a group with few questions and answers (unpopular?) If any one out there can enlighten me regarding any personal knowledge in using the Exalgo Xr I would greatly appreciate it. I took Hydrocodone and onto Hydromorphone 8mg, being not greatly affective I was given Exalgo XR 32 mg 1 week ago and I just dont seem to be getting anymore relief than the Hydrocodone which I had taken for years. Anyway my question is will this medication become more effective after longer use? And if anyone else would be willing to share their experiences with Exalgo, I would greatly appreciate it. Thanks in advance.
Exalgo is hydromorphone (Dilaudid) in extended release formula. It is much stronger than hydrocodone. If it is not working after a week, I suspect you have built a tolerance to opioid pain medications and need to let your doctor know that it is not giving you relief. He may be able to adjust the dosage or the frequency.
It does take a while for extended release medications to build up a consistent blood level. This can take a few weeks. I'm not sure that your doc will go to twice a day dosing as this medication is meant to last 18-24 hours but I would still let him know that it is not adequately relieving your pain. You may also need rescue dosing for breakthrough pain. It is pretty much a fact of life that long acting meds may not always cover the pain. Do you notice that relief wears thin a few hours before the next dose or are you just not getting satisfactory relief at all anywhere in the dose? If relief wears thin, or you just have increased pain after certain activities, it can be helpful to add a dose of rescue, short acting medication to get you over the hump to keep you more comfortable until the next dose is due. If you are not getting any satisfactory relief, it may be that hydromorphone is just not the drug for you. You say you cant take oxy drugs or straight up morphine.
Have you tried fentanyl patches, or methadone? These are some other long acting choices that do quite well for many people.
I have been on Exalgo 32mg and 8mg plus hydromorphone 4mg for a couple of months, the Exalgo took about a week to work properly, the biggest draw back I have is that it makes me pretty sleepy and hard to stay focused. I spoke to my Dr yesterday and we have agreed to switch back to Hydromorphone and oxycontin, this combo has worked best me for the last year, The Exalgo did work at controlling pain pretty well, I wish you the best of luck.
- Xanax XR Drug Information
- Hydrocodone Drug Information
- Hydromorphone Drug Information
- Exalgo Drug Information
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