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Posted 9/23/2013 5:05 PM (GMT 0)
Im currently on 20 mcgh Butrans Patch and 5mg oxycodone. I have been on these 2 meds since May, after being on just the oxycodone for a year. I have nerve damage in my cervical spine due to a surgery to remove a mass from the nerve.The meds are not giving me relief, they have never been great but, I have had 7 different types of injections in the last year and always hoped they would make my pain better. I had the last injection that I'm going to have 2 weeks ago. I go back to my doctor next week, to let him know how I'm doing. I think its time to change the meds.Has anyone been on the same meds together like I am now? If so, what should the next step be? I'm also a little nervous about asking my doctor to change them up. Thanks for any advice.
Posted 9/24/2013 12:23 AM (GMT 0)
Hello Plumber1!…and Welcome!

If your suffering from nerve damage to the spine, then maybe you might ask about the meds used to treat it, such as Gabapentin, Lyrica, and Cymbalta.

Also a med that has worked very well for me is Nucynta, and is also a duel purpose med containing a narcotic and nerve damage medicine. I do of course take Lyrica as well, and a mix of oxycodone for a BT med. My anti inflammatory med is Mobic, and the over all combination has given me very good relief.

There is nothing wrong with asking your Dr about different meds, and seeing what he thinks about them.

Good luck!

SE
Posted 9/24/2013 12:47 AM (GMT 0)
Hello Plumber and welcome to the chronic pain forum. Sorry to read that you are having such difficulty.

As SE stated above if this is nerve pain your dr really needs to try you on one of the nerve meds listed above. Another couple of meds for nerve pain is Amitriptilene & Nortriptilene. Its a matter of finding which one works the best. Narcotics have little effect on nerve pain.

Keep us posted on how you are doing. Take care.....Susie
Posted 9/24/2013 1:02 AM (GMT 0)
…just a little more information,….if you do happen to wind up on one of the meds to treat nerve damage, please make sure you give them plenty of time to work through your system. They can take several weeks to realize the maximum effect if any, and may take a higher dose as well.

It's hard being patient when your suffering from chronic pain, but don't be surprised, and actually,…. it can take some time to find the right combination to treat your pain.

If your interested in the Nucynta, I can steer you towards more information on it.

SE
Posted 9/24/2013 4:35 AM (GMT 0)
hello plumber 1 and welcome aboard. i also have nerve damage and am currently taking neurontin, 600 mgs in the morning and evening and then 900mgs at bedtime. i tried cymbalta and that really help, then tried lyrica. had a bad reaction to the lyrica. the neurontin worked best for me.
never hurts to talk to your doctor. most doctors i've had were pretty understanding.
best of luck to ya and hope your able to get some relive.....
Posted 9/24/2013 12:16 PM (GMT 0)
Michael may be onto something! I have a friend who couldn't tolerate any of the nerve meds and they switched his base med to Nucynta, he was on Ms contin, and I hadn't seen him in a few months, ran into him at the gym where I use the pool and boy what a difference!! He said the nucynta took some getting use to as well but when it kicked in and the side effects subsided he was rarely down with sciatica anylonger!
Posted 9/24/2013 12:57 PM (GMT 0)
I take Percocet 10MG and Nucynta 200MG ER's which I take together and they work great for never pain. Just never exceed the recommended dosage of Nucynta or you'll have breathing issues. I'd ask your Doc about Nucynta though, works for most people.
Posted 9/24/2013 6:30 PM (GMT 0)
Plumber1

Folks have already made several suggestions - But I wanted to welcome you

Good luck !!
Posted 9/24/2013 8:58 PM (GMT 0)
Thanks for the advice. I will talk to my doctor about the medicine. Does anyone know what Nucynta is? As far as the 2 meds in it? One a narcotic and one for the nerve.
thanks
Posted 9/24/2013 9:37 PM (GMT 0)
Hello again Plumber1!

This is one of the best write-ups on Nucynta I have seen to date on the forum. The username of the member who wrote it is "grainofsalt" ….and his education of meds used for chronic pain is way over my head, but none the less, the information is usually pretty good and very detailed. I actually admire his post, and use them for reference many many times.

I believe this med is underrated, and very little was known about it,…. as it was just approved back in 2010 or so,…. making it a fairly new med for treating chronic pain. Again, if after discussing it with your PM and he/she decides to script it, don't give up on it too quickly….. until you either find the correct dosage and or you get used to some of the possible side effects. It can take several weeks to realize the effects if any at all. You have to be a little reasonable about it, and if you cannot tolerate it, then certainly seek help from your PM.



www.healingwell.com/community/default.aspx?f=16&m=1921855

Hope this helps!

SE
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