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WEANING OFF OLD MEDICATION

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Chronic Pain
WHAT WOULD BE YOUR 1ST MEDICATION TO GET RID OFF?
MST - 25.0% - 1 votes
TRAMADOL - 25.0% - 1 votes
LYRICA - 0.0% - 0 votes
AMILTRIPTALINE - 25.0% - 1 votes
DIAZEPAM - 25.0% - 1 votes
SEVRADOL - 0.0% - 0 votes
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Posted 7/13/2013 2:22 AM (GMT 0)
 

  Hi! to everyone, new member looking for some critical help rolleyes

   Long story cut short, I 've had a fractured spine for the past 25Years.

   Didn't know until 5 Years ago when I woke up in EXTREME PAIN, crawling to the toilet.

   So got fracture T12 + L1, with the rest of my Lumber + Sacral Spine COMPENSATING

   FOR 20 YEARS and it just came to a head 5 years ago. Must mention I'm Ex Army. (15 years ),

   fit as a fidle never being sick. After leaving the forces I went to UNI and qualified nurse in an

   HDU/ITU environment.

   TAKE THE NURSEY OUT OF THE EQUATION---IT'S DIFFERENT WHEN ITS YOU nono

   I have been given Tapentadol SR 50mg to be taken twice daily.

  With NO instructions at what rate I should wean off other drugs i'm a bit confused

  I have asked several Dr's Pain Nurses, but because it's a drug thats JUST NEW to them i

  can't get straight answers. I still work full time 37.5 hrs per week.PAINFULLY!! VIEW IMAGE

   My current medication allows me to work, JUST. I've jumped through every thing they have asked

   of me, (Various Examinations and practical work) and I do fine. Although some people insist I

   shouldn't even be able to walk.

   MORNING:-  MST(Morphine Slow Release) 90mg

                    LYRICA (Pregabalin)  200mg

                    TRAMADOL SR (Maxitram)  100mg

                    OMEPRAZOLE (Lose)  20mg

                    ADCAL D3  1.5g

   Night:-        MST(Morphine Slow Release) 90mg

                    LYRICA (Pregabalin)  200mg

                    TRAMADOL SR (Maxitram)  100mg

                    AMILTRIPTALINE 75MG

                    ADCAL D3  1.5g

   DAILY:-       DIAZEPAM 10mg                   Can take 30-50mg in a day

                    SEVREDOL (Morphine) 10mg    Can take 20-30mg in a day

                    PARACETAMOL 1G                 At times as Prescibed (every 6hrs)                   

   WEELY:-     ALENDRONIC ACID 70mg

   OCCASIONALLY:- BRUFEN 400mg

    NOW THE QUESTION LIES WHAT HAVE I TO REDUCE AND BY HOW MUCH?

                                       WHEN DO I START INTRODUCING TAPENTADOL?

                                       HOW LONG WILL IT TAKE ME TO GET USED TO THE NEW REGIME?

                                       HOW? HOW? HOW?

 I'VE TRIED MY GP, PAIN CONSULTANT (AT TIMES WORK COLLEGE), PAIN CLINIC BUT NO ONE CAN GIVE ME ANY DIRECTION.

 I only posting this RANT to see if anyone else has been in this type of circumstanses.

       NO ONE WILL LISTEN. WE HAVE A HOLIDAY PRE-PLANNED AT THE END OF JULY FOR 2 WEEKS.

       MY WIFE + 15yr old Boy, will go ahead whilst I stay behind and try to wean my self..

       It took 3 MONTHS TO GET TO THIS POINT. I KNOW I WILL NEVER BE PAIN FREE AND MY CONDITION 

       WILL GET WORSE.

                          TA yeah for reading a RANT from an annoyed Painful

                                                            

 

Posted 7/13/2013 2:31 AM (GMT 0)
 

   Thanks for taking prescious time to read. VIEW IMAGEVIEW IMAGE

Posted 7/13/2013 2:45 AM (GMT 0)
Ken,

Welcome to HW Chronic Pain, sorry you have a need to be here. Rants are allowed and encouraged, its helps to get it off your chest, especially talking to fellow pain sufferers. Sorry you have been through so much with your back.

Sorry I can't directly answer your question, its way too technical for me, but there are others here that should chime in and be qualified to give you an answer or suggestion.

Hope you continue with us, and keep us posted with your pain journey.

David
Posted 7/13/2013 2:54 PM (GMT 0)
Welcome to HW Kenart.

Pardon my profound bluntness but what in God's name kind of Drs are you seeing?

Nucynta is a very dangerous drug when mixed with other drugs and alcohol. I mean there is no room for error with this Med. Death occurs.
I urge you Not to start this Med without getting professional help to wean off the morphine especially in all forms and the elavil is also contraindicated. As a matter of fact many of your meds are.

You can use drugdigest.com to see exactly what's what but none of us here are remotely qualified to give you directions on what to do.

You need the help of the professionals who've made such a mess of your meds. They not only have a legal but moral obligation to help you titrate off of your current meds and onto the Nucynta. If they have so little knowledge of the Med and its components they shouldn't be prescribing it to anyone.

Its their responsibility to go to the rep or manufacturer and learn.

Just when you think you've seen it all something like this occurs to one of us and I'm floored all over again.

Im sure when I get past the shock I will be back to offer more advice and support.
Posted 7/13/2013 8:51 PM (GMT 0)
The morphine and tramadol you should be able to come off of them straight away.
Posted 7/13/2013 11:03 PM (GMT 0)
Tramadol cannot be used concurrently with Nucynta.
Posted 7/15/2013 3:15 AM (GMT 0)
Hi and welcome sorry that you need to be here. I have to agree with Vickie, you NEED help from a DOCTOR, we aren't qualified to tell you how to come off these medications.

I would go back to the Doctor that has prescribed the new medication and demand that they get you off the medications that you can not take with the new medication. Remind them if needed that they took an oath TO DO NO HARM period.

Wishing you the test and I hope that your doctor will get you settled prior your taking the first dose of your new medication.

Hugs,
Barbara
Posted 7/15/2013 2:17 PM (GMT 0)
I am taking Nucynta(Tapentadol) also.This is starting my 3rd month on this med.I'm prescribed 150 milligrams every 12 hours.I was not taking as much meds as you but the switch was still tough on me.I've actually just started to feel ok.

I really had my doubts about being able to take this medicine long-term.I go back to my Pain Management Doctor on July 24th.I'm going to use this time to try and form an opinion about my future with this medicine.

I hope you are feeling better and have gotten some answers from your Doctors.Coming off of some of those meds can be a rough experience.I hope that it is not for you.

Have a Blessed Day,
Rick
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