... I need a step by step schedule on how to wean off without having withdrawal problems. Thanks
Dear Laura, welcome to the site. Nucynta is a fairly new med. I have read a bit here and there about it. You really are on a pretty high dose of it, normally tapers are done more slowly for maximum comfort. I just looked it up again and it seems it not only is considered an opiate or opoid, but like tramadol or ultram, it has ssnri qualities too. Basically a real dr should be helping you taper off of this, as tramadol and ultram both, can cause seizures if it is stopped suddenly, and also some depression can set in. Not trying to scare you, just stressing this med is different that other plain opiates, and the could not only be the risk of seizure, but the depression and therefore a real dr should be guiding you on this, not only for your comfort and safety, but because you may need some other meds to help you come off it. If the dr ordering the tests, has not offered a taper plan, please call them back and consult your regular dr as well. Good luck on the taper and the tests. Please keep us updated. We do care around here, can't always answer some questions, some need drs to answer them, this is one of them. Patti
I agree that it's always best to be under the care of a doctor when it comes to withdrawing from pain meds. That being said, I'll tell you what's worked for me in the past. Loperamide (immodium AD) has been a life saver. (and a time saver... I'm too busy to deal with being glued to my bed and toilet for 3 or more days) In the past, I've gotten the generic, because being opiate tolerant means more loperamide (immodium) is needed to give the same effects as "real" opiate pain meds when it comes to the intestinal aspects. (Do some research on loperamide and you'll find that it's an opiate that doesn't cross the blood brain barrier so... ) So the generic loperamide is less expensive. Just to give you my personal dosaging guidelines (**Which I'm not recommending for anyone else, because this has come from my own experience and everyone is different) I was withdrawing from 30 MG Oxymorphone twice daily. I did my research and found information that said I would need to take about 50-70 mg of loperamide for my drug use level! Loperamide comes in 2mg tablets, so I was not cool with taking 25 loperamide at once. I tried taking 10 tablets. (20mg), and it helped... some. To control the diarrhea, I ended up actually taking 40mg of loperamide. Not the gel caps, but the regular tablets. So that took care of that. :) I'm on a prescription for a benzodiazepine, so that helped with the sleeping/anxiety. As for the general lack of good mood and motivation, I just took the best vitamins and revved up my B12 like crazy. I also regularly took Advil. (It's just what works best for me). I tried to keep a healthy diet and an early bedtime, and to lower my expectations for what I would get done in one day for the first week. These things are what helped me. It was still a bad experience. The doctor could help you be MUCH more comfortable. Good luck! PS - With the loperamide, taking excessive doses for a long period of time can cause withdrawal symptoms, so I didn't just STOP taking them. I started out with 10, went up to 20, then 19, then 18, 17, 16, ... You get the picture.
- Nucynta Information for Consumers
- Nucynta Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nucynta (detailed)
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