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Extended Release Pain Meds...

sleeprgirlssleeprgirl Posts: 695
edited 06/11/2012 - 7:46 AM in Chronic Pain
Hey Spiney friends,

Got a question? I have been on Percocet since my fusion last Nov. I hate being on the roller coaster ride with this medication, but I have severe pain..level 8 every afternoon/night.

I see my surgeon on Thursday, and want to talk with him about adding an extended release med. He is typically very scared about prescribing drugs, and he would not even give me a pain pump in the hospital after my fusion.

What I'm thinking about is a drug a little less potent than oxycontin. I think he might go for that without issue.

I need some input about some of the Ex Release drugs that anyone has tried, and how they work for them.

I'm also going to ask him to start my on Cymbalta. Lyrica helped some of my nerve pain, but the swelling was profound.

Thanks so much!!!!



  • First thing that caught me was your mentioning a pain level of 8. Five is moderate pain. Who is prescribing the Percocet? It sounds to me that you need a pain management doctor.

    Best wishes,

  • I just saw a PM doc for the first time on Thursday. He did an endoscopic lysis of adhesions around my fusion site due to severe scarring. He does not give discussed pain meds on the first visit, and advises his patients to continue getting those with the surgeon.

    I'm seeing my surgeon on Thursday. I'm not seeking to stop the Percocet, just add an extended release, and hopefully in time, as this procedure helps with pain, that I can take the percocet only as a rescue.

    I'm stuck in this situation for now, so I'm trying to make the best of it, until my PM doc will handle my pain meds.

    Any input about Extended Release drugs will help me with my surgeon.

    Thanks so much,

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  • Below oxycontin is MS-contin. Below that is Ultram-ER.

    Does that help?

    I'm on MS contin, it does help. Ultram ER is extended release tramadol.
  • How does it work for you? Have you ever tried the ultram ER?

    I'm just trying to decide what to ask for considering my pain level. My surgeon is clueless, when it comes to pain mgt. I have had to do my own mgt. for the last 9 months.


  • I did the Ultram ER for a while, but at your pain level I can't imagine not going for the big guns- but then again, I can't imagine not having your pain managed by a real doctor, you know? Can't he call the PM doctor for advice? You need a lot more help than you're getting if your pain level is an 8.

    The MS-contin (morphine-continuous release) is definitely much stronger than the ultram. When my pain level went above 5 on a regular basis I didn't find ultram (tramadol) that helpful, but I know others have. Also, I couldn't go above 100 mg because I was on cymbalta and they worry about serotonin syndrome.

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  • Good deal...I didn't know about serotonin syndrome. Glad you mentioned it, since I'm going to ask for Cymbalta as well.

    Thanks so much for your insight...

    What is going on with you...did I read in another thread that you were considering surgery?

  • Yes, I'm kind of excited about it. The doctor is confident that I'll get at least some relief from it. He's going to rip out the broken stuff and straighten me all out!
  • That's great, I so hope that it is a success for you.
    I will be very interested in your progress.

    Take good care of yourself!

  • Lisa:

    You might want to ask your PM doc about Opana ER and/or Fentanyl patch - which is what I use on a daily basis. Fentanyl can be started at a low dose (12 micrograms) & increased if necessary. Alot of people on this site use it. I use it in combination with Lyrica & Cymbalta for constant low back pain.

    You could still use the Percocet or others mentioned above as breakthough meds. Good luck... Tom
  • dilaurodilauro ConnecticutPosts: 11,348

    I believe that for many chronic pain patients, going the route of Extended Release pain medication is helpful.

    I know in my situation, I was on all the different immediate release pain medications, and over time, the doctors just kept on increasing the dosage or shortening the time periods.

    When I first went on extended release pain medications (Oxycontin), I never got that 'instant' pain relief high, but instead had a constant level of pain relief.
    It didnt remove the pain, but it made it much easier to manage it.

    I strongly believe a combination of extended relief medication along with breakthrough medication can be the right vehicle to help chronic pain patients

    But as always, the final decision on all of this is up to your doctor and yourself
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
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