Norco Now. Doc requirements me on MS Contin or OxyContin or Methadone, or Opana. I am not sure if this is a apt concept?

My pain doctor wants to put me on any one of ALL of the above. I am on Norco 10/325 as of now for a over a year immediately. I like the Norco because I don't lay around all day and sleep. I certainly feel good and the doctor wants me to carry on those stronger drugs where I would have to worry give or take a few my breathing and I am not for sure if I want to take that route. What do you think is best if I did have to jump to the next level?
Answers:
I use Norco and Avinza for pain. My rx is 3 Norco 3-4 times a day as needed for breakthru discomfort. 12 is my daily limit because of the tylenol.

Norco, Vicodin, etc are short acting drugs so you get peak and valleys in regards to the twinge relief. When you use a long acting medication like Avinza, Kadian, Oxycontin you have a steady rank in your bloodstream and your pain is better controlled.
I was given Avinza after using Norco for a year. I be taking 12 tabs faithfully to try and cover the pain. Now I occasionally need it because the Avinza does such a great job.

The body adapts like a shot so any side effects like drowsiness go away in a few days.
If you're singular taking 4 Norco a day, you'll be put on a very small dose of whatever opioid/opiate the doctor requests to use. Depression in breathing is not something I'd worry about.

Simple distinction between dependence and addiction. Addiction is a set of psychological behaviors that focus on obtain a drug for non-pain purposes focusing on analgesia here). So if you have ever called in a script to a pharmacy posing as organization staff, if you have ever bought the drug on the street, if you have ever taken the drug for purposes other than for affliction (to get numb, to "relax" when you aren't in pain, etc.) next you are engaging in addictive behaviors. If you are taking the pain medication EVERYTIME because you are contained by pain or you are attempting to keep your blood levels up to hang on to pain down to a minimum BUT if you suddenly stopped the med you suffer through opiate withdrawal, aka "jonesing", then you are dependent on the medication. You are NOT an user. There are blood pressure meds, e.g., clonidine, that you become dependent on and can have nasty rebound hypertension if you suddenly stopped. Are you next a clonidine addict?
You need assist. I cant even believe that you have asked this question Im sorry Im so Blunt. I am an alcoholic I understand stomach-ache in a different way. You obviously said something that made your doc rework his decision regarding your pain meds.My mother is a nurse. you want authentic answers? adamyenshaw.(a)yahoo.com Source(s): Nursing degree from my MOM
First of all what is your medical problem?
MS Contin contains Morphine
OxyContin contains Oxycodone hydrochloride
Methadone

Question to ask here is why is he increasing strength of medication. It looks approaching that your have developed tolerance (high dose needed to achieve same effect) or your pain is chronic.

Morphine is the best choice. However you should stick next to Norco.
Morphine has lots of sides effects.
Others are more dangerous than Morphine!
Hi!
I have been on Oxycontin for years immediately with the only side effect being constipation! I started my distress journey with vicodin then be moved up to percocet and then after being on that for 4 years was moved up to Oxycontin 10s, next 20s then 40s and now FINALLY 60s with percocet 7.5/325 for breakthru agony and my pain is controlled GREAT! The reason your doc probably wants to move you up is a little reasons....one being that vics(Norco) contains acetomenophen yours having 325 mgs and that really bleak for your liver, two is because vics(also called norco, lorcet,hydrocodone,anexsia) is because they are a short term pain reliever and the oxy, MS contin, methadone and opana are LONG acting discomfort relievers that give you a steady even dose of straight narcotic pain relievers with NO acetomenophen! I own tried methadone one month while I was in between insurance...OXY is VERY expensive if you do not have insurance even the generic is ridiculous so my doc give me methadone 10mgs 150 of them and the methadone works GREAT too! Im not a big fan of morphine, gives me a really bad stomach sting and feel it doesnt work as well as the oxy or methadone!
As far as the trouble breathing.....they tell you that you could own respitory depression with ANY narcotic pain reliever and that comes if you take TOO MUCH! As long as you rob it a prescibed, you should be just fine!
You will get ALL kinds of UNEDUCATED answers to your give somebody the third degree and people will tell you how your going to get addicted....BIG DIFFERENCE BETWEEN ADDICTED and DEPENDANCE.....yes your body will acquire dependant on the drug just like a diabetic gets dependant on insulin but that does NOT get you an addict!
I own a chronic pain support group, am a member of The National foundation for the treatment of twinge and a member of The Pain Society of America. Ive written and have been published articles roughly speaking chronic pain and narcotic pain relievers, their pros and cons and have done 9 years of research! If you want, email me privately and we can yak more!
I hope this has helped you...even a little bit! Good Luck and hope to hear from you soon!
Micki
P.S. I own fibromyalgia, Reflex Sympathetic Dystrophy, two herniated discs and Degenerative disc and joint disease and I just turned 41! Ive been dealing beside chronic pain since October 16th, 2000 and I used to be an R.N. Source(s): Myself, years of research, my doctors and my pharmacist
No Methadone. Let me say that first. Methadone can be good for torment control (especially neuropathic pain) but it has higher risks of death than any opiate (even heroin). So that would be a ultimate option.

The pain management doc is correct and at one time or another you will become tollorent. MS Contin and OxyContin are great drugs for agony and are usually not as sedating as Hydrocodone (but everyone is different). And I would hope you would not be precribed a dose that could easily cause repritory distress. A starting dose of either MS or Oxy is going on for 30-40mg for equivalent pain control. So a dose arround there is fine. 80mg of OxyContin would be over kill.

So if the doctor will not tolerate you use the Norco (and I take the exact dose you take, I know it works well) then I would pick MS Contin or OxyContin and at lowest try it. But break through pain meds are also good in insertion.

I have also taken MS Contin and OxyContin. What I did when my pain was the most extreme be to take MS and Norco or Oxy-IR (Oxycodone instant release). That way I was using a long acting drug (The MS) and I have the option of fast acting drugs (Norco or Oxy-IR) for break through pain or the days when you in recent times want to scream because you are in so much pain. But to be precise just me.

I will say it does sound terrifically odd.

Best of luck

If you have other question get the impression free to contact me. I have different pain but I know how difficult it can be. Source(s): I am a medical student with a specialist amount (Hons. BSc) in Pharmacology with a focus on psychopharmacology. I have interned beneath two psychiatrists and one neurologist. In addition I have worked as a pharmacy assistant.

And take Norco 10/325 four times on a daily basis for chronic pain.

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