... back pain and they want me to come off Loratabs, which is the only thing I've been on for years and it works for me. I don't abuse my meds.. But I've been to pain management yesterday never been to one and I don't know why?? I'm going to have to go through all this crap! :(
Nucynta extended release is good for chronic pain, its better to prevent the pain then to let it happen and try to treat it like is done with short acting meds. Also you're getting allot of tylenol being on lortabs which isn't good for your liver. Immediate release meds are not appropriate for chronic pain management.
Lortabs should NOT be used long term for pain. It is much better to go to a long acting drug. When you have chronic pain you hurt all the time so you need a long acting drug to stay ahead of the pain. You take the long acting drug twice a day usually, sometimes 3 times a day, on the clock, not as needed for pain. Short acting meds like Lortab, which is hydrocodone (an opioid) and acetaminophen (Tylenol) flood the opioid receptors in the brain with drug, often causing a euphoric rush and so a chronic pain patient begins to equate this "rush" with pain relief. Long acting drugs send a steady consistent amount of drug into your system which actually does control pain and you get less of that rush of chemical. It stays ahead of the pain instead of chasing it. You'll get hours of relief rather than maybe an hour or two and constantly watching the clock to see when your next dose is due.
Sometimes they will give you a small dose of something short acting for "breakthrough" pain or pain that breaks through the control maintained by your long acting drug. The majority of your pain control should come from the long acting drug. I, personally, have not tried Nucynta myself but I have tried just about every other long acting drug there is. I found Oxycontin CR, MSContin and Opana ER to be the best of the bunch. I take Opana ER twice a day right now. Try the Nucynta. You may be surprised at how well it does. Dont expect it to "feel" the same as Lortab. Go by pain relief and not the "feel" of the drug. Most PCP's are not trained to treat chronic pain so they try to treat it like they would acute pain, with short acting drugs and it just doesnt work well and sets you up for addiction. Pain management Drs know that long acting meds are best for treating chronic persistent pain. If you find the Nucynta doesnt work well, there are other long acting drugs to try. Be open minded and TALK to your Dr and the two of you can find a good solution to your pain. Be patient (and this one is the hardest when you hurt) because this is often an exercise in trial and error to find the right drug. They have just approved a long acting hydrocodone so perhaps it may be an option for you since hydrocodone seems to work well for you. Try the Nucynta first. It is a good drug for some people and for others it doesnt work well and the only way to find out is to try it. Give it at least a couple weeks before you decide it doesnt work. Your body is going to miss the Lortab for the first several days so you have to get past the withdrawal from the hydrocodone first so expect the first few days to be rough. Here are the patient reviews for Nucynta:
I am 48 years old and I have degenerative disk disease and brachial nerve damage down both arms and legs. I have been on nucynta for 4 years I take ER for extend release and 75 s for break through pain while it does not rid me of all of my pain but this and a drug called sabella help keep the spasming at a minimum and my pain level at a 5 or 6
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