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Reaction to Meds or something else?Well, I finally find myself posting a question, lol. I have been on Pain Mangement for about 4 years now? Currently I am on a Mylan Fentyl 75mg. Patch, everyother day, and a 15mg. Oxycodone when needed for the pain spikes. This seems to work quite well for my condition, and I've been on this regimen for about 8 months. The last couple months, weirdly on the weekends when I may sleep a little later, I find myself with the "sweats". I can be fine one moment, then sweating like crazy?! After a while it passes, and in a couple days I'm fine again? There is no rhyme or reason as to when it happens, but it's happened about three times inthe last 2 months. Anybody ever experience this? Is this a common effect somehow to the Pain Meds. or maybe I am just fighting something else? Any advice is welcome and appreciated. NJDarkViking ( categories: Chronic Pain and Pain Management )
I have to tell my
I have to tell my experience. I had these sweats for a while and just thought I was pregnant again ( I know you don't think that right? It turns out those sweaty nights were caused by hypoglycemia. It turns out I became type 1 diabetic basically overnight and during those long nights my sugar would drop, causing the sweats. I hope this is not something your going through, but wanted to share none the less. If your having other problems such as frequent urination, excessive thirst, blurred vision, I would get in ASAP for a glucose tolerance test.
I'm just a Mom, in pain, a tad crazy, giving my 2 cents.
Another option could be that
Another option could be that since you are sleeping you are laying on the patch and increasing the temperature around it and possibley releasing slightly more med. In my experience when you take more fentanyl than you normally would it makes me sweat profusely. I am not a doc this is just a suggestion. SWEATS - Withdrawals?
Well, my sugar is OK, so I'm not Hypoglycemic, but thansk for the idea to check! Your child? Not sure unless they are on pain management? Look, I am SURE in some way this is due to some kind of withdrawal, probably the pain meds. BUT, I am not sure either. I just know that it happens, and it is since I went on pain management. On Saturdays, I have taken extra on days I work around the house all day, maybe it is my body purging (what mywife says anyway)? I did a test, i have taken minimal drug for the last two days, and today i was sitting in the eye doctors waiting to get my eyes checked, when suddenly I became very warm again, and started sweating, and it was cool in the office! If its not the drugs, maybe I am getting Male Menopause? Is there such a thing? I am 51 this year...I don;t know, it is just so baffling and confusing. Thanks for all the great suggestions so far! What a great forum. OH - On sleeping on the fentyl patch, and increased heat...maybe, but I have been wearing them like that for almost four years with no prior incidents. I get the sweating you're
I get the sweating you're talking about too on and off, but its not too bad in my case. I'm pretty sure it is my pain medication, which is hydrocodone. I can be sitting at my pc and all of a sudden just start sweating for a minute or two for no apparent reason..even when its kind of chilly it happens...then it stops...also happens at any time day or nite. Its annoying for sure. male menopause.....
http://www.mayoclinic.com/health/male-menopause/MC00058 sweating is listed
I am not a Dr. I just play one on tv. OMG Crusie Control, right-on!
Cruise, THANKS! I thought I was going crazy. Yes, that exact same thing has happened to me at the PC as well. It is embarassing, its chilly out and I'm sitting there getting soaking wet, lol. But, then after a while it passes. Have you been able to find any rhyme or reason to it? I can't seem to find a common denominator as to why i happens, it just happens at random times, Weird?! I'm convinced it is the pain meds too.NJDark Viking,I'm not really
Hi NJDarkViking, I'm not really sure in my case what causes it, but I tend to think its from meds more than anything else. It has eased up a little the past week for me..but I can always tell when the sweating will start because I get this weird sensation just beforehand...you may get that too? Where you can feel the whole process starting up and you feel hot even when its chilly first thing in the morning...its a very clammy feeling too once the sweating starts..I get it lying in bed alot of the time also, there seems to be no rhyme or reason for when it starts up..and it does happen at the computer first thing in the morning alot. I really don't like it at all lol and wish it would go away for good. Oh well, at least its nothing serious., and hopefully will be a temporary thing...for you too! Hope yours goes away and gets better real soon! If you were asking about
If you were asking about children and Diabetes, the answer is yes. Type one diabetes used to be known as Juvenile Diabetes. If your child has any of these symptoms, I would for sure take them in for the tolerance test. Its simple and it will answer that question for you.
I'm just a Mom, in pain, a tad crazy, giving my 2 cents. Sweats and gastro issues
I have noticed too on the weekends when I tend to sleep in a little that I wake up with stomach issues and sweaty. My guess is that I am probably experiencing some sort of withdrawals since I take my last pill around midnight and I tend to sleep until around 10 or 11 the next morning. It's kind of scary to think I might have to get up earlier and get that pill into me so I don't have to experience this. Once I get up and take my pain meds within about 20 mins I am fine. The other thing is I notice I really have trouble getting out of bed since I am also experiencing my usual pain in my back and shoulder. Getting up in the morning is getting increasingly more unpleasant with each new sunrise. SWEATS, Sweet P & Cruise Control
If we read the thread between my posts, Crusie Controls and now yours, this is the situation EXACTLY. And the weirdest thing is it being cold and getting the "sweats". Mine seem to be in the morning more than any other time, as I "fight" to wake up. And yes, weekends I sleep in a little later and the pain is a lot worse, as my last "pill" is usually around 6-8pm. SO, in Summary, what we suspect thus far. It is related to the pain meds, definitely, so that is reassurring to know we are not alone. I am on FENTYL 75mg. Patch, one a day. I wear them on my biceps, left one day, right the next. I take Percocet 15mg. for the "spikes", but those are lot one day, almost none another. So, the common and constant seems to be the Fentyl for me. What are you folks on? If it is Fentyl, I think we might have hit it on the head, and it must be that. Curious...... I am not on the patch
but I do take narcotic pain meds. I take Opana 10mgx 2 daily as well as Percocet 10s x 4 daily for breakthrough pain. I also am on Lyrica 100mg 3x daily. I think what we are all experiencing is def some sort of minor withdrawl in between med dosing. I also notice that if I run out a day or two ahead of my scheduled appt and start to withdrawl these are the very same symptoms. I just decided to set my alarm clock for around 3am (my husband is not very happy about this) and take a Percocet. I started to do this last night and as expected I woke up without incident. I started last night since I knew I would be able to sleep in a little this morn, my husband got the kids ready for school. Do you all take break through meds? If so maybe take one right before you go to bed and see if it makes a difference. Hi NJDarkViking and Sweet
Hi NJDarkViking and Sweet P, Hope you are both having a nice morning! My med schedule has been 10/660 hydrocodone 3X a day for the past 2 years. I am now being increased to 4X a day due to an increase in pain level, but on a lesser amount of apap. I also am on Humira once every 2 weeks, less than 2 mg prednisone (lately), and 25 mg Atenolol once a day. I do think tho that it is most likely the hydrocodone, since I just started the Humira at the start of summer and the sweating was happening before that. I don't think the bp med is doing it either. I wake up to the withdrawel thing sometimes too since its a long stretch between dosing, and that first dose in the morning relieves that in about 15 minutes..sometimes less even, but my symptoms with that don't include the sweating usually, just alot of hurt and pain from my chronic condition needing the medication...the sweating seems to be a seperate issue since it will start when I am already medicated in the a.m. My dr. wants to keep my pain level down since I have tapered way down on prednisone..so he increased the hydrocodone dosage to compensate for that. Prednisone is great for short term pain, but not long term, so I am thrilled to finally be getting off of prednisone.Have a great day! Do you ever
have any stomach issues in the morning when you are experiencing the other withdrawl stuff? Like just slight pain and overall bloated feeling. And, Good morning to you as well. Maybe should have posted this first before I got into the stomach issue stuff Hi Sweet P,I don't really
Hi Sweet P, I don't really have any stomach problems usually when I get that w/d feeling...its mostly a very 'anxious' uncomfortable painful kind of thing over-all thats hard to describe, plus add more physical pains to that...its very unpleasant and it makes me get up sometimes when I would rather be sleeping in a little...its always different tho...some days I don't get it at all, and then other days real early in the morning like around 3 or 4 a.m. I wake up with that w/d feeling, then I can't go back to sleep and alot of times lay there till like 6 a.m. listening to the radio lol... Thanks for the post back
I guess everyone experiences w/d differently. I mostly get gastro symptoms and some anxiety. I also, obviously, feel my pain more acutely as well. There is no up side to dealing with chronic pain and just knowing there are others out there who experience much of the same is comforting. You know the old saying "Misery loves company". So try when you wake up in the middle of the night taking one of your breakthrough meds and see what happens. I bet your body is just telling you that it needs it. Then try going back to sleep and see how you wake up feeling. I did it last night and woke up semi pain free with no uncomfortable w/d symptoms. You are so right about no upside with chronic pain
I will be trying my new script tonight so I should have a better nite tonight hopefully. If you are really in such a
If you are really in such a need for constant opiate meds in your system and are not wanting to go through the hills and valleys of immediate release pills why dont you talk to your doctor about getting on an extended release med? If your dependency is high enough that you are going through withdrawals in the morning untill you dose then perhaps its time to get on a low dose extended release med and some norco for the breakthrough med. If your pain is severe enough that you need a constant level of opiate in your system I just dont see why you are taking immediate release norco especially when you are waking up in withdrawal. If your new med regimen is working then of course dont change it but this is just something for you to think about and discuss with your doctor. It may help in the long run. Also if your doctor were to give you Oxycontin 10mg twice a day with 1 or 2 norco for breakthrough it would let you build up tolerance slower due to cross tolerance from taking two different meds and you wouldnt need to up your dose or add an extra pill as often as you were now. Would you mind sharing what condition you actually have with us cruise control? If you dont want to i will of course respect your privacy I am just curious. Frkonaleash, if this new med
Frkonaleash, if this new med format doesn't work out, I'll discuss the extended release meds you mentioned with my dr., thanks for that info..so far this past week this new med regimen is starting to work better than the other one I was on. I'm getting more medication in my system before bedtime and its helping get me thru the nite better, whereas before I had to wait longer intervals between dosing (8 hours). I have PsA arthritis with alot of inflammation in my body (very high sed rate and C-reactive protein) SI joints, hips are affected, also the ribcage, spine, knees and other areas. TOP OF THE DAY, SWEATY HERE!
Thanks to all for the posts, ahh yes, Misery Loves Company, and a special hello to my two new buds, SweetP and Cruise Control. Sorry I haven't responded or posted lately, just got back from being out of town on business. I am going to try the waking up and dosing and see if that works, good idea! I have been weaning myself off my breakthrough med., 15mg percocet pills, not so much to anything except the fact that they just don't work like they used to! I've been on them for probably two years now, and the funny thing is my Doctor gives me literature about how we build up tolerance over time, but then tells me he really doesn't have anything stronger for me, so I'm kinda stuck! Since we're on this subject, anybody have any ideas on what I might try and ask my Docotr as a different meds regimen? As I said previous, I take a 75mg Fentyl patch every day, (I alternate arms each day), and 15mg. of percocet for breakthrough, which again hasn;t seemed to help much of late. I love this forum, it is nice to know others are going through these probelms as well. Thanks all! But - But - But, they MAY be why I'm sweating so much, body is looking for that little yellow percocet! I don't want to start "double-dosing", so it gets futile at times. You could try
OPANA
Thanks SweetP, And yes, I was thinking more for the breakthrough pain, I am going to ask about Opana. I just don;t want to start popping more than what is prescribed, I think a change in these type meds is due, so that may be a possibility. I appreciate the info. Like you said, most important, . Just don't give up and keep an open mind. I'll keep all posted, thanks! NJDarkViking I was just
rereading your post and wondered: are you looking to replace the patch with something else or change your break throught med or both? I only suggested a long acting med and not something for breakthough since I thought that was what you were asking but then upon rereading it thought you might be asking about a break through med as well. My experience with break through meds is pretty limited to Percocet 7.5 and 10/325. Someone else out there might be able to better guide you in that dept. As far as the Opana Er, I have been having a really positive outcome. I have read about a lot of people not liking it much and not finding relief from it but it is working for me, for now. My withdrawl symptoms are
My withdrawl symptoms are mainly physical. I do also have some anxiety during withdrawl but mostly It's the feeling like I should be taking one at 5 oclock like its a routine. I keep thinking about it until I finally give in. I try to occupy my mind with differnt things but its hard. Soon I will be able to play golf when my shoulder gets 100 percent and that will help. SweetP & Opana
I never heard of Opana, so I Googled it. It says it is for short term post-operative acute pain and not to be used as a maintenance medication. Have you heard differently? I mean, obviously, you said your on it? I am not questioning you, just checking all this out before I go back to my Doc, so I have someideas to throw by him. Thanks! NJDarkViking,I use to wear
NJDarkViking, KK, THANKS!
It is a mess! Thanks for the info. Your on Suboxone, that is to get off the patches, right? What else are you taking then, nothing? KUDOs to you fi that is the case. I tried getting off these and felt miserable. Not only with the withdrawals, but the pain that came back was unreal. I am convinced after all the information shared, that it is the patches. And yes, you are supposed to change them every three days, my Dr., said to chaneg the patch every two day, cause nothing was happening on the third day, I assumed and and he agreed, that my body must absorb it quicker, people have different absorption rates. So, that would mean one patch every two day instead of three, but I leave the remaining patch on as well for an extra day. So, in my great wisdom, with that dosing, it means I can change a patch everyday just about, 30 patches monthly. I think you may
have read it wrong, I have read and been told that it is not for short term use and is only for opiate tolerant patients. It is a controlled release med much like oxycontin but twice as strong. I know there is a conversion chart somewhere on this site. It is given to patients when they start to need more imediate release pain meds such as Percocet 7.5 or 10/325 than is useful (too much apap being part of the concern) This med would then be given as a base med and then you would possibly be given some break through meds if you experienced some pain during the time the Opana was in effect. Usually the dosing schedule is every 12 hours but may vary depending on pain levels. I take mine 2x daily at 10 mgs each. Then during the day I am allowed 3-4 Percocet 10/325 to deal with break through. According to the
According to the manufacturer of Opana, the immediate release version Opana 5mg or 10mg is not only indicated for short term post-op pain. It is indicated for use in any condition that a doctor deems fit for the use of a narcotic analgesic, just like the Oxycodone IR 15mg your on now. Im not sure what you read but it was most likely refering to not use the regular Opana for maintenance but instead use Opana ER. Anyways, Im not even sure why Opana was brought up in the first place. You said your symptoms are basically 'hot flashes/sweats' after sleeping more than you would normally do. The most likely cause for these symptoms is that you arent takening your break through meds at the same time as you normally would or you are changing your patch later in the day than you normally would, so you are going into mild withdrawal. Waking up in mild withdrawal after sleeping more than you normally would is pretty common with patch wearers and people who take ER meds like OxyContin. If you mention that you are waking up in what you think may be mild withdrawal on the weekends after 'sleeping in' Im sure that s/he will come up with a solution. One that comes to my mind would be to have you wear a 100mcg patch on the weekends. Or if the sweats are too uncomfortable stay on your normal schedule over the weekends. Sorry if Im just repeating what someone else already said, Im lazy and didnt read all the posts. SOLO5010
Thanks Solo, yeah someone else had said that as well, BUT, good information is always worth repeating. I think we can clos this chapter out. I had mentioned that i had cut back on my breakthrough meds, and I am SURE that is what happened. I went back to my regular dosing schedule, whether I needed it or not, and sure enough, sweats went away! That being said, I may start a new thread on the Opana thing, cause my other problem is that my breakthrough meds are no longer working and that is why I stopped taking them. Arrggh, visious cycle here I'm seeing. Anyway, no response on this issue please, I'll start a new post. Thanks for the info. and solution to all! NJDarkViking I'm sorry I
should have stated Opana ER when I made those posts . I only have experience with the ER version of Opana and was only referring to that med. It is indicated for Opiate tolerant patients and not to be used short term, post op or prn. Now, Opana IR is a different story and since I don't have any knowledge personally or from research to speak of about this med I will defer to your judgement. I have been getting great pain relief from the ER version and would highly recommend for long term chronic pain that needs to be addressed on a round the clock basis. It might also be a good idea depending on the nature and intensity of thier pain to talk about break through meds while on OpanaER. I know I have said that I am experiencing great pain relief from this drug but there are still instances of pain spikes during the day that I treat with Percocet IR 10/325. I hope I have cleared up any confusion. |
Joined: 2008-08-12