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  Percocet Alternative???

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Author Topic:   Percocet Alternative??? | Page views:
SmilingFeathers
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From:CT
Registered: Sep 2003

posted 09-19-2003 12:08 AM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hi everyone,

I was wondering if someone could assist me. My husband had a severe case of pneumonia back in February that ended up causing abscesses in his lung cavity. The Dr's placed 3 chest tubes and removed over 2 liters of fluid, and also performed a lung surgery to remove the abcesses. Much to everyone's surprise, my husband survived this severe illness.

Since the surgery, my husband has had consistant 24 hour/7 day a week chest discomfort (he doesn't call it pain) that starts from his chest bone and pretty much goes all of the way to the center of his back. The discomfort can take his breath away sometimes, and makes sleeping a challenge.

The Dr. has informed my husband that he has muscle defects from where the 3 chest tubes were inserted and removed and has prescribed Percocet as needed and that Ecotrin has also relieved some discomfort in similar cases. My husband has tried the Ecotrin, Excedrin and even Ibuprofen but nothing seems to touch the discomfort as well as the Percocet.

Unfortunately, from what we have been told, my husband could be in this pain for 1-2 years, and possibly even longer. We just don't like the thought of him being on Percocet that long...even if it is "as needed."

Can anyone suggest alternatives to the Percocet? It has been a very long road, and I would appreciate any type of suggestions.

Thank you so much for your time.
SmilingFeathers

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twisten
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From:Saskatchewan Canada
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posted 09-19-2003 01:06 AM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
Hi SmilingFeathers, I'm sorry to hear of your husbands bout with pneumonia. You mention trying ibuprofen and that it didn't help. We have a non-steroidal anti-inflammatory drug up here (canada) called toredol. It acts like a narcotic but it isn't so you can't become addicted to it. You would have to get it prescribed by your doc. It might be worth asking if there is possibly a drug like this that he could take.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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mamaslittlehelper
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posted 09-19-2003 01:17 AM     Click Here to See the Profile for mamaslittlehelper     Edit/Delete Message   Reply w/Quote
Hi all! Smiling, so sorry to hear about your husbands condition...I am dealing with a similiar problem with my TMJ (but I am sure not as painful!) and am trying to find an alternative pain medication that I can remain on for awhile. Personally, I have tried the Toradol earlier this year when I went to the ER with lower back pain...it never did cut through my pain and left me very sleepy which at the time was somewhat okay (I was still in some pain) since my back was healing and I had to lie around anyway. I have tried it with my TMJ but have to be able to stay awake and function! I guess everyone is affected differently by medications so it's worth a try...I would explain the situation to his doctor and take it from there...good luck to you and your husband! TC!

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SmilingFeathers
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posted 09-19-2003 10:08 AM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hi Twisten and Mamaslittlehelper.

Thank you both for your posts. I have never heard of the medication but will research it out and inquire with the Dr.

And Mamaslittlehelper...I sure hope you feel better with the TMJ. I know that can be a very difficult, and painful time. My thoughts are with you...

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surgicaldisaster
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posted 09-19-2003 10:19 AM     Click Here to See the Profile for surgicaldisaster     Edit/Delete Message   Reply w/Quote
So sorry to hear about your husbands pain....it can really run ones life. The only problem with Toradol is (from what my Dr. told me) it can only be used for about 5-7 days as it is way too much for the stomach. Perhaps he should see a pain management Dr., who may be able to better help. Is it the narcotic aspect you are concerned about or the tylenol that is in it? If it's the tylenol, there are meds(long acting) that do not contain any tylenol at all. If it's the narcotic aspect perhaps they may offer other suggestions....but sometimes opiods(narcotics) can really save one from terrible pain and help give life back. Hope this helps some....take care of yourselves, it's not an easy road and those in chronic pain can attest to! Love, Surgical Disaster

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twisten
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From:Saskatchewan Canada
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posted 09-19-2003 11:02 AM     Click Here to See the Profile for twisten     Edit/Delete Message   Reply w/Quote
You're right Surg, I did have to stop taking it every 6 days for 3 or 4 days then go back on it. I totally forgot about that. This drug is probably not going to be of much help to your husband but maybe there is another one similar to it your doc may know about.

------------------
Hmm where should I begin?? Crohn's disease, sacroiilitis-crohn's related, scoliosis, spina bifida occulta, chronic myofascial pain, tmjd and migraines. Still waiting for bone scan and bone density test to tell me what else is wrong with me!! Too many surgeries to list!!

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SmilingFeathers
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posted 09-19-2003 11:07 AM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hi Surgicaldisaster,

It is definitely the narcotic aspect of the drug that bothers both of us. My husband was a teenager in the early 70's and experimented with many of the wild drugs that were around, and liked them a little too much sometimes. So, keeping narcotics away from him would be a very good thing.

A pain managment Dr is something I had not thought about. I will do a little research on that in my area. 2 years of living in pain and being on percocet on and off is just a long time for someone who enjoyed recreational drugs...even if it was 30 years ago.

Thanks again........Love, SmilingFeathers

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MaryT
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Registered: Mar 2001

posted 09-19-2003 11:10 AM     Click Here to See the Profile for MaryT     Edit/Delete Message   Reply w/Quote
Hello, Smiling Feathers, and welcome to the forum.

The chances are that nothing is going to work exactly like the Percoset. Why does your husband not want to take it until he is healed? There is nothing wrong with using a med that he needs, as long as it is properly prescribed and monitored by his physician.

Can you tell us why he doesn't want to take it?

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surgicaldisaster
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posted 09-19-2003 11:46 AM     Click Here to See the Profile for surgicaldisaster     Edit/Delete Message   Reply w/Quote
O.K., now I understand...both of you are concerned that this might be something he ends up not being able to handle too well in the long run. Well, given that, and I think if it's a concern to both of you then it could be a problem, has he tried anything like accupunture or alternative things like that? I did try that myself unfortunately to no avail, yet I have friends that swear by it! So, for some it does wonders, others, maybe not, but ya never know. A PM Dr. might be just what you need to seek other avenues...good luck and let us know how things are ok? Love, Surgical Disaster

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whaleylaker
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posted 09-19-2003 11:48 AM     Click Here to See the Profile for whaleylaker     Edit/Delete Message   Reply w/Quote
Hi I am so sorry to hear about your husband. I quess I"m about the same age. For me the 70's were just one 'good' year, so I can relate to your worries. I see you're from Ct. also. There are same great pain Dr. around here who will listen to your worries. It's really worrth a try. One good thing your husbsdand has going for him is a wonderfully supportive wive. Take care,Lake

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Russo
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From:Utah, USA
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posted 09-19-2003 01:25 PM     Click Here to See the Profile for Russo     Edit/Delete Message   Reply w/Quote
Feathers:

If your husband is suffering from daily pain, (like I do for back problems) the short-acting narcotic painkillers may not be the best thing. Ask the doctor about long-acting narcotics like Oxycontin, Avinza, or the Duragesic patch. They deliver potent pain relief steadily over the whole day without having to pop a pill every time the pain surges. They didn't work for me because of the nausea side-effect, but many people have benefited from this type of drug.

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SmilingFeathers
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posted 09-19-2003 01:33 PM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hmm...everyone is just so wonderful here. Thank you all for opening up and giving me suggestions. I have essentially taken care of him entirely by myself through his illess with hardly any assistance from family. And just with these few posts from all of you, I feel like I am not going through THIS journey alone.

I love the idea of seeking out a PM Dr. and possibly even other avenues such as acupuncture (yet another thing I had not thought of).

Thank you all for being here for me, and helping me see things that I hadn't considered. It has been a wonderful feeling.

:-)

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PoloBailey
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From:Barnegat, NJ USA
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posted 09-19-2003 01:59 PM     Click Here to See the Profile for PoloBailey     Edit/Delete Message   Reply w/Quote
I am currently using Duragesic Fentanyl Patch and also 10/325 Percocet for several herniated discs in my back. Sometimes I switch from the percocet to ULTRAM. Doing this helps prevent as much addiction to the percocet for me.

Ultram is the ONLY medication that helps me. It is not as good as the percocet but does do a great job. This is NOT a narcotic and is not habbit forming.

I have tried just about every possible pain reliever on the market and after a lot of trials, I found the Ultram works the best.

Check with your husbands doctor and do some research online!

I wish you and your husband the best of luck!!!!

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grizzk62
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posted 09-19-2003 02:13 PM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Smiling,

Welcome to the boards. Having pain dailey is very hard on a person. I do believe that since both you and your husband are aware of the potential problems of addiction is a great step. I also believe that since you are so aware of this that it may work to your benefit when it comes to taking narcotics. I would diffinately have a very frank and honest talk with your docs and be able to find some relief. Ultram is a good alternative but polobailey is alittle misimformed. It has the potentail of being abused because it acts on the same recptors that narcotics do just to a lesser extent. Toradol is way out of the question for long term. Not only is hard on the stomach but very hard on the liver as well. I too would suggest seeing a PMdoc. There are alot of other methods and treatments that they can try. I'm sure that they will be able to help him find some relief. I do hope for the best for both of you and by all means keep us informed...

Matt

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surgicaldisaster
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posted 09-19-2003 05:27 PM     Click Here to See the Profile for surgicaldisaster     Edit/Delete Message   Reply w/Quote
Hey Smiling, so glad you don't feel alone anymore with this situation. And yes, there are sooo many routes you can take. The PM Dr.s are the ones that specialize in this. We are always here...know what it is like...and are always willing to help/offer advice or just to lean on. It is not easy on the person actually in pain, but sometimes even harder for the supportive person(that you so clearly are!) as well as you feel somewhat helpless in certain ways I'm sure. So, let us know k? Surgical Disaster

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SmilingFeathers
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posted 09-19-2003 06:59 PM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hmm....Gosh it is a wonderful not feeling so alone as I have been these past 6 months. Thank you all for your suggesstions and encouragement.

I have already discussed seeking out a PM Dr with my husband and the little smile that came across his face said it all. I will be seeking out alternatives, and PM Doctors this weekend for him.

And yes, Surgical, you are right, and have been only been the 3rd person to acknowledge to me in the past 6 months, that many times the Caregiver (supportive person) sometimes goes through even harder times than the one that is in pain. Many times the supportive person is forgotten about, and yet needs some assistance too.

Thank you all for being here. Not only has it helped my husband, but it has done wonders for me.

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grizzk62
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posted 09-19-2003 09:43 PM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Smilin,

Yes the care giver is the unrecognize hero in our lives. I know that the love that I have for my wife in incrediable. She has been my life saver in everyway. Do take care of yourself. And by all means when you ever need support yourself just jump on in here and we will all give you everything that you may need and then some. Again do take good care.

Matt

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PoloBailey
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posted 09-20-2003 01:50 AM     Click Here to See the Profile for PoloBailey     Edit/Delete Message   Reply w/Quote
Grizz and everyone else,

Grizz you had mentioned that I was a little misinformed so I did some research and verified my above statement and it is correct. The federal government lists Ultram as a NON addictive medication. Yes you are correct that it acts similar to narcotics but you are incorrect when you claim that it acts on the same "receptors", that is incorrect.

Thought I would just clarify this for everyone who may have been interested in trying Ultram.

Take care. :-)

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grizzk62
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posted 09-20-2003 02:03 AM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Polo,

I challenge you to go to the addiction board and ask just how addictive it is and then report back the answers that you got.

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HockeyCrystal
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posted 09-20-2003 02:15 AM     Click Here to See the Profile for HockeyCrystal     Edit/Delete Message   Reply w/Quote
Polo,
I'm sorry but you are wrong. I know a couple people that had problems with addiction to tramadol (Ultram). The government may list it as non-addictive, but it actually is quite addictive. Sorry you don't agree, but it is. Even my doctor told me this when he put me on Ultracet for a while. I don't remember exactly what he said, but I do remember he said it binded to the same receptors that stronger narcotics do.... He also told me a few of his patients developed a problem with addiction to this med... He wanted to warn me and all before he put me on it. Maybe it's just me, but perhaps the government is wrong.

Crystal.

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grizzk62
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posted 09-20-2003 06:11 AM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Crystal,

Actually there has been alot of pressure put on the FDA to scheduke it as class 4 narcotic. According to my brother who is a doctor says that the reason they haven't yet is because of the Pharmacy Co McNiel Labs has been fighting them all the way. And I guess if I was the CEO of that Comp I would too. There are able to sell so much more of this med with it not being on the Schedule. It's pretty said when there are still doc's out there still pushing this as a non addictive med. Oh well life goes on and off depending from what piont of view you are coming from. You all have to forgive I'm a little rummy from not sleeping at all so far tonight. I had my weekly shot of my HepC meds and I'm way sick and in alot of pain this go around. Well take care all....

Matt

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whaleylaker
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posted 09-20-2003 07:20 AM     Click Here to See the Profile for whaleylaker     Edit/Delete Message   Reply w/Quote
Hi I was thinking of you and your husband dilema and a non narcotic path. You mentioned acupuncture which reminded me of trigger point therapy. I don't know if it will work on this type of situation but it may be worth bringing up with your Dr. Please post your progress. I and I'm sure everyone else is pulling for you. Good Luck!!!!Lake

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grizzk62
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posted 09-20-2003 07:30 AM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Hey Whaley,

I think that I posted about the trigger pionts as well. Smilin Those trigger piont injs. work very well for me. I have them done 3 times a week. So again I add my voice to whaleys and suggest talking about them with your Doc.

Matt

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PoloBailey
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posted 09-20-2003 10:55 AM     Click Here to See the Profile for PoloBailey     Edit/Delete Message   Reply w/Quote
Grizz and everyone,

I wanted to clarify your confusion. If you read my above post in detail., I already agreed with you that Ultram does "act" similar to narcotics, I disagreed with your 2nd statement that Ultram works on the "same" receptors as narcotics do. This is not true. If you do some research you will find this out just as I already had done many times before. I have read in the past that Ultram "can" feel addictive just like narcotics also. Maybe they need to re-evaluate this drug soon so that many people do not get addicted to it.

I apologize for the confusion and I appreciate all of your feedback and help. I guess there is always something great to learn in this forum.

It is because of people like Grizz/Matt that making coming back to this forum a real pleasure, and know that you can find most of your answers here.

Thanks Grizz and everyone else!!! We ALL really appreciate all of your expertise and help.

Have a great weekend all!!!!!!! :-)

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SmilingFeathers
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posted 09-20-2003 11:08 AM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Lake & Grizz...you both had mentioned about trigger point therapy, something I have never heard about. Could someone fill me in on what it is, and what it does?

I am sorry to hear that you were feeling so bad last night Grizz. I hope you are feeling better today.

Heather

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grizzk62
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posted 09-20-2003 01:56 PM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Hey Polo,

You don't need to apologize at all. It is me that needs to apologize. I was feeling so crappy that I would of misinterpeted a sign from the lord almighty. LOL. And I still don't feel so hot. Thank you for your wonderful support bailey. I love the little community that we have here. I truely believe that we have the best support on this board than any of the others here. Again thanks for bearing w/me.

Smilin,

About triger piont injs. What a triger piont is. It is a nodule in a muscle group that when pressure is applied to that piont it recreates pain not only at that piont but in other areas as well. Once they hafve identified the area or nodule or trigger piont they then insert a very fine needle into that nodule until they get a visual indication or in other words a spasm they then inject that piont with a nubing agent like procaine, lidocaine, ven novacaine. They will in some cases mix that with a steriod as well. Whats happens is that the muscles and nerves in the area go numb and relieve the trigger piont. What they do next is not always the same. But for me they then hook me up to a TENS unit and miost heat for a 1/2 hour(30 mins). Then when that is done they then give a rather invigorating massage. It is by no means very gentle. The idea with the massage is move around the meds that they injected but also helps break up lactic acid doses. Lactic acid is what makes the muscles so sore and spasms. I hope that this has helped. If I can be of further assistance please don't hesitate to ask. Take good care....

MAtt

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grb
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posted 09-21-2003 03:38 PM     Click Here to See the Profile for grb     Edit/Delete Message   Reply w/Quote
I enjoyed the discussion about the Ultracet. I have been wondering if this drug is addictive or not. Looks like it could be abused by some. I was given a prescription for Ultracet 3 months ago by my Dr to replace the Tylenol 3 he had me taking for a bad shoulder. The codeine was messing with my stomach so the Dr gave me Ulracet. They work great for the pain and I admit that I do feel just a little to good after taking 2 of them but it works and does not mess with my stomach. I just don't take more than 2 a day.
When I was getting the Tylenol 3 I would call for a refill once a month and the Dr would give me 60 but with no refills. He wanted to be called before I got a refill. He gave me the Ultracet with 5 refills.
He must feel that they are either safer or because they are not controlled he is more generous.
Bottom line is they work great for my shoulder pain and I have had no side affects yet.

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grizzk62
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posted 09-21-2003 04:18 PM     Click Here to See the Profile for grizzk62     Edit/Delete Message   Reply w/Quote
Hey GRB,

And welcome to the boards. I'm sure another reason as to why he gave you 5 refills was probably due to s couple of factors. One being that you had a track record of not taking more than RXed. Two it is not yet a controlled drug. And I must say that the word yet is important. I'm sure that it will eventually become a schedule 4 or 5 sometime in the near future. And then again it is a safer drug and easier on the digestive tract as well. Any how again welcome and take care..

Matt

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RN-Paramedic
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posted 09-25-2003 04:52 PM     Click Here to See the Profile for RN-Paramedic     Edit/Delete Message   Reply w/Quote
Definately let your doc know your concerns of the narcotic issue. Even though Duragesic is a narcotic it can not be abused like vicodan or other oral tablets. You do not get a high from the patch because it is a released continual for 3 days per patch. My doc would much rather prescribe the patch than a pill, he thinks that everybody that wants a pill is a drug seeker. I have been on oral drugs and on the patch myself. I loved the patch because I could still perform everyday activities without having a buzz or being sick at my stomach. I should emphasize more on the not being able to abuse the patch. I guess if you wanted a high you could abuse it by putting on more than one patch. There are also some suckers that you can take with the patch for breakthrough pain, they are ACTIQ, raspberry flavored. You can only have the suckers if you are on the patch, fentanyl or morephine. You can have up to 4 a day. They ae 400mcg fentanyl. They really help on day 3 and sometimes I would need them on day 2. Hope this helps. If you need some more information regarding this, please feel free to e-mail me @ dawnnorwood@hotmail.com
Dawn

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SmilingFeathers
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posted 09-25-2003 06:58 PM     Click Here to See the Profile for SmilingFeathers     Edit/Delete Message   Reply w/Quote
Hi RN.

Thank you for the information on the Duragesic patch. It is not something that had ever been mentioned to me.

I am kind of surprised that the Dr's haven't try to put him on a different pain med. They all have said it is addictive, but none have offered alternatives, other than aspirin. Hmm... Percocet or aspirin. Quite a difference in taking care of pain for a serious surgery.

Thank you for your input. I will look into this, too.

SmilingFeathers

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