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questions about lidoderm vs fentanyl patch? and indomethacin and cyclobenzaprine
  1. #1
    carolyn17603 is offline Member
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    Default questions about lidoderm vs fentanyl patch? and indomethacin and cyclobenzaprine

    hi Im on indomethacin and cyclobenzaprine for my back. What are they used for? im also on percocet.

    Also i was prescribed lidoderm patches but since my insurance wont pay i cant use them. my prior auth was denied they reccomended a bunch of meds to try first one was a fentanyl patch? Is that a pain patch? is there anything like the lidoderm patches?

  2. #2
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by carolyn17603 View Post
    hi Im on indomethacin and cyclobenzaprine for my back. What are they used for? im also on percocet.

    Also i was prescribed lidoderm patches but since my insurance wont pay i cant use them. my prior auth was denied they reccomended a bunch of meds to try first one was a fentanyl patch? Is that a pain patch? is there anything like the lidoderm patches?

    Indomethacin is an NSAID like Advil or Aleve and cyclobenzaprine is a muscle relaxer. As for back muscle spasms, the go-to drug for me (everyone is different) is Robaxin, it has fewer side effects, IMO.

    Lidoderm contains the topical anesthetic, lidocaine; it is entirely unrelated to fentanyl. If your condition is local, you could try Voltaren gel (a topical NSAID) first or a similar topical gel.

    Percocet is a powerful narcotic analgesic with acetaminophen. It is used to treat sudden bouts of moderate to severe pain.

    Fentanyl is an EXTREMELY potent narcotic analgesic (100X stronger than morphine) and, in patch form is designed to deliver a constant flow of the medicine into the whole body around the clock. It is mainly used to treat moderately-severe to severe chronic pain, unresponsive to other measures. Follow instructions VERY carefully. Proper handling of used patches is vital.

    If you've got serious, unrelenting pain, then you (along with a pain specialist) could discuss the risks and benefits of using Fentanyl (Duragesic Patch).

    From their own website:

    DURAGESIC (fentanyl) is strong medicine for serious pain. The DURAGESIC patch should only be used when other less potent medicines have not been effective and when pain needs to be controlled around the clock.
    Last edited by PeterRabbit2; 05-21-2010 at 04:22 PM.
    Peter

  3. #3
    carolyn17603 is offline Member
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    thanks I was hoping there was something similar to lidacane patches. I do have voltaren gel somewhere i will look for it. What side effects have you had with cyclobenzaprine? sometimes it makes me feel out of it or nautious

  4. #4
    just_a_mom is offline Member
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    Quote Originally Posted by carolyn17603 View Post
    thanks I was hoping there was something similar to lidacane patches. I do have voltaren gel somewhere i will look for it. What side effects have you had with cyclobenzaprine? sometimes it makes me feel out of it or nautious
    Carolyn,

    Flexaril (cyclobenzaprine) makes most people incredibly sleepy. You might be feeling out of it or nauseated because you are fighting the sedative effects of the drug.

    Indomethacin is an NSAID like Aleve, Motrin (ibuprofen), etc. Indomethacin has a higher than average rate of stomach irritation than other NSAIDS, but it also has lots of other off-label helpful effects (it is given to help control pre-term labor and given to preemie babies to help close heart valves).

    I agree with PR, I have no idea why a fentanyl patch would be interchangable with lidocane. That is weird. I would question your doc more about it. I would also consult a pain doc if you are having chronic pain problems - that is what they are there for.

    just a mom

  5. #5
    PeterRabbit2 is offline Senior Member
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    Sorry Carolyn....the side effects I experienced of Flexeril (cyclobenzaprine) were all that you'd get from an overdose of antihistamine. Very dry mouth, dizziness, extreme lassitude. It also altered my heart rhythm in a strange way; made it skip beats. I think it induced "anticholinergic syndrome" or something similar. Very unpleasant.

    Robaxin (the non habit-forming muscle relaxer) is FAR superior, in every respect. It causes very minor drowsiness, no "high" feeling (like what you'd get from Soma.) I can "get up, and go" after Robaxin. I'd been on Soma and getting off it was like pulling teeth; I had a physical dependence to it like you wouldn't believe!

    BTW, PLEASE stay away from Soma, it is extremely addictive. In my opinion it should be a Schedule 2 drug (like morphine, fentanyl and oxycontin, et alia.) In some states it isn't even a controlled substance! My state just recently made it a CSA, Schedule 4 drug.

    Soma is dangerous in overdose or in combination with alcohol and other CNS depressants. It likely killed Heath Leger, Corey Haim and Anna Nicole Smith, among others, sadly.

    Robaxin has a REALLY clean safety profile. For back spasm, it is becoming the gold-standard. It's even safe with a small (consult your doctor) amount of alcohol.
    For example, I take it a few times a week and called my doctor, to ask if I could have a 5oz glass of wine with 750mg of Robaxin, (we were going out to eat after my nephew's graduation and the back was acting up) she said, "Just as long as you're not driving, that's fine on a special occasion."
    Obviously you don't want to take it when you're drunk, but you know what I mean.
    Last edited by PeterRabbit2; 05-27-2010 at 03:02 PM.
    Peter

  6. #6
    carolyn17603 is offline Member
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    thanks guys yea i hate the feeling from the muscle relaxer I dont even take it. I just take my pain meds and thats it, ill ask them if they can put me on something different when I go back

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