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Pain management
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echo7 posted:
My doctor won't give me anything other than ultram. But I get 180 a month. They keep mine down to a dull roar if I take them a certain way that I won't discuss in public. But my hip just quit working again recently and I had to beg him for some vicodin, he said he would give me a whole 10. Turns out he gave me Norco. Wondered why they weren't working. I guess I need the tylenol ingredients too. If you take enough of Norco, they work. Out of 10 that's pretty hard to do. I used to do so much better on the aspirin based drugs. Remember those. That's what's in Percodan. Tylenol equivolent used to be Empirin. I wonder if they even make them anymore. Anyway they are tring to phase out Vicodin type drugs that we woman get addicted to. My doctor may have to go. On the other hand I've been addicted to vicodin, it's worse than heroin to try and quit. Just saying. It truely is. Kelly Stevens
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blessedladyptl responded:
Have you tried Ibuprofen (Advil, Motrin) ? If the aspirin helped, you may need a anti inflammatory.

They are not trying to " phase out Vicodin type drugs" The restrictions may be getting tighter, but they aren't being phased out.


If you've been addicted to hydrocodone, which is in vicodin, and it is in your medical records. That is the reason the dr won't give you anything but Ultram. A new dr more than likely will not solve the problem.
 
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davedsel responded:
Hello.

Have you tried enteric coated aspirin? I have great success with this as it is the only pain medication I can take along with a muscle relaxer. Enteric coated aspirin (one brand name is "Ecotrin") disolved in the intestine rather than the stomach causing less risk of ulcer or other gi problems.

Are you seeing a spinal orthopedic specialist/surgeon or spinal neurologist/neurosurgeon? Are you seeing a pain management specialist that is a physiatrist? These are two types of specialist that you should be seeing for an accurate diagnosis and effective treatment plan for chronic pain.

I pray you find answers and relief soon.
Click on my username or avatar picture to read my story.

Blessings,

-Dave
 
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echo7 replied to davedsel's response:
Hello Dave. It's Kelly.(echo7). Thank you for your response to my question. I really wanted to know if people ever got any relief from Norco. But since you asked about my Dr.'s, I'll tell you a bit. This accident of mine happened Mar.30,1993. The neurosurgeon I got that day has ruined my life. For 6 yr's he did virtually nothing, except 5 surgeries that accomplished nothing good. Finally got smart & got a second opinion. That specialist sent me to Warren Mi. to a very highly regarded hip specialist. Apparently all that time I had an open fracture of the femur. Hmm... My new doc(Dr. Mast) fixed in one surgery what the quack never could. But in the end the shattered neck of the femur caused all the pain I was feeling up to now. Now, I'll be going to the U of M hospital in Ann Arbor, Michigan. Finally, I might just get something done right. I hope so.I doubt I'll ever be completely out of pain but I've got a better chance with the Dr.;s and that hospital. I went to a Dr. that I used to go to when I was very young. She looked at my latest x-ray's and told me what was wrong with my hip/femur. The bone around the hip is gone.My other dr. never seemed to see that. This is why I take Ultram. And why I want Vicodin instead of Norco. I do not have to keep taking vicodin, I practice that a lot.
 
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echo7 replied to blessedladyptl's response:
Can't take it.
 
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_swank_ responded:
Norco and Vicodin are the same thing. The only difference is Norco has less Tylenol. Usually 325 mg instead of the 500 or 650 that Vicodin has. Most doctors opt for Norco because they don't want people taking too much Tylenol.
 
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cweinbl responded:
I could eat Tramadol (Ultram) like candy all day and it would not touch my pain. Tramadol is a "quasi-opioid," in that it uses synthetic compounds to achieve a similar result. The same applies to Norco (hydrocodone).

But I know exactly what you mean when you say that you use it in a way that you will not discuss publicly (or with your doctor). That means you scarf them down to achieve some semblance of pain management, or you add alcohol or THC to the meds, enhancing its efficacy. This occurs with all of us who are prescribed pain drugs that come nowhere close to achieving their desired result. In reality, you need far more powerful opioids. Been there; done that.

Percodan uses aspirin to activate Oxycodone. However, most people with chronic pain use Percocet, as it has fewer side effects.

In terms of addiction potential, Vicoden (hydrocodone) is not more addictive than any other opioid. Oxycodone seems more likely for abusive on the surface. But the statistics show that neither substance is addictive beyond about 1% of the population. Taking all studies into consideration, the rate of addiction is well under 3%. Is that cause for worry?

The most comprehensive recent research pegs the rate of addiction among chronic pain patients at around 1% (see the latest research here: http://www.ncbi.nlm.nih.gov/pubmed/20091598?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=1 and here: http://updates.pain-topics.org/2011/01/study-finds-low-risk-of-rx-opioid-use.html ).

In essence, if you have no history of addiction disorder, then you have absolutely no reason to fear it from the use of physician-approved opioids - even in combination. The rate, as you can see is 1% or lower.

This is one of the many myths of pain management. Using powerful opioids is NOT addictive (1%) when used as directed by patients with no prior history of drug abuse and addiction disorder.

You say you've been addicted to Vicoden. That means that you have been using too much, running out too soon, obtaining it simultaneously from different physicians, stealing it, purchasing it illegally and using it to get high, rather than for pain. If all of those are true, then you are addicted. If they are not true, especially if you do not use it only to get high, then you are not addicted. Remember, only about 1% of pain patients become addicted and almost all of them had prior addiction disorders.

Many people confuse addiction (a psychological disorder) with tolerance and dependence (physical reactions). There is a wealth of data available on-line regarding this. Good luck.
cweinbl
csw2@bex.net


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