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Posted

Apart from the usual issues with this kind of illness, father-in-law is being difficult about taking pills. Very kind gentle man, but has a stubborn streak and doesn't understand side effects. If I could keep him on pills long enough to get past the upset and vomiting, he most likely would take the pills. Given this I thought of pain patches, Fentanyl patches or morphine? Tried unsuccessfully to purchase at my known pharms, no luck, tried to sell me sore muscle patches, my thai sucks, not his fault.

Any Help? Thanks

I live CR hense the post on this forum.

Posted

I think if any pharmacy in CR can get what you want it is likely the big one on same side road just up from the thai airways ticket office on the corner of the little soi that cuts through to the bus station...the place is piled sky high with boxes of all kinds of drugs and they seem to be the big wholesaler for many smaller stores. Sometimes they may have to order what you want but it seems they can get pretty much everything.....the girl inn there speaks decent english but good idea to write down exactly what you want ...also i usually google first to see if there is a thai generic name as always way cheaper and sometimes they don't know the western name....

good luck...sounds like a tough go with the father in law

Posted

Thanks Pomchop, I have the generic name "Fentanyl GPO" for thai manufacture. I imagine it is a controlled drug here.

I'll go by the one you mentioned and bring the pills father was given by the doctor as well. My experience with this cancer is pain control is the most important part of management as there is only one outcome.

Posted

Thanks Pomchop, I have the generic name "Fentanyl GPO" for thai manufacture. I imagine it is a controlled drug here.

I'll go by the one you mentioned and bring the pills father was given by the doctor as well. My experience with this cancer is pain control is the most important part of management as there is only one outcome.

good luck..don't be put off by the fact that the store will be packed to the rafters with all kinds of boxes and hardly room to walk...it is one very busy place which i view as a positive that they must be doing something right and sure turn over the inventory...they just ordered a bunch of stuff for me as they didn't have in stock but seemed to be no problem for them to find it ...takes about a week to get it but very good price on the thai generica and no hassles

Posted

He'll need to go back and see his specialist.

Transdermal fentanyl patches are available in four different strengths and the rate of absorption is different to that of an opiate taken by mouth. It is not generally prescribed for patients whose pain is severe and currently uncontrolled,or whose current need for painrelief varies greatly over a 24 hour period. The dosage and timing of the doses (changing of patches) needs to carefully titrated by the Doctor/ palliative care Nurse practitioner. This is a Controlled drug. Your father will need to go back to see his doctor to switch from one type of opiate to another, and I'm sure that they will be receptive to the difficulties you/he are experiencing with regard to current medication compliance.

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Posted

I'm not doctor nor claim to know anything about cancer treatment, however I would urge you to check into having him take capsaicin, which is an Indian spice. Studies have been done with finding that is kills cancer sells. do a google search with the word of cancer and capsaicin and you will find information on the studies. I found out about this from a USA talk radio. They had a doctor on the show speaking about all the benefits and alternatives for caner, this was his top recommendation. Cant hurt to give it a try.

I hope he make a good recovery.

Posted

Well today was much better for him with no vomiting and he did eat a little this afternoon. He is pain free and the village nurse put in an IV to hydrate him. I will see how he responds to this evening pill, but he told the wife he'll take it. This is the most comfortable he has been in 3 or 4 months.

Thanks everyone, will get the tea and check if patches are available if it comes to that.

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