I have no experience with this drug. I know it is long acting hydromorphone and the side effects and all, and I have worked with the short acting form, but what I would like is to hear from any of you who tried it, or who take it now and how well did it work for you? My Dr just switched me from MS Contin to Exalgo because the morphine just pretty much stopped working. I seem to get a bad pain flare every Fall and every Spring/Summer and I hit a bad one when the weather started cooling off. thanks.
Dear DzooBaby:) I have no experience with Exalgo at all, barely heard of it...
But my personal perils of chronic pain makes me hurt for you..I hope you
get some good first hand advice from others soon..Nights are always the
worst (for me) and last sooo long. Sleeping deep feels so Good. That is
what I wish for you- A respite from your Pain.~~dd``
I didn't like it personally. I have a great pain doc though. He listens AND BELIEVES me when I give him feedback. I'm not sure if my blood levels reached the effective ranges to get the desired effect from Exalgo or not, as I was only on it for about 10 days. I switched back to MS Contin and he ended up adding another dose (in the end) because what prompted the switch was my initial complaint that the MS Contin wasn't lasting all day and night. Besides, the posters for Exalgo, showing some random woman pulling her grimesed face mask off her head is just creepy, lol!
I was thinking of switching to exalgo instead of taking 8 8mg of dilaudid a day like I do now but I found out that it is not like Palladone the other long acting form of dilaudid that was pulled out of U.S markets because some people overdosed after drinking alcohol even though it clearly states with that & almost all narcotic pain meds not to drink on them & it's still available in Canada because it seems they are smart enough to use it and not kill themselves. But exalgo is made like the new OxyContin's and has the same problems they so like not breaking down like there supposed to and passing right though the body. I'd just take more of the regular dilaudid like I do.
I was on exalgo for a couple of weeks. I was on the lowest dose, 8mg... slow release. It was awesome! No pain and no tiredness/feeling high from the drug. It started not lasting all day and my dr didn't want to increase the dose... but I would try it to see if it works for you.
Hi Dzoobaby yes headache is a side effect but also for ms contin ect..i myself get one with no matter what pain med i take,I did dispence lots of this and it was very effective when i was still working but many told me it took a day or two to kick in... if it were me i would give it a try the side effects are about the same as ms contin etc the doc can increase every 3 to 4 days if needed or until the side effects if they do happen are not worth it but i dont remember anyone stopping because of side effects soory wish i could be more help friend.
Chuck Wise retired cpht phcy tech have a good day hope you get relief i know im having heck of a time sence the cold came in... cw
Exalgo was the first drug I have taken, after trying everything else, and I do mean everything ! that has given me true constant manageable control over my chronic pain. In the beginning my pain Dr. and I worked very closely to regulate my dosage but my patience paid off. I am on 32 mg. once a day with the option to take 4 mg. of immediate release up to twice a day for breakthrough pain. Truthfully, I rarely have to do that anymore.
I know that everyone is different and I can only share my experience. Based on that though, I would really encourage you to give it a try and keep an open line of communication with your pain doctor.
I have been on Exalgo for 2 years now and it has really helped me a lot. I take 60 mg. first thing in the morning, that's 5-12 mg. They are small and I think they break down more quickly than the huge 32's that I used to be on. I can take up to 3, 4 mg. IR Dilaudid a day for breakthrough pain but really only take one in the morning to get myself out of bed. I personally am pleased with the switch to the smaller 12 mg. Exalgo even though I have to take 5 of them.
I wish you all the best. Hang in there!
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