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  • Getting off Norco

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    Old 11-29-2013, 10:20 PM   #1
    Tiredofthepills
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    Getting off Norco

    I have been on 3 pills a day of norco 10/325, I want to slowly taper off. I need a plan that would be with no W/D's. I thought about starting a reduction of 1/2 a pill every week until I am free of the pills.

    I also need to stop taking celexa, I am going to cut back 1/4 a week to iam off.

    Will this work?

    Or do I need to get suboxin and is that addicting.

    Once off the pills, I don't know what I will do about my chronic pain.

    Any help would be appreciated...

     
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    Old 11-30-2013, 08:08 AM   #2
    galalena
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    Re: Getting off Norco

    Perhaps you should discuss the best plan with your doctor.

     
    Old 11-30-2013, 12:01 PM   #3
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    Re: Getting off Norco

    Agreed that this is something you need to discuss with your doctor face to face first, before making any changes to your medication dosages. That is especially important if you are on a pain contract...most of them say we are to make no changes to our meds (which would include reduction in addition to increases).

    None of us here can say whether what you proposed is appropriate, as we aren't doctors and don't know your complete history. Its also important to discuss why you feel you need to get off the meds when you still have chronic pain...there may be some alternatives.

    Tapering off two medications at the same time may also not be the best idea, as that is a lot to handle, and you may not know which one is causing any withdrawal symptoms you may get. In general anti depressant withdrawal isn't as bad as opiates, but for some folks and some meds it isn't to be taken lightly.

    For example, if you feel the Norco isn't helping, don't last long enough, or causes side effects, a different pain medication can be tried. I'd especially suggest seeing a pain management specialist if you aren't seeing one yet, as they can typically better manage chronic pain.

    If someone has viable treatment options they haven't pursued that need them to taper off their pain medication, that may be a good idea, but the majority of chronic pain patients go on opiate pain medications as a last resort, and wouldn't have too many options left. I would much rather not be on pain medication, but can't manage otherwise, and no doctor has given me another reasonable/affordable treatment option to try.

    In general though, the slower the better if there isn't some urgent need. I would suspect that at your medication/dose it would be doable to do a slow taper. If you started to have some withdrawal symptoms, like gastro symptoms or anxiety (which tend to be worst when you have to go from a small dose to zero), some meds can be prescribed to help with that.

    As for the anti depressant taper, its pretty similar...the slower the better. It may be possible to switch you to one that is easier to taper off of. Some of these newer anti depressants can have more withdrawal issues than others. I've heard of switching to something like Prozac to taper off from (after staying on the Prozac for a short while). The closest med to Celexa I've taken is Cymbalta, and that took me about 6 weeks to taper down from to minimize withdrawal symptoms. Best wishes.
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    Old 11-30-2013, 12:59 PM   #4
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    Re: Getting off Norco

    Dear tired, Im sorry, but I didnt understand the reason why you want to taper your medicine if you still have chronic pain?

     
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    Old 11-30-2013, 10:40 PM   #5
    Tiredofthepills
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    Re: Getting off Norco

    I go to a pain management for back issues. The reason I wanted to taper off some at least is that after Jan. 15 , I heard that you will be required to see your doctor every month to get a new prescription. I do a lot of traveling and this would be very restrictive on me, it's a catch 22. I plan on tapering off celexa very slow 1/4 a week for 4weeks.
    Thanks

     
    Old 11-30-2013, 10:51 PM   #6
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    Re: Getting off Norco

    Hi tired, Thank you for answering my question. Do you have other ways to control the pain, i.e. tens, heat, ice etc or has the pain lessened from the time when you were first started on meds? I truly become so tired of the medicine thing myself but im more tired & afraid of the pain returning uncontrolled! I wish you good success in your taper but i agree that it would be great if the dr was directing the taper because there are meds that he may want to give you to help.

    Last edited by gmak; 12-01-2013 at 08:40 AM. Reason: tense

     
    Old 12-01-2013, 11:02 AM   #7
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    Re: Getting off Norco

    Definitely check with your doctor if a required visit every month will be the case for you (if you didn't hear it from them directly). Most of us have this though. Do you know your travel schedule in advance? They may be able to schedule you in early if you will be gone, then give you a prescription will a fill on or after date for when you are due (or if refills are allowed for Norco in your state, just continue that as always). Best wishes.
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    Old 12-01-2013, 07:29 PM   #8
    Tiredofthepills
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    Re: Getting off Norco

    I was told by a RN about the new law. I plan on traveling out west for 3 months, I current see my doc every three months. I thing I will try to taper off my mid-day pill, this would give me more extend my time with pills out.

     
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    Old 12-02-2013, 11:29 AM   #9
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    Re: Getting off Norco

    Talk to your doctor. When Hydrocodone becomes a schedule two drug you will need an actual script (no refills or phone in fills) but you can still be seen every three months. What the doctor would do is give you three scripts. One that you can fill immediately and one with a do not fill date that is thirty days out and one with a do not fill date that is sixty days out. Some doctors will not do this but I've only heard of that with non established patients. My step mom only goes once every three months and she's on Fentanyl and this is how she gets her scripts.

    Good luck to you! Of course, if you feel you can make due without any narcotic, go for it! I would give my right arm to be off all my medications and have my pain be managed. :-)

     
    Old 12-02-2013, 12:40 PM   #10
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    Re: Getting off Norco

    The pain doc my Mom's seen for a little over 10yrs has always made his patients come in monthly. I had no idea people didn't have to go as often until I started reading these boards to get help for my Mom and to better understand things myself so if I had to advocate for her I could. I guess having to go monthly would be a shock for people who've never had to before.

    Tiredofthepills, I hope you find something that works for you. Will you be able to handle the pain if you do end up tapering off?

     
    Old 12-02-2013, 12:57 PM   #11
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    Re: Getting off Norco

    My doctor does the same thing with scripts, but for me, I usually get two at a time, and each is for two weeks (I usually come in every 4 weeks). My doctor does this as they avoid going over 200 pills a script, and since methadone only comes in a max of 10mg pills, its easy to do that with higher doses. The scripts are all dated the day I had the visit, but future ones have a note on the bottom to fill on or after X date. So its not actually post-dating them.

    Laws may vary by state though. For stable patients, my doctor will let them come into the office to pick up a script from the front desk for months in between seeing them every 3 months or so. But mine typically won't give out more than 4 weeks of scripts at a time.

    I have heard of others getting scripts for future months though, especially when they are on lower doses of weaker meds. I have no issue going in every 4 weeks since I average 2 doctors appointments a week between them all, and my doctors are all pretty close to work & home. Best wishes.
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    Old 12-02-2013, 08:11 PM   #12
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    Re: Getting off Norco

    hi tiredofpills-

    what qtype meant about getting 3 prescriptions is, there will be 3 prescriptions with the SAME current date(usually the day of appointment) the first one(1of 3) can be filled that day-the next 2 , having the same date as the 1st one, will have written underneath the date of the prescription-Do Not Fill Before(the date 30 days later)X date.

    This is not post dating the prescription, as all 3 have the same date they were written on the date line. The doctor can indicate when the additional prescriptions for that same drug can be filled Under the original date line.

    This is how mine are done also, I see the doctor every other month-so I am given todays rx's with todays date, and also next month\s presciptions with todays date, but they also say under date line -Do Not Fill Until(date 30 days out put here)
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    Last edited by BB07; 12-02-2013 at 08:17 PM.

     
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