Grizzled ...... vertebrae arthritis. In August, I developed lower back and leg pain that was not controlled by the above prescription [6 daily]. MRI showed 2 bulging lumbar disks. I requested upgrade to Percocet, but pain specialist prescribed Duragesic 25mcg/hr, without previous opioid tolerance. What are your thoughts regarding the prescribed upgrade?
I have been on Hydrocodone/APAP 10mg/325mg Tabs for several months to control pain from cervical?
- Posted:
- 19 Oct 2009 by Grizzled Vet
- Topics:
- rheumatoid arthritis, pain, hydrocodone
Details:
Added 19 Oct 2009:
Pharmacist agreed with Percocet being logical upgrade as opposed to Duragesic prescription.
I am concerned because of coronary problems that have occurred since June 2003, including mild heart attack in September 2008. 90% occluded coronary artery in 2003 was relieved with stent, but was occluded again in 2008. Self adapted bypass was successful, but some congestive problems are treated with NitroQuik as necessary for occasional chest pain or discomfort.
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Answers (1)
mpvt19 Oct 2009
None of the quick release opiates like vicodin (hydrocodone) percocet (oxycodone) are much good for this kind of problem. Those drugs are not meant to be taken chronically as you quickly become tolerent to them. Although the fentanyl patch is a big move it makes sense. You are on a low dose of a powerful painkiller and the whole idea of this is to keep a steady level of opiate in your blood stream. The quick release painkillers work for a couple hours at best before you have to redose. I used to take 500 mgs of demerol every 3 hours and I was still not covering my pain. So this is why the pain specialist has put you on this type of pain killer. It also is safer as they are hard to abuse now that they have gone to the matrix patch and not the jell filled patches. Hang in there and see if they can fix those herniations and then you won't need any pain meds... Good luck..Dave
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Dave,
Thanks for your input! Received OK from cardiologist this PM, so I will start patch. I used Duragesic 50mg patches 1999-2001 prior to, during, & post op lumbar laminectomy w/fusion. Extremely effective; no pain, but 10 years have transpired, I am now 71, & obviously not in as good shape as I used to was! I appreciate the support, thanks again!
Grizzled Vet