HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Are Both HCD And MSIR Opiods? What Can Be Done If There Is Difficulty To Switch To MSIR From HCD?

I am a hospice nurse with a patient who is on Duragesic 100 mcg and HCD 10/325 tab i to 2 q 4hr prn pain, he is having difficulty swallowing and our md is wanting to switch off the HCD to MSIR 15 mgm q 3h, they are both opiods, correct? wife is having difficulty with the switch, how can I help convince
Mon, 16 Jun 2014
Report Abuse
Critical Care Specialist,  's  Response
hi,
There have been reports of difficulty of swallowing with Duragesic (fentalyl- a synthetic opioids analogue). The current problem may be a part of it. I would advice switching it, for a therapeutic trial. But your MD might have different reasons for swithching as such.
Regarding, difficulty for her wife having difficulty for the switch, focus on telling some medication in his list develop difficulties of swallowing in some people, and hence its been swithched.
Feel free to contact, in case of further querries.

Regards
I find this answer helpful

 1 user finds this helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Esophageal dysphagia


Loading Online Doctors....
Are Both HCD And MSIR Opiods? What Can Be Done If There Is Difficulty To Switch To MSIR From HCD?

hi, There have been reports of difficulty of swallowing with Duragesic (fentalyl- a synthetic opioids analogue). The current problem may be a part of it. I would advice switching it, for a therapeutic trial. But your MD might have different reasons for swithching as such. Regarding, difficulty for her wife having difficulty for the switch, focus on telling some medication in his list develop difficulties of swallowing in some people, and hence its been swithched. Feel free to contact, in case of further querries. Regards