Annabel,

My spouse was under the care of pain management team. She started with a 25 microgram per hour fentynal patch and worked up to 50 than 75 and than 100. Morphine was prescribed for breakthrough pain.

She was on the 100 microgram patch for several months and we justed started going in reverse down to a 75 microgram patch again under the care of the pain management team.

As others have said, these are potent painkillers and require the a medical team supervison. Also the process to get the off these pain killer must be gradual to avoid nasty complications.

In our case both the patch and the liquid morphine worked well in controlling the pain/

Vin


CG to wife;
Jan 2005 DX SCC Tongue T2N1MO; RND surgery Mar 2005; 35 XRT and 4 cisplatin completed Jul 2005.
Dec 2006 tongue surgery, Scar tissue no cancer.
Feb 2010 neck node FNA - negative.
2010 ORN right jaw plus fracture
2015 ORN left jaw plus fracture
Feb 2016 Lower jaw reconstruction by Fibula free flap+titanium plate - Permanent G-tube
June 2016 Difficulty breathing - Permanent Trachea tube
Dec 2019 DX Cervical cancer - Stage 1 - Surgery Jan 16 2020.
15-20 esophagus/larynx dilations