I need suggestions on any other BT meds besides percocet and dilaudid

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NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 3/29/2012 5:28 PM (GMT -6)   
Hi everyo ne, I am asking for any suggestions on other BT meds besides percocet or dilaudid.  I now take percocet, but I am using to many as they work so much quicker than my extended release meds.  Dilaudid is not an option as I have taken that and it simply does not work for me.
 
So if anyone out there has any ideas on other bt meds, I would really appreciate the help.  I go back on the 4th of April, I know its short notice, but I just got this rebuilt laptop from my kids and had to start over again on some things.  But the important thing is I did it.
 
So thanking all in advance, hope to hear something soon,
Kathy
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/29/2012 5:42 PM (GMT -6)   
Hi Kathy....

Breakthrough meds:

Vicodin (hydrocodone)
Norco (basically, extra strength vicodin)
Morphine IR
Oxycodone (basically percocet w/out acetaminophen)
Opana IR
Actiq (fentanyl lollipop) or Fentora (fentanyl tablets) - very hard to get insurance to approve as it's very expensive

I'm sure there are others - but my mind's blanking (what's new, lol).

I've been on all of these, including Dilaudid and Percocet. At one time, all worked for awhile. But, I've built such a huge tolerance, that nothing works for me hardly anymore. But, hopefully, one of the one's I listed would be helpful for you.... maybe others will share their ideas/experiences too :) Unfortunately - with meds - it's a hit/miss to see what works, as I know you know....

Love, 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

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 3/29/2012 6:50 PM (GMT -6)   
Thank you Tina, its a start, I will check my pharmacy guide to see how much if hassel it will be if any, I think the oxycodone, wo the tylenol might be the one.  The ex release meds I take now you dont feel them like I feel the percocets, they give me energy which the ex release dont.  So they might be the ticket.
 
Thanks again for responding so quickly, the 4th is around the corner.
 
Take care,
Kathy
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/29/2012 8:51 PM (GMT -6)   
Kathy,

Anytime, my friend!

I have a PM appointment on the 5th... I need to adjust my meds, too... I need it to come quickly - as I'm in a not-so-good place....

Hugs, 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

grainofsalt
Regular Member


Date Joined Aug 2010
Total Posts : 215
   Posted 3/29/2012 9:19 PM (GMT -6)   
Nini, I hope your doctor can get your BT pain under control.

Breakthrough pain has become a more significant issue for me lately as the effects of the Radio Freq Nuerotomy are wearing off. The Tapentadol does good for moderate pain, but while it helps for breakthrough (severe) pain, sometimes its just not sufficient.

What I've been perscribed is lidocaine patches as an adjuvant to assist with my current regiment (as it already contains tapentadol and soma, 2 controlled substance). I personally feel better adding a non narcotic adjuvant to help when the pain is more severe as it takes a while to kick in but those patches do actually help. If the pain spikes become more frequent, I might request a BT quick acting narcotic if it comes to it. However, I will be having the RFN repeated this summer so hopefully it won't come to that :/

As for quick acting meds, percocet is one of the quickest.

You could request Demerol which IMO has a slightly faster onset of action. The other pro is that this medication causes less sedation. However, the medication is not without its cons. Demerol has a rather short window of action (about 3 to 3.5 hours vs oxycodone which is about 4 to 5 hours). Also, its metabolites can accumulate in your system and they are nuerotoxic. It has NSDRI actions which helps its pain relief but there's a risk of seratonin syndrome as well. I was on it for a short time years ago did not experience any negative side effects what so ever. I was also only using it about once a day back then as my pain wasn't around the clock like it is now. Its an option worth considering to ask your doctor.
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/29/2012 10:35 PM (GMT -6)   
I'm not sure.... but I don't think demerol is used very often anymore - I know it isn't around here (California)... and especially non-injectable demerol.

When I first started my CP journey, years and years ago - that was usually what I would get via injection (demerol)... but I never hear of it mentioned anymore. It IS a good medication - I just think there were newer/better things on the market...as well as the side effects you mentioned, GofS.

Just my thoughts! Take care all....

--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

grainofsalt
Regular Member


Date Joined Aug 2010
Total Posts : 215
   Posted 3/30/2012 1:36 AM (GMT -6)   
To be honest momtokids, I think Nucynta is essentially Demerol's successor. It has far less side effects, less abuse risk, and a longer duration of action. Its downfall is that unlike demerol which is very quick acting, it takes about an hour to kick in and its effectiveness is good for the higher end of moderate pain, not so great for breakthrough or severe pain. Its an improvement over both tramadol (stregnth) and demerol (duration, less side effects) though.

I do know Demerol is rarely prescribed anymore due to its safety concerns for continous use coupled with short duration of action and that its supposedly more addictive because its quicker acting. I personally dispute the 3rd claim.
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 3/30/2012 9:37 AM (GMT -6)   
This is the second time I have typed this this laptop is in danger of being tossed out the window, I want to thank you both again.  I think I am going with the oxycodone, being an impatient person, I dont want to wait long to feel better, thats my problem now.
 
I take percocets like candy as they give immediate relief and last for at least 4 5 hours.  I am trying to learn some self discipline, I have to.
 
Before I lose this I am sending it as my grandaughter is here and I do not want to subject her to the words that are about to fly out of my mouth is I lost another post.
 
Thanks
Kathy
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 3/30/2012 6:23 PM (GMT -6)   
Hi, I have run through quite a few of these meds and currently the oxycodone for bt and Targin for long act is what works for me. I take 10mg bt and while I was in hosp for recent fusion they gave me 2 percocets instead of my oxy and the nurse said at home take 1 oxy and 2 Tylenol and that would equal the same as the 2 percs? So far it seems to be working. Good luck with getting this sorted.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

rjbeck
Regular Member


Date Joined Feb 2008
Total Posts : 255
   Posted 3/31/2012 12:01 AM (GMT -6)   
I'm using 2 med's for breakthru pain. I use the 15mg oxy's and 100mg Nucynta. These 2 drug's give me relief but are nothing like each other. I take 2-15mg oxy's twice a day and this gives me the burst of energy to do the thing's I need to do during the day. And the Nucynta I take 2 100mg tab's once a day and I am able to get the much needed rest that without the nucynta would be impossible. these pills will make you sleep if you are just lying around but if you are out or doing things your OK.. Take care and feel better.Randy
AVASCULAR-NECROSIS (AVN) in 6 joints. HIPS,KNEE'S and SHOULDERS-Replaced RT shoulder.Left hip 2011
Bilateral Empyema-Thoracotomy with Decordication.(Removed the Lining of left lung)Bilat Pneumothorax (2005-2008)
COPD.
MED'S-methadone 45mg's Bid---oxycodone 30mg's Bid--nucynta 100mg-Prn
Former Respiratory Therapist/Perfusionist
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