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Old 01-24-2008, 07:43 PM   #1
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what kind of prescription pain killer might replace norco 10

I have been on norco 10 for almost a year now and needless to say I've built up a tolerance. I want to switch to something else that works, but I can't afford to be knocked out by it. Any suggestions?

 
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Old 01-24-2008, 09:24 PM   #2
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painaway HB User
Re: what kind of prescription pain killer might replace norco 10

Jaycee...Welcome!! Well, I'm thinking Percocet 5mg would be about the next step up. Maybe I'm wrong, but I take Lortab 10, and when I had surgery a while back, the Percocet 5 did well for me. Good luck, and I'll be praying for you!

 
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Old 01-24-2008, 09:45 PM   #3
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Re: what kind of prescription pain killer might replace norco 10

Thanks alot! My doctor had one of the nurses suggest something at the end of my visit that is time released and only taken twice a day, but unfortunately I can't remember what it is now to research it. Any ideas?

 
Old 01-24-2008, 10:25 PM   #4
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Re: what kind of prescription pain killer might replace norco 10

Thse are the timed release meds that I can think of. Of course I am sure they are not all the meds - I don't know all of them.

oxycontin ?
ms contn ?
ultram ER?
Fentanyl?
Duragaisic ?

I currently am on oxycontin and it took a couple of weeks before the tiredness went away. Good luck.

Last edited by ms_west; 01-25-2008 at 06:15 AM.

 
Old 01-24-2008, 10:50 PM   #5
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Re: what kind of prescription pain killer might replace norco 10

Jaycee, it helps us give you better advice if we know a little bit about why you are in pain management, there are some medications that are just for nerve pain, that arent even a narcotic, that can be very effective, for example. But we arent sure what your situation is, a little more info goes a long way.
Welcome to our group, I hope you find it as helpful and supportive as I have.

Your Friend, Fabby

 
Old 01-25-2008, 06:34 AM   #6
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Re: what kind of prescription pain killer might replace norco 10

I really appreciate the feedback so far. It's very comforting to know there are people out there that understand and don't just treat you like an addict because you want to be able to function on a day to day.
To tell you a bit about me, the main reason I'm in pain management is due to a car accident. I have bulging discs and several pinched nerves that my doctor has declared pretty much permanent due to the lack of improvement with different therapies. I recently started accupunture, hopefully I'll get some relief there. I also have another condition though. I have endometriosis. If you have any questions about it, feel free to ask. Since I was diagnosed with it I've done quite bit of research. It's unfortunate how little money is spent to study a disease that affects so many women world wide. The only time specialists want to get involved is when you become infertile. I already have a child and don't want any more, I just want the pain to go away. I've yet to find a doctor that has any decent suggestions. They put me on terrible medication with horrible side effects, tell me to try and get pregnant or treat me like an addict when I ask for a refill of the pain meds. It's ridiculous!
Well, that pretty much sums up my "pain". I know that compared to what some people go through, it's very insignificant. But for me, it's life altering, and that just plain ole sucks!

 
Old 01-25-2008, 09:55 AM   #7
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milwood353 HB User
Re: what kind of prescription pain killer might replace norco 10

Jaycee, I sorry to hear of your condition and hope things work out.
I was on Norco 10/325 for about 14 months and just yesterday switched to Percocet 10/325 and it was the first time in several months that I was able to sleep all night without waking up with pain. I posted a very similar question earlier in the week and received some very sound advice as the med available. I would try and find the post and review it. There are some really good responses on it. Good Luck!

 
Old 01-25-2008, 03:30 PM   #8
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Re: what kind of prescription pain killer might replace norco 10

thanks again. I found the old posts and it was helpful. My doctor has been pretty understanding so far, so hopefully he will have a plan. i really wish I could remember what the medication was called that he had the nurse suggest. I do have another question though...does the percocet make you tired? Or does the the tolerance to opiates already established work in your advantage?

 
Old 01-28-2008, 05:50 PM   #9
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Re: what kind of prescription pain killer might replace norco 10

jaycee,

I have been on Norco for almost 4 years. However while it used to be my primary pain medication, it is now my bt medication. I got switched to Percocet which didn't do much, then I got switched to Dilaudid 4mg then Dilaudid 8mg. Both worked pretty good. However after about 4 mos on the Dilaudid and I was right back to square 1, so my doctor put me on Kadian 60mg. That was alright but I noticed that it made me very jumpy, almost like I wanted to jump out of my skin. He then switched me to Oxy which did absolutely nothing for me.

The past 16 mos have been trial and error but I am now on Fentanyl 75 mcg every 3 days with the Norco for bt and Soma for back spasms. I had my neurosurgeon advise me that the only thing that would be available to me due to the condition of my back (herniated L4-L5, 3mm bulge on L3, DDD T10-12, L1-L5, S1, mild spinal stenosis, broad based disc protrusion involving left neural foramen L4-L5, S1) is a spinal fusion and because of my age (47, 43 at diagnosis) he advised strongly against it then and continues to. I have also been in the medical field since I have been 18 years old (almost 30 yrs) and I have not seen significant improvement in both the quality and outcome of those who go through back surgery for me to jump in and say "Go Ahead". In fact I have seen too many people who are far worse off then me. I can at least get around and move and do the things I need to do. Some days are better than others but for the most part, I can function.

I would see what kind of plan you doctor has for you and then try it. If for some reason the medications don't agree with you or you feel "drugged out" then you can always ask that the dosage be cut or work out another way for your medication to be dispensed. Most doctors are pretty versed at achieving the right results for your particular situation.

Good luck

 
Old 01-28-2008, 06:17 PM   #10
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Re: what kind of prescription pain killer might replace norco 10

Jacee:
I saw that some of your pain is nerve related so you may want to try the following medications if you haven't already tried them.

1. Lyrica - an antiseizure medication also been proven very effective for nerve pain

2. Neurontin - similar to Lyrica

3. Cymbalta - a medication designed specifically to treat nerve pain and doubles as an anti-depressant

4. Ultram (tramadol) or Ultracet (tramadol w/acetaminophen) - used for nerve pain as well

Just a few to try.

Brian

 
Old 01-28-2008, 07:22 PM   #11
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Re: what kind of prescription pain killer might replace norco 10

I think its a good sign that your doctor is talking about longer acting meds, it sounds as if he is recognizing and willing to treat your pain. You might want to ask them more about which long acting med they are talking about.

Dont ever belittle your pain, there are always people worse off, it doesnt mean my pain or yours isnt real, and constant pain is so demoralizing, it effects every part of your life. Your conditions are very painful ones, and we have a lot of members with the same problems.

Hang in there and let us know what happens with the meds.

Your Friend, Fabby

 
Old 01-29-2008, 07:06 AM   #12
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milwood353 HB User
Re: what kind of prescription pain killer might replace norco 10

Jaycee, I’m glade that you have an understanding Doc. I have found it makes a huge difference.
Here is a little personal experience with oxycodone (spl) 10/325 and the name brand Percocet 10/325. On Dec 10 2007 I had a discogram and was proscribed oxycodone 10/325. The first day or two it did not make me tired whoever, the last 10 to 15 pills I noticed that I got very tired about 30-45 after taking. I only had two week supply and then was back to Norco. Moving forward to Jan 24th my doc changed my med from Norco 10/325 to the oxycodone 10/325 and because of the smart folks on this board I asked the doc (since I am blessed with very good insurance coverage) what he thought about the difference between generic and name brand and he told me that he would prefer that his patients take name brand if the can handle the cost and he went on to confirm what others have said about the fillers can reduce the time it takes to metabolize the active ingredient. I have taken 4 full days of the Percocet 10/325 and have had very good relief without being drowsy. I know it was a long way to go to tell you that the oxyco made me tired but the percocet has not, so far. (crossing fingers) But I thought it was interesting that the doc would confirm the pitfalls of the generics.

 
Old 01-29-2008, 07:40 AM   #13
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Re: what kind of prescription pain killer might replace norco 10

Quote:
Originally Posted by jaycee13 View Post
I have been on norco 10 for almost a year now and needless to say I've built up a tolerance. I want to switch to something else that works, but I can't afford to be knocked out by it. Any suggestions?
I too have been on Norco for about a year now and I was wondering why it no longer seems to work. So, is it normal to builld up a tolerance to these drugs???? I was thinking about calling my doctor and asking him if I could try the percocet. What happens if you build up a tolerance to that?? It just all seems a bit scary to me.
Thanks for responding,
georgi

 
Old 01-29-2008, 10:15 AM   #14
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forginon HB User
Re: what kind of prescription pain killer might replace norco 10

georgi,

This isn't a trick question, but what makes you feel like the med is no longer working?

steve

 
Old 01-29-2008, 11:30 AM   #15
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georgi HB User
Re: what kind of prescription pain killer might replace norco 10

Steve,
I am still in pain after taking the medication. I count the hours until the next dose, thinking that the next dose will work better, but never does. It worked pretty good up until a month ago. I started out with 500/500 hydrocodone and APAP, then up to 10/325 in August.I get so depressed at times. I wonder if I will ever feel better. Guess that I should be happy that I seem to have an understanding doctor.Some days are better than others.
Thanks for responding.
georgi

 
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