... patch. My dx is several bulging discs (cervical spine) and spinal stenosis with nerve impingment. I had lyme disease for 5 or 6 years but doctor refused to acknowledge and insisted it was a false/positive test result. I changed dr's and I had a full blown case of LYME disease with co-infections-Erhlichia, Bartonella, and Babesia. My former Dr had me on methotrexate (a strong anti-rheumatic drug) which I had to self inject x2 per week. I was literally bed bound after these injections for about 2 days with very bad nausea, vomiting, and weakness. I later discovered that methotrexate is contraindicated with LYME disease. Anyhow is there anyone out there who has struggled with chronic pain and experienced trouble obtaining pain control for chronic pain? And does this med Butrans (Buprenorphine) work as well or better than the oxycodone? My Dr does not seem to what to increase the oxycodone. I;ve been on 15mg x2 day for several months and have acquired a tolerance but my Dr does not seem to want to increase. I'm between a rock and a hard place. Without the pain control I am in constant pain a solid 8. The pain med oxycodone brings it down to a 3-4 but does not last more than a couple of hrs. Anyone out there experiencing these issues? I would love to have some support. I'm isolated and have no friends as I could no longer work due to this illness. Thanks
29 Mar 2012
So sorry to hear your predicament Jan, I really am. And I totally understand what you are going through. I believe that the new medicine is a long acting opiod. They also use it for addiction, but it can be used for pain control also. The only problem is that it fills up your opiod receptors, so if you need more meds, they won't work. Someone PLEASE correct me if I am wrong!! I just wanted you to know that we hear you and we are listening! I understand the pain, and also dealing with pain doctors in this country unfortunately, ,make you feel like you are abusing drugs. They are more concerned with how much they give you than how bad your pain level goes. I just had surgery, and I went back to my PM doctor.
Do you know that she REFUSED to give me extra pain meds from the surgery which was only 10 days out, and two eight inch cuts in my spine, which she agreed must be extremely painful, but she didn't want to risk me becoming used to a higher dose!! HONESTLY, I was given a higher dose by the surgeon, and I have been weaning myself off of most of it, but I still need a bit of help!! So she gives me lidocaine patches!! Do you think that they help the inside of an incision??? Then she told me to take NSAID's which she KNOWS I can't take! She said try them for a few days until I start bleeding??? Unf@@@ing believable!!!
I have been to three different PM docs, and they all have the same attitude , esp. here in FL.
Good luck, and I hope that the new meds help you!
30 Mar 2012
Hi Jan4acure, & welcome to the site. I have chrontic pain & had to change pain doctors as well, because the clinic I used to go to would only give me methadone for pain control. Right! They don't prescribe 4 to 6 hour pain meds. Luckily my PCP knows all my conditions & treats all but the pain, so he got on the phone & called every pain center in the area until he found one that would give me what I really needed which is now 15mg of oxycodone every 4 to 6 hours. I started back from the methadone to vicodin which really used to help me, but soon found I was way beyond it, & they had no problem writing me oxy at the dose I am at now. I wonder if a longer acting pain med like oxycontin would be better for you or have they explored doing surgery? It sounds like if you have a stenosis you need surgery not more pain meds. Just a thought. The Butrans patch is for chrontic pain. It is a transdermal patch that you get opiads from over time.
Most patches like those or fentanyl take about 12 hours I believe to release enough opiad to start telling a difference, so have enough oxy you to carry you through. I will give you the link below to read about it. I wish you the best, & stay with us. We have a great support system here at Drugs.com... Mary
30 Mar 2012
I have been taking the Butrans patch for 3+ weeks now and have had a very good response. The patch is used to treat pain not addiction. It does have a higher affinity for opiate receptors but it has not blocked the Norco I take for breakthrough pain. I am still hoping they can adjust the dose of the patch so I won't need pills at all. The other benefit is that it is a steady state in your blood so you don't have ups and downs like short acting pills. I have also found that it has improved my mood, it seems to act a bit like an antidepressant. Or maybe it just helped my pain so I am happier! Good luck to you.
30 Mar 2012
Hi Jan, Welcome to this support group. I have been on Butrans for 3+ months, and am liking it. I believe I need to up my dosage to the Butrans 15 mcg per hour patch. I am currently on the Butrans 10 patch. I like this patch better than when I was taking Hydrocodone because I do not have that waiting period after the Hydrocodone wears off until I can take my next dose to get some relief. It is a cleaner feeling for me. I hope you like it and it will improve your quality of life.
- Butrans Information for Consumers
- Butrans Information for Healthcare Professionals (includes dosage details)
- Side Effects of Butrans (detailed)
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