Suggest Treatment For Pain With Renal Failure And Bladder Pace Maker
Patch is safest
Detailed Answer:
Hi,
I have gone through your query. You have already been diagnosed with:
Renal Failure
Have Bladder pacemaker
Stage II skin cancer
Chronic Pyelonephritis
Now coming to your query. You are already on Fentanyl Patch for pain. Fentanyl is given to you because it is safe for renal failure patients. Pain pump need Morphine and ziconotide for direct pumping into fluid around Spinal Cord. Both of these medicines are contraindicated in renal failure.
So in your case pain pump will not work. If the Fentanyl patch is not working there is no need to stop it suddenly as it will lead to withdrawal symptoms.
You should consult your doctor for another route of Fentanyl like sublingual spray or fentanyl lozenges (like Lollipop). It is more effective than present route.
Hope I have answered your query. If you have any further questions I will be happy to help.
Regards
Dr. G.Katiyar