G'day my (former) Sparky mate!
WARNING Very long post, hopefully this can be of some help.
The following Buprenorphine
experiences are based on my ex's, my own, and patients that I nurse weekly.
•My ex was given this patch, the 20 mcg because he had overused his prescription opiates
. (7 day BUP TDS)
He would need to take this for 3+ months because he had overused 3 months worth within 3 weeks.
He at this time was 25 and suffers from severe chronic back pain (mostly lower but it's generally all over) caused by motor bike accidents amongst other things.
He is wheelchair bound/bed ridden, and unable to work without his medications.
Now he found the patches to be highly effective, after they began to take affect...around the 5th day.
He was able to help with minor activities around the house, nothing strenuous but helping me with our little one's, cooking and cleaning, etc.
The following weeks things improved immensely, he was able to finish painting some of the rooms (This is part of his trade).
He could also mow the lawns and start the retaining wall, completing 90% of it.
In the final month he was back at work, building homes (he's also a Master Builder(now)) and continue to paint what was required.
The Buprenorphine worked exceedingly well for him.
Obviously he couldn't obtain BT meds because of his abuse.
•My story comes in to this because he had also been using my medications.
Therefore I was close to running out, when the time came he gave me one.
I kept it on for a week to aid with withdrawals, and also because I would be picking up my prescriptions in 14 days.
The patches did absolutely nothing for my pain, but I have Crohns Disease and Bupe isn't indicated for Crohns or Collitis.
It did however help slightly with withdrawals, but I ended up in hospital with a flare up for 2 weeks. (So my problem was solved)
My ex had huge problems with the patches sticking, this is more common in younger patients who sweat alot or have a considerable amount of body hair.
•The older patients (50~86+) I work with at the hospital don't ever have this particular issue, (sweating/hair) the patches I've administered are Fentanyl
My patients swear by the pain releiving properties of Bupe.
About 70% of these geriatrics would be bed-ridden without it.
Sometimes I change their patch every 4-5 days, maybe 6 as the Bupe doesn't always last the full seven days.
The patches control their back & knee pain, some report improvement with osteo & rheumatoid arthritis, and generalised pain.
Toxin, if I havn't explained this very well I apologise, as my lil' satan spawn keep requiring me to play 'The Mad Hatters Tea Party', needless to say I'm being distracted.
I'm very sorry, just let me know if I can elaborate on anything.