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Old 04-13-2008
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Methadone or fentanyl patch?
which is more powerful; Methadone 5mg or fentanyl patch 15 mcg? I was just switched from the methadone to the patch by my pain doc b/c the methadone was making me so sick. Just wondering. Thanks!
Sorry. Its the 12.5 patch. And I was only taking 1/2 a pill once a day on the suggestion of my doctor b/c it was making me sooo sick
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Old 04-13-2008
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Your question is not actually possible to answer. Fentanyl Patches deliver 12.5 mcg per hr, 25 mcg per hr, 50 mcg per hr, 75 mcg per hr or 100 mcg per hr. There is no 15 mcg per hr patch as you are asking about. Additionally, methadone is usually supplied in 5 or 10 mg tablets and is usually given more than once per day. A correct comparison can only be made after totaling your daily dose of methadone.

If you edit the information a more correct evaluation might be possible. However, if you take a daily dose of 10 to 44 mg of methadone daily, you would normally consider using 25 mcg per hr of fentanyl in the transdermal patch.

I hope this helps.
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Old 04-13-2008
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Fentanyl and methadone are two different medications but with the same use, as an analgesic. Fentanyl is actually known to be 5x stronger than morphine so just a small amount is already very potent. With methadone, it is a synthetic opioid that is comparable to morphine. You may have been prescribed a different one because your body reacts differently with methadone and thought it would have a better tolerance for fentanyl. Hope this helps.
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