I've been taking Percocet 410 yrs. right now I'm taking 5 10/325. It's not working like it use to. My question is what's what should I do. I've had 8 back surgery 6 cervical fusions & 2 lower back fusion. My question should I try another drug or just add another Percocet.
Adding another Perc won't help much plus the Tylenol in it adds up and can harm your liver. Do you have a pain mgmt doc? Tell him/her the Percs aren't covering your pain (you've built up tolerance) and could you try an extended release version. You may want to have 2 Percs a day or so to help with breakthrough pain.
If you have chronic pain and are taking medications for pain every day, you should be on a routine long acting drug to be taken regularly around the clock, not taking something "as needed". Percocet is oxycodone and the long acting form is Oxycontin. Any of the long acting drugs would be good. Morphine sulfate ER is a long acting morphine that is much less expensive than most of the other long acting drugs but yet, it is quite effective. You may still use a few short acting drugs here and there to help with breakthrough pain-that means pain which breaks through your maintenance dose. I went to long acting drugs about a year after I hurt may back and needed pain management. It is so much more helpful to keep a steady drug level to prevent pain than constantly to be trying to chase pain with a short acting.
You will be much more comfortable and feel less "drugged" and function so much better on a good long acting pain medicine. There are several to choose from. You may tell your pain management doc that you dont feel like Percocet is helping and you wonder if using a long acting drug (or you can say you want to ask if something that lasts longer) may be of benefit. I wouldnt mention any actual drug names because asking for a particular drug seems to raise red flags now days so let him pick the actual drug. It will "feel" different than the Percocet because a long acting drug doesnt flood the brains receptors so you wont feel that feeling when the drug takes effect-that 'rush" or woozy druggy feeling-you just feel pain relief. It may take a few days to build up a good steady blood level so be sure to give it 5-7 days at least before you decide it doesnt work or that you need a bit higher dose (some docs will start a little low because sometimes with a long acting drug, you find you need less medication in a 24 hour period than you do with short acting). Hope this helps you! I find it surprising with your history that they still have you taking a short acting drug and that it has worked this long for you!
Butrans has been the best med swap I have ever made. Been on 10mcg/hr for a week now... was on perc 10/325 every 4 hrs... now I only take it for breakthrough pain... havent had to yet... but I have frequent kidney stones and migraines, in addition to, chronic shoulder pain. You can give it a try... but just because it works for me doesnt mean it will for you. It took about 6-8 hrs to notice but now keeps a constant med level in me w/o the ups and downs of instant release oral medications.
- Percocet Information for Consumers
- Percocet Information for Healthcare Professionals (includes dosage details)
- Side Effects of Percocet (detailed)
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