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bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 12/21/2009 1:02 PM (GMT -7)   
Are there any extended release pain meds out there that anyone knows of.  I started out on Avinza but it didn't work well enough so my doctor switched me to oxycontin. 
The oxycontin is $75 per month with insurance.  The doctors office gave me a discount card for it which lowered it to $20 but the card expires 12/31/09.  The doc may give me another card but in case they can't I was just asking if anyone knows of any er meds with a generic. 
 
My oxycontin is 20mg 2xday and I have oxycodone 5mg 3xday for bt.  This amount isn't really cutting it though but the doctor didn't want to increase me until after my injection so we could better tell if it helped.  I go back Jan. 11 and we will discuss better pain control then.
 
Any suggestions would be helpful. 
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 12/21/2009 1:11 PM (GMT -7)   
   Jag, I was a thinking that methadone is a slow release and I have a few friends here at work that are on it, and they said it is a much smother ride, and does not have the up and downs as the ir meds. Also, I think your Dr. is doing the right thing, and it is best to stay on the low side, so that you have room to work up if needed. I'm at that point right now...halfway comfortable...but it sure would be nice to be completely comfortable. If at all possible, wait as long as possible to make the jump up. Also...I really think that the PM or PCD's should swap out Meds every once in a while, so that we dont build up a tollerence to them so fast. Just my two cents worth!

Post Edited (Screaming Eagle) : 12/21/2009 1:15:41 PM (GMT-7)


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/21/2009 5:33 PM (GMT -7)   
Jag,
If it's for the short term, methadone isn't the way to go. It needs to be titrated very slowly, and has a long half life so is difficult to d/c. If it's just until your injection, maybe it would be best to wait to decide. Offhand I don't know of any ER meds that are generic, but I don't know them all that's for sure. I'd suggest calling your pharmacist and asking. Trouble is many of the ER's are more expensive. We can't win, eh?

Hugs,

PaLady

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 12/21/2009 5:58 PM (GMT -7)   
Sorry to rob the thread here but, PaLady, did you get your computer problems figured out? And if so, what was the problem, if you don't mind me asking? Glad to see you reply to several of the post here today.

Your Buddy,

Michael

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 12/21/2009 7:16 PM (GMT -7)   
Kadian is available in generic -- Morphine Sulfate ER.

I'm not sure, but I've read online that Morphine Sulfate ER is also marketed under brand names Avinza, MS Contin & Oramorph SR.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3609
   Posted 12/21/2009 11:16 PM (GMT -7)   
Jag

I had been on Vicodin and Vicoprofen for many years and then when I had to switch Doctors my new Doc thought I was taking to many to control my pain, so he put me on Oxycontin, I was originally put on 20mg every 12 hours, but it made me so sick, so he had change it to 10 mg every 12 hours with the Vicodin for break through and then eventually got me up to 20 mg every 12 hours with Percocet 3/325 for bt. I was on that for 3 or 4 years and then they increased it to 40 mg every 12 hours, and again that worked well for a long time this past summer they changed it to ever 8 hours, they tried that on me a couple of years ago and I couldn't tolerate it, so they put me back to every 12 hour, This time it has worked fine for me. I know this Oxycontin is not for everyone, but the thing have noticed with it, is I don't feel groggy or dopey or "high" on it ( I absolutely hate that feeling! ) but for me it does do a really good job at relieving my pain, or at least keeping it at a tolerable level. Maybe after your injection you will not need anything more, but if you do, maybe it might be better for you, to be on the Oxycontin every 8 hours. Allot of people including myself, have found that after 8 or 9 hours that their pain relief was rapidly going away! And they do much better on an 8 hour schedule! For me it definitely made a difference. I have the same dosing schedule as you do for break through, some days I need it , but allot of days I don't since they put me on the 8 hour schedule. Might be something to think about and descuss with your Doctor!

Good Luck to You

White Beard

uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 12/22/2009 12:18 AM (GMT -7)   
Hey Jag....Methadone might be your answer...even if insurance won't cover it which they usually do with a PA it only costs about 55.00 for 360 tablets....that's really cheap considering how well it works... I know because I take it.  Another thing is Opana ER...it's usually covered also...I haven't tried it yet but I may be trying it after the new year...  I have been on Methadone for over 6 years and it works great...I also take Oxycodone IR 30 mg. 4 times a day for the BT pain...I can't believe that you only take the 5 mg. ones....that's like eating PEZ to me...
 
Good Luck''
 
Me.

I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   

 


bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 12/22/2009 4:17 AM (GMT -7)   

My meds were doing ok with pain management until the weather changed.  I have some days where it works but any kind of front (which there have been alot) moves through and I am taking everything prescribed plus tylenol and my pain levels are too high. 

White Beard, I think you are onto something with the oxycontin not lasting long enough cause I take it around 8am & 8pm but by 3 in the afternoon the pain gets really bad and even the oxycodone doesn't cut it enough.

I use Medco for my prescription meds so I will check their website to see about any generic ER meds available.

The Avinza I was using was to be taken 1 daily.  It wasn't lasting long enough so doc had me try 2xday and that was too much.  Got very nauseated & light headed.  Couldn't do anything but lay down and wait for it to get out of my system.

 


---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/22/2009 1:14 PM (GMT -7)   
Jag,
Oh, the weather! I have been hurting LOTS more since it's been so cold here. Down into the teens which is too cold for December! Those are the temps we usually don't get until well into January. My bones and muscles just ache! Been using lots of heat and extras like that.

Some people metabolize medications differently so I don't think it's that unusual for an ER to only last 8 hrs for some. I know when things are bad my percocet barely lasts 4 hours.

hugs,

PaLady

bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 12/22/2009 1:32 PM (GMT -7)   
PaLady, I'm not sure which part of PA your in but you mentioned something about being near a lake so I'm assuming you get alot of the cold Canada air also. You've been getting alot worse weather than we have but I know it will be on it's way.

I don't think mine is so much the cold air, I'm sure it doesn't help, but mine seems more the barometric pressure changes. We either get the fronts from Canada, Chicago and then the ones come up from the South. I just feel swollen & sore and like you said I just ache. After Christmas I'm gonna take just one day and not do anything.
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/22/2009 5:42 PM (GMT -7)   
Jag,
I live right on the edge of Lake Erie, and can see Canada on most days. I only wish the Canadians would keep their cold air (no offense, my Canadian friends, you have many wonderful things up there!). Those big sweeping "arctic air" masses that we always see our weathermen/women pointing out on the map....BRRRR..... but actually we're supposed to be in the middle of a bunch of stuff in the next few days with it getting a little warmer on Christmas Day (if you can call 40 warm, and you can compared to the current temp of 19!) and possibly getting freezing rain for parts of Christmas Day - joy,joy! I'd rather have snow than ice, that's for sure! But you're right all this means a lot of barometric shifts on top of the temperature shifts. And I feel it. Oh, how I feel it! I find myself taking to bed in the early evening just to get warm and then I fall asleep and wake up about midnight! Really screwed up!

Oh, well, I guess we'll survive it!

Hugs,

PaLady
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