darvocet vs morphine

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heatmiser
Veteran Member


Date Joined May 2003
Total Posts : 1671
   Posted 4/24/2009 12:57 PM (GMT -7)   
Hi,

I have crohn's disease and the crohn's related arthritis. My former dr had me taking up to 4 darvocet a day to control my chronic pain. Now I'm in a new state with a new dr who is very concerned about the amount of darvocet I've been taking. She's worried about my liver. When I asked what else I could take, one suggestion was morphine. I questioned it being a stronger drug but she said that it might be better to take something that sustains the pain relief for longer amounts of time but take it less often. I have no idea what kind of dosage she is talking about but she let me stay on the darvocet for now. Does anyone here use morphine like that and if so, can you drive and work and do everything normally?

Thanks for your replies!

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 4/24/2009 1:11 PM (GMT -7)   
I take Kadian and its a extended release form of Morphine. I have found that it does help lower my pain a notch or two and for the BT pain I take Percocet.

Anyway...want to welcome you to the family. I do hope your stay here is short (even though it is nice to have new people around) for your own sake.

Welcome!

Scarred
What doesn't kill us only makes us fight back harder! :P


angel8
Regular Member


Date Joined Apr 2009
Total Posts : 109
   Posted 4/25/2009 2:50 AM (GMT -7)   

Welcome to the forum scarred.

As for your question I dont think I would get all out of sorts over taking 4 darvocet a day and going from darvocet to morphine is well like going from wine to moonshine! If the darvocet sustains your pain then I would certainly fight to stay. If however it isnt doing th ejob then I would certainly look into going to something alittle stronger but like Ii said that is huge leap. I am a firm believer that less is better for now if it works since you dont know how long this road is or how far we each have to travel down it and how bumpy and rough it is going to get for each of us.

It isnt so much the darvocet your Doc is wiggin on its the tylenol in it and if you like it and it works ask them to change the darvocet to Darvon and whalla! no more tylenol but you might find that was helping the ingredients in the Darvocet with your pain and the one without might not do the trick as ewll.

Good luck to you no matter what you do and again welcome to HW!


newanpainful112
New Member


Date Joined Apr 2009
Total Posts : 15
   Posted 4/25/2009 7:04 AM (GMT -7)   
   Hi:
 
 Just to let you know I am currently taking Morphine sul. 30Mg Twice a day. My doctor was concerned about perkaset and liver damage since it has tylonol that reached more than sugested.
The morphine I think is not releaving the pain as well but I guess its better than liver damage. Not to say that depending on  he dosage they will put you on may help you. Since you and I are different.
 
Good luck I hope it works for you turn

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 4/26/2009 2:21 AM (GMT -7)   
Hi angel; I'm not really new here. I've been here for the last almost year but I thank you for your welcome. :-)

New; Each person is different with their pain meds just like with pain. But if your dosage is not working I would (IMHO) talk with your doctor and have him/her up your dosage. My Kadian is 100mg. I take two every morning and two every night so I'm actually on a pretty high dosage. It works for me, but it may not work for you.

Anyway, I do hope you find a even tempo of meds.

Hugs
Scarred
What doesn't kill us only makes us fight back harder! :P


Becoming undone
Veteran Member


Date Joined Jul 2007
Total Posts : 927
   Posted 4/26/2009 7:07 PM (GMT -7)   
Heatmiser:
I have crohn's too. It is due to the acetaminophen that is in the medication. Crohn's can attack the liver (it has done so for me) and your doc is probably cautious about anything that may cause further damage. One of the big reasons I am on the fentanyl patch...not to mention, it bypasses the digestive system to be effective (I have a fast transit time...sometimes the pill don't digest)

I hope you find what is good for you...
"The earth laughs in flowers"


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 4/26/2009 7:41 PM (GMT -7)   
heatmiser
Welcome to the Chronic Pain forum, first off yes you can drive and work and do everything you have been doing and currently do while your taking Darvocet! Your Doctor is just wanting to put you on a different type of pain medication that will not damage you liver or cause problems with your colon. actually morphine is the standard by which all other pain meds are judged by, but it affect people differently, just like all the different pain meds do! What might be effective for one person might not work at all for another person! Most of us here are on different pain medications, some are on methadone, some morphine, some on Oxycontin ( that is what I am on) and a host of other type of pain meds, and we are all on different dosages it seems. The only real common thread for some of us is that allot of us use percocet for break through pain, but even that is not a constant!
 
The only advice I can offer is for your to talk with your doctor and thoroughly discuss what your different options are for good consistent pain relief, allot of the extended release pain meds only have to be taken every 12 hours and that is always nice!
 
I am sorry that you have pain and had to stop in, but I am glad you stopped in here, I don't think you could find a better group of people to talk with about pain! So again I Welcome you to the CP forum,  stay as long as you like, and be a member of our family!
Good Luck to You

White Beard


  I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV

Post Edited (White Beard) : 4/26/2009 8:44:46 PM (GMT-6)


bighelmut
New Member


Date Joined Apr 2009
Total Posts : 2
   Posted 4/27/2009 12:03 PM (GMT -7)   
 
 
    Hey all!!
 
 
          I am new here and this will be my second post. Glad to find some people with something in common however sad that it had to be under these circumstances as I KNOW how pain can affect ones life and it is terrible.
 
 
  Seems that the common thing in these forums in the meds..........well of course it is as they help us tolerate the pain. I have been on pretty much everything known to man for pain management and had pretty much every therapy devised to help back pain.
 
  Small amount of background.....Hurt my back over twenty years ago. Have had debilitating pain for over 10 years or so and two surgeries in the last few years. The first was a lamenectomy and the second was a fusion just over a year ago. I am in constant pain in varying degrees and have really found nothing that makes it ALL better but some meds have made it okay to face the day on some level.
 
  I have been to a few pain management docs, not shopping but changes in inurance made it a must. I have had different experiences with them all. There is some stigma attached to the big three meds..........oxycodone (Percs, Oxycontin, Percodan). Also morphine and last but not least Hydromorphone (Dilaudid) which is the grand daddy of pain meds and the best you can get for relief. Now Darvocett and the like have lots of acetametphin as you all know, so do most of the other meds used for pain. They say that it works better in conjuction with it. However we all seem to run into the same issues with too much of it and the worry of liver issues. Did you know they make a 1.5 gram Percocet????? No acetametaphin in it at all. This is what I take and it is 1500 mills along with my 60 mg morphine twice a day sometimes three times a day. No liver issues and no worries at all.
 
  I am not advocating taking this much medicine, however I am opiate tolerant of course and the years of taking them have made it a must to take the amounts I take now. I also have been on Fentanyl patches and other various meds to help with my pain. I do not recommend Fentanly to anyone unless in the hospital..........just my oponion as it is crazy dangerous for resp depression and if you are taking other meds you just might stop breathing.
 
  Morphine in oral form is almost ALWAYS a timed release deal and hardly as effective as oxycodone for BT pain. I admit is can help but for those in serious pain you will not find it all that helpful I do not believe, however everyone is different. Ones mans soup is anothers meal and all that.
 
  I guess my whole point is some docs rely on your ingnorance and prescribe what THEY feel is best for you, that is great looking at it from a health stand point. Bad from a pain point of view. Educate yourself and know what each med is and what it does. You will better be able to have a meaningful dialouge with your pain doc when you know what you are speaking about. And they will be more apt to listen to you when you do as well, at least in my experience. My pain doc is a great guy, a pill counter and a drug tester but I appreciate that in him, he is trying to keep me safe. On the flip side of that he is also willing to prescribe what works as long as you are keeping up your end of the deal by not running out of meds or pharmacy shopping and they will find out. My doc loses about six to seven people a year on overdose........scary stuff so nothing to play with.
 
 
  Good luck to you all and I hope you get some relief, sure understand your plight as I endure it everyday. That and pretty much lost everyone around me to this. Others just do not understand eh?
 
 Kevin

heatmiser
Veteran Member


Date Joined May 2003
Total Posts : 1671
   Posted 4/27/2009 7:41 PM (GMT -7)   
Thanks everyone!

I'm just wondering why my old dr never mentioned liver concerns except to tell me not to drink alcohol. This new dr seems to be questioning his decision and of course, I have more experience and trust with the old dr. I certainly don't want to have liver trouble though. I also had concerns about the tolerance issue. Figured I'd work my way up to the strong drugs through the years.

Should I ask to see a specialist in pain management rather than this dr who is internal medicine? Right now my insurance isn't good so I don't need expensive specialists, but for future reference, would that be better?

I will also be seeing a new gastroenterologist and will try to see what advice he or she has about the issue since it's crohn's related.

Thanks for the warm welcome and help everyone!

Seajay
New Member


Date Joined Mar 2009
Total Posts : 11
   Posted 4/27/2009 11:19 PM (GMT -7)   
Hi Heatmiser. Like Angel, I don't think 4 darvocet a day sounds like much. However, you don't tell us what strength Darvocet you take. The Tylenol people want you to keep the Acetaminophen at no more than 4000 mg per day to protect your liver. As you pointed out you should avoid taking no more than 3 alcoholic drinks a day when taking drugs with tylenol. My Doctor runs liver function blood tests every six months just to watch the affect on my liver. I don't know if your Crohns affects liver tests or not but it may ease your mind to know if the tests are normal and monitored a couple of times a year.

Good luck to you. We are all here to help.

Becoming undone
Veteran Member


Date Joined Jul 2007
Total Posts : 927
   Posted 4/28/2009 2:12 PM (GMT -7)   
I know my GI is more comfortable with the PM dealing with the pain meds...that whole DEA thing...He stays in contact with my PM all the time...he(the GI doc) also like the GI effects of the opiods...even stating that tincture of opium is still one of the best remedies for colonic crohn's...

Somtimes, the specialist is worth it...as I'm sure you've already found out with your GI...and I've noticed with my joint issues (I've got a Rheummy too)...yeah it kinda bites seeing so many docs...but once everything gets into the groove, it's golden...
"The earth laughs in flowers"

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