i recently underwent a bilateral TKR what is the most effective pain reliever I can take currently taking Xarelto, Cymbalta and Flowmax. in addition I am suffering from an aggravated L4/L5. I was also taking Cebrex 200 mg
Either med can be taken to reduce the pain and Hydrocodone (Norco) is usually adequate for most patients that have undergone TKR. Oxicodone is much stronger than Hydrocodone and depending on where you live can be very difficult for some physicians to prescribe. Both are habit forming if taken for long periods of time.
Both meds can be equally effective depending on the dose prescribed. Because you have low back issues and because so many people have abused these drugs laws have changed and you might want to see a pain control specialist if you are going to be on them for a long period of time.
Both are effective for pain. It just depends on what works best for you. Oxycodone is a schedule II controlled substance so it is considered the stronger medicine with more abuse potential either alone or in combination with acetaminophen. Hydrocodone and acetaminophen was a Schedule III drug for many years since it was introduced to the market. I believe it was recently bumped up to a schedule II as well because it is also widely abused. It is really a matter of personal preference. I know people who swear oxycodone works better (and being available as a single entity without acetaminophen is a plus since too much acetaminophen is bad for the liver). I also know of people who swear that hydrocodone products work much better. So really it is a matter of what works better for you. If you never take opioid pain meds then hydrocodone may be sufficient. If it doesnt do the trick, you can always move up to oxycodone.
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