Anticipating going off Nucynta

Hello all. A little over two months ago my new PM Dr changed me from MS Contin with oxycodone for BT to Nucynta ER and IR. The first week of month 1 was eaten up getting ins approval and having pharmacy order meds, the next week and a half were full blown withdrawl from the MS Contin/Oxy and Lexapro which I had to quit taking all at once. The remainder of the month I had the stomach flu.

Fun times, but I got thru it. When I saw the NP last month she gave me the choice to stay with the Nucynta or to say nope it's not a good match. Because I had pretty much been sick the entire time I wanted to give it a fair shot and chose to give it another month.

I see the NP Friday morning and fully intend to tell her Nucynta is NOT for me. I have nerve pain and it does OK for that ( or maybe that's the zonegran) but it does absolutely nothing for the myofascial and other muscular/joint pain, nothing, nada, NOT A THING. I had hoped my metabolic testing would have come bacl by now but at least my copy hasn't. Maybe they will have it.

Anybody have any idea if the conversion back to a more conventional opoid from Nucynta is easier? Or should I just order a truck load of immmodioum right now?

From what has been reported here by other members Nucynta works better with another narcotic, not alone & you have to get the correct dosage. You may want to go to Drugs.com to see if they have a conversion chart, or better yet just ask your pharmacist.

Was there a reason the new PM dr took you off your other meds? Good luck.

I think they chose Nucynta to start with largely because I do have nerve pain which has been hard to treat as so amny of the meds for it have had horrid side effects for me. I lucked out on the Zonegran, it works and I don't seem to have much in the way of side effects. When I went there I had been on the same dose of MsContin/Oxy for about 6 years 15mg ms cont. bid, and 5mg oxy for bt, and after that long had developed some tolerance and at the same time exceeded my PCP's comfort zone for prescribing.

I fully plan to resume the Lexapro unless directly told not to. It's for anxiety and again is one of the few I can Tolerate. I will give it a few days to be sure the Nucynta is fully out of my system.

I think the Nucynta would have been better paired with something, anything else for BT. It's slow to take effect, and I'm not so sure a baby asprin wouldn't have more effect! I don't think I'd want a bigger dose though. Uggh.

I'll see what happens tomorrow!