Discussions that mention oxycontin

Back Problems board

My GP prescribed Cymbalta to go with my Percocet for my chronic back pain. he stated I was developing a tolerance and before long I would need to go up to 10 mg Perc and then the oxycontin ( which I am scared of due to horror stories of addiction ). Has anyone had success with Cymbalta to help deal with pain and there for not need to take as much Percocet ? how does Cymbalta work for pain ? All I have readis it is for nerve pain and depression/Aniety. Any info would help. :confused:
hey too young,just what are the nature of your pain issues,what did they originate from?how long were you taking the percs before your doc actually told you that you were becoming tolerant to them?its just that you can actually go in some cases,a pretty long time on certain narcotics and not actually become tolerant.i am kind of suprised that this came from your doc actually.usually it is the patient trying to convince their doc that they feel the meds just are not working anymore.i have maintained on my original stabilized dose of oxycontin for almost four years with only needing one 20mg increase,despite huge changes and intensitys of my pain issues.trying other things besides just narcotics to try and keep that overall narcotic intake down to a minimum is usually the best way to go.seeing an actual pain management doc would also allow you many more options for pain control too.using meds of different kinds and also other therepys or topicals can also be a huge help.

depending upon just what is actually causing your ongoing pain and if there is a surgery in the future would also dictate the best possible way to try and manage it too.lyrica is a good option but only for those who do not get some of the more profound types of possible side effects.this was the only med that seemed to really hit the areas of pain that i now have that just do not in any way respond to any level of narcotic.i would have loved to have stayed on it but my experience with it was just way over the top with some pretty nasty side effects.but that doesn't mean at all that it couldn;t be one of the best meds ever for you and your pain.everyone responds differently to meds based on many factors.just a good suggestion for you.i too tried cymbalta with some pretty icky side effects there too.it just really enhanced the usual spasticity i have in my legs from SCI.it didn;t do much for my depression either.i ended up going back onto lexapro since that had been working but we needed to readjust the dosage.

while it is great that you have a doc that actually recognizes that tolerance actually exists(believe me,some do not or just don;t care)if this is going to be a very long term situation you always have to keep in the back of your mind that if you just start using too high of doses of narcotics now to try and manage your pain,what is going to happen in the furture when you have kind of maxed out on them and they no longer will actually work for you.thats the part that really scares me the most and the biggest reason i have tried to keep my narcotic down to the lowest possible dose but still being able to just lower the overall intensity of my pain.this is why you try and use a many non narcotic modalities as possible.this where the long term usage and the 'have a surgery coming up soon' difference comes in in Rxing and using narcotics,you know what i mean?chronic pain patients are just going to be probabbly on some level of narcotic the rest of their lives vs someone who is on short term.this also plays alot into what is the best way to manage 'your' particular pain processes.for long term chronic pain situations it is just usually best to try the longer acting types of narcotics like in place of the oxycodone(percs)trying the longer acting oxycontin would probably be a much better choice for you.using the shorter acting meds is what would really increase the possibility of addiction developing sooner( just because of the 'full release" action of shorter acting meds vs slow ongoing releases)and the tolerance thing would just happen much quicker too.just something you need to consider when in long term pain management.it is just generally treated a bit differently than someone who is waiting for a surgery,you know what i mean?there is just alot more to really think about with long term vs short term PM.

if you could possibly explain your pain issues a bit more it would really help alot to give you the best possible advice since different pain processes use different methods for pain management.welcome to the boards tooyoung,Marcia