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  • Vistaril 25mg & Vicodin HP 10-660

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    Old 11-12-2003, 09:03 AM   #1
    Karin789
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    Question Vistaril 25mg & Vicodin HP 10-660

    I am also on the patch 100 every 48 hrs. I was wondering if anyone else is on this combo? I take them 4 x a day for bt pain. It has helped a bit but does not last long for the bt pain.
    Thanks any input would help.
    Kari
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    Old 11-12-2003, 09:26 AM   #2
    Shoreline
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    Hi Karine, Visteril is actually an antihistamine, However it's often prescribed for the itching or nausea caused by opiates. It's also believed to enhance the effects of certain opiates. The one it's most effective on is Demerol. You almost always get a combination of Demi and Hydroxine as an IM injection.

    Because Fentanyl is in the same opiate family as Demi, you may get the added effects of boosting the potency of both the VicodinHP and Fentanyl by using hydroxine with it. In higher doses Hydroxine is also used as an anti anxiety med, so it's a med that has many off label uses.

    As far as Vicodin HP, That's a lot of Tylenol for a CP patient to take on a daily basis, also a lot of BT pain which suggest your patch strength might not be quite high enough. Most manufacturer guidelines suggest needing BT meds more than twice a day, reevaluation of the base dose should be considered. Norco is another 10mg Hydro prep but only comes with 325 of Tylenol and there is a generic made by the same folks that make the name brand, it's just not the yellow color of the name brand Norco. Might be something to discuss at next apt. Good luck, Shore

     
    Old 11-13-2003, 08:09 AM   #3
    Karin789
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    Thanks Shore. I woke up at an 8 this morning on my left sholder. My doc just raised the patch to 100 about a month ago. Don't know where to go from here with the bt pain.
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    Last edited by Karin789; 11-13-2003 at 08:10 AM.

     
    Old 11-13-2003, 09:15 AM   #4
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    Hey Karine, Relatively speaking, Vicodin HP or Norco are both pretty weak compared to the dose of Duragesic your on. Usually BT meds are based on a percentage of your daily intake of opiates, allowing you to increase your dose 20-25% for BT pain. One Vicodin HP falls very short of being 25% of your daily intake.

    It would probably make more sense to talk to your doc about increasing the patch and just keep adding another 25ugh patch untill your pain drops down into the reasonable relm. Waking up at an 8 doesn't sound to fun and I doubt 10mgs of hydro is going to drop you down into a fairly functional level. Taking 2, well exceeds the safe dose of Tylenoil so that's not a good idea at all.

    There are so many stronger BT meds that are available without apap it really doesn't make sense to keep trying to manage CP with lots of low dose BT meds. If the goal is improved function what does it matter if your Patch dose is 100ugh or 125ugh.

    Unfortunately there are plenty of docs that think because 100ugh is the strongest patch that's the most they will prescribe. IF that were the case nobody would ever take more than 80mgs of oxyC twice a day. If you know you respond to opiates for your particular pain then finding the right dose just takes an aggressive PM doc. It doesn't mean your dose will continuously rise either.

    I'm on a fairly high dose of meth but my dose doesn't continuously rise nor do I take BT meds like clockwork trying to boost the base dose. That's not your fault , your doc should know how to manage the type of pain your having and should be aware there is virtually no ceiling on pure opiates and once a patient finds an effective dose often they can maintain that dose for quite some time.
    Anyway, Good luck,
    Shore

     
    Old 11-14-2003, 10:42 AM   #5
    Karin789
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    Thanks again shore. You help is great.
    I woke this morning 6:30 and could bearly get out of bed. Up to a 10 in pain,My hips hurt so bad I made my 14 year old stay home to help me get around. Its not 10:30 and still hurt like hell. This is the first time my hips have bothered me it usually my knees. My doc is sending me to a new PM doc. I just wish she could hurry but where I live we are limited in PM docs. I have an appointment to go see her my doc on monday. Would go to the ER but have a contract with her. I wanted to see her but she is only in the office 2 days a week and she is also out of town. I am going to see if a hot shower will help, was going to take a bath but was afraid I could not get out of the tub.
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    Last edited by Karin789; 11-14-2003 at 10:45 AM.

     
    Old 11-15-2003, 08:03 AM   #6
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    Cool

    I can't add much to what Shore has told you about the med scene, but I did notice that you are out of work. If money is tight (and I know that drugs are expensive) a lot of Major Drug manfactors have Patient Assitance Programs. If you need to, go check out the post about "do you need help in buying your meds". It will tell of a lot of places to get help in purchasing these high priced drugs.

    I never really understand why doctors will give a patient a C-ll Med for base pain then turn around and give hydrocodone a C-lll me for break through pain. By the time you have to move up to a C-ll for base pain you have built up a very high tolerance to C-lll medications. It just doesn't make sense.

    Have a low pain day.

     
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