Idaknow...In 2005-06 I used the Fentanyl patch 50 mg per 72 hour dosing. I can still remember that brief time that I felt somewhat human again. It provided excellent pain relief for 2 days, then I was literally dry heaving to the point of tearing rib cartilage. I didn't have the good sense to realize that I was in WD. The PM specialist refused to discuss 48 hour dosing (9 years ago). I unknowingly went cold-turkey...stopped PM altogether. What was the point? I got 1.5 days of heaven which spiraled into 1.5 days of pure unmitigated HELL. It just wasn't worth it to me.
I believe 48 hour dosing is now allowed. I don't understand why your PM doctor is against it. I would go to the transdermal delivery @ 48 hour dosing. I can't afford the Fentanyl at all now with downsized insurance. I must confess that in our current PM environment, I hesitate to start ANYTHING, especially Fentanyl.
~~Dixie