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Old 05-25-2005, 09:09 AM   #1
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Ralinda30 HB User
Methadone?

My husband has been on narcotic pain meds for 2 yrs now..He has been dx with peripheral neuropathy.He has been on morphine,percocet,duragisic patches,loratab, and oxycontin.not to mention other types of meds used for off label purposes..now the va doctor is wanting to switch him to methadone. Does this medicine help with pain? every since he has come home from Iraq ,they have keep switching his meds. Any info would be helpful...Thanks, Ralinda

 
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Old 05-25-2005, 10:36 AM   #2
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Re: Methadone?

BTW - if paying by Medicaid...I've heard that the only Methadone they cover is the 'Methadose' by Mallinkrodt. But if thats the case, do it if you have to. If he hasn't had methadone before chances are he won't notice any effect in quality w/ methadose, so I guess it wouldn't hurt.

Last edited by LibraBalancer; 05-25-2005 at 10:40 AM.

 
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Old 05-25-2005, 10:36 AM   #3
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Re: Methadone?

Hi Ralinda,
I am on Methadone and have been for two years now, so I want to let you know a few things about it. I don't know what medication your husband is currently on or the dose, but I'll give you some information about Meth that may help anyway.

Methadone is an excellent pain med and most likely one that will work for just about anything, especially nerve pain problems. I have Irritable Bowel Syndrom, Neuralgia pain from lung surgery, and now from doing a colonoscopy last week they discoved I have an infection called Clostridium Difficile or C-Diff for short. This is an infection of the bowel and very painful in itself. My doctor currently has me on 180 mg of Methadone, which is a very high dose, but I had built up such a tolerance from being on Oxycontin, Duragesic (Fentenyl) patch and other short acting drugs, it has become necessary. Your husband may find he is in that situation too.

The only downside to Methadone, is the fact it isn't the easiest drug to come off of, if that time should come. It requires a very slow taper, but it can be done. That said, I can reccomend Methadone a pain med that is very good and it is one that stays in your systems for a long time. It has a long half life, so you're not waiting to take your next dose. Usually doctors will start you on a low dose and slowly increase it to where you are comfortable.

Good luck to you and your husband. Please let us know what you do with the doctor's suggestion to try the Methadone.
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Old 05-25-2005, 10:36 AM   #4
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Re: Methadone?

Hi Relinda!
I was in a very similar situation as far as trying those drugs as well. Started off with the Vicodin, Percocet, etc. short acting drugs...then had to start the long acting meds once I was in Pain Management, like the morphines and Fentanyl. They all had some benefits, but where not as beneficial as I would of hoped them to be. Also, the prices (esp. Duragesic) where a big factor in my eventually switching to Methadone.
Methadone is not only the cheapest of the LA medications, but for me and many others out there, Methadone is VERY effective in releaving pain. esp nerve pain...like in my case Sciatica. It really really helps the constant annoyance of the tingle, burn, electric throb feelings of Sciatic pain. Although the pain is still always there...it's much more easy to tolerate thanks to the Methadone. When I was 1st Rx'd Methadone I was taking it twice a day (40mg every 12 hrs.), but noticed it didn't last that long for pain relief, so I went to 3 times a day (40mg every 8 hrs.) and stayed there for a while. As of yesterday I'm now taking it 4 times a day (40mg every 6 hrs.) I guess it just depends on individual reactions, responses to the medicine, but I guess on average it is effective to some from 6-12 hrs. So now it's a total of 160mg's daily. That may seem like alot at first, but it's easy to escelate to that level w/ very few side effects...at least in my situation. I don't itch, I don't doze off, etc. The only side effects I get are mild constipation and decreased sex drive.
Overall I would say, given in the right dose, Methadone is extremely cheap and effective. But there is only one way to find out...and that's by taking it. So good luck to your husband and I would tell him you've read good things about it, and to be positive when trying it. OH, it does work immediatly (30-60 min.) after ingesting it, BUT....it will take 4-5 days for someone to 'balance out', so to say reach a plateau of even pain relief. So essentially, the more days it's taken....the better it works.
*Word of advice, if possible get the medicine made by Roxane Pharm. They have a superior product. Try and stay away from Mallinkrodt (sp) Roxane makes the 10mg and 40mg waffers that disperse in liquids. Both Roxane products have a '54' above a 3 numerical code. The 10mg is 54/142 and the waffers are 54/883. I only tell you this, because many people KNOW that mallinkrodt's version of methadone (METHADOSE) they call it, it's just not up to par, for WHATEVER reason, but believe me I'm not making it up. It may be just a tad bit cheaper, but not by much. For instance my Dr's office has a pharmacy there (a pain mangement practice) and they go by price per pill/tablet, not quantity. So for each 40mg tab it's .69 cents. Thats $82.80 a month. Compared to Duragesic 50mcg/hr @ around $300.00 a month. And 40mg's of methadone every 6 hrs is alot of pills, in comparison to what a patient might start out at. So the savings are even greater. Good luck...I hope it works for your husband.

 
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Old 05-25-2005, 10:42 AM   #5
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Re: Methadone?

Hi Ralinda, sorry to hear about your husband. Methadone is often used to treat chronic pain, It's a pretty potent panin killer that works particularly well on nerve pain if he can handle the drowsiness. The initial drowsiness will deminish but he may still fall asleep when he's not actively engaged in activity. It can also effect personality, but everyone responds differently.

Read these, they are some of the better chronic pain info on meth, unfortnately you have to dig past alot of addictin management info to find pain managementinfo on. The more you know about CP and these meds the better. IT does have avery long half life and takes 5 days to reach peak and stable blood levels, so day one or two may be uncomfy but it will get better. BY day 5 you pretty much have double what you take each day in your sytem.
You have to adjust this med slower and wait to see the end result on the 5th day.

Cut and paste these addys into your browser
http://www.ampainsoc.org/pub/bulletin/sep00/upda1.htm

This one is really good and talks about blocking NMDA receptors.
http://www.mainehospicecouncil.org/MaineLink/vol2no2/methadone_rediscovered.htm

And you should read this to learn how chronic pain is different than acute pain
http://www.hosppract.com/issues/2000/07/brook.htm

And this is part 2 which talks about drug selection and the difference between adiction and physical depenedence *very important*
http://www.hosppract.com/issues/2000/09/brook.htm

These really will help undestand more about what's goin on, why and what's available.
Good luck and take care, Dave

PS If you need a recipe to relieve constipation, I got one of those too.

Last edited by Shoreline; 05-25-2005 at 10:45 AM.

 
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