After my second Rhizotomy, I have noticed some decrease in pain and some decrease in frequency (though it is still frequent and significant enough to require more than OTC help unfortunately). As a result, I talked to my PM doctor today, and went from Nycynta (tapentadol) 75mgs x3 and Soma 350 x3 to Vicodin 5mg x2, Soma x3, and now Mobic x1.
The way I see it, as my pain is generally more in the moderate to mod-severe range (vs mod severe to severe as it was), tapentadol IMO was the main relief for pain, and Soma was an adjuvant. I used NSAIDs occasionally but didn't use them regularly due to the major stomach issues they cause (Soma on its own causes some irritation though not as bad as NSAIDS).
Now I'm hoping that this Mobic (which last 24 hours) is going to be the main source of my pain relief, and that the Vicodin and Soma will be the adjuvants to be used more as needed.
Also I should mention the x3 was the max daily, I never used tapentadol to 3 times a day everyday as I was trying to keep my tolerance down (same with the soma).
I will admit that I am surprised by the synergestic effectiveness of a single 5mg Vicodin and a single Soma 350, they work very well together for pain, and the sedation, euphoria, mood changes, and side effects are fairly tolerable.
The one thing I am worried about with the Vicodin is tolerance. Despite Nucynta (tapentadol) being a stronger medication, it built tolerance slowly. It finally did arrive, though thankfully after my procedure. I am hoping to avoid tolerance as much as possible with the vicodin and I'm hoping that at only 5mgs this will make the tolerance build slowly. The Soma seems to have built a little tolerance but is still maintaining its effectiveness and with MUCH MUCH less sedation and side effects than cyclobenzaprine. I've heard horror stories about soma tolerance, but it seems that provided the dose is 350 x3 a day or less, its not much of an issue.
The other thing is this Mobic. Has anyone else here been prescribed it and should I have hope that if my pain remains in the moderate with some spikes into the mod-sev range that it will be effective on its own as the primary pain killer with the other meds used more for spikes or as adjuvant if time has passed and the pain is still fairly noticable? I've read great things about this med and my doc seems excited about it. I think it will be a few days (as with most NSAIDS) until the full potential is reached so here is hoping :)