A new pain medication recommended for me. Need approval but have been reading a lot about this medication. Mixed reviews. My pain levels are severe. I am on Fentanyl patch, Gabapentin, Skelaxin and have read a lot about this medication but I have also taken Tramadol in the past with little relief. Any advise. I am so tired of the pain and need some control. Just to bring the pain levels down to a tolerable level. Any advise?
- 8 Sep 2011 by The Mad Man
- skelaxin, pain, fentanyl, gabapentin, breakthrough pain, nucynta, medication
Added 9 Sep 2011:
I haven't started on the new medications yet (Nucynta) but TODAY IS THE FIRST DAY I WOKE UP WITHOUT PAIN! (9-9-11) Got a good night sleep and feel pretty good. WOW!
Added 9 Sep 2011:
Here is a list of the medications I take. Something finally kicked in!
Fentanyl 50mcg (company name Apotex - patch is bigger and sticks better)
Gabapentin 400mg 3 pills 3 times a day. (been on that for years)
Metaxalone (Skelaxin) 800mg 1 tab 3x a day (just started)
Ranitidine HCL 150mg 1 tab 2x a day (years)
Rosuvastatin 1/2 tab at bedtime (years)
My brother in law gave me Zanix (actually it was for my caregiver since he has been under so much stress lately) but I took one pill at bedtime and got some solid sleep.
Today I woke up and my back is a little tight but nothing I can't handle.
This is the first time I have been pain free in about two months.
I started on the Fentanyl patch on 9/7/11. (Apotex brand)
I don't know what the magic here is but be glad to hear your feed back.
Added 14 Sep 2011:
Seems this is the latest medication on the market. Similar to Tramadol. My insurance won't cover this. Talked with my pm doctor and he says to try the Tramadol in place of the Nucynta. I can go to the manufacturers web site to get a coupon or some such nonsense but I am paying enough for medications. Doctor says to switch on and off between the Norco and the Tramadol but I am not going to play games with all these pills. If the pain patch doesn't work with the Norch then there is a problem. My pm doctor sent an e-mail to my surgeon so he is the next witch doctor I will be seeing (the one with the big ego). Stay tuned for more medical drama!
20 Sep 2012
The Mad Man,
Hey there and good morning. I want to start by saying I have been on everything mentioned. I'm not going to tell the long version of everything that happened that brought me into the world of chronic pain. Let's just say... per MrI's I need surgery on my back for various conditions, Surgery on my neck..per MRI, and Surgery on both of my knee's... per MRI. I have Fibromyalgia, Oseoarthritis in both knee's, and other places, and Bursitus in my shoulder. So I deal with a lot of pain. It got to the point every month I would try something and it wouldn't work. Finally my Pain Management Physician recommended that I go into the hospital and detox from everything and start over brand new. I did not want to do this. What I'm about to tell you is based on my own personal experience. Just because something worked or works for me, doesn't mean it will for other's and you. It's only my opinion. Real quick..I had bad back problems since 2003. I got pregnant accidentally at 36 yrs old and had the baby in 2007. That was the last thing my back needed. And I suffered a few yrs with severe chronic pain. I don't think Tramadol is good at all. for a couple of reasons. One being that I had a horrible personal experience with it myself, and two, if you pull up the link for it, it will tell you the side effects and danger's about taking it. I'm Not saying it's not for everyone, My friend Mary63209 has a link that she can give to you about it. Anyway, Gabapentin, I think, is a wonderful drug. I took it for several months, and had to quit do to swelling bad in my feet and ankles. But people that that doesn't happen to, seem to really like it. If you're in chronic pain the Norco should be used as breakthrough pain. It's not strong enough on its own. Before they changed the formulary on Opana Er, it worked pretty well. I was not pain free, but I sure was better than I had been in yrs. Now about Nucynta. My PM doc. stared me out on 100mg for two weeks. Then upped it to 200mg the next two weeks. It was better than the Opana Er. My pain level was way down. I was so thrilled about that, but, the first two weeks I had a severe headache constantly. Then when I upped it the next two weeks the headache's were unbearable. I had to get off of it. I read where one gentleman said the headaches go away. That's great for him. I wish I could've taken it and had that luck. But everyone is different. Then he put me on the Fentanyl Patch. Started out at 50 mcg's, then upped it to 75mcg's, then to 100mcg's, and I was actually on 150 mcg's for a while. I felt uncomfortable on that dose so I went back down to 100 mcg's. I had to stop it due to severe sweating, and the patch wouldn't stick anymore, and that was with tape. Also, if I got outside in the sun at all and got a little hot, I felt like I was going to pass out. My skin broke out in a rash. I tried Morphine, MS Contin, Exalgo ( long lasting dilaudid) it's new. Even though they switched the formulary on this too, I finally was prescribed Oxycontin. It took my hubby yrs. to let me take it due to the "bad Rap" it had. But he was seeing me suffer every month. Crying in pain. Because they did change the medicine, my doctor wrote it for every eight hour's instead of two times a day. This was the best thing to happen to me. I've never had pain relief like this before. My 18 and 21 yr old boys have told me over the last two months that they have never heard me sound better. I talked clearer. I didn't appear high at all, and they could actually have conversations with me now and build a friendship with me, because before, I was always hurting and in a grumpy mood... they just stayed away. that's very sad to me. I know I just wrote you a book. I'm sorry. My point to all of this is you may need some changes that you need to talk to you're doctor about. The Fentanyl could easily be raised a bit. I don't agree with switching back and forth from Tramadol and Norco. I could be wrong. Again... my opinion. I would stay off the Tramadol and just stick to the Norco, or whatever else he may suggest, like Vicoden. I truly hope you find the right medications that will work for yo and you're pain. Talk to that doctor. Let him know you're concerns. I will say a prayer for you. We're all here for you. Remember that. Your Friend, Ruthie p.s. sorry for the length of this.
9 Sep 2011
Hi mad man I hontestly never heard of that med but I have recently tried some meds that didn't help me at all now I have a pain management specialist he is definatly making my pain mre manageabe. Even though last night I cmplained of having to take so many scripts it is working I was just having a bad day yesterday so I thought id tell you my routine. I have lidoderm 5% patches I can put them on for up to 24hrs, a tens unit I can put on muscles for pain,hydrocodone/acetaminaphin 7.5-325 3's a day,mobic 15mg 1 in mrn after breakfast,lyrica 75mg 2x's a day,roboxin 500mg at night before bed these help as well as 4injecions in my lower back of cortizone he puts smething else in it for a nerve block ther than that b12 shots do to a very low blood test my neuro says cntributes to my pain,multivitamin and vit d and my avonex for my ms.
I also have ra, rheumatic heart and depression I've never like to take meds everyday but I'm glad I am out of so much pain I hope your dr can find a combo that works for you! Good luck and best wishes for pain free days! Ps have yu ever tried nerve blocks in combo with your meds? Litlmommag-
8 Sep 2011
Hey there Mad Man. I haven't ever tried it so I read up on it too, & now know why because I also have scoliosis. Makes me wonder why that makes a difference. I'm sure someone takes it & will be along shortly to give you some advise about if it helps or not. Keep us informed if you get it on how it works for pain. All of us pain sufferers want to know of course. Good luck...
8 Sep 2011
Mad Man I have been looking a lot my current medicine is not really working as well as it did to start, I dread going through the change and then if a new medicine does not work well then you either have to return to what you are on or try something else, I have previously take fentanyl patches, (can't because of low body mass, they put me out) I have taken Dilaudid, I have not used Methadone but my doctor will only prescribe this if I were hospitalized (afraid of reaction) been on hydrocodone, the Gabapentin, Neurontin, and the SSRI's been on MS Contin had a difficult time with it, Oxycontin (old formula) but it made me very shakey and sweat, doctor will not prescribe new Oxycontin she said her old patients had so many problems with it not working she just won't, I have been on Robaxin, Skelexin, Opana extended release it is wearing out. if you have any suggestions you or anyone I am like you am open to suggestions,
24 May 2012
I have been on 100 mg of nucynta for over 1 year now. Its the greateat pill ever invented. It non habit forming non addictive. To me you dont have to go thru the rush like other pills. This one dont have it. The headachea dont last but about a week. Two days after starting this pill i was back fighting fires. Yes i am a fire fighter. Now i wear out the rookies and i am almost back to my old self. I would advise anyone interested in this pill talk to your dr. And go small dose then work up. If i miss a dose i dont have the shakes like with other pain meds. Fight with your insurance companies and they will pay. A 60 tablet script of 100mg pills is $250. But i would not let my insurance win. My doctor gave me ultram and vicadin and the percoset so i had my 3 fails so insurance would pay. Do as i did and you will get the best pill on the market. If your lookin for a high then this pill is not for you. It takes away pain not the brain. Any.question please feel free to email me and i will be more than
happy to talk to you about it.
- Skelaxin Drug Information
- Fentanyl Drug Information
- Gabapentin Drug Information
- Nucynta Drug Information
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