The fentanyl patch will take about 24 hours to work. Follow the directions EXACTLY! No long hot showers or baths. never EVER bend, cut, tear, or rip the patch. These things can cause the patch to release all the meds in a short period of time causing major issues.

Fentanyl is the strongest pain med there is. If it isnt working the dose can be increased, call the doc. If your husband is in severe pain I would guess he should be on about 75mg. I would also guess that he started on 25mg or maybe 50mg. This medicine needs the step up and step down approach.

Ive used the fentanyl patch and have gone from 25 which did nothing for me to 50 which helped for a while. It steadily increased as my pain did and for about 10 days I topped out at 150mg of fentanyl. This quickly went down to 50mg during about the next 6 weeks.

Lortab is a good breakthru medicine and its very commonly used. Plus it comes in liquid form which is easy to take. There are other pain meds available if this one doesnt help. First get the fentanyl at thew right dosage then the lortab should work great.

Keep at it! Its not beneficial at all for a patient to hurt. The pain your husband has, Ive been thru and it can be unbearable when it gets flared up. You are being a wonderful advocate for your husband! Keep up the good work smile


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile