I had a cervical block done yesterday - not dircetly into the spinal cord, but into the bundle of nerves in all of the "trigger points" or the knots all in my neck, shoulders, extending all the way into my right bicep and down my right arm and after the anestesia wore off, I was in the worst pain I've ever had in my life - worse than waking up from a my cervical fusion surgery. I couldn't move my head for about an hour. I could barely swallow liquid because I couldn't get my head back far enough to swallow it. I also woke up in a pool, and I do literally mean a pool, of sweat. The pain eased up eventually, but the emmense sweating has not. I have also felt very panicky. My heart has been racing ever since the procedure. I called the doctor's office yesterday in a panic and they wouldn't call me in anything stronger than what I already have been prescribed for pain, which is perc 10/325 - but I am only allowed4/day. They wouldn't authorize me to take anymore than that, but I had too. I am on the phone with them now and they are wanting to give me a drug called Nucenta. Anyone that could shed some light on this?
Hi, you mean Nucynta.
This medication is a narcotic and is a "controlled substance" in the United States.
Nucynta (tapentadol) is a prescription analgesic (pain reliever). It is approved to treat moderate-to-severe acute pain. Acute pain is short-term pain caused by damage to tissues. It can be caused by a surgery, an illness, or an injury. It starts suddenly and goes away once the damage heals.
Nucynta might be used to treat surgical pain, dental pain after a painful procedure, sports injury pain, or various other types of acute pain.
Nucynta is classified as a "centrally acting opioid analgesic." This means that it works in the central nervous system (the brain and spinal cord), acts much like morphine in the body, and relieves pain. Much like morphine, Nucynta binds to certain opioid receptors in the body.
Nucynta also works a little like some antidepressant medications by inhibiting the reuptake of the neurotransmitter norepinephrine. Norepinephrine is one of several chemicals used to send messages from one nerve cell to another. As a message travels down a nerve, it causes the end of the cell to release norepinephrine.
The norepinephrine enters the gap between the first nerve cell and the one next to it. When enough reaches the second nerve cell, it activates receptors on the cell and the message continues on its way. The first cell then quickly absorbs any norepinephrine that remains in the gap between cells; this is called "reuptake." By inhibiting the reuptake of norepinephrine, Nucynta essentially increases its activity.
Take care and I hope you get well soon and the pain goes away.-
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