Bt Pain!!!! I Need Some Opinions!!! - Pain Management Message Board

pedden · 11-06-2005, 05:30 PM

Hello everyone!!! It has been awhile since I have been on here due to not having access to the internet. Just for information, I am currently on Duragesic 50mcg/hr every 3 days, Loricet 10/500 4 X daily PRN for BT, Lyrica 75mg 2 X daily, and Xanax 1 mg 4 X daily. Everything seems to be working alright, except the BT pain medication, the Loricet doesn't help with my breakthrough pain. With the medications I am on, anyones and everyones advice on the BT medication I should request is greatly appreciated. My pain is from PHN (Post-Herpetic Neuralgia{after shingles}). Any information on any change of medication or routine I can get into to stop the BT pain!!!! THANK YOU!!

ARANGER · 11-06-2005, 06:49 PM

You are at the highest dose of Hydrocodone that is made 10mg. Unless you have it compounded. You could ask your Dr to switch you to an Oxycodone based drug (Percocet, Oxy IR). When I was on Duragesic, I used Oxy IR 5mg for BT. Oxycodone is stronger than Hydrocodone so you could probably start with a 5mg dose either of Oxy IR or Percocet. Percocet contains APAP (Tylenol) like the Lorcet. If you go with just an Oxycodone only drug you can get single dosages from 5mg to 30mg(Roxicodone). It gives you a little more flexability when you don't have the Tylenol to worry about as there is only a 4000mg day max for Tylenol. Hope this helps.

Take Care

friendly_one · 11-07-2005, 09:34 AM

Hi Motte....have you ever tried Actiq? This is what I take. Basically, it's fentanyl (the same med as in Duragesic) on a stick (it's a lollipop). They come in 6 different strengths 200mcg, 400mcg, 600mcg, 800mcg, 1200mcg, & 1600mcg. I take the 1200mcg up to 5/day as needed. I also take Duragesic 125mcg (I wish they would make a 125mcg patch..one patch is bad enough at irritating my skin, but 2 patches really does it in...oh well, small price to pay for pain relief LOL). I change my patches every 3 days. This combination works well for me. All you can do is bring the Actiq up for suggestion, ya know?? One last thing, do you have insurance?? If you don't, Actiq probably isn't for you...it's very expensive!! I get 150 units/month and pay $20 for my copay. Without insurance, the cash price is $4012.09!! Needless to say, I wouldn't be taking it. Anyway, good luck!

pedden · 11-07-2005, 10:45 AM

Yes, that def. isnt for me then. I dont have any insurance, luckily Janssen Corp. is giving me my patches for free or I would be in alot of trouble as far as those go. Thank You for the information, and any other suggestions would be wonderful!!

pedden · 11-07-2005, 10:48 AM

I was taking Percocet 10/650 before, but I had an allergic reaction to it. So my doctor took me off and put me back on Hydrocodone. Now with that said, could it have been something in the Percocet and not necessarily the Oxycodone? I know they use different stuff on top of the active ingredients (oxycodone, tylenol) to give its shape and color. Could this be possible? Or any other medicines for suggestions? Thank You!!