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  • which med??

    If, big IF, I decide to go on a time release/long acting med, where should I start, what should I try, what dose?

    At my first pain clinic appt last month, the dr brought up some to choose from, but we decided to try Lortab 7.5 til my next appt April 20 and see what happens, if this flare continues...and it has, and if history repeats itself, this flare could be 5-6 months long. Anyway, the dr pretty much told me I could pick the med I want, after doing some research if I needed to.

    So I'm asking those of you with experience, what med/dose is good to try first? I don't really want to do the Fentanyl patch...I've read the warnings about it and spend a lot of time swimming at the beach, and regardless what they say about it sticking, I've had experience with other patches, and improved or not, I've had problems with them sticking when I spend a lot of time in the waterr.

    Any suggestions on where to start? I'm currently taking Lortab 7.5, it's working ok, but before the 8 hrs is up I'm hurting again. And I'm concerned about the amount of acetominophen I'm ingesting on a long term basis.

    TIA for any suggestions!

  • #2
    Well I am not totally sure which one is "best" to try first because we are all so different. But my doctor tried me on Oxycontin first because I was already taking percocet, which is the same med as oxycontin, just not in time release formula. After that I ended up trying just about all of the other meds too and oxycontin still worked the best for me!
    I am wondering why you are taking the lortab every 8 hours though? Before you try a long acting med, you might want to try taking the lortab sooner than 8 hours. I took the norco version and was able to take it every 4-6 hours. There is no way I would have been able to take the lortab every 8 hours!
    I am happy your doc is at least willing to work with you! That is great.
    Sarah
    Current meds; , effexor 37.5 mg 2 times a day, and lyrica 100 mg 3 times a day, lots of reading and snuggling with the pets!

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    • #3
      Please talk with your doctor before you change your dosage schedule on any medication.

      Donna
      Stay safe


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      I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
      [3MG]

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      • #4
        Yes, I didnt mean to tell you to take more than the bottle said! I was just saying that before you try a long acting med, you might want to ask the doc if you can take the vicodin more than 3 times a day.
        You could call your doctor or pharmacist and ask them, they might be able to help you now to get more relief.
        Love Sarah
        Current meds; , effexor 37.5 mg 2 times a day, and lyrica 100 mg 3 times a day, lots of reading and snuggling with the pets!

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        • #5
          As for a long-acting med, we can't really give you an answer to which one is "best," because everyone is different, and this is a decision you must make individually with your own health care provider.

          For example, Sarah takes OxyContin and finds it works well for her; I tried it and it worked for about two hours and quit, and I was in pain again. I have tried MS-Contin as well, but am now on methadone, with Percocet for breakthrough pain, and find that combination works the best for me.

          It may be trial and error for a while, but don't give up. Hopefully your clinic is willing to work with you to find the best treatment plan for your individual needs.

          As for Lortab (a.k.a. Vicoden), it can be taken every 4-6 hours, but please speak to your prescribing physician before you change how you take the medication.
          ****
          Jen

          *Diagnosed with severe IC in 2004
          *Also diagnosed with PFD, fibromyalgia, chronic myofascial pain, IBS, migraines, allergies/asthma, dermatographism
          *Kept trying a million different treatments for all these things until I found what works, and I am doing okay these days with the help of a cocktail of medications and the InterStim, which was first placed in 2007. [I have had 2 revisions - one in 2010 when my battery died and had to be replaced, and one complete replacement (lead and generator) in 2012 after a fall on my stairs caused my lead to move.]
          *Current meds include Atarax (50mg at night), Lyrica (150mg twice a day), Xanax (0.5mg at night and as needed), Zanaflex (4mg at night), hydrocodone (10/325, every 6 hours as needed), Advair, Nasonex, Singulair (10mg at night), oral contraceptives, home instills containing Elmiron and Marcaine (as often as I need to do them).

          **I am not a medical authority nor do I offer definitive medical advice. I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.

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