Opana ER 30mg V.S. Nucynta ER 100mg?

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PainIsARealBummer
Regular Member


Date Joined May 2012
Total Posts : 30
   Posted 5/17/2012 11:08 AM (GMT -7)   
I was on Opana ER 30mg then the doctor put me on Fentanyl Transdermal 50mg patches for two week because he said he would most likely under shoot the medication amount with I found out was true thank God for my break through medications.

He discontinued the patches because they would not stay on my skin, they itched and caused my skin to break out. Which sucks I liked going 3 days and getting to take 6 less pills during toughs days. :) Would have been awesome if he could have just raised the medication amount.

So for the next two weeks he has put me on a new pain medication I never hurd of and I have to call and let him know how it works and if it needs raised until then waiting for insurance to approve a morphine pain pump trial on my back injury pain see if that helps.

Until then I'm trying this new drug called Nucynta ER 100mg I started today can any one tell me about this and how it compares to Opana ER 30mg?

I normally don't use forums but after reading on this one and seeing people give honest answers, opinions and don't dog newbies like me figured give it a try and post.

Thanks in advance for all your help
turn

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2012 11:20 AM (GMT -7)   
Welcome to the forums....

Sorry to hear about your pain issues...The good news is that it sounds like you have a good Dr. who is willing to work hard on helping you find a medication to help. As well as having the pain pump as a possible help for your chronic pain..We do have a few people who are using this so they have great information to share about the process.

Since everyone is so different from their health issues, metabolism, tolerance...etc. It's impossible for any of us to say whether the Nucynta will work for your pain or not.

Each opiate is different in how they affect your pain receptors. So that is why it's really trial/error to see what works to help with your individual pain.
 
And as I'm sure you know since you've been on other meds...a Dr. will usually start on a lower dosage and tirate up if/when needed compared to your previous medicine.

And not in a negative way...but I really don't put any stock in what others say if it works for them because I like to give every medication a 100% positive go at working for myself.

Obviously it's good to research on certain websites like rxlist...or reading the information that comes from the actual manufacturers website about side effects or any allergic reatcions to watch out for....

So...even if some people said that it didn't work for them at all....it doesn't mean it won't work for you...Does that make sense?

Also...the key with any medication/opiate....is working with your Dr. on finding a comprehensive pain program...An opiate is just one small piece of the puzzle in helping manage your pain.

There should be exercise, PT, aqua therapy, TENS unit, massage, acupuncture, injections, yoga/stretching, counseling, nerve pain medication, muscle relaxer, sleep medicine if needed, antidepressant if needed, eating healthy, maintaining a healthy weight, no smoking, etc....

This way...each thing that a person can do will help it's small amount to add up to about a 4-5 on the pain scale which is what most PM Drs. are shooting for with a chronic pain patient...

May I ask what your pain source is and what procedures or surgeries you have had? If you feel comfortable sharing more about your pain journey with us to help get to know you better...

The one thing that we are really good at doing here is offering empathy and support...Because no matter what type of pain someone has....we can all know what it's like to live with chronic pain...

Again...welcome to the boards and we look forward to getting to know you..

Post Edited (Snowbunny21) : 5/17/2012 11:23:17 AM (GMT-6)


PainIsARealBummer
Regular Member


Date Joined May 2012
Total Posts : 30
   Posted 5/17/2012 11:52 AM (GMT -7)   
Thank you for the fast reply and your advice it makes since. I already have a MyStim put in which helps my legs but not my back pain or tail bone pain. I can't sit or stand more than 5 minutes with out suffering and have to be driven around and use a cane but the bright side I maybe slow but can still walk. Had two back surgeries on my lower back 4 years ago more than I can count shots in the lower back injury that only seems to relieve my pain for a day or two. Therapy you name it theirs a chance I tried it my only goal is get as much of my life back I can and control this pain that does not ever stop.

I'm going to take your advice and start reading some post on this pain pump to learn more about it in the forum.

I try to keep my spirits up but as you know that's had to do. At-least I know I don't I seem to not have this withdraw problem with medications (opiates) people talk about I can switch from on to another without and issues maybe because I never took medications, drugs, smoke or drink before. My wife has to tell me to take a med for just a headache I will just endure it until it's goes away. I don't like taking medications.

I sadly use to be one of those people that seen people with back pain and think ya right there not hurting that bad, Well God has shown me with this injury you really don't know or understand pain until you have it your self. I have a new respect for pain and understanding of it.

Thank you for your help

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2012 12:01 PM (GMT -7)   
Thanks for sharing more....And yes...you will find some good information about the pain pump. It seems the most critical thing is to make sure your Dr. is highly experienced in handling these and the medications that will be in it.

And just a quick note on withdrawal symptoms....it really doesn't have to do with whether you ever smoked or did drugs before...it's about having a Dr. who understands conversions and making sure that when you switch medications...that there isn't too large of a drop to cause withdrawals...

Those of us with chronic pain and on long term medications are all "dependent" on our meds....but not "addicted" to them. They are completely different meanings...

Addicted is someone who buys/sells medicine...Takes them to get high and not for pain...who Dr. shops and gets meds from many Drs...

Dependent is when our body is used to medication...This is not just an opiate issue...but take someone who is on an antidepressant....they cannot nor should not just cold turkey off a medication as their body is used to it. It could cause harm and severe withdrawal symptoms...

So...just stating this not just for you but in general for people who read this.

I am happy that your Dr. has helped you switch different medications and has done so that you don't suffer any withdrawal symptoms!

None of us "like" to take medication....Unfortunately it's just one part of "toolbox" in helping lower our pain to a manageable level.

Again, thanks for sharing more about your pain journey. I think all of us have a new understanding of what it's like to live with pain that we could never before imagine.

That's why this community is so great to be able to share with others who truly "get" us:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

PainIsARealBummer
Regular Member


Date Joined May 2012
Total Posts : 30
   Posted 5/17/2012 12:09 PM (GMT -7)   
I'm very glad I have posted I never though of it that way before you have opened my eyes to understanding the difference in Addicted and Dependent.

I must say I am very lucky to have a good Pain Management Doctor the cares.

Thank you

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 5/18/2012 12:27 AM (GMT -7)   
PainisaRealBummer,

Snowbunny already covered anything I would say about your dilemma and so forth....and gave you some great advice.

So, I really wanted to just pop on and welcome you to the board! I'm sorry you are suffering w/ chronic pain, though.

Hope you will stick around and we can get to know you!!

Take care --Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

PainIsARealBummer
Regular Member


Date Joined May 2012
Total Posts : 30
   Posted 5/18/2012 5:05 AM (GMT -7)   
Sadly I dough you will see me typing much today or this weekend these NUCTNTA ER 100mg every 12 hours are not covering my pain I can't lay down without lower back pain or shooting pain down my legs and that afoul inside the right foot burning pain like you just laid your foot on a stove top. Even worse if I sit, stand or walk. Had to have help getting up so I can go to to the rest room.

Having to take my break through med like cotton candy when it's time to take another I don't have a choice and does not seem to help much but better than nothing I guess. And have MyStim implant is turned up to max setting trying to block what I can. Plus had to use my tens unit on my lower back to help also just to sleep for 3 hours.

Not sure if there is a higher dose he can give me. The only side effect I seem to have is a light upset tummy after I take one for around 30 minutes which I can handle and deal with.

It's going to be hard to get a hold of my Pain Management Doctor on a Friday he sometimes takes Fridays off to see what he can chain because right now I would need a wheel chair or my surgery walker just to get to the doctors office.

So all prayers and advice to get this pain to lesson if have any are welcome. Pray I don't have to keep suffering like this until Monday.

I guess I better see if he will put me back on the Opana ER 30mg at least I could lay and sleep with very light pain and suffered less when standing, sitting or walking.

I think the NUCTNTA ER 100mg are not for me unless he can raise the dose to cover the pain.

The hardest part is when your med covers so of the pain and you kinda forget what it felt like until your doctor try's another med and that same pain the med was hiding comes out of the closet again and take hold again.

Thank you for your help I have final found a forum that I know I'm not allow and wish every one good health and pain free days.

Thank you for the warm welcome everyone.

I well let you know what happens.

God Bless

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 628
   Posted 5/19/2012 3:20 PM (GMT -7)   
all day the Opana 30mg is much more effective. more so when you have been on them every 12 hrs. for 3-4 days.

PainIsARealBummer
Regular Member


Date Joined May 2012
Total Posts : 30
   Posted 5/19/2012 7:07 PM (GMT -7)   
Thankfully the doctor called me back Friday and put me back on the Opana ER 30mg every 12 hours and your so very right they work allot better I started to notice yesterday about 30-40 minutes after taking it I still had to take my break through medications and had a hard night maybe because the Opana er has not got through my system yet but everything is getting better.

I noticed I am very tired today and have been taking allot of cat naps but still better than the pure pain I was in. Once My body gets use to the Opana ER again I pray I can get my rest again.

Thankfully my weekend is getting better I pray when they do the pain pump trial I can get some of my life back over 5 years 98% having to lay in bed is to long. I must thank you all for accepting me and your support and understanding it helps greatly I was feeling so alone.

I have to especially have to thank my loving, caring, supporter and understanding personal friend and councilor my wife. Especially for the nights and days she just held me when the pain is so bad all I could do was lay there in tears and all the times she has helped me do things people take for granted like picking up something I drop, helping me get out of bed and out of chairs, even helping me get back on my feet when my legs give out and fall trying to do simple things like walking to that bath room and have a sharp pain in the lower back and instantly kiss the ground with my face which has never been a joy. I would not wish this pain on my worst enemy ever.

And pray for everyone else that know this or similar pain you get better and stop suffering because I know you all understand what I'm saying.

Thank you everyone, I'm going to try and get some more rest it's a great help my wife put my desktop, keyboard, mouse and monitor on my night stand next to my bed and set up my TV on the other side of the bed so I can roll over and have at least something to do and got me a cell phone to use for all the hours she is has to be at work. I don't have the heart to tell her but sure she knows that when I'm in allot of pain I can be next to my computer or other things to do but don't have the desire or feel like even turning on the TV with a remote or looking at them. I fight every day to not let the pain take control of my life but as you know it's seems like a endless battle but I will not give up and pray there is a day I can help friends like all of you and my wife for the help and understand I have already received.

I'm truly blessed. God willing there will be a day I can walk out of my house or even around my house without all this pain and worry of falling.

Take care everyone I will be back on when I can. TY

stevenjackson22
New Member


Date Joined Nov 2012
Total Posts : 17
   Posted 12/11/2012 5:44 PM (GMT -7)   
Good evening you all. Just wanted to let you know tried a new patch, Butrans and now Nucynta. Took 100 MG of nucynta about two hours ago. Pain has come down to 4 now. Anyone else tried this combination of pain management relief? today is the Third week with Butrans

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 12/12/2012 1:01 PM (GMT -7)   
Hi SJ22....Just FYI but you are posting on an old thread from back in May...I see that you already have another thread you started on this very topic so I'll alert a Mod so they can close/lock this particular one...
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