I have been taking a combination of Nucynta IR and hydrocodone for the past 7 years because of pain resulting from a car accident and a series of surgeries to my left arm, wrist and hand as well as back pain due to disc problems with my L4 & L5 discs. Over the last 3 years, I have successfully reduced my Nucynta doses from 100mg 4 times a day to 50mg, every 12 hours. My dose of Hydrocodone is 7.5/325 in the morning and 5/325 the last three doses of the day.
Here's what I am dealing with...Just like clockwork, 6 or 7 hours after my morning dose of Nucynta 50mg, my back pain returns with a debilitating amount of general malaise. I find concentration difficult and often need a nap in order to make it to my next dose. I get very little work done during hours 7-12 hours after my morning dose. Should I ask my doctor to switch me to Nucynta ER? I had also considered splitting the dose myself (25mg at 6am, then another 25mg at Noon but I am concerned the lower dose will be less effective.
Hank you for any assistance.