any withdrawal symptoms, the team may prescribe you medication to help.  Usually with opioid drugs like fentanyl, the dose is reduced over time giving the body a chance to adjust however, it sounds as though you are on the lowest dose of patch (12 micrograms) so may just be stopped. 

     

    If you have a good relationship with the rest of your hospital team, it may be worth getting in touch with them.  Contact your cancer nurse specialist to discuss your concerns and they can possibly liaise with the pain consultant on your behalf.  You could also ask if it would be possible to speak to a pain nurse specialist or different doctor.  So you feel confident that you will be supported/know who to call should any side-effects occur. 

     

    I really hope this information was helpful but please know that you can always give us a call to talk things through further.

     

    Take care and best wishes,

     

    Adrienne (Cancer Information Nurse Specialist)

     

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref: AMc/GHi