Discussions that mention vicodin

Pain Management board

I have some residual left leg pain from two back surgeries this year and chronic tailbone pain. I am on neurontin, amitriptolene and vicodin for pain and fiorinal w/coedine for migraines. I am still working but do not drive to work. I have an apt coming up and need some ideas for pain. I started on cymbalta but I had some side effects and in the short time don't know if it was helping. What might I look into. I am taking about four Vicodin a day and am still hurting. I have tried ultram and I think it helped some but not sure I like taking it although I do feel I need something stronger than what I have. Thanks for any ideas.
Well, first of all it depends on what your doses are of your current medications. I know with Neurontin, I was all the way up to max of 3600mg/day before switching to Lyrica. Lyrica is similar to Neurontin and may work better for you. You could try switching the Vicoden to Lortab of 7.5/325 or 10/325. You should also give Ultram another try along with the vicodin. If you are having trouble with the side effects you could try the extended release form Ultram ER. However it sound like you may need something long acting such as one of the morphine based (MS Contin, Kadian), Dilaudid, Oxycodone, Fentanyl. You should really try to increase or try the other non-opiate medications available before you move up to the long acting opiate meds. Just my 2 cents worth.

Brian, thanks for your suggestions as they are ones I can look into when I see my doctor next week. I do need something that last longer.

Steve, I have had migraines for over 34 years and I have tried most everything there is out there. I did the Imitrex injection with no relief, have done other ones and had my hair start to fall out. I took the amitriptolene 10 years ago and just started trying it again and it has helped some. My biggest problem now is my other pain. As I sit here writing I have to get up even after taking a Vicodin as it is driving me crazy sitting on my tailbone.

Thanks everyone for your ideas.