Discussions that mention norco

Pain Management board


Ok as some of you know I have an appointment June 17. I am really fearful I may run out of meds. So here is the question in order to make my percocet last can I take Norco like an 1/2 to an 1 hr later.
I thought if I could 1/2 the percocet (5mg) & take a norco, maybe at the end of the day try the Norco for my last med dose I will be on the safe side & not run out of my Percocets. Last time I ended up taking two Norco to help budge the Pain, but maybe 1/2 perc along with 1 norco will work.
Its not what I want to do, the Norco bothers my stomach but I dont dare run out of my percocet. I am not sure how close together you can take them.
I have been trying to stay on the min. does of percocet but there are days I need abit extra or I cant move much at all. My instructions say 1-2 every four to six hrs, I try to stay at 3 - 4 aday. It is getting harder & I know I am undermedicating myself. So if I take 1/2 perco, does anyone know a safe time frame that I can take the Norco, or can they be taken together? It would really help me out if I could do this & should I tell the PM when I go in
if I do end up doing my meds this way ?
I know so many questions! Thanks, Sammy
From a med standpoint, that would be fine....I'd mix / match whatever you think would work for your pain.

Here's something to consider though: Who gave you the script for the Norco? The reason I ask is this PM Doc may drug test you @ the first appointment...Many do these days...They get it out of the way right up front to find out what's in your system. Thus, you will need a legit reason as to why it would show up. Obviously, the Percs are from your surgeon.

If this would be an issue, then you have no choice but to call the surgeon (actually I would make an appt) and tell him your Appt is June 17th and you need help till then....If you're taking no more than 3-4 per day, explain the math of when the last script was.

I just want to make sure you get off to the right step.

Ex
Ex, I have thought of that, being tested. The Norco was from my rehab. doc.
Is there a time frame before the appointment that I could stop taking the norco incase of testing? what a worry. Then my MRs they were not prescibed by the surgeon but I told him I was taking them to try to help. Do they test for MRs to, should I be concerned about that?
No way will the surgeon help me out, they made that clear, which blows me away still. I even told the guy last appointment as did my husband that I decreased the perc. after surgery & was trying my best to not increase again, heck he knew that & of course could tell by refills. So now I may actually be in more of a dilemma then I thought between MRs & the pain meds.
I just dont want to run out of percocets, & I am so bad today that I know I need an extra dose. Do you know how long it would indeed stay in my system? I don't like to be like this & If I thought he would understand I would just come out & tell him. I am honest to a fault but now I am abit concerned. This surgeon knew I had to go into urgent care you would have thought he would have ask at that time if I needed any MRs. My husband & I even told urgent care I did not want any narcotics. Just something for the swelling & they gave me an MR, said I needed to be on it, & then ask why I was not in PM.
Sometimes you just cant get a break! Try to do the right thing or just to survive.
hi sammy my friend,
just wanted to mention that when i saw my GP last week and we were talking about my pain control...he said that he wanted to remind me that i can take some tylenol (i know sounds like baby aspirin after what we go through with our pain) anyway, Norco only has 325 acetaminophen (not sure about your Percocet) but he said that the "anti-inflammatory" part of the tylenol would help the Narc in Norco to work together to relieve the pain. Hopefully allowing my Norco to last longer... and of course want you to know i understand what your going through and send love and prayers...kel
Sammy, have you asked your rehab doctor for percocet? You may have already answered this question elsewhere. Did they say they would only do the Norco and not percocet? I think the other poster was right to warn you that if these came from different doctors, they might get angry if they find out you are taking both of them together. I, too, have a great (probably unreasonable) fear of running out of my meds and not having anything to take. I told my doc/PA this, and they understood, and gave me a script for a few more this time (90, WOW!). This will actually probably last me a month!
Sammyo1, I take Norco (10/325) with Oxycodone (5mg) so I would think you'd be fine taking Norco with Percocet as long as you watch your tylenol content (no more than 4,000mg per day/short term). I don't know if it was a mistake but Tylenol does NOT have an anti-inflammatory part to it but Ibuprofen DOES, at least that is what I have been told for years. I also take 800 mg. Ibuprofen 3 times a day for inflammation and I think that is the max. but I'm not positive, but it works great for me. Hope this helps and you can ration those percs and get by OK til your appointment. Have A Good Day:)
Because I am in the process of getting into PM I am under no other doctors care. Soon as they think you need PM thats it. The rehab only treated me till surgery. What a mess. I take a mimunium amount according to the instructions & still the surgeon never took that into account. He also never discussed weaning because of the on going problem, so the instructions stayed the same, 1-2 every four to 6 hrs. I am so angry with this doctor for putting me in this situation. I did take a norco today with 1/2 perc.
I cant take motrin everyday or it will kill my stomach (reflux). I will try to stay on the MRs just to see. Nothing like making you feel like you are doing something wrong, when you try so hard to do everything right. Really makes my angry. I may just have to come right out & tell the PM about having to take the norco. I did check with the pharmacy, & there is nothing else I can do. The appointment is the 17th I don't know how long the norco would show. Anyone else know? I cant wait till I dont have to go through this anymore. Thanks everyone Sammy
Sammy,
sorry i can't help you more since I never had to take Norco.
I think Ex has a good point and if this would be me, I would definitely follow her advice.
I also believe in honesty and don't be afraid to say what really bothers you. I am pretty sure they will understand especially because you are not taking such high doses of meds to worry about.

Good luck to you and please let us know how did you do.:angel:
No probs in taking thm together, just watch that your total daily intake of paracetamol/acetaminophen doesnt go above 4000mg.

You could also try taking 400mg Ibuprofen with your Percodan or Norco to boost the pain releif of a somewhat lower dose.
[QUOTE=sammyo1;3599238]Ex, I have thought of that, being tested. The Norco was from my rehab. doc.
Is there a time frame before the appointment that I could stop taking the norco incase of testing? what a worry. Then my MRs they were not prescibed by the surgeon but I told him I was taking them to try to help. Do they test for MRs to, should I be concerned about that?
No way will the surgeon help me out, they made that clear, which blows me away still. I even told the guy last appointment as did my husband that I decreased the perc. after surgery & was trying my best to not increase again, heck he knew that & of course could tell by refills. So now I may actually be in more of a dilemma then I thought between MRs & the pain meds.

If the Norcos are from your rehab Doc and fairly recent (I'm not familiar with your time frame), you should be ok. If they test, they will ask you what meds you're on and @ that time, you'll need to tell them and say the Percs are from your surgeon and your Norcos are from your rehab Doc. Not sure if they test for muscle relaxers or not...Maybe some others will know. Who gave you them? If the rehab Doc, then you'll be ok with them also. The bottom line is that these PM Docs want to establish legitimacy right up front and whatever you're taking should be in your system and nothing else should obviously. As you know, many patients are seekers and they get busted, which protects all of us honest patients.

[QUOTE]I just dont want to run out of percocets, & I am so bad today that I know I need an extra dose.

I understand....If the Norcos from the Rehab Doc was in relation to the surgery & etc., you are fine. I just wanted to make sure they weren't from some Doc a long time ago. Most PM Docs will explain to you that starting with them, you get all your pain meds & etc from one Doc (him/her). This is where they make you sign the contract & etc. It's no big deal really...But, something you should be aware of nevertheless.

[QUOTE]Do you know how long it would indeed stay in my system?

Depending on your individual metabolism, Percs & Norcos will be testable for 1-3 days after taking them. It's a pretty narrow window. Not sure about the relaxers...You could research it.


It's water under the bridge @ this point, but this surgeon should have taken care of you and made sure you were completely settled. Very unfortunate.

Ex
Ex, I understand & it is abit confusing.
The rehab, doc treated me up till surgery. All my doctors were referred by my PCP (GPs) office. I tried to keep them all as a team effort sort of thing. I always informed any doctor if I had to take anything through someone else. Such as when I had to go into urgent care I let the surgeon know that they prescribed the MRs & motrin. All of my records I have signed to be released to my Primary. Of course I have had problems in the past getting the docs to send it all, but I signed. I have heard over & over that I should have been in PM along time ago. If I had been it PM none of this would be happening. I am a prime example of someone who got shuffled around & misdiagnosed through it all. Because of the doctors involved not seeing me through I am the one in the mess.
No one wanted to treat me long without a diagnosis & it took me to go through all of this to get one. Ironic that because of the way it was handled it is why I ended up this way. I have MRs from my primary & urgent care. I ask the surgeon for a script for a MR last call & he never gave me one, so what was I suppose to do. I was hoping he would try something that would work. After all he is the one who gave me the diagnosis.
Once again I have all records sent to my primary. The rehab had me on valium for the muscles which I dont dare take with PM coming up. I ended up with different scripts because of each doctor looking for what would work best. Never did I ask, I just did as I was told. When starting with a new one I never took the meds from the previous doctor unless I was told to. I have been so darn careful that this has me so angry to end up here. Everyone of them said take the MR if needed. I never got alot of relief from them so I never ran out & needed a new script, so what I have is from a previous doctor, but as I said every single doctor in the recent past was reffered by my PCP, so that should help me not to look like I am doctor shopping, I would think. I will just have to try to use my best judgement & more or less tell the PM kind of what I have said here. I am making sure my husband or a close family member goes with me to that appointment. At least you answered one question. If I need to I can take the Norco for at least acouple days to help save on the percocet. Thanks that alone was abig help. Sammy
Here's what I would do:

I would take the Norco as needed since you are in pain. Because the rehab Doc and the surgeon are all more or less connected for your condition, it is fine to do so, IMO. Same with the relaxers. If you can get by without the valium, that is fine, but if you need to take it, that would be ok.

The only reason I brought this up is I thought maybe you had some meds left over from some time ago, which isn't the case. Conversely, all of this is related. Docs care about different meds from different Docs for different conditions...Or you go to two different Docs for the same condition and don't tell either one about the other. This is NOT your case.

I would go to the appt and regardless of whether or not you are tested, I would tell the Doc what you're taking. He will ask obviously. Tell him that you've been really struggling and you want one Doc to coordinate your pain. Tell him your rehab Doc scripted you Norco, but that it doesn't really agree with you, but you take it only as a last resort. Tell him your surgeon scripted your Percs...They work, but you try to only take what you need. Then tell him that your rehab Doc gave you MRs and valium, which your surgeon doesn't believe in either. Tell him the MRs work well, but your not so enthused about the Valium...You could take it or leave it. Now....If it really works, then tell him so.

In summary, I really wouldn't worry about taking these meds because they are all related and both Docs know about each other and you'll be telling this new Doc upfront about everything. IF he tests you and both show up....It doesn't matter because you told him. Moving forward, it's a different deal...He'll tell you to only use the meds he gives you. Again, I would reinforce that you're looking for a pain expert because these two Docs have different theories. Of course, make sure you tell him many of the same things you've reported here in terms of how bad it is.

Lastly, I have been thinking of why the surgeon has more or less cut you off. If you can come with something concrete, keep that in the back of your mind and tread carefully & not make the mistake twice. You mentioned about a week or so ago that you thought when you called up and requested certain MRs & etc., that may have upset him. As a general rule, you have to be careful requesting specific meds. It's ok @ the appt to say "I've been taking such and such and it works." You don't want to call up and request something specific when the Doc hasn't been scripting it previously. Once you describe everything and tell him the meds you're taking, the PM Doc will make a recommendation on a new regimen. Unless it's something you really don't want to try or approve of, you will need to @ least try to show you are a compliant patient.

Hope this hasn't been too long. Good luck...I'm rooting for you.

Ex
Sammy,
So sorry to read that you are having such a hard time. I'd keep a written record of everything you take and what your pain level or reason for taking the medication at the time you took it was and how you responded. So if your pain level was 8 and you took Norco and 1/2 percocet and a MR then write it down and then write donw how you were an hour later. Honesty with the PM doc goes a long way and starting out with a record of how the two weeks before your appointment were will help you a lot. You got the medications for legitimate pain and are not trying to cheat the system. My PM doc's office asks new patients to keep a record for the two weeks before they come into the office so that he can know what has or hasn't been working and how he can help you.
Also the only muscle relaxers that come up on drug tests are things like Valium and Xanax. Flexeril, Zanaflex and Soma do not. The hydro will be in your system about 3 days max.
Good luck.