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Butran and Nucynta

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Posted 12/11/2012 11:43 PM (GMT 0)
Good evening you all. Just wanted to let you know tried a new patch, Butrans and now Nucynta. Took 100 MG of nucynta about two hours ago. Pain has come down to 4 now. Anyone else tried this combination of pain management relief? today is the Third week with Butrans
Posted 12/12/2012 7:15 PM (GMT 0)
Hi Steve...

May I ask what dosage the Dr. is using for the Butrans patch? I have to say it's quite unusual for a Dr. to start on the highest possible dosage for the Nucynta as it comes in 50mg, 75mg, and then the 100mg....Especially since you just started another new medication with the Butrans...

I assume it's the same Dr. prescribing both meds?

I will just say that I really appreciate your honesty in your other threads about having issues with Oxy and other addictions.....This is why I just caution that you are making this Dr. aware of all of this so they can really monitor your pain meds and make sure that you are using all the other modalities to recovery from your surgery. There are Drs. out there that specifically work with chronic pain patients who have had past addiction issues.

It's always best (even for those of us without addiction issues) to use the least amount of pain meds we can each day and use other medication like nerve pain meds, muscle relaxer if needed, steroids, or injections like lidocaine, and then things like daily exercise, stretching, physical therapy, massage, TENS unit, acupuncture, ice, heat, etc...

If you are getting to a 4 on the pain scale with only relying on the Butrans and Nucynta then it may increase your tolerance level quickly to where you need to keep upping the dosages...

That is why I'm surprised the Dr. started with the 100mg..

Obviously no one here is a Dr. and I promise you there is absolutely no judgment from me...I am just expressing some thoughts and suggestions to make sure that you can get good pain relief but also stay on track with the opiate usage.

When was the last time you saw the surgeon or had a check up to see how the fusion is going? Did they have you in a PT program following your surgery?

Hope you can share a bit more and keep us posted on how you are doing...
Posted 12/12/2012 7:41 PM (GMT 0)
Addiction vs tolerance and pain meds. I could write a book. Even among CP patients there are misconceptions.

Perfect example. Keith Richards, legendary junkie guitarist of the Rolling Stones fell out of a coconut tree on some island (true story) and suffered a head injury a few years back. The doctor at this little hospital he was brought to obviously did not know about his medicinal tolerances. Tried to give him 5mg of Lortab or something minimal like that. Once Richards explained fully to the doctor what he had been taking regularly over the previous 30 years, the doctor picked his eyeballs up off the floor, and gave him a dosage of morphine effective for him.

The relevant part is "...effective for him", not "effective for mortal men." (BTW Keith is supposedly clean now. He just decided one day that drugs kept getting stronger for no reason, and they bored him. No rehab, just quit. He's not human I tell you.)

Even famous "addiction expert" Dr. Drew says that people who have had addiction problems in the past, even the far past, develop tolerances much quicker, and need higher dosages of meds, as the body processes them differently. Most narcotics, in a long term user, are excreted much faster than in a normal person. Same thing for long term CP patients. The body tries to get the stuff out quicker, so the effects don't last as long. Which is why the switch to patches is becoming more prominent. And higher dosage patches, too.
Posted 12/12/2012 7:46 PM (GMT 0)
Just so my post was clear...I was in no way associating SJ's past addiction with automatically developing a tolerance...

I was saying that starting on the highest dosages of a medication can make a person more tolerant to that med...ANY person....there isn't any room to go up on that dosage as 100mg is the highest for Nucynta (immediate release).....

As I wrote...SJ was very open and honest that it wasn't too long ago that they had a problem with Oxy so I was just suggesting they work closely with their Dr. on making sure that opiates are not the only thing they rely on to help lower their pain...
And most all people who know me on the boards...I mention this to literally every person and using as many modalities as possible....

Every sober person that I have met is this way, (sober), because they are cautious and "aware" about things and know they need to be for the rest of their lives. That is why I also mentioned that they are open with their prescribing Dr. so they can work together on helping his chronic pain as they deserve pain management just like everyone else.

So...just wanted to clarify this in case my post came across the wrong way...


 

Post Edited (Snowbunny21) : 12/12/2012 12:50:27 PM (GMT-7)

Posted 12/13/2012 4:46 PM (GMT 0)
Well thank you for the reply's, I have read over them and I can tell you that this is the same doctor that I have had since 2008. He is wonderful to me and we speak of addiction during very single one of our appointments. He knows I am in AA and he said that it was great that I have been AA since 7-29-09. and he wants me to stay off oxcy and this is what he recommended, Butran 20 mg and 50 mg Nucynta. I did start at 10 mg and the doctor said by law he can only give 10 mg first. Told me to wear two of them and the following week then he bumped my to 20mg. He had me up to 80mg oxcy 3 times a day before my surgery. I have been taking an opiate every day since 9-24-07. Been that way for about 4 months. Then operation June 20 and went to suboxen with shrink until about July 1. Not seeing him anymore. Now my Pain in back has slightly increased in the past two months ago. Doctor feels this would give me more pain relief while not exposing me to high levels of oxcy either. I have taken two 50mg in am and pain is now about a 2-3 very much more tolerable and little bit better mood. Thank you all. With Trust SJ
Posted 12/18/2012 6:25 AM (GMT 0)
I am new to this forum--severe facet degeneration at multiple levels, disc disease particularly L5-S1, SI joint dysfunction, frozen shoulder, Sjogrens and arthritis in both wrists and Left knee..also I have mixed connective tissue disease. I have been taking Ultram 100 mgs a day for 15 years, and I started taking Norco 10 mg 3-4 times a day about three years ago. Nothing seems to be really working anymore (including cortisone injections) as my disease(s) progress, and more joints "go south". Recently my Rheumatologist recommended Nucynta and I am not sure if this will help--I am kind of afraid to take it, actually afraid of being in worse pain than I am now. This last 6 months, I find that I can barely stretch or exercise, and I am becoming isolated because I am too fatigued to leave the house (pain). Any suggestions? Also I was born with Spina Bifida Occulta and am wondering if anyone out there knows if this benign deformity can add to arthritic symptoms later in life? (I'm 57) Also--dang SI joint! this started about 6 months ago--had 3 injections but its still killing me!!!!!!!!!!!!!!!! Anyone? Suggestions?
idea
Posted 12/18/2012 7:07 AM (GMT 0)
Hi gen01, welcome to the forum, sounds like you have a number of very painful problems going on, so sorry they've brought you here, but I think you'll find this to be a great and open place for support and advice. I'm not very familiar with most of the conditions you listed (no more than a couple advanced bio classes in college lol) but I am familiar with the Nucynta, I was on it for 4 months approximately, for my back, and some of the sciatica I was having before having a fusion in September. I found it to be a wonderful medication, it really helped with the pain, where, with percocet and a few others, they left the nerve pain unchecked. The Nucynta was like a Godsend for me, and I would actually like to try it out again (recent dx of CRPS) but my doc is pretty adamant about getting me approved for the duragesic patches.

I think you'll find the Nucynta to be a very good med, but as we all know, not everything works for everyone, but I think its worth a shot. Regarding the spinabifida, I remember reading several chapters about that at one time, but I'm afraid the info alludes me at this point, my memory hasn't been that great lately. Anyways, I think you'll enjoy this forum, and hope you'll come back and keep us posted on how you're doing. Also, you might get more answers (and a few more hello's from other members) if you copy and paste what you wrote into a new thread of your own (theres a button up on the left that says 'post new topic' that will get you started). Welcome, and I hope you gind some answers and support that your looking for.
Posted 12/18/2012 2:39 PM (GMT 0)
I have found that 50mg 3 X day Nucynta and 20mg butrans patch have finally gotten me to a point where the pain is tolerable and I do not feel dopey from the 320 mg of oxcy I was taking everyday. I also do not have that urge to consume the oxcy. Welcome gen01 and hope you cope with the issues you may have. I just joined this group and found out a great deal of info. This forum is like AA and everyone appears to care about you and your issues.
Posted 6/18/2015 6:54 PM (GMT 0)
Greetings,
Haven't been on here for awhile.
MIA turn
Yes Yes I'm on Butrans 20mcg and 75mg Nuyceta
This is a pain management formula me.
I've been dealing with chronic pain for about 15yr. It decided to rear its ugly head when after a year of dibilataing issus.
Then the two accidends I had, hit and run, the other I flew into ditch my front end hit a concrete drain, I can't believe my car even got out of there,went through a chain link fence and hit a tree that went through my windshield!
God is.so good, He promises His believers they won't go before
Time.

Ok so all of are different, I a very high tolerence, because I've had to be.on all kinds of opiates. I after many years started to participate in my own prescribing; and health maintenance.

Now I keep it simple because I have learned "THE.HARD.WAY" and I was killing myself doing it.

Do what you know works on the pain relief.
I'd rather be pain free hands down, then.feel buzz of the meds.


Here is my recipe that keeps me at a 3,.sometimes we have really bad days and those can be a 5 or 6, but it used to be.10+

Butrans mcg 20 every 5 to 6 days
Nuycenta 75mg 4×daily
Gaba Gabe 4600 ml per day 3×daily
Tizezaden 4mg as every 8 to 12 hours

The last one is a MRelaxer that won't bog your body down . However the spelling is most likely wrong.

Ok Hope this helps someone, and I have to follow this recipe down to The T, the only added ingredient is light strength and stretching in water ♡♡♡

God Bless we are special to God, those of us who suffer.
REMEMBER START LOOKING FOR YOUR RECIPE and don't worry about the high some meds have. Look for the pain relief and get in the.water, its very forgiving on our disc, nerves and joints.
Posted 6/18/2015 8:05 PM (GMT 0)
My husband is on fentanyl 50 and 12mcg hr patch since his wreck almost 7 months on the 50 and last month dr added the 12 not helping s the dr said that you can build up tolerance fast with the fentanyl patch so she wants him to the but and patch 10 instead but our pharmacist said it suppose to be used in combination with other strong meds when people build up tolerance not by itself like Dr wants
Posted 6/18/2015 10:08 PM (GMT 0)
Hello HBtexas & welcome to the chronic pain forum. Please note that you have posted in a thread that is over 2 years old & has not had any activity since then. In fact, the original poster has not been back to Healing Well since he posted above.

We do ask all new members to make a separate intro post so that all members will see it & be able to say hello & welcome aboard.

I got a little confused reading your post, I was not real sure about the two patches your husband uses. Perhaps you can clarify this for us in your intro post.

I will lock this thread so others will not post here. We like to keep the older threads off of the main page. We look forward to getting to know you.
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