for breakthrough pain. I pay $150 cash ( up front ), but I feel like we have reached an impasse. I might add that I pay cash for my methadone $99 cash. That is why I do not feel like we are on the same page. First he prescribed Diflonac, and now Lyrica. anybody know what would help? I think something like lortab, or norco would help.
Forget opiates when you are on a daily dose of methadone especially weak one like hydros and lortab which are the same opiate.
The methadone molecule cannot be moved off your receptors by other opiates no matter what or how much you take.
So diclofeniac or lyrica is the way to go. Have you asked to increase your daily methadone dose.
Usually the patient needs a relatively small increase when on methadone. Say you take 120mgs a day. The doctor could easily raise that to 130 or 140mgs a day. What is really great about methadone is it is almost impossible to grow tolerant to. I know guys who have been on 150 and 170mgs/day for almost 30 years and have never needed a increase. So a 10 or 20mg increase will more times then not solve the break thru pain problem.
I wouldn't give up on the Lyrica as it is a excellent drug especially for nerve pain. So hang tight and give these meds time to work for you... Hang in there... Dave
If you have been on Methadone for any length of time, and/or over 65mg per day, then you will not feel the effects of any opiates. That is why people take methadone, so they will stop abusing opiates. And, of course, for pain management. My hubby goes because he broke his back, we have no insurance and could not afford the bill for Oxycontin monthly (over $700). Anyway, I have been hearing a lot about his Lyrica, does it do anything for you? Have you tried Neurontin (name for gabapentin)? My granny takes it with her pain meds to extend the life of their effectiveness. There are also some exciting new implants coming out that are non-narcotic and really work.
- Methadone Information for Consumers
- Methadone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methadone (detailed)
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