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Norco vs. Oxycodone??? Can you help me?

From: Sarah3018 - on 07/15/2010 8:22am

So I have been on norco for over a year, and my doctors assistant has decided to switch up my meds because they think I'm building a tolerance to the norco. The problem is I don't think that I am getting the same relief from these new pills(percocet).
Now is this just me or is this common? They said that these should be a bit stronger, but I find myself in pain after about 2 hours! Should I try to switch back or maybe get a highher dose?
Or can you recommend any other meds that I can request from my doctor!
Thank You,
Sarah

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on 07/15/2010 5:45pm

Well Sarah i can attest to oxycodone personally. you are right they do not last long enogh and i find myself taking about twice the ussual dose and sometimes even three times the amount. back pain is a very serious thing to deal with. it can completly ruin your day if you do not have some sort of pain management. i have been given lortabs( this is the same thing you have been taking and it has accetaminophene in it. you neeeeed to figure out if you new rx has any in it. this could be the problem since your body has been adapting to this. hydrocodone is horrible they give me insomnia and i itch profusley from them. I as well have had percocet but i feel as though i need to take up to 15mg just to be able to relax. now back pain is a very tricky thing to deal with because it migrates from place to place ie meaning that it can not only be stagnant in one spot but it can raqdiate to other points in the back giving you a feelen of worsoning problems. it as well can add more tension to other areas creating more problems. i can witness this first hand Sarah and it is very painfull. ask your doctor if he can possibly give you a muscle relaxer along with it to relief the tension caused by this. you dont want your pain to get worse or you problems as well. ask about cyclobenzaprine hcl or soma. I prefere soma but i have no insurance so i have to get the cheaper less efficient drug flexeril which i dont care for. but back to your original question. your body is used to the origginal drug in witch you were on. this means that your body have to re-adjust to a different type of mollecular structure of the new more potent drug oxycodone. Your body does over time build its own chemical receptor inhibitors to a certain chemicall and it can be a part of your brain just like seritonin. i suggest that you give it time and possibly ween your self off of that drug and slide in a few percocets now and then to make a smooth transistion.

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on 07/16/2010 6:09pm

Hi Sarah - I am interested in knowing exactly what your problem is and how intense is the pain? What kind of pain do you have?? I can't stand or walk very much and I can't lie in bed for a full night's rest. I have to change activity. I would like to find pain med that doesn't make me feel so dopey next day. Do you have any suggestions? I take 1/4 of the oxycodone pill and that is pretty good, but I am afraid I will be addicted to it. What do you think?

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on 07/21/2010 2:25am

Many meds just don't work for some people. Oxy works pretty good. I have even been on fentanol but didn't fix pain but didn't care that I hurt. My hubby thought it made me just too stoned and stupid Brian fogged so I stopped it. That is about the highest u can go. Thayer use it for terminal cancer patients. Just be honest with dr and tell him not working for u and would like to try something else. The slow release morphine Avinza is good but spendy if u don't have prescription card. Then I use immediate release morphine for break thru pain called MSIR. A good dr will listen...if not move on. Good luck.
Bec

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on 07/21/2010 2:30am

Btw...won't take oxy because I like to much and know it could be prob for me. Bad enough that I have developed tolerance but don't need to WANT a med that I NEED. Watch yourself and listen to that voice that says I need to take my meds or I want my med. I would want oxy so no go for me.

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on 07/21/2010 2:05pm

Sarah

I agree with most of the other replies to your post. If I may add, there is a difference between "Dependence" and "addiction". I myself am dependent on Oxycontin just do to the fact I haver been on them so long. How ever when I was on Norco, Fentanol patches (sorry no spell checker But I think you can figure it out ), Vicodin and many others I was addicted. I constantly needed more. I am now on Oxycontin(Long acting) 90mgs a day, Oxycodone (For breakthru pain) usually 2 or 3 daily as well as Celabrex. And although it only takes the edge off the pain I don't have the constant need to increase the dosage. I have been on the same dosage with little variation for more than 2 yrs. I hope this helps but am sure it doesn't. With a tooth ache, head ache or even a broken leg or any other type of pain the saving grace is that it will go away. With back pain we live with it every day for long periods. That is the thing most people who have never had it don't unerstand. Hang in there and work with your Doctor to find out what works for you. But most of all never stop trying.

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on 07/22/2010 10:10am

After 11 yrs of my chronic pain I have tried about everything. Instead of addiction ( needing more) that is just your body building tolerance. Would LOVE a cure but also realize that if they do find a cure I will be going to a rehab facility to detox. Never try on your own because of siezures ect.
One of my pian specialists said when this all started that I needed to realize that there is a difference between addiction and necessity for quality of life. One thing is that I do get migraines and am allergic to the meds...have to explain in Er that I am not a drug seeker...i have plenty of narcotics at home but am on a contract that I take very seriously and this is the option that I am required to make. I even take my meds inso they see that if I just wanted to get "stoned" it would not be a problem. The problem os those people that do abuse the system. I also keep a copy of my contract which states that I am to go to ER for certain things. Protect yourself and protect your Drs. But keep up the fight. There is no reason to live in pain and try and learn as much as you can about your treatments. It helps if you keep track of what u have tried and when. What the results were. Why you discontinued the treatment, ect.
My new Dr gave me a pain journal to keep...I had a notebook that I use daily for pain levels,ext bit this ome is good and is well put together.
You can download it online www.painfoundation.com
I gave also found a site called www.patientslikeme.com
If u have a diagnosis u can sign up and talk to others with similar problems wether it's MS or fibromialgia or tons of other things. You can set it up for your docs to check your status or just keep track of your progress on it too. I find it helpful. You can also keep track of pt, biofeedback and other alternative treatments you have tried and when and what results. It's helps for easy loopback so you don't have to dig through papers that your trying to keep track of.
Maybe some of this will help. After a few yrs you realize that it gets hard to keep track of...
Good luck.
Bec

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on 07/23/2010 10:38am

Sarah3018:
Well I am not sure what to say, as any Dr. will tell you that the percoset is stronger than the Norco, which I have been on for way to many years, have now progressed to the big time, since my surgery about a year ago. I had what i understand to be called a Botched fusion of L4-L5-S1. Am presently in Pain Management, now taking Methadone 10mg twice daily, along with 5/325 oxycodone, for breakthrough pain. IMOP it just does not work, the Norco is 10/325 of hydrocondone, so you are taking half of what you took before, and again for me it just does not work as well. As stated in previous posts, you do not describe what you are suffering from, so am hesitate to home advise you. The oxycodone is also available in the 10mg/325 dose also. Which must Dr. will not give for fear of dependence, which is so stupid to me when they will give you OPANA, very pricey even with insurance.
Or now Methadone, only $10 co-pay for me compared to 77$ for the Opana. Prior to taking the Methadone my Dr. is trying to put me on Morphine,ie MS-Cotin. Which have also been on it works for a while, but is highly addictive at least for me, as I missed 1 dose 1 time and spent the next 12 hours in withdrawal. Not a pretty site. And the funny part is I have told this Dr. this before. I think that they all must get a kick back from what they prescribe. As when you go in and tell them what has worked for you in the past, it is like talking to a wall.
I have rambled on to much here: sorry just venting my frustrations instead of helping you. Just be honest with your Dr. at all times, tell them what you think, and if they continue to not listen try finding a new one. Which is a huge PAIN, in and by its-self, as you will have to endure what ever pays there bills before they get down to giving you any meds that work outside of the office.
I sincerely hope that you find some thing that works for you. As you are headed down a rocky road.
Oh I should mention I guess that I am a 55 year old male, who has been living with chronic pain for almost 10 years, I had a birth defect in L5 where it was not completely closed in the posterior, and then due to a major fall on some concrete, started my life of MRIs and Pain Management and a quality of life that is on the road to the bottom, hell I am already there.

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on 07/23/2010 12:57pm

Be careful with the methadone. I never even put down that I had been prescribed it at one time. It messed with my teeth and had bad reation to it. From what I understand the withdrawal can be very hard both physically and mentally. Plus u have to be VERY careful with crossmedicarioms with it. Drs will see that u were on it ( the ignorant ones that don't deal with pain issues) and assume you were coming off meth or something. It has a and rap but I know it does work well for some people. Just dot try and switch drs after u have been on it in the past or leave it out. I didn't take it long because my body didn't agree with it so I even forget that I was on it unless someone mentions it.
I have gome off my morphine for a couple off weeks at a time and just had some nausea bit meds effect everyone differently...especially if you are trying to combine for the chronic and breakthrough pain. Just find a dr that will listen. If you have a dr that you trust for something else, ask for a recommendation. They will know who has the best reputation in your area or know someone who can put you in touch with someone. A lot of this works on word of mouth. Keep on it and if you are foxing to have surgery listen to the other guy and really look into him and his success rate. You can find out if they have had lawsuits or complaints against them. My spinal cord stimulator I had removed 4 back surgeries in 5 yrs. Make sure you shop around. When it comes to this stuff you don't want to be like us and be 10 yrs for him- almost 12 for me and not be any better off for it. Unfortunatly most of us have learned from our own mistakes. I will be praying for you.
Bec

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on 07/23/2010 1:03pm

Btw you said drs assistant...prob PA. They can write scripts but see a specialist when you are working with these kind of meds. If u see a pain specialist make sure he is a certified anastesologist, also.
Good luck. And sometime the most brilliant drs are asses so u have ro take it with a grin of salt. They talk to themselves about ur treatment more than u and u just have to tell them write it down and explain in laymens terms for u.

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on 08/13/2010 5:28am

My pain management doctor told me that the synthetic opiates (Vicodin, Norco) stay in the blood stream longer than the natural opiates (Percoset) do. Therefore, you will be needing more medication sooner when you take the Percosets.

I hope that helps a little.

Karla

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