Hi to everyone on here, i hope you are all as well as can be.
My turn for advice.
Mum will today have her fentanyl slow release patch upped from 12 micrograms to 25 micrograms.
Can anyone tell me the time it will take for the stronger patch to become effective?
I've read approx. 12 hours, but I've also read 4 hours, so if somebody has had the dose doubled, would you give me your personal experience.
Mum has had a random sickness problem too. She goes onto a med called Levomepromazine today. Just 6.25 mg at bedtime. Again, any advice on its merits for anti sickness would be very much appreciated.
As always, best wishes to one & all on this superb forum.
Regards,
Graeme.
Hi Graeme
This is new for me I'm afraid, not something that I have experience of, I hope someone is able to help you with this.
The only thing I will say with regards to medication, which you possibly know already is we all react differently to meds and the time it takes, to have any effect is going to be different too.
Dal does take anti-sickness but that is only for a few days after each treatment and they definitely help him
I do hope that Mum is feeling better
Lowe'
Hi Lowe,
Absolutely, no 2 people react to med's in the same way.
Regarding Fentanyl, it's a thumb nail size sticker placed on the upper arm. It' s a slow release painkiller that gives a consistent amount of the opium based drug over 72 hours.
It is potent. If you take Oramorph, say your daily intake is 40 mg's or 20 ml's, a 25 microgram patch of Fentanyl gives 60 to 90 mg's when compared. So you get double the dose of pain relief. And as said, this is constant. You can even supplement Fentanyl with 5 ml doses of oramorph & soluble paracetamol. The aim is to find the correct & lowest dose of Fentanyl that takes all pain away.
The anti sickness tablet is called Levomepromazine, it's actually an anti psychotic med. But it has great anti sickness qualities too. It also makes a person very very tired.
I like to try giving time for a week or two, to see if these do their jobs. It's too early to make any judgements on their effectiveness, mum has only been on both for 4 days as of yesterday.
We need to get mum pain free so she can have yet another endoscopy to evaluate her stent positioning. I'm almost sure that it may have slipped which would be a major source of pain & discomfort. Then if that is the case, the stent can easily be repositioned & mum can eat thicker, energy rich foods.
How is Dal? I wish him (& you Lowe) my absolute best in his battle.
Imagine they find a cure for cancer, that team would be knighted, get the Nobel prize, & be forever idolised. I live in hope.
Oh, the Macmillan team (Eliza) have offered me a position for a Community Champion role. I am snowed under as of now, but if or when mum improves, I can devote 2 hours a day. At this moment I need Dextrose to keep my energy up such is my workload.
I think they like me.
.
I will continue when time allows to help & advise, to calm & support, to be there for anyone I can help.
Best wishes,
Graeme, or Pathfinder1.
