I don't understand why PC doctors are so loving of vicodin and it almost makes you wonder if they ACTUALLY think that it provides real pain relief for severe pain and that only exceptionally extreme pain requires stronger meds. Vicodin is the new replacement for Ibuprofin 800 ladies and gentlemen. Ever since ibuprofin has been ridiculed for causing stomach damage during middle to long term use, doctors have been looking for an alternative. And along came tramadol, but that proved to be only as strong as codeine and it worked well for some with neuro pain, but didn't even touch many with pain issues. Then there was bextra, but cardio risks canceled out the chance for that to be PC medication of choice. So over the past 5 years weve seen doctors turn to handing out script
s of vicodin to take over the place of Mr. Ibu. I mean afterall its stronger than codeine, and with 500 - 750 mgs of APAP or ASA in it, people would injure their liver before using an abusable amount so it "must be safe". Right?
Wrong. Vicodin is infact a very weak opioid. Its only considered slightly stronger than tramadol, and its only being given out as the DOC by PCs because its a schedule 3 (controlled and strong yet less abusable so the PC thinks).
Some doctors still prefer darvocet, even though there are massive warnings about
its health consequences. This has actually caused a number of unfortunate deaths since 100 mgs of darvocet is less effective than 600 mgs of asprin at relieving pain. 30 mgs of codeine is usually only compared to about
400 mgs of ibuprofin. Therefore if vicodin is only a half step up from codiene, I don't see how its effective for anything on the pain scale above a 6. Just my opinion here guys.
Too many PCs are out of touch with their patients. PMs are over the past few years starting to become in better touch with their patients, but this trend doesn't seem to have bounced over to the PC side just yet. I love it when a doctor, especially a PC you've know for months or years "doesn't feel comfortable" prescribing anything beyond T3 or V-5. It shows they've been spooked by cases of the feds that prosecuted PMs that knowingly gave medications to "seekers". They were isolated cases and yet still, most docs don't quite grasp that ideal.
The medication I'm on is more potent, but it has a fair number of side effects at the max dose.....which is the dose needed to treat severe pain. Its "less addictive though", a slightly comforting thought. Sometimes, you have to take a small win as for what it is though, a 1 up on the common enemy, PAIN :)
MRI revealed a bulging disc w/gel lost at L5 and showed the bulge touching nerves, causing sciatica. Diagnosed w/ Arthritis which is responsible for joint inflamation pain. Treatment: Nucynta 50-150 mgs every 6 hours (schedule II narcotic, Mu Opoid agonist and NE reuptake inhibitor), Celebrex 100 mgs, Klonopin .5, Epidurals, Radio Freq nuerotomy (sept 8th, 2010)
Post Edited (grainofsalt) : 9/26/2010 4:36:09 PM (GMT-6)