I never heard of these until a Fox News report on a kid dying from opening the patch and downing all the contents....dead within minutes.
The stuff is 80 TIMES more powerful than morphine! The patch delivers it over a 3 day period. The new craze among those crazy teens today....they're so smart.
"I'm going to request that you stop posting in this thread." - circa 2008
"Why does there have to be so much immature stuff on here?" - circa 2010
That's not the word I was thinking.Originally Posted by swardboy
Fentanyl can be bad "mochas".
One thing that keeps us pharmacists in jobs is that everyone out there thinks this stuff is harmless because it is legal to obtain through a physician. Of course a small percent of physicians become their own best customers?
Clinical Teaching Back to top
Instruct patient to report use of MAO inhibitor within the last 14 days prior to initiating therapy.
Patient should avoid activities requiring mental alertness or coordination until drug effects are realized.
Warn patient to not expose extended-release patches to external heat sources while wearing the system, as this may result in potential overdose.
Patients using the device-assisted patch should be advised not to let anyone else activate the device.
This drug may cause pruritus, sweating, nausea, vomiting, xerostomia, asthenia, confusion, dizziness, sedation, urinary retention, or hypotension.
Instruct patient to report absence of pain relief or constipation.
Patient should monitor for signs/symptoms of respiratory depression and hypoventilation, especially during dose initiation or changes, or if patient is febrile.
Before application of the extended-release patch, instruct patient to wash the skin with clear water only. Do not use soap, lotion, alcohol, or oils on the skin prior to application of the extended-release patch.
Apply extended-release patch only to non-irritated skin. If necessary, hair may be clipped (not shaved) from site prior to application.
With long-term use, advise patient against sudden discontinuation of drug.
Instruct patient to avoid alcohol or other CNS depressants during drug therapy.
Advise patient there are multiple significant drug-drug interactions for this drug. Consult healthcare professional prior to new drug use (including over-the-counter and herbal drugs).
The things that will destroy America are prosperity-at-any-price, peace-at-any-price, safety-first instead of duty-first, the love of soft living, and the get-rich-quick theory of life.
Theodore Roosevelt
Nevar heard of the stuff
whats its Purpose in life ?
Quote
If God wanted Men to look women in the eyes, He wouldnt have gave em Boobs !
Apollo Beach Sooner
Do not taunt Happy Fun Ball.Instruct patient to report use of MAO inhibitor within the last 14 days prior to initiating therapy.
Patient should avoid activities requiring mental alertness or coordination until drug effects are realized.
Warn patient to not expose extended-release patches to external heat sources while wearing the system, as this may result in potential overdose.
Patients using the device-assisted patch should be advised not to let anyone else activate the device.
This drug may cause pruritus, sweating, nausea, vomiting, xerostomia, asthenia, confusion, dizziness, sedation, urinary retention, or hypotension.
Instruct patient to report absence of pain relief or constipation.
Patient should monitor for signs/symptoms of respiratory depression and hypoventilation, especially during dose initiation or changes, or if patient is febrile.
Before application of the extended-release patch, instruct patient to wash the skin with clear water only. Do not use soap, lotion, alcohol, or oils on the skin prior to application of the extended-release patch.
Apply extended-release patch only to non-irritated skin. If necessary, hair may be clipped (not shaved) from site prior to application.
With long-term use, advise patient against sudden discontinuation of drug.
Instruct patient to avoid alcohol or other CNS depressants during drug therapy.
Advise patient there are multiple significant drug-drug interactions for this drug. Consult healthcare professional prior to new drug use (including over-the-counter and herbal drugs).
People don't know what it is to be a champion.
Oklahoma INVENTED it.
Guess thats why I never heard of it
The last I heard folks was using the Morphine Pump.
Quote
If God wanted Men to look women in the eyes, He wouldnt have gave em Boobs !
Terminal cancer, long term intractible pain, etc. Heavily abused. Fentanyl is about 10X stonger than morphine, but 1/2 life is very short, thus the need to do sustained release patches. Main use is in the injectalbe form in the surgical setting by anesthesiologists when you are getting hacked in to. Prevents your blood pressure from cranking through the roof when you are getting tore into with a bone saw.
The things that will destroy America are prosperity-at-any-price, peace-at-any-price, safety-first instead of duty-first, the love of soft living, and the get-rich-quick theory of life.
Theodore Roosevelt
I just got a mental picture there...Prevents your blood pressure from cranking through the roof when you are getting tore into with a bone saw.
Sweet.
Olevet Posse - Dirty Lib
Hey Doc, what is the MAO inhibiter thing? Seems like everything says do not take if you are on that.
posse member
You don't see monoamine oxidase inhibitors used much any more. They were originally marketed as antipsychotics in the 60's and 70's. Worked real well, but have a lot of food and drug interations that can cause some serious issues. The only one still used much is Eldepryl for parkinsonism. Have to watch out taking with a bunch of drugs as well as BEER, cheese, or any other tyramine containing foods. They are trying to hit the market with a MAOI patch that will bypass all the issues with intake and the GI tract, etc.
The things that will destroy America are prosperity-at-any-price, peace-at-any-price, safety-first instead of duty-first, the love of soft living, and the get-rich-quick theory of life.
Theodore Roosevelt
They are still usefull for taking tryptamines orally.
Fentanyl will never replace other popular opiates as a recreational drug due to the marked lack of euphoria consistent with other more popular opiates. It seems to be a drug of opportunity rather than some new teenage craze.
Omelet Posse Egg Wrangler.
No Beer? I'm out.
"The true genius shudders at incompleteness and usually prefers silence to saying something which is not everything it should Be."
-Edgar Allan Poe
Dude, you know way to much about 'trippin'.
I don't know what you are talkin' about regarding marked lack of euphoria? Fentanyl (sublimaze) will hammer your dic# in the dirt. The problem is the 1/2 life is too short, and the up to high and down to not high is too short, thus if the drug seeker is after it, it might not be as sought after since it doesn't last long enough, and there is not enough time to experience the euphoria. But, it will euphoria you right to the point you quit breathing if you get enough, or haven't did opiates long enough to develop a tolerance.
It is a drug of opportunity. Heroin freaks will use anything they can get their hands on. Oxycodone, Codeine, Morphine, Meperidine (Demerol), Hydrocodone, fentanyl, whatever............ FREAKS !!!
Makes my job a hell of a lot harder trying to keep you out of the "stuff".
The things that will destroy America are prosperity-at-any-price, peace-at-any-price, safety-first instead of duty-first, the love of soft living, and the get-rich-quick theory of life.
Theodore Roosevelt
I don't know about the other trypts, but MAO inhibition is essential for oral DMT use, as in the South American shamanic preparation Ayahuasca.Dude, you know way to much about 'trippin'.
There are very strange books available about outsiders doing shamanic experiences in Mexico and South America. Terrence McKenna was particularly profuse on the subject.Sections of [Banisteriopsis caapi] vine are macerated and boiled alone or with leaves from any of a large number of other plants, including Psychotria viridis (chakruna in Quechua) or Diplopterys cabrerana (also known as chaliponga). The resulting brew contains MAO inhibiting harmala alkaloids and the powerful hallucinogenic alkaloid N,N-dimethyltryptamine (DMT), a psychedelic which is active orally only when combined with an MAOI.
You guys are so Sherlock Holmesy with your 7% solutions.
Isn't fentanyl what they use in epidurals during childbirth?
One of the main problems (no offense Doc) is that doctor's has been over prescribing the Fentanyl Patch for years. In hospitals, it's simply amazing how many fly out of the Pyxis machine.
Damn, I hate when the narc count on those is off!
"The true genius shudders at incompleteness and usually prefers silence to saying something which is not everything it should Be."
-Edgar Allan Poe
In my office, they aren't prescribed very often. I think they have a lot of advantages too. Drug seekers don't like them as much as oxycodone anyway.
Check your pm's.
MAOI is not effective with pscylicibe, only with the tryptamines, like DMT (which is the active ingredient in Ayuhusca). DMT can be smoked without an MAOI, but the taste is horrible, and the effects only last ~30 minutes, where an oral dose of DMT with an MAOI can last several hours.Dude, you know way to much about 'trippin'.
I don't know what you are talkin' about regarding marked lack of euphoria? Fentanyl (sublimaze) will hammer your dic# in the dirt. The problem is the 1/2 life is too short, and the up to high and down to not high is too short, thus if the drug seeker is after it, it might not be as sought after since it doesn't last long enough, and there is not enough time to experience the euphoria. But, it will euphoria you right to the point you quit breathing if you get enough, or haven't did opiates long enough to develop a tolerance.
It is a drug of opportunity. Heroin freaks will use anything they can get their hands on. Oxycodone, Codeine, Morphine, Meperidine (Demerol), Hydrocodone, fentanyl, whatever............ FREAKS !!!
Makes my job a hell of a lot harder trying to keep you out of the "stuff".
And yes, the fentanyl will mess you up, but it is a "dirty" high....l
Omelet Posse Egg Wrangler.
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