HOLY CRAP.
First of all Fentanyl is every 3 days.....so she is overdosing the peak absorbtion. Please hold off one more day. DATE th epatch so you know when it was placed.
2 years is a long time to take all that methadone and I would look to psych to (detox) her down. They have med exchanges and weaning protocols to help.
Get away from that doctor...
BUT to be the other side of the coin...this is what happens to these doctors who want to help and keep hearing I am in pain and they UP and UP the meds til there is silence.
Everyone here gets mad about "he is not listenin g...I want a narcotic and then this is the end of that tunnel. A patient who needed to walk so deep into pain management there is little left.
She does have to detox down and it will be not fun I figure. Be there be supportive. Her lack of reality is that fentanyl. It crosses the blood brain barrier so easily and is so dangerous in this mixture. Please slow down the exchanges to 3 days and see if you can get scripts for the 50mcg dose and 25mcg doses and begin to lower them to 75mcg every 3 days...if she is really i trouble use the non medical tools in the toolbox here in resources...........hot paks , massage and other to help her. It will be a team effort.
but getting the Fentanyl down will help alot. The other thing is different areas of the body absorb different..the shoulder less then the chest...brest tissue even less.
Hoping the doctor agrees to aid you in this , if you can't find a detox unit to help as well. Our physch ward does detox...check into the large hospitals to see if they have one to help you.
There should be monitoring and guidance in this...
Maybe the original doc can see this is over the top at this point and you want it lowered and will help you. I am so sorry this has happened.
this should be a
BOLD PRINT article to show others what can happen.
You will say oh no not to me...UNTIL it happens to you. You notch higher and then it doesn't help and you notch higher and then you are in trouble..........
Good luck, please keep us posted. Nancy B