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Old 02-26-2008, 06:03 AM   #1
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Can you take Norco if your taking Percocet

Hello everyone, I am currently on percocet recovering from shoulder surgery. Here is my dilemma, I am still in alot of pain from the surgery, I was alittle worried & still am, after seeing the surgeon for my first follow up he explained due to the amount of bone removel & how the shoudler was before the surgery this pain level can be anticiapated, even up to 4 mnths after surgery. To throw a wrench in he believes that I have a problem in the rib cage, that there may be ribs that have shifted. I made an appointment with the specialist for the ribs & they will be mailing me a packet, they warned me that alot of insurances won't cover osteopathic manipluation, even if my insurance does cover it I can't get in till the end of may. My surgeon will be starting to cut me off of my percocet before that. The ribs hurt as much & very often more then the shoulder, it causes me alot of chest pain, at times even taking 2percocet (which the surgeon said to do) does not get rid of that pain. I am afraid that I will be left to with this pain while waiting to get into another doc. for the ribs. I am super careful with meds & if anything have been told I don't take enough to manage the pain, but I have norco that I did not take, it just did not budge the pain, but I only tried it the one time.
Here is my question at times by evening the pain is not as severe, in order to save on the perocet can I take the Norco on those occasions after taking perc. during the day & how is Norco compared to percocet when it comes to pain control? Is norco stronger then vicodin?I am clueless as to where Norco falls in the pain med. catagory. I am not sure yet if the Norco would surfice in the eveinings but thought I would ask anyway.
I am really worried about being left in this pain, & we all know how long it can take to get into a new doctor. I plan on asking if I should find a PM just in case but in the mean time I can't help but worry. As I stated in the past I could kick myself for not getting in with a PM before, my primary care office told me I was considered a CP patient & I chose to keep seeing a rehab. doc instead of a PM doc. now I regret it.
The surgery was Jan,31 & I woke up this morning feeling like I could throw up between the pain in the shoulder/arm & the ribs, really getting to me. I would rather try to save on the percocet to get by if I am stuck waiting to get into another doctor. Thanks, Sammy

 
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Old 02-26-2008, 06:41 AM   #2
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Re: Can you take Norco if your taking Percocet

Sammy,

I am so sorry that your still feeling so bad. Believe me I get it.

As for the Norco and Percocet, I think that the percocet is a bit stronger but I am not a pharmacist.

About 8 years ago I had some dental work done and a problem arose afterward that led to the point that I had to have a blister like pouch lanced that was on my gum line. I had been put on Vicodin after the initial dental work, and then the dentist prescribed percocet after he had to lance the blister thing. I took the vicodin in the day time and the percocet at night and eventually I ended up in the ER because I could not eat or drink and my belly was distended.

The ER doc said I should not have taken them together in a 24. I should have only taken one or the other. Needless to say I never did that again.

Anyway Sammy, I really think at this point that your surgeon should refer you back to the PM doc. He will be able to manage your pain and help you through all this.

I am in the same boat as you. The docs say to early to say if my elevated pain is left from surgery or some other problems that I have. Mean while I am let in the same place as you. Meds not helping...living in constant pain that is 7-8-9-10-7-6-9-8-10-8-8-7-10-7-9 just awful...up-down-up-down...and yes makes you want to throw up. I have a rough time just like you. I am going back to my PM on Thursday and I can't wait to see what he will say and do to help me.

Sammy you are a strong woman and you have made it this far. Please hang in there and if you can see if you can be referred back to the PM you saw before. I know this is tough, but God is there holding your hand as well as all of us.

Hang in Sammy!!!

Chrissy

 
Old 02-26-2008, 08:13 AM   #3
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Re: Can you take Norco if your taking Percocet

it really wouldn't hurt you sammy.there are many people who take the norco(10 mgs of hydro with 325 apap vs the only 5 with vicodin so it is a bit stronger than plain 5/500 vicodin)on a regular basis and use percs for BT pain.you could try it anyways and see how it goes.just watch,as usual,the actual tylenol intake.i still really think trying the lido patches for the upper back/scapula pain would be at least worth trying anyways too.the patches work really well for my upper back and the horrid TPs i have under both shoulder blades now.i don't know what i would do without them at this point sammy.they do really help with the intensity of the overall pain.i just think you should at least try them,espescially if your pain meds are not going to be there soon for you to rely on.pre op,i relied solely on the biofreeze and the lido patches to get me thru and never had to increase my narcotic intake at all.just a thought for you hon.anything is always at least worth trying ya know?you just never know how a particular tool will work til you use it on your individual pain process.i wish you luck hon.

i seriously would ask your surgeon about just doing that dang x ray himself or ask your primary.its not that difficult ya know?at least it would give you an idea of what may be going on and not having to wait all those months not knowing.marcia
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3-22-01,herniated C-6-7
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9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 02-27-2008, 05:49 AM   #4
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Re: Can you take Norco if your taking Percocet

Marcia & Chrissy, Had one of the worst days yesturday. I guess when he said it may get worse he meant it. OMG, I spent most of the day in tears. The perco. lasted 2-3hrs, that was it. I just do not get it. My ribs & chest were so painful I could not touch between my ribs, super sore, sharp stabbing pains in my chest & by evening my shoulder & arm joined in. I have such pain going down my arm. This may sound crazy but I swear it was hurting all the way down to my hip, & I mean bad.
I did alittle bit of work the other day, I don't know if that did it or what. But I am not waiting till may, no way. I am in more pain then before the surgery. I can't get rid of this pulsating throbbing in those areas. I had the therma care patch on so I will try the lidoderm again today. My husband does not want me doing much so my sister may come to help me out, the weather has been pretty bad so we will see. Ladies I can handle pain but this just is not some small aggravating pain, its constant. My arm is hurting all the way to the hand. I am trying to keep in mind he said it could still get worse but heck I am getting really tired of this. like you Chrissy I take the meds & it goes 9,8,7,6.
2 hours later it starts going 6,7,8,9, I reach the 10 & that is it. I spent most of my day gagging with dry heaves & nausea, that makes the darn shoulder/scapula hurt.
Marcia, you are right, there is no reason I should have to wait that long, I can't do it.
I am gong to try to hold off till my march appointment but if it continues like yesturday I will have to be seen. I am not sure who to call, my primary or the surgeon. The surgeon only wanted to wait to see if it would start to feel better as the shoulder heals in hopes of avoiding another specialist. I have been neglecting the chair to so I will start back up today. No way could I do yesturday & was gone saturday most of day, sunday only squeezed it in for a short time. You just are not always sure what is normal & what is not. My other shoulder is starting to hurt so I will really have to watch it, don't want to go through this again. I just under estimated how hard this recovery would be, you don't have a crystal ball, its a good thing I would have probably been to scared to get this done. Marcia, how are you doing, better then me I hope? Are you sleeping on the shoulder yet? Do you know if I can apply the Lidoderm patch to the shoulder & the ribs, you know in a few different locations at the same time? Thanks ladies, I am not out of enough pain to take the Norco at this time but hopefully I will get there. I need to be able to save the perocet in case I have to wait to get into another doc to manage this pain. Sammy

 
Old 02-27-2008, 06:20 AM   #5
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Re: Can you take Norco if your taking Percocet

Sammy
i am so sorry your feeling so bad!! HUGS!! I know all to well about the feeling worse than when you started.

I know what you mean about the other arm no hurting. It is working hard to make up for the loss for the other side and I am sure that it is somewhat over worked. I went through that from time to time when I went through all the arm surgeries. I was scared sometimes that the good arm was going to fail me.

Sammy have you tried to get back to the Pain Doc? Or did I miss soething and your waiting to see him. Also Marcia is right when she says why wait for the X ray. I complained to the NS right during a huge flare up and that is when he ordered the MRI post operatively about 5 weeks.

Sammy I understand all to well how you feel hon and believe me you I know how hard it is to see the light at the end of the tunnel. So I just work on surrender and trusting that God will see me through. Sometimes I gotta get on the board here and just hash it out some with the help of my friends.

I will say some prayers for you!!! Hang in

Chrissy

 
Old 02-27-2008, 08:32 AM   #6
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Re: Can you take Norco if your taking Percocet

wow sammy.i feel so bad for you hon.you can use up to three lidos at a time but no more than that and only for the 12 on and then 12 off.the only issue once you go past the two is the possibility of it affecting your heart rhythm since lido IS also a cardiac med ment to be used when a person has rhythm problems.it would be much safer using the two at a time vs trying three.just hit the worst radiating spots,that usually takes care of the other crap that is stemming from the generator.i am wondering if the heat may be making it worse for you?or does it actually feel good to you.thats kind of the rule of themb there with cold vs hot.do you actually have any confirmed Dxed c spine problems at all?the pain running down thru the hand just doesn't sound like it would be shoulder related.at least that is what my ortho told me when i mentioned i was having pain in my last two fingers at the consult.but the whole hand ache he said 'could be' it all depends upon inflammation and any swelling or how it could be affecting the nerves running thru there,you know what i mean?

sammy,i am really wondering if you don't actually have some level of the pain being sympathetically generated and not actually 'just' post op crap or rib issues.just what does your pain feel like exactly and do you still have that sweating going on too?i really do think this needs to be brought up to your doc depending upon what your pain feels like right now.just describe it exactly for me hon.is there any place that stays either hotter or colder than usual or any color changes going on anywhere to your skin?just based upon the sweating alone,does indicate at least a small level of SNS affectation,it just depends on how much.remeber that stellate ganglion block i told you about before?this could be done thru a PM as a diagnostic tool.if it does affect your pain in any way at all it would be considered to be sympathetically generated.if nothing happens after,it most likely isn't.you just really need to know one way or another hon.

i have to say sammy,when i read your post in the spinal board where you actually woke up with your freaking arm above your head,god,owie,i hurt for you.how in the heck were you even ABLE to accomplish that given the joint crap?i cannot even get to that posistion yet if i tried right now.my joint just has not been excercised that way yet and i know i could not possibly move it in that way.the only reason i am kicking butt on the CPM is to get it the heck outta here since we recieved a nice letter from my is co stating that it appears we are going to have to pay almost 75.00 a freaking day just to have this torture chair here everyday.yikes,now THATS motivation!i got to 110 yesterday and have not done it yet today.but am shooting for another five.

if your pain gets too out of hand sammy,just go to your local ER and tell them about the rib thing,they will check it out at least with a flippin x ray for you.you just need to know what is actually causing this ungodly level of pain hon.honestly,mine has gone down considerably from the day it came and since i have been home.i am just taking my regular meds right now,really.i am usually the one who gets the problems and complications so i really am grateful things have been okay.but my c spine mess is sooo freaking bad along with all those dang TPs that are like everywhere up there.thats what i have been using my lido for mostly.i really do think you have more going on in there besides 'just' post op crap.the pain just sounds very out of proportion to what you should be feeling right now ya know?i don't think your surgeon really has a clue just how truely bad this is for you.while it would be normal to have occasional little episodes of pain that really goes up( i AM having those still)yours just sounds like way too much and way too high on a more consistant type basis.

i would defintiely try the lido patches.just place them where it really hurts the most(the base of the pain?).at this point,as long as the incision is healed over,you would be able to place themover it now if you have to.i am.i just think they would really be helpful right now.these were okayed very early on by my surgeon.just watch it if the areas get too numb that you don't start moving things the wrong way.but if they are on your shoulder blade or upper back or rib,i think you will be okay.just wanted to ask you if your sling has that same waist strap that mine does?if it does,attach that when you sleep,it will prevent you from being able to move that arm up too far.this way you can still relaese that neck attacker and that arm wont wander up.hang in there sammy,i am thinking of you and chrissy.Marcia
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 02-27-2008, 01:55 PM   #7
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Re: Can you take Norco if your taking Percocet

Sammy:
I would definitely call your surgeon and tell them how much pain you are having and how much it is keeping you from doing. Tell them that you have not been able to do anything or your chair and it is really affecting you badly. If your surgeon won't increase your meds then get into see your family doctor. Also, get a referreal to a pain management doctor since it sound like you are going to need one. This pain doesn't sound like it's going to be going away anytime soon. Even if it does at least they can manage and give you pain meds. Like I said, the doctors don't know how much pain you are in unless you tell them. Get on the ball and get er done

Brian

 
Old 02-27-2008, 02:33 PM   #8
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Re: Can you take Norco if your taking Percocet

Dear Sammy,

I am in agreement with Brian! This pain level needs to be evaluated and treated!! That is a short sentence (for me--since I tend to ramble), but it packs a great deal of power. However, give the credit to Brian and the others who have given you this well-deserved advice.

Sincerely,
Jon (Conductor)

Last edited by conductor; 02-27-2008 at 02:43 PM. Reason: Fixing post. Jon (Conductor)

 
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