Super tolerant opiod pts

Discussion in 'Pharmacy' started by museabuse, Dec 29, 2008.

  1. museabuse

    museabuse Senior Member
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    What is the most narcotics u have ever dispensed? I was at a pharmacy and dispensed to regular, oxydose 20mg/ml #840. 6ml 5xday. And fentanyl 100mcg/hr #45 3 q48.
     
  2. Pharmavixen

    Pharmavixen foxy pharmacist
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    Methadone 840 mg daily. Pt was also on Clonazepam 12 mg daily (4 mg tid), Risperidone 8 mg daily.

    One of my methadone patients, on 200 mg daily, told me confidentially he'd bought a 75mg fentanyl patch on the street and ate it on a day his back pain was especially bad (he'd become addicted to heroin after suffering a serious industrial accident about 20 years ago). I said, "Joe -- people have died doing that." He nodded thoughtfully before replying, "Yes...it was very good."
     
  3. Jeddevil

    Jeddevil Senior Member
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    Oxycontin 80 - 9 bid #540. This guy (cancer pt) was on oxy ir also, but I don't remember what it was. I looked through his profile and he was gradually going higher every qtr or so, starting out on a ton of 40mg's, then moving up to 240 80's, 360 80's, etc. I do remember he dropped it off in the drive-thru, which I found a bit funny. Best part for him - brand oxy, $0 co-pay.
     
  4. pharmdawg000

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    2 grams morphine/day
     
  5. Old Timer

    Old Timer SDN Advisor
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    MS-Contin 1800 mg every 12 hours. When I called the doctor at the local cancer hospital he informed me the patient was a heroin addict who had pancreatic cancer with bone mets and he had an extremely high tolerance for opiates.....
     
  6. Omegadramon

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    Every post in this topic has made me yell "FFFFFFFFFFFFFFFFFF---"

    these are unbelievable doses...
     
  7. BravoKilo

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    Ran across this post on the Pharmacist's Letter a while back -- still amazes me...

     
  8. Storm90

    Storm90 Accepted Pharmacy Student
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    Methadone 280mg qd, Fentanyl patch 800mcg q48h, Morphine 2g/day infusion, hydromorphone 1600mg/day infusion. I also had a lady on Lorazepam 20mg BID. She was always snowed.
     

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