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doctor wants to change my pain meds

I have just seen a new pain doctor and currently I am on Kapanol but he has suggested trying the equivalent dosages of targin, jurnista and physeptone. I am a bit wary of the physeptone as that is basically methadone and have heard awful stories about it, but I was wondering how other people found this medication. I used to be on oxycodone which worked brilliantly but then after a few years I would get withdrawls a couple of hours before the medication was due.




  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • My illness are chronic pancreatitis, pancreatic insufficiency, disc prolapse, annular tear, chronic back pain, diabetes and PTSD.
    I have tried physiotherapy, prolotherapy, cortisone injections, hydrotherapy, massage therapy, osteopathy and epidurals.
    The physio and hydrotherapy works to some extent, the cortisone and epidurals work well but my dr doesn't like them so it is very hard to get them authorized. Massage and osteo are fine for a few days but don't last. I have tried several joint pain herbal supplements which are mostly glucosamine which help a bit too. I also am addicted to my TENS machine.
    I just wanted to be clear I'm not asking for medical advice on which medications to take, more that I want people's personal experience with the above medications because my doctor has left the choice up to me.
  • are what in the US would amount to Oxycontin, Opana and methadone.
    I would have to guess that you were on the immediate release version of oxycodone previously and said that it worked well previously, you could try the extended release version of oxycodone (Targin). One thing that I and many others have found is that the long acting version of oxycodone products tends to repeat the same behavior that the immediate release version did, so perhaps trying the oxymorphone (Jurnista) medication might be a better idea.
    The methadone would be my last choice......not because it doesn't work, it does work quite well, but for me , the side effects are too much and the sedation with me, never receeded, so I didn't like it.
  • Personally I would probably try Jurnista if l given the choice. It is the extended release version of Dilaudid and is taken once a day, which is convenient.
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