Percocet for knee pain

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lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 3/22/2008 8:31 AM (GMT -7)   
Hi I have really bad knees that need replacement I also have diabetes. My ? is has anyone been on long term percocet medication it seems to be the only thing that relives my pain slightly I have been taking it for 6 months. Is there any suggestions for other medication? 

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/22/2008 12:21 PM (GMT -7)   
Percocet is the strongest of the codones, the nest step up would be MS contin which is morphine. If the Percocet is working stick with it.
How about aquatic moves for your knees, I dont have knee replacements yet, but they bother me have had operations on both knees, they hurt. but the water seems to help soothe just a little, i hope you find some pain releif soon, will be praying you do....... smurf ........
Excema, hypermobile...
Fibro-05--Had surgery one left knee, then on right knee, they are doing better!!
Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06
Arthiritus-04 Depression-04
GERDS/ Hiatial hernia -07   Anxiety-07
Gastroparesis-08
Reglan,Protonix,Prozac,Effexsor, Erthomyicin, klonipin, occasional phernergan
Im marrried w/2 children, one with mild autism and Bipolar(8), she takes Abilify, Buspar, Celexa
MY son(13) is bipolarw/migraines, he takes ,Topamax,150mg Zantac-acid reflux,
....God Bless...and have a Great Day!!..........Love.....Sheryl


lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 3/22/2008 7:15 PM (GMT -7)   
Thanks for the info I will ask my Dr. about the med you suggest. I also tryed whirlpools but the relief was only while I was in the water, maybe I should try growing fins. Thanks again

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/23/2008 4:23 AM (GMT -7)   
Yes I agree, it would be nice to grow fins and stay in the water all the time. It wouldnt bother me to stay in a nice warm whirlpool.   Good Luck to you, let us know how it goes. And Happy Easter to Everyone....... smurf ......
Excema, hypermobile,Chronic Bronchitus,Fatigue
Fibro-05--Had surgery one left knee, then on right knee, they are doing better!!
Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04
GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08
Reglan,Protonix,Prozac,Effexsor, Erthomyicin, klonipin, occasional phernergan
Im marrried w/2 children, one with mild autism and Bipolar(8), she takes Abilify, Buspar, Celexa
MY son(13) is bipolarw/migraines, he takes ,Topamax,150mg Zantac-acid reflux,
God Bless,and have a Great Day!!.......Love.....Sheryl
God plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


ReactiveConstellationNE
Regular Member


Date Joined Dec 2005
Total Posts : 256
   Posted 3/23/2008 3:42 PM (GMT -7)   
actually, most experts consider oxycodone to be a superior painkiller over morphine.

in general, here are the common opiates compared:

propoxyphene (Darvon, Darvocet; no more effective than Aspirin!)
tramadol (ultram)
codeine (metabolized into morphine in the brain; about 400mg/day is the metabolic limit. any more than that is not converted and is therefore useless)
dihydrocodeine
meperidine (demerol, "mepergan" when combined with phenergan/promethazine)
hydrocodone (lortab, vicodin)
morphine (MS Contin, Kadian, Avinza, Duramorph, Oramorph etc)
oxycodone (percocet, percodan, roxicodone, roxicet, oxyfast, oxycontin)
hydromorphone (dilaudid)
oxymorphone (Opana, Numorphan)
methadone (methadose, dolophine)
levorphanol (levo-dromoran)
fentanyl (duragesic, fentanyl patches, Actiq, Fentanyl OT Lozenges, Fentora, etc)
carfentanyl/sufentanil/other exotic fentanyl analogues

Hope this helps!
Conditions: Reactive Arthralgia (AKA Reiter Syndrome), Chronic Pelvic Pain Syndrome, Sacroiliitis, Costochondritis, widespread Tendonitis, severe back pain & spasms with numerous spinal problems, barely able to type anymore due to severe full-body runaway inflammation, and on and on. Typical daily pain levels exceed 8.5(!)

Medications: CURRENTLY CROSS-TAPERING (Methadone & Oxycodone ER), Dilaudid, Marinol, Lidocaine Patches, Flexeril, Soma; many herbs & supplements.


Previous medications: Oxycontin, Opana ER (12 hour time releasd Oxymorphone, Endo Pharm.), generic Mylan Fentanyl patches (two 100mcg/hr patches worn simultaneously, changed every two days), Kadian, Avinza, MS Contin, Lortab (hydrocodone), OxyIR, Baclofen, Testosterone (oral, patches, gel), Cymbalta, Lyrica, Neurontin, Amitryptyline, every NSAID known to man, Prednisone....and many, MANY more.


sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/23/2008 4:49 PM (GMT -7)   
Yes that was helpful, thank you!.... smurf ....
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANA
Fibro-05--Had surgery one left knee, then on right knee,
Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04
GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08---Occasional Migraines
Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan
Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa
Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 3/23/2008 5:11 PM (GMT -7)   
so what would you recomend if percocet does not help?

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/24/2008 10:16 AM (GMT -7)   
Lugie by how she typed that the next strongest thing looks like oxycontin, maybe try that?
But still keep in mind we are all different, and we all react differently to all medications, as a matter of fact we can all react diffently with ourselves with the same medication.  I have had it happen, one med would help me once, but not the next time and it was the same med. Now vicodin suppose to be weaker then the percocet, but vicodin helps me more, and demoral suppose to be weaker than both of those, demroral would be my painkiller of choice, it reallly work well on me for pain,and I was surprised to see it less powerful the percocet, for me a percocet after 3 doses is like an asprin.
Now there are people I know that can take darvocet and plenty of pain relieff with just that.
I am not one of those. 3 darvocets would still be like taking an asprin. but I know a older very strong man, who darvocets knocks him out, go figure, we are all so different on how we will react.
But if your reading down her list, look like oxyxontin is the next strongest, i have never tried. I always though demoral was stronger thann percocet, go figure. demoral works well for me, and percocet dont do a thing??
You really ought to talk to your doctor and tell him the percocet is not helping, what does he suggest, he may add something for you to take with the percocet to make it stronger, like phenergan, will enhance it.  Anyway good luck!
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANA
Fibro-05--Had surgery one left knee, then on right knee,
Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04
GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08---Occasional Migraines
Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan
Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa
Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 3/26/2008 4:57 AM (GMT -7)   
Sheryl , I agree  phenegeran  would enhance the percocet. I always thought percocoet was oxycontin maybe it is oxycodone . Correct if I am wrong. anyways good suggestions. My knees are strating to bother me again along with my hips.

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/26/2008 10:30 AM (GMT -7)   
Kim the percocet is oxycodone, NOT oxycontin, you may very well be able to take the oxycontin, if can the doc to presribe it.
My knees starting to bother me again too, but at least that tailbone pain went away.  Hiding those easter eggs the other day nearly killed the left part of my body, from shoulder to hip to knee to foot. weird...... smurf .....
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery one left knee, then on right knee, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional MigrainesReglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


lavendar
Regular Member


Date Joined Nov 2007
Total Posts : 426
   Posted 3/31/2008 12:28 AM (GMT -7)   
Exitwound: Are all these pain medications good to take even if you have liver disease? The Dr.s have told me not to take anything but the minimal amount of Tylonol , which isn"t even worth cutting a tab in half. I have really bad arthritis and have not been able to take anything for pain. So I just have to suffer since I was diagnosed with liver disease. june

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/31/2008 5:16 AM (GMT -7)   
I am not on any painkillers right now except for some left over ones I have, but when on it long term my docs always moniter my liver, so far so good.
I am sorry june you cannot take any, you would think with technology there would be soemthing out not destrying to the liver that you can take sad
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 3/31/2008 9:53 AM (GMT -7)   
hey now,
if this helps any, i deal with severe joint pain (especially of the hands, knees)...i also have become quite opiate tolerant.
right now, i see a PM doc...he RX'd :  Oxycontin 40mg twice daily & also dilaudid 4mg when needed for breakthrough pain.
like above...i've been on every nsaid & narcotic available.  darvocet worked well for about 2 years.
duragesic made me puke all day, lol...but it seemed as though the dilaudid has worked the best out of all of them.  even moreso than the oxycontin.
 
i think an anesthesiologist or pain specialist is the best way to go for they're most knowledgeable of the combinations.
 
oh...Arthrotec an nsaid....that worked better than ALL the meds i ever tried!  caused too much bleeding though, i'm still ticked that i can't take it.
 
best wishes.
erin

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 3/31/2008 10:07 AM (GMT -7)   
I cant take any nsadis for that reason.
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 3/31/2008 5:53 PM (GMT -7)   
Whay exactly does a pain management Dr. do that a ortho cant? I take percocet for knee pain but I worry about the tylenol level in the pills but its the only relief I get from the pain. They do not work all the time and I would like to clobber this daily pain!! 

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 4/1/2008 5:57 AM (GMT -7)   
Well first is your doc taken any blood tests to check your liver. If thats fine the allowed level of acetaminophen(tyelnol) you are allowed to have per day is 4000mgs, are you exceeding that? I imaninge in your percs, there is 650mg per tab? I dont know, how many to you take per day and how much tyelnol is in them. I have read the magic number is to not exceed 4000mgs of the tyelnol per day, if you have a fine liver.
Generally Pain Mangment docs are the ones to prescribe this medication, but if your fortunate enough to have a reg doc scribe it to you then there is no problem with that all. An ortho, or a rheumie can scribe them too, it does not have to be a pain mangement dr. It is nice to have all your drs working together though.
I have bad knees too, Ihave had operations on both knees, which has helped some. But still they bother sometimes quite a bit.
As I understanding it, you want to stay on your percocets becasue it does help with pain, right?
The one true thing that helped me the most of all with no side effects(that I was aware of) was bextra, loved that stuff, it really helped the inflamtion and joint pain, it made it easier to walk without pain, no stomach probelms( I cant take nsaids). But that one I could I was on 6 months them bam they took it off the market. I wish they would bring it back with cautions, the group of people that were having problems, were elderly and were be prescribed way too much of it. On a normal dose it shouldnt hurt a healthy person., well good luck with your percocet i hope you can still take it....... smurf .......
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 4/1/2008 2:39 PM (GMT -7)   
:-)  hi sheryl,
i sure do wish narcotic pain meds had antiinflammatory properties!  it's awful that nsaids are really needed BUT one cannot take them!  i have inflammatory bowel disease along w/ RA...every time i was prescribed an nsaid (and i was on the entire laundry list of nsaids & cox2's) i ended up having severe bleeding (mostly rectal bleeding & bloody diarrhea and then with Arthrotec i developed severe vaginal bleeding).
prednisone helps (yuck).
 
there's this OTC supplement i may try.  called FlexProtEx or something....it's for inflammatory arthritis.  i'll post how it works (if it helps any) after a while being on it.  i believe it's a COX2 med, but there's no RX needed.
 
best wishes 

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 4/1/2008 2:44 PM (GMT -7)   
Yes please print how it works out, it must be really new on the market?
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 4/2/2008 4:27 PM (GMT -7)   
I had bloodwork done and my liver is fine the percocet is 10/325 and i sometimes take 4 a day. I would like to try a different medication since the percocet dont work as well anymore.

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 4/3/2008 5:03 AM (GMT -7)   
lugie, I misunderstood, I thought you said the percocets were working. Im sorry, well if they were working then you dont have to worry about taking to much tyenol, you wont reach 4000mg, maybe thats the problem, add more tyenol. Even phergan can enhance the effects of the percocet.  But all this is best to ask you dr and see what you and he agree upon, whether he wants to add to the percocet or change you entirely to another drug like the Oxycontin i believe is the next step up, from the percocets, scroll back down and see her list, and see whats next.
But as I described before according to that list demoral is way below some of the others i get prescribed, but no dr will prescribe demoral very easily, if its lower tthan loratab and percocet etc, why wont they prescribe often, is more addicting? I find demoral when I have prescibed occassionally helps me more than any of it even the morphine( i cant stand morphine, make me dizzy, and nasuea,) maybe they were just giving me too much of it, when i had my partial hsterectomy, I kept begging for them to take the cathater(sp?) out, they kept saying push your pain button, as it was a self pain thing, I wouldt keep pushing it.  My husand bent down to kiss me good bye, goodnite,(he had to take care ofthe kids).
I whispered in his ear, take the cathater out!!!!)
Once thay finally took the cather out and took off the morphine drip, I felt so much better until I tryed to stand up, nearly fell over, to much morphine, so the nurse came in with a big shot of phergan, and i was pefectly fine after that. I could walk wasnt dizzy, ate my food.
So I guess what Im saying again, sorry to repeat is we are al so different, Percocet didnt do anyhting for me, lorotab worked better, and its weaker supposdly.All our systems are so different, it very much trial and error. See what your doc thinks about stepping you up to the oxycontin.  Good Luck!...
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 4/3/2008 5:24 AM (GMT -7)   
re-read your first post, you say you needknee replacements, is it in the planning? Maybethat will bring some relief.
I have had two knee surgies, no knee replacements though, but probably down the road some 15 yrs or so.
Til then I bear and grin it, probably repeating my self again, but bextra was the best thing that ever worked for my pain, didnt upset my stomach, which is very upsetble. It actaully attaked the inflammation and killed the Pain. o side effects. I wishthey would bring it back,
I cant take the celebrex, upsets my stomach and casuing ringing in my ears, hearing loss.
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."


lugie
Regular Member


Date Joined Aug 2007
Total Posts : 39
   Posted 4/3/2008 4:58 PM (GMT -7)   
IS PHEGRAM A PREscriptION DRUG?

sheryl=jk
Veteran Member


Date Joined Oct 2004
Total Posts : 4083
   Posted 4/4/2008 6:46 AM (GMT -7)   
Yes the phenergan is a prescrition, but if ask the doc he will prescribe it to you, it will enhance the percocet, so you wouldnt have to go up on to a stronger med, doc will probably rather presrcibe the phenergan then a stronger med. Just my opinion, that may not be the case. Thats the way my docotrs are.
 
God Bless,and have a Great Day!!.......Love.....Sheryl
xcema,hypermobile,Chronic Bronchitus,Fatigue,Positive ANAFibro-05--Had surgery on left & right knees 06, Interstial Cystitis-06  implanted Interstim-06 hysterectomy & IBS-06 Arthiritus-04 Depression-04GERDS/ Hiatial hernia -07   Anxiety-07 Gastroparesis-08--Occasional Migraines Reglan,Protonix,Prozac,Effexsor,Erthomyicin,klonipin,occasional phernergan Im marrried 2 children, one with mild autism, Bipolar(8), she takes Abilify, Buspar, Celexa Son(13) is bipolarw/migraines, Topamax, ZantacGod plz grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference..."
 
 

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