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New meds and questions I can't ask anyone else....

What is more powerful Fyntenal or Oxycontin?
Is Dilaudid more potent than any other?
What is the highest prescription for OxyContin that you have been on for back pain post surgery?

I just got put on Topiramate. I was told to take a small dose and up it every night for the next month. Up to 75 mg and starting at 25mg.
Has anyone had any experience with this combined with OxyContin and oxycodone?
2 Spinal Fusions later and I'm still broke!
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Comments

  • I take OxyContin 40mg 3x a day and 15mg oxycodone 4x a day. With toperimate at night. I have yet to receive proper pain relief. I am 4 days shy of a month from L3-S1 spinal fusion. I have asked my doctor what other types of medication there were that would be better for me. I do not have friends. I'm a father of 5, married for 11 years and am medically retired from the Army because of injuries sustained while on active duty. I am unable to work because of my back and leg damage. The nerves are basically shot is what I was told. I am just looking for something to bring me back to a manageable existence for day to day life. Yes I have a very high tolerance to pain medication because I have been on them since 2010. I am a big guy 6'2 , 280lbs. So I'm just looking for someone to give me advice without the looks of disgust or"pill seeker" mentalities. Thanks for any help.
    2 Spinal Fusions later and I'm still broke!
  • Topiramate is a seizure medicine, also called an anticonvulsant. It is also used to prevent migraine headaches and whatever else your Physician deems it necessary for. Topamax and Oxycontin are high risk for dangerous interaction. That doesn't meant it is indeed dangerous (if taken responsibly), but there is risk for sure, so be aware of it. And do not drink alcohol at all.

    I don't normally respond to these types of questions without some sort of background info as it doesn't make a whole lot of sense to me as to why someone would ask a question like this. I'll keep my opinions to myself for now until I hear something more as I'm not sure where this is going, so I'm approaching it on a conservative level.

    It's all a matter of who you're speaking to. It should be more about what works for you in particular.

    -Doug
    Realize that FEAR is our worst enemy. Get up & get out in that stormy weather of the real world & kick fear in the teeth. Stare at it dead in the eyes & walk right through it into the storm; because once you're wet, you won’t fear the rain anymore
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  • Even though I am Canadian, my Grandfather was in the American Navy. He impregnated my Grandmother in England and was never seen again. War babies were common in 1945. Though I do not know him or his family, I wish I could prove I was American! His name was David Lazar or Luzaire. Something like that.

    If you are dealing with nerve pain, it's the toughest one of the bunch to manage. That's probably why your Doctor has prescribed Topamax. You might be relying on medications that don't work or you might be getting the right drugs at the wrong dosage. Anti convulsants, anti depressants, pain killers, topical treatments and combination treatments are used for treating neuropathic pain. Unfortunately, you may have to shop around for a while to get the one that works for you, but Lyrica has worked wonders for me, though it took a good 8 weeks to fully kick in...... Nerves can take up to 2 years to fully regenerate, but often times, depending on the nature of the injury, they can be permanently damaged (as is probably the case with you).

    Please speak to your Doctor about "electrical stimulation" (TENS, PENS, rTMS) for your nerve pain. When you feel nerve pain, an electrical signal is being sent from a damaged nerve to your brain. Some treatments for nerve pain work by sending out their own electrical impulses. These charges seem to interrupt or block the pain signals, reducing the pain you feel. This could bring some intense relief for you. Other methods of electrical stimulation are more complex and require surgery. For instance, spinal cord stimulation involves implanting a device in the body that sends out electrical impulses to the spinal cord. For deep brain stimulation (DBS), a surgeon would implant electrodes in the brain. Generally, doctors only use these invasive approaches when everything else has failed. A Pain Specialist or a Neurologist may be required to figure it all out for u if all else fails.

    Hope this helps you. Again, thank your for your Service. I'm sorry that this happened to you. Sending healing vibes your way.

    -Doug
    Realize that FEAR is our worst enemy. Get up & get out in that stormy weather of the real world & kick fear in the teeth. Stare at it dead in the eyes & walk right through it into the storm; because once you're wet, you won’t fear the rain anymore
  • I am posting answers to your questions based on my experience.
    What is more powerful Fyntenal or Oxycontin? (Depends on the dosage of each)
    Is Dilaudid more potent than any other? (Dilaudid is strong because of the milligrams. Example, a high dose is considered 8 mg, where as, OxyContin dosages go up to 160mg. )
    What is the highest prescription for OxyContin that you have been on for back pain post surgery? (I was on 40mg of OxyContin x 3 per day, and 20mg Oxycodone IR for break through pain x 4 times a day)
    Has anyone had any experience with this combined with OxyContin and oxycodone? (Yes, I have taken them at the same time. I would point out they are the same drug. OxyContin is just the long acting version of oxycodone).

    In my opinion people are all different, and you might need to try different combinations of meds to control your pain. I found I had the most relief taking Naproxin, MS contin 60mg (Extended release morphine), and Percocet 10mg 5 times a day. Have you any new details? How are you feeling now?
    04/24/15
    Left foramina stenosis of L3/L4 (retrolisthesis)
    ---------
    04/09/13
    L2-ilaic revision fusion ( loose screws) with a laminectomy at L3 (cage at L3-L4)
    ----------
    03/13/12
    (PLIF) -@ L4/ L/5 - S1 (cage at L4/L5)
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