Re: Pain Meds

[Guest guest]

What you are taking is a small dose actually and the fact that you are taking so

many should tell the doctor that you need to be on something that is continuous

release. I'd be very concerned about taking so much " tylenol " (the 325) portion

of these pills for so many years. It's known to cause liver damage. Have you

had liver tests to make sure your liver is functioning normally? If not, your

doctor isn't really looking after your best interests. Is this a pain

management doctor?

I think you would be grateful for some relief but you need a doctor that listens

and is willing to adjust and try till you find the correct medication at the

correct dose.

Of course this is my opinion, but I do understand where you are at and think

your main concern would be to reduce the pain. Pain will cause damage to your

body, it's not a normal state to be in.

Jennette

jc041072 wrote:

My body seems to adjust to new pain meds very rapidly. I was recently moved up

from Vicodin which I was on for 7 years. My last dosage was for 10/325 norco 6x

daily. My doctor then moved me to Percocet 10/325 6x daily. they worked great

for 6-8 weeks now it seems I could literally double that dose to stay merely

comfortable. I know I can't tell him this new medication don't help as well as

it did just weeks ago when I bragged how much better I felt.

[Guest guest]

I had this same problem. What worked for me was switching to Extended release

oxycodone (percocet) instead of the instant release. Your taking 60 mlg. daily

but that is A LOT of  Tylenol in there too. With the extended release, it

doesn't have Tylenol in it and it works A LOT better without all the ups and

downs of pain like the instant release. I take 30 mg ER twice a day with 15 mg.

IR  breakthrough up to twice a day

Good luck,

Caitlin

MY body seems to adjust to new pain meds very rapidly. I was recently moved up

from vicodin which I was on for 7 years. My last dosage was for 10/325 norco 6x

daily. My Dr. then moved me to percocet 10/325 6x daily. they worked great for

6-8 weeks now it seems I could literally double that dose to stay merely

comfortable. I know I can't tell him this new medication don't help as well as

it did just weeks ago when I bragged how much better I felt.

[Guest guest]

Caitlin Kennedy wrote:

> I had this same problem. What worked for me was switching to Extended release

oxycodone (percocet) instead of the instant release. You're taking 60 mg. daily

but that is A LOT of Tylenol in there too. With the extended release, it

doesn't have Tylenol in it and it works A LOT better without all the ups and

downs of pain like the instant release. I take 30 mg ER twice a day with 15 mg.

IR breakthrough up to twice a day

Caitlin

The same has happened with me so, your doctor is used to this and titering a

medication doesn't happen instantly, tell him or keep a medication pain diary so

he can see when the peaks and valleys are. Bennie

[Guest guest]

All:

The maxium dosage of Tylenol in a twenty four hour period is 4000 mg which ten

tablets with 325mg is 3250. I would ask my primary care for lab work up.

The pain management doctors usually do not do labs and they do not usually

prescribe more than that.

One of the main reasons they put Tylenol in these narcotic is so that addicts

cannot melt them down and shoot them up but do a " cold extraction " and it takes

many pills to do this. Oxycontin does not have the Tylenol so it is a DEA (Drug

Enforcement Agency) high priority of watching.

This can be researched if you like and my prior pain psychiatrist has done so

much research in this for years. He would have the research articles and

anything he told me, he would have a medical journal or research site to let me

read and also gave the hand out to my husband.

If a patient tells their doctor that the pain is really not all the time or is

okay the way it is, the doctor depends on what they say, thus the pain dairy for

the patient is used to decide also.

There is a three tier pain ladder model that pain management doctors use and

both Norco and Oxycodone (Percocet) are in the Stage two which is protocol for

administrating medication and then you move up the ladder step when those

medication in that tier do not work. They are listed here or in other internet

searches.

http://en.wikipedia.org/wiki/Pain_ladder

Jeannette is right pain effects the whole body and and you might want to check

your blood pressure also to let your doctor know. Good Luck and please let him

know and let us know how it went.

Good Luck

Bennie

[Guest guest]

--- bennie@... wrote:

>

> The maxium dosage of Tylenol in a twenty four hour period is 4000 mg which ten

tablets with 325mg is 3250.

Everyone should note that one day of that dose could prove fatal.

However, if you're taking it every single day, you should plan on taking

signficantly less because constant exposure could make you more susceptible to

damage even at lower levels. My own pain doctor said he would never personally

take more than 2100 mg a day if he had to take it every day.

And even then, you need to have your liver function checked regularly.

The risk is NOT the opiates! It's the damn Tylenol.

There are options. Long-acting opiates do NOT include the dangerous tylenol and

are much more appropriate for treating chronic pain than short-acting version.

Even some short-acting formulations have less of the dangerous stuff. For

example, if you're taking Vicodin (hydrocodone + Tylenol) as a breakthrough,

insist that your doctor switch you to the brand name Norco instead. It's the

exact same amount of the exact same opiate as Vicodin, just with half the

Tylenol.

Cheryl in AZ

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