i need to know if either one of these drugs are safe when a person has hep.c and needs pain med change because of liver damage?
28 Jul 2012
Opana ER is contraindicated with moderate to severe hepatic impairment and should be started at the lowest dosage and carefully monitored for side effects with mild hepatic impairment. Fantenyl is also metabolized by the liver and should be used with caution in heptically impaired patients.
28 Jul 2012
Hi johnnydeere - because of the condition (hep c) the best person to ask is going to be the doctor. As others have said those meds are not appropriate for one suffering from liver disease or damage. There are still therapies available for people with severe, chronic and otherwise compromised liver function. I am mentioning Naomi Judd who is one such person cured from hep c. While you might not know who she is... her story is phenomenal. She is not only an inspiration but also the spokesperson for the American Liver Foundation. There is a 65 percent cure rate of hep c. I hope one day there will be a 100 percent cure rate and an antidote for it once it is detected. The studies and research are ongoing and it will get better. I want to share some of her thoughts and philosophies about dealing with serious illnesses. I am quoting her below:
"When I was diagnosed with hepatitis C in 1990, the medical establishment really couldn't offer me anything. I started on what I call a voyage of self-discovery. I became very proactive, even though I was sick as a dog. I knew on some gut level that, yes, there's the physical, but there's also the spiritual and emotional and mental. My life was out of balance. My lifestyle was very pressurized. I was living my life, but I wasn't in it. I started incorporating integrative approaches that give you a sense of being in control, that are non-invasive and less expensive - aromatherapy, acupuncture, biofeedback, chiropractic, music, meditation, massage, yoga, nutrition.
I believe there are eight characteristics for people who survive a serious illness or life crisis. My therapist back in 1990, when it was a cliffhanger as to whether I was going to make it or not, gave me this information. Number 1 is a connection to a higher power, whatever that may be. Number 2 is a support system. Some great studies have shown how that stimulates the body's beleaguered immune system. Number 3 is a connection with nature, and that's why Ashley and Wynonna (Judd my children) and I share this 1,000 acres. Number 4 is having a purpose, a goal. Even though I couldn't even take care of myself, I decided I was going to do what I could and then tell others about it. Number 5 is having a sense of humor. Again, there's documented evidence that it lowers blood pressure and stimulates the endorphins, which are the feel-good brain chemicals. Number 6 is nutrition. Food is really medicine. Number 7 is exercise and rest. You have to move, and you have to let your body tell you what you need. I sleep nine to 10 hours a night. And Number 8 is having an open belief system. If I had not wanted to go on my journey to find out more, I'm convinced I'd be taking a 6-foot dirt nap right now."
It doesn't get any more plain than that. By NO MEANS do I mean to be dismissive of your illness or your pain. This is simply meant to offer you other avenues or venues for contemplation in dealing with hep c. She has a great book out called, "Naomi's Breakthrough Guide: 20 Choices to Transform Your Life". It is available in the library I am sure by now.
My very best to you, johnnydeere. I wish for you the courage, inner strength and the power plus wisdom to plow through this life finding joy in it plus a vast array of knowledge that maybe you can share with others one day when you find what works for you in this thing called "life". Maybe in your own personal fight and in dealing with the pain there in lies an answer that will also heal you.
A very long answer to your question and hope you find something useful and helpful in it.
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