I'll make this short because I feel terrible and need to lie down until this passes...
I had a rather intense episode of BT pain peak a few hours ago so I took 2.5 Norco 10/325's from my dwindling supply. About 45 minutes ago I began to develop a steadily increasing nausea, soon accompanied by sweating and headache. Just recently it got had enough that I had to take an abortive dose of Phenergan 25 mg and Klonopin 1 mg (which have helped the N/V from Suboxone in the past). I only have a handful of all of these medications available to me until I get my PM to set me up with similar meds so hopefully this is isolated. What I can't figure out is whether this is precipitated withdrawal or a reaction to high levels of opioids in my system. When going through Norco withdrawal in the past it was present more as sweats, sneezing, nasal congestion, fatigue, etc. On rare occasions when I have taken too many opioids (notably Tramadol + Norco) it has presented much more similar to how I now feel. 2-3 Norco is not an unusual dose for me (though I haven't needed it nearly as often lately, especially that high of a dose). Because the buprenorphine in the BuTrans does precipitate withdrawal when administered to someone with previous recent full mu agonists though I can't help but wonder.... Time to lay down for a brief spell...
"'I'm not feeling very well, I need a doctor immediately!' 'Ring the nearest golf course'"
- Groucho Marx
Sometimes it's not in the total amount of "all" meds taken but in the amount of a certain med taken. I like you can take a high combination of various meds and be fine. But for whatever reason if I take 2 or 3 Oxy (percs) I get very naseous/vomiting.
So I would almost bet this is a symptom of the 2 and a 1/2 norco you took, the combo of large amount of hydro and apap dont' tend to do well on the tummy. Pepcid can sometimes settle the stomach acids and make things calmer.
Hope you fell better soon.
Another thing you might not have thought of. I know you've gotten a good PM and your relationship has gotten off to a good start, but the reality that he will give you scripts for your PM meds, phenergran and Klonopin, may not be an exact reality....just something to think about.
Recombinant...you may want to start going back down on how many Norco's you take at once as most prescriptions will say "Take 1 to 2 tablets as needed for pain"....So taking more than two at one time is not the norm and this new PM as mentioned, may not want you to do this.
It can also cause issues with running out of medicine early or as you are finding....taking a dose like this can cause nausea and/or dizziness. Because this medication only lasts 4-6 hours maximum....and the peak of medication is within 45 minutes of taking it....If you are doing this throughout the day.....The ups and downs of medication in your system can be the possible cause of your symptoms as well.
If you are allowed to take x amount per day (within a 24 hour period).....I would clarify with your Dr. how many you should take at one time...
For me...I had to switch over from Percocets to OxyIR because I became intolerant to Acetaminophen. It kept upsetting my stomach and causing a lot of nausea. So that is another aspect that may be your issue..
I hope you can get it all straightened out with the Dr.
I'd vote for withdrawal due to adding Norco on top of the Butrans patch. Definitively discuss this with your doctor. I know we've talked about it and the opinion really varies on how much of an opiate and which type at which dose of buprenorphine you can take, but I think its a definite possibility. Withdrawal for me presents as nausea, sweats, chills, shaking, etc, but its different for each person and medication. Have you taken this much Norco since starting Butrans? Did your doctor have any advice besides that it was ok to continue taking the Norco you had (such as amount)? Best wishes.