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a non-narcotic pain pill?

charryccharry Posts: 5,657
edited 06/11/2012 - 8:51 AM in Pain Medications
Does anyone get by on something that's not a narcotic? My leg is better and have stopped the Cymbalta for that and was hoping I could get back to work. I can't take any narcotics while working does anyone have any ideas what I could try to stop the pain so I can work. I really want to taper these narcotics I take. Anyone use Ibuprofen or something that doesn't make you sleepy?
DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN


  • I was on Tramadol, back about 3 or 4 years ago. It did handle the pain, but I also had issues with Nausea and a little light headedness when using it at times. I think it was playing with my blood pressure at the time, but monitoring on that was sporadic and so I think it was missed as a symptom/ side effect.

    I was told, that it was classed here in Canada, not as a narcotic.

    I know that I would like to never have to use anything, but that is just not in the cards.
  • A nice, non-narcotic mix I had for about a year was Celebrex and Tramadol. Celebrex burned off the pain for me, and I used Tramadol for breakthrough. I had problems with nausea with Tramadol, but I used to break the pill up (Dr told me to do this), and just take little bits through the day (when I had to do stuff). Eventually I had side effects to Celebrex and had to stop, and when I stopped that, Tramadol brought on splitting headaches.

    But I definitely would have stayed on this for a while if I could have. Now I take Lyrica, Oxycontin, and Percocet for breakthrough - and I don't really feel "competent" to work with these. The only problem with Tramadol (and Celebrex usually) is that if you're going to take them years and years, they have bad effects on the body. For example, a relative of mine took Tramadol for 13 years, and she ended up having kidney failure (and I think liver failure?). She's elderly, and she did recover so she didn't need dialysis or anything, but - you've seen the Celebrex ads - it really affects heart, etc.

    All the best, Charry.
  • In pain management tramadol is classed as a 'synthetic atypical opioid analgesic'. It has a dual action: part of it works as a mild mu opioid receptor agonist, and the non-opioid part works on serotonin and noradrenaline. It's metabolite M1 has a stronger opioid effect, so it's more effective when taken in extended-release form. Its closest relative in terms of analgesics is tapentadol (Nucynta), another dual-action synthetic opioid.
    Any drug that binds to opioid receptors is by definition an opioid, whether it's a naturally occurring opioid, or a synthetic or semi-synthetic one.
  • Tramodol is considered a controlled narcotic like med where I live so I can't take that one. I do have Celebrex left over but I had a spike in my blood pressure and not sure if this med caused it.

    I want to ask my Dr. for a short release pain med instead of taking Oxycontin and have to see my Dr. today and see what she says about this. i have to go to the Dentist now for a bridge then travel across the city on the subway to see my Dr. this afternoon so it's a long day for me. I would like to taper my meds and see if I can get off them and try something else. I think I'll go back on Cymbalta because it was accepted for chronic low back pain. I hope my Dr. will give me breakthrough meds but she's so afraid of addiction sigh. Say a prayer I can get some help today. Thanks for your support. I don't know what I would do if Spine Health and you all weren't here for me. Upwards and onward. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Fingers crossed and prayers sent for you today! Hope that your doctor will be able to help you out.Did you find that the cymbalta helped?
    Let us know how it goes today.
    You are always such a help to everyone here!Wishing you the best!
    >:D< Karen
    >:D< >:-D< : Karen
    L3-S1 herniation and bulges, stenosis, mod facet,ddd,impinged nerves,coccydinia
    discectomy/lami July 2011-unsuccessful
    adr L5-S1 Feb 2012
  • Charry I rarely post, but read many of yours.
    If your a chronic pain paitient and are truly done with everything and would love to go back to work.

    Your only real option is suboxone. If rx to correctly you will beable to do what ever you want.
    just make sure it's rx for pain and not addiction.

    if will give you your life back. However, it will be a med you will need to take for life!

    My 2 cents.

  • I went to my Dr. and asked for a decrease of Oxycontin. So I'm tapering myself down from the Oxycontin and hoping the Lyrica and Cymbalta and Naproxen will start working for the back pain. I started back on Lyrica 25mg 3x day as any higher than that I'm a space cadet,commando lol.

    After yesterday with subway rides from 2 hours there and back and the dentist chair I'm exhausted and not sure if I can get back to work any time soon. But will see if Lyrica and being back on Cymbalta will help. I
    I want to try and get off Oxycontin but not sure if I'll be able to but "rebound pain" from narcotics has got me wondering and want to try to stop them to see what my pain is like without them. My Dr. told me to come in if I feel like I need to go on more Oxycontin again. Have a less pain weekend everyone and I pray for everyone here. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • weaning off the oxycontin goes well charry

    its understanadable you would feel tired after your big day , as you are not use to that level of activity, its a gradual process of small steps of increasing activity to build stamina

    wishing you well with your med changes and hope this works out for you

    take care and let us no how it goes
  • Buprenorphine (the analgesic opioid ingredient in Temgesic, Butrans, Transtec, Buprenex, Subutex, Suboxone, etc.) is most definitely an opioid (i.e. 'narcotic') analgesic, and a potent one at that. It does have some advantages in terms of long-term use, most particularly because of its good safety profile and generally less prominent array of adverse effects.

    Why do you say she would need to take it for life? It can be taken for however long a patient needs it, or stopped at any time, just as with other analgesics.

    Good luck, Charry.
  • I know it is. However, 180mg of oxy is maybe a little higher. The difference is you can stll function with subs. Your as normal as a normal can be type person! To wean off 180 mg can be done no questions asked. However, it will not be easy.
    If you want to feel normal get on with your life, start working and do some fun things then the wean thing may never come.
    I say for life because the WD is worse in my opinion. Even at 280 mg of oxy.
    Did you every here the saying. It's like this.... If you have true pain then take the meds. A diebetic has to take their meds so nothing different, it's just what's needed to survive.
    So if your life dealt you the hand of chronic pain and you had no control of it. Wouldn't you still want to be as normal as possible.
    I was just suggesting if the pain is endless then the pills will be endless also. Thats how us pain suffers survive. Its a cycle!
    By taking subs for life you get the best of both worlds.
    Sure you can taper subs and sure you can take subs for a short period. But there is still a trick to get off them. And you would only be doning it if you nolonger have pain. And probable won't for the rest of your life. Or at least to the point were narcs will nolonger be needed.
    Just mt 2 cents
  • I started Savella three weeks ago. I have yet to figure out if it is going to make a difference in pain. It does much better for my depression, but it does make me a lot more irritable than the Cymbalta.

    Good Luck!!! I hope you are able to go back to work!
  • HI Charry, Just read your post now, I can't imagine how you got through that day on the subway, dr and dentist appt. Hope you're feeling better now, and the dose change is still working for you.
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • I know everybody tolerates medications differently, but I LOVE TRAMADOL. I take the 100mg ER once a day. It takes care of my pain without making me feel loopy and only occasionally do I have to take 2 of them (doc said I could.) Most narcotics make me nauseated, so I'm thankful for this lovely Rx. :)
  • Hi Charry. So sorry you have to endure what you are enduring. It can be a real drag on you physically and psychologically, I know.

    I want to share my experience with coming off of pain meds with you. After my surgery I was pain free for a while and then started into physical therapy. The physical therapy made me so uncomfortable that I started using hydrocodone to deal with it. I never like hydrocodone because it made me grouchy, but every time I stopped my pain seemed to get worse; much worse. I thought I was destined for surgery again.

    About 6 weeks ago I decided I couldn't take the anxiety that the hydrocodone created for me anymore and stopped, and suffered, and suffered. I persisted with my physical therapy even though I was in pain and then about a week ago, the shooting pains stopped. I have the numbness and the tingling and the occassional pinge, but the constant firing of the nerve subsided.

    I consulted with a friend of mine who is a neurologists and he explained the concept of rebound pain. It happens when you have been killing the pain for so long and then stop. It takes time for the body to get back to translating those signals properly again.

    Now, I can take a prescription dose of alleve when I have pain onset and it takes it to a level that is tolerable. I also am relentless in my physical therapy...and I started taking sleeping pills. That combinations has taken me to a new reality.

    Your situation sounds a bit more complex than mine, but you never know. The key to getting to a non-narcoctic pain med may be suffering through the withdrawals from your narcotic pain meds for a while so the non-narcotic ones can take effect. I know it sucks to hear that, but it is my experience and it turned out good for me.

    If nothing else, I hope your pain can be managed. There is no shame in narcotic pain meds if that is what you require to get through the day. Society has stigmatized them, but it is just a tool like any anti-inflammatory medicine in my opinion.

    Be strong.
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