... until March of last year. I was so blessed, that all I had to take was naproxen or Ultram for stiffness, until... First of all, remission is possible!!! The Enbrel didn't work & I am allergic to Humira. However, my Rheummie, was excited when Orencia became available in injection form. Yesterday was my first shot, other than minimal itching & feeling weak as water for about 6 hours post-Injection, I am so excited that maybe this is the one biologic for me. That, with the MTX injection every other week, I am hoping will be my magic combo... praying would be more like it as RA tx is so highly individualized. Now I am dealing with the pain. Naturally, the naproxen & Ultram are no longer effective. I have been on Exalgo with Norco for breakthrough. About a month ago, my dr switched me from Exalgo & prescribed a new med Nucynta, with oxycodone for breakthrough pain. Why did it not work??? It is classified as CII, which is beyond me. I need some input. The Norco no longer woks, unless I take 3 - I don't need all of that acetaminophen. I was researching transdermal systems, but the only one that I could fine close to being comparable to the Exalgo is Duragesic. Is there something available, not Butrans (it has antagonistic properties) other than Duragesic? I am not quite ready for something quite that strong. My husband is incredible & just wants me to be pain-free & productive. Any suggestions or recommendations would be so greatly appreciated
I would suggest you ask the primary all these questions, or maybe find a new doc? The one thing I always caution against is getting suggestions from a site like ours then making those suggestions to your Dr, because many pain docs raise the red flag when pain patients start asking for specific meds. Channel this all through the doc for the best results. Hope this helps, and glad you have the support of your spouse!
The only other transdermal system I know of is Morphine which is weaker than the Duragesic. My Dr tried me on Nucyenta one month & it made my heart palpitate terribly. Also made my blood pressure very high. As far as pill form you may discuss Opana. It had worked better for me than anything. I know people talk like its so strong but since they reformulated it it's not near as strong. Possibly 2 of the ER tablets & 1 or 2 of the IRS. Just a thought. These also don't have any Tylenol in them.
Whoa ... lots of information. May I suggest, if you have not done already, to document your history (word, excel, notepad, etc). While I don't do that because I don't have the same condition as you, I do track my doctors', labs', and xray reports (yes, do ask for copies of your mris, cts, and xrays).
I would further suggest that you try to draw a decision tree based on your review of your various drug regimens. Hopefully, that should give you a visual presentation of what you should expect if you follow a certain path. This tree could get very complicated because you might want to add the various costs (money, mental, internal) for each path.
Best of luck ... at least you had 21 good years!!! I've had Reiter's Syndrome since I was at most six years old. Mom told me it was "growing pains" but little bro got quick attention when his back hurt him (he had to avoid sports for 18 months until his spine completed its growth).
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