Discussions that mention vicodin

Pain Management board

Hello All,

I am new to this forum, but hopefully this will be the place I can find the answer to some of my questions.

For the last 5 years or so, I have had chronic lower back pain, and it has progressively gotten worse over time. I have tried so many medications, and none seem to work real well for me. About 3 years ago, I started Vicodin, and for about a year and a half, it worked really good for me at increasing doses over time. After the Vicodin, I started Norco. The Norco also worked well for me (I guess because its the same drug) for about a year.

Finally, though, the relief from the Norco went away. I go to a pain management facility where they started me of long-lasting opioids. We started with MSContin, which didn't work for me even 1% no matter how much I took. It was strange. Next, we tried OxyContin - we started at 10mg's twice a day, and got up to 40mg twice a day, and that still didn't work close to what I had expected/hoped for. After the OxyContin I started Fentanyl in Duragesic Patch form. This is what I am currently on. I am on the 25mcg/hr patch, and honestly I don't think I'm getting any relief from it. It is so strange to me, because something as weak in potency and Vicodin worked so good, but Fentanyl doesn't even help!

What is wrong with me? Why doesn't anything work for me? About the only major time-release medication that I know of that I haven't tried, is Methadone - and it has such a bad reputation for being so dangerous and addictive, I don't know if I want to start it. Besides, it probably wouldn't help anyway, at my rate. Or should I stick with the Fentanyl for a while and just try a higher and higher dose? I am also currently taking Percocet (10/325) for my "Breakthrough Pain" which at the moment, is every second of the day.

Someone please offer me some kind of advice! Has anyone been in a situation similar to this? I am so frustrated and in so much pain. I guess it's worth mentioning that I am only 21 years old, and so I want to avoid going with the strongest possible medication, because there will no other medicine for me to change to in 10 years from now, when my body totally tolerates it.

Thank you for reading and for your help,