(Sort if separate question)
I broke my pelvis in 2001 & most doctors have prescribed percocet or Lorcet. Neither is ideal, given their short window of relief. Once I was given prescription for morphine 100mg extended release (it was a long time ago and I was on vacation, can't recall if it was ER or travel doctor & I was also suffering a migraine), but this was the most effective relief I have ever had. I was able to walk and function without distraction or nausea from level 8-9 pain within short time.
I was afraid to take it at first, seems so strong, but it worked so well and I got so much work done for those few days.
Is morphine 100 cr ridiculously overmedicated? I truly did not feel "high" or loopy or "doped-up". Usually with percocet and other short-acting pain relievers, my pain is so distracting, they are almost useless.
Do they make a controlled release percocet or lorcet? Has anyone had successful pain relief from severe sciatica?
I was afraid to ask my doctor due to agreement I signed and fear of having to live with no relief for asking for something stronger. Now I just moved and know it will be difficult to find good pain management doctor (especially with no insurance). I am also limited in jobs I can take due to not being able to stand or sit for extended periods of time. Feeling hopeless.
Is it possible I had built tolerance (vicoden) & it may work again? I suffer from sever sciatica?
- 11 Oct 2013 by k2001
- 11 October 2013
- lorcet 10/650, percocet, vicodin, pain, sciatica, chronic pain, doctor, prescription, tolerance
(Sort if separate question)
Morphine ER 100mg is a moderate to high dose but it is not so high as to be unthinkable. It is a pretty high jump from taking Percocet though. No there is no long acting hydrocodone in the US right now (hydrocodone is the active opioid ingredient in Lortabs, Lorcet, Vicodin and Norco along with acetaminophen) Percocet is oxycodone and the long acting form of Oxycodone is Oxycontin. I would say for you to tell your Dr that you have been prescribed Morphine ER 100mg in the past and that it worked well for you. You dont want to ask for drugs by name because that raises red flags but telling them what has worked in the past is permissible. Just let them know that this medication worked so well that you were able to do your work and that you were active and it made your qualityof life much better and leave it at that. Let him (or her) decide if they want to go this route. You may have to mention it a few times before they try it but mention, dont harp on about it. I take Morphine ER and it allows me to work. It is hard for me to sit and stand long periods too but I am able to work at my job from home with the computer and phone. At home, I am able to change positions and move around as needed. I am lucky because in my line of work, a job like this is rare. It takes time and patience and a lot of trial and error to find what works the best for you. Really, if you have chronic pain and you take pain medicine every day, a long acting drug is a much better option than a short acting drug. Unfortunately those few who choose to render the time release properties useless by crushing their pills has made Drs and the public wary of long acting drugs because by crushing and snorting, abusers can get a very large dose of drug in their systems and this has lead to death and public outcry (mainly by people who have no medical training and no idea how these drugs work) The drugs work quite well when taken whole keeping the time releasing mechanism intact. They keep a steady drug level, reduces peaks and troughs (Ups and downs as a drug is taken then wears off) and gives steady pain control. They dont flood the receptors with drug like short acting formulas do. Short acting drugs make people equate this rush of drug across the receptors as pain relief. You dont feel this with the long acting formulas UNLESS you alter the tablet by crushing or what have you. Anyway, I think the morphine would work well but I'm not sure that jumping from percocet or Lorcet to 100mg of morphine is good. You will likely have to work your way up to that dose.
Unfortunately, once you have a tolerance to narcotic medication, that will never decrease... no matter how long you have been opiate free. Once you start back on narcotic medication... your brain picks right back where you left off. That is the power of our natural super computer and its retention of the things that make us feel good. I do not know of extended release hydrocodone (lorcet active opiate) but Oxycontin (oxycodone percocet active opioid) is the extended release. I have had the best results from Butrans patches. They range in dosage from 5 micrograms per hour to 20 mcg/hr. I use 10mcg/hr patch and I went from taking Percocet 10/325 every 4 hrs to having to take no by mouth pain meds. I still have by mouth instant release to have due to frequent kidney stones and migraines... but have had ZERO cravings to need to take them once the transdermal patch had been on sufficient time to level me out. Good luck finding the regimine that is suited for you but I do think a talk w your doctor and a trial might work. Butrans also has a current program to get a month supply for free and a copay savings card for additional refills.
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