Purdue has released their 7 day patch painkiller – where it fits in remains to be seen.
BuTrans comes in 5, 10 and 20 mcg/hr
Product monogram is free here
In elderly with severe nausea, could be useful, but might want to start with just half the backing off and tape down with hypafix.
At the same time, Jurnista, a once daily hydromorphone has been introduced in Canada.
It comes in 4, 8, 16, and 32 mg. It has a 1:1 conversion from hydromorph contin and dilaudid
Other once daily medications include Kadian, a morphine, – it comes in 20, 50, 100 mg
Problem possible with long lasting meds is if you start to feel sick on them, you will be sick all day. Also I’m always worried that should someone flare that they panic and take extra 24 hour meds – which will kick in much later and end them up in ICU…
addendum – have case that got bad rash despite puffing area with asthma steroid inhaler prior. Other possibility would be Nucynta starting with 60 mg IR 1/2-1 and switching to long lasting as tolerate.