Also, is there a difference between the brand or genetic of this medication?
1. I agree with the other poster- Effective as compared to what? Do you take, or have you tried another drug you would like it compared to? and 2. Personal experience. I am on 75mg every 4-6 hours of the IR (Immediate Release) of Nucynta. It comes in 50mg, 75mg, and 100mg, and also IR and ER (Extended Release).
I started on the 50mg, but asked to try the 75mg for 2 reasons. One because 50 wasn't quite covering all my pain and (seemingly with a lot of people) I was only getting maybe 3.5 hours of relief from it. and two, with the way my personal insurance works (yours may be different) I can only get 120 each script, (I did tell my doctor this because he tried to write for 180 the first time), so I figured this would be more efficient and last me longer. I (yet again, personally) am getting great relief from it.
I'm sorry for the repetitiveness of that, but I stress "I" because I have read that some people, even at high doses aren't getting relief from this medication. I like to read reviews too, especially on new meds to see what I'm getting myself into. Side effects I have experienced are what I call a "calm" (not a high or euphoria), and sometimes I have trouble sleeping, I guess because it activates my brain, and I have really strange, vivid, dreams. And like with any opiate, it makes me talkative (you'd never guess right?) Other people say they have had hallucinations, so I was actually a bit afraid to try this at first, but I haven't had any.
This is a newer medication only approved in 2008, so a lot of doctors may not yet be able to give great "warnings" about it yet. I have seen on many sites that a LOT of pain management doctors are trying to switch their patients off of pretty much every kind of opiate (crazy enough, even things like Opana, which is basically morphine from what I've read), onto this. This is because, even though you CAN become "addicted" (dependant is the word for those of us who use medication properly and just become tolerant), it is not supposed to be as much so. Some people do get a "high" from it, but it isn't really supposed to produce one. And it also contains an analgesic, which doctors prefer to use over opiates, so in my eyes it's a win-win. You get the opiate which you know helps you, and your doctor gets the analgesic he's comfortable writing you a script for. I'm so sorry this was so long, but I wanted to try to give you all the info I could since this is so new. If you have any other questions about this, just post a comment below and I will respond as soon as I see it (I have email notifications on).
Oh and about the generic part of your question, no. Since it's so new, it doesn't have a generic yet. It's name is Nucynta or Tapentadol. If you get a script for it you can go to Nucynta's website and there is a coupon you can print out and use up to 14 times that you will only pay $25 for it. I have used it for both my scripts with no problem. Otherwise you will be paying upwards of $100 for it.
- Nucynta Information for Consumers
- Nucynta Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nucynta (detailed)
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