switched from 300mg mscontin daily to 75 mcg patch (watson) fentanyl

Hi all i am a 32 year old male, with chronic pain l4-l5 l5-s1 ddd, few other things.  Here we go, I was taking 100mg er mscontin x3 daily and was referred to another pain managment place here locally.  So, she changed me to 75mcg patch q 72 hours.  I was also given 15mg ir morphine for inbetweens.  I started monday and @ hour 60 i was hurting so bad, but didnt wanna call whining when it was not even day 3.  So here it is saturday morning and believe me, i thought it was in my head but it isn't these things dont work for 72 hours. 

Not only is the 75's not working but they arent doing what they are supposed to do.

I guess in the morning i'll call the number that was given to me, but, I am scared.  This is the reason I have never liked switching meds, what works for some doesnt work for others.  I am this close to going to the ER, but weirdly, my heart isnt beating like crazy nor is my bp off the charts.  Most of the time when i go to ER my bp is around 180/100 or so.

Called and luckily have a pain clinic that cares, it's small enough that my doc on call wasnt scared to tell me that it was ok to put on patches every 48 hours. Also told me since it was day 2 I could go ahead and put new one now and leave other one on until tomorrow. Thank God

Just FYI but to clean the skin before applying the patch the directions state to NOT use any type of alcohol wipe, lotion, or oil. Only use a bit of water and pat dry to clean an area where the patch is going to go.

The instructions also state to not apply the patch anywhere below the waste as it doesn't circulate through the bloodstream as efficiently.

Please read all the instructions that come with the patches as it can be very dangerous to do things like take a hot shower or use a heating pad. I wound up in the ER with too much medication in my system when I first started the patch because of my regular shower temperature. I ended up going off the patches moreso because I like having more control over my dosage of medication each day as some days I don't need the full amount and others I do.

As mentioned, it usually takes a bit of time to get used to a new medication but it seems that you already spoke to your Dr. and they went ahead and bumped you up to the 48 hours as well as overlapping the patches....

So, hopefully this will start working for you and help with your pain levels.

thanks for your caring thoughts i really appreciate it