Nucynta

IMO, Nucyta is worthless. It did nothing for my pain, was expensive and gave me a bad stomachache. . . Q

Agreed, that's a very low dose. I tried it at 3x those levels for about four weeks. I became a long list of side effects with no pain control whatsoever. Expensive and ineffective are not good attributes for a drug.

BTL,
about seratonin syndrome, from what I've read all you have to worry about is taking 2 meds that both have seratonin reputable inhibitors, or basically getting too much seratonin in your system. If you are taking an SSRI OR SSNRI than you definitely don't want to take Tramadol or Nucynta. Like I said, I found Nucynta to be worthless for my pain, Tramadol was only a little better.

I really feel for you, being on the pain med run around. It is so hard to find both a regime that works for you and a Dr. To Rx it. Best of luck . . . Q

Yeah, BTL, it sounds like a no brainier to me . . . Stay away from those low quality meds! After Nucynta first came out I went on a one man crusade against it on another CP forum. You wouldn't believe the number of horror stories I heard about it and I think that it was about three times as expensive then. The pharmacy reps were really pushing this stuff hard as a way to get patients off of "harder" opioids like Oxycodone and Opana. They never mentioned a thing about the syndrome when almost every CP out there is RXed an Anti-Depressant. It's another case of having to be your own medical professional or at least get as much knowledge as possible, especially about drug drug interactions . . . Q

Good call, BTL. Glad your Psych. has her stuff together. So many people were Rx'ed that 3-4 years ago and ended up with killer migraines and totaled stomachs. This was all at the start of the war on CPs, when the PMs were directed to Rx theses expensive "New" pills to combat ( don't you love the militarization of our med world?") abuse and diversion. . . . Q

I took it for about 6 months.I got up to 150 mg x2 a day.It provided some pain relief but I slept 15 hours a day.

My main complaint is that when I switched from Norco to Nucynta I went through terrible withdrawals.This leads me to believe that it's not an opiate-based pain med.It's Tapetramadol(sp).

I wanted it to work and gave it a 6 month trial,but it just didn't make the quality of my life better.In fact it made it worse.

That's just my experience.

It may work differently for others.

It may have done better with BT meds,but,I'll never know now.

Take care,

Rick

I told the doc the reason I didn't want to do it was because the side effect profile and composition is a lot like Tramadol and I had a horrible experience with that - plus the high co-pay. But now I don't want to ask him for something else, again.

this opana 5 mg just is NOT cutting it. I'm in unbearable pain MOST of the time. For the past several days, at least a 7 constantly and sometimes spiking higher at night. I've been smoking pot, taking klonopin and/or valium as well as amitryptiline just to get to sleep. I have ambien too but if I were to just take that I wake up feeling hung over. (If I take the ambien I don't take any of the rest of it, except the amitryptiline b/c that's scheduled).

That's sucks, because this is just how it was with my anti-depressants, it took me close to 6 months, maybe more, to find the right combo for me. And pain docs just CAN'T do it that way, I don't think.

For some reason, whenever I've taken morphine-based meds, they've always worked best for me, even though I know dilaudid is so much stronger, the dilaudid doesn't work half as well. But I don't want to suggest an IR morphine, for fear of seeming like I'm going to sell it or something. :(

Q, so far he HAS been willing to work with me. Since I've seen him, we've done butrans, tramadol ER, opana ER, and as far as IR meds, percocet and opana. Is that a lot? I don't even know. But when I ask him to try something else, he of course goes right for the new drugs with less abuse potential. But they DO NOT WORK. I wish they did. :(

So am I pushing it by asking for something new? On Monday they'll call me to follow-up on my nerve block procedure, which had absolutely ZERO effect. By that night my pain was up to such a level that I couldn't sleep. Took two valium (10 mg) to knock me out.

That's why I just want to give up.

I agree with Rick, besides it being frustrating it's painful, and, yes I think that you are being under medicated. If he's is willing to work with you then see if he will titrate you up on the Opana. Like Rick wrote, 20 mg of oxyContin is not very much. I'm on 240 mgs p/day OXYCODONE IR for Cancer pain and I function just fine. No problems with driving or I wouldn't get out on the road. Keep at it, I'm sure that there's a dosage strength out there that will work for you. . . . Q

I've been taking Nucynta 200MG ER for years. However I mix it with Percocet, never by itself. I have no idea why Nucynta is even labeled as a Narcotic because by itself doesn't act like one. Because of it's ER qualities when taken with my Percocet it extends the Perc twice as long as directed. Keep in mind this isn't an experiment by me, the Dr told me to take it like this.

However since having such a hard time getting Percocet it looks as though I may switch to Opana IR for break through and Opana ER instead of Perc / Nucynta combo. I'm nervous because this combo works fantastic for me and I'm worried the Opana won't. I may ask for high dosage of Opana to offset.

No, I'm not on any anti-depressant. In fact I'm very hyper and the biggest goofball there is. Nucynta doesn't make me feel bad at all. Sometimes I think it's not working.

Quincy you have to keep in mind that only a cancer patient will get Oxycodone rx'd in that dosage. The dosage of all your pain meds far exceed what a non-cancer patient will ever be prescribed.