Difference in Pain Meds, Please ...

Discussion in 'Fibromyalgia Main Forum' started by Josie39, Mar 21, 2006.

  1. Josie39

    Josie39 New Member

    Hi all ...
    Could you tell me which is the weakest and which is the stongest in pain meds (that the doctor gives for FMS.) I now take darvocet and after 5 hrs, the pain comes back strong! I am allowed 3 a day when needed, so when I am hurting bad, I have to wait.
    I have a few other conditions that cause pain but have only been seeing a doctor for a short while.
    I have an appt. with a Pain Management doctor next month.
    Can anyone tell me what THEY do for pain. She told me to take all of my xrays and that he will probably also take another MRI.
    I have heard all they do for you is accupuncture and yoga! Wow! Is THAT true? At THIS point I feel like I really need more and the Rheumatalogist said that right now I am not THERE yet, that I will need something different. She didn't go into detail.

    What is the difference in Vicodan and Darvocet, please.
    my sister takes the Vicodan but has only been taking it for a couple of months. She too has never taken pain meds but now her condition and pain calls for them. I have been taking the Darvocet for about 4 months.

    Thanks so much!
    Josie :eek:)
  2. kaiasmom

    kaiasmom New Member

    Hi Josie,

    Darvocet is about the weakest "strong" pain medication. Well, it is above Ultram, but that's about it. It can help for awhile, I took it for a few months, but it lost its effectiveness. So, next was Vicodin, which is stronger than Darvocet.

    If you feel that you need something stronger to control your pain, then you do. The fun part is finding a doctor that will do it for you. They are out there though. If one of your doctors is not willing to treat your pain as agressively than it needs to be, then you need to find one that will.

    So, as for what I take, I did start with Darvocet, like I said. Then I moved up to Vicodin, and was also taking Flexaril (muscle relaxer) & Indocin (anti-inflamatory) at that time. I have switched medical insurance, and so doctors a few times, so have gone through a number of programs.

    I have also taken Ultram, which would help me a little on a good day for a little while, but lost any effectiveness very quickly. I've taken Oxycontin, which was very helpful, but only took for a short time in a bad flare. Lots & lots of Vicodin & Norco (double strength Vicodin with less Tylenol) - now they are like asprin to me.

    As for muscle relaxers, which do help me, I have taken Robaxin (No help), Flexaril (Knocks me out), currently taking Zanaflex - it's the best!

    I've also taken many different anti-inflamatories, but none have ever helped me at all. Indocin, Lodine, Motrin & many more that I can't think of the names of. I have a sensitive stomach, so I can't take these anyways.

    Currently I'm taking MS Contin (Morphine Sulfate-long acting) & Norco for breakthrough pain and Zanaflex. My pain is not exactly under control, but is much better than it would be without the meds.

    Good luck & take care!

    Leanne
  3. msmac

    msmac New Member

    Darvocet comes in 2 different strengths, 50 and 100. The ingredients are propoxyphene and acetominophen. It is used for "mild to moderate pain." (Acetominophen is Tylenol.)

    The numbers 50 and 100 differentiate the strengths of propoxyphene and acetominophen, with the 50 containing 325 mg and the 100 containing 650 mg of acetominophen.

    This is important, because if you had a cold, for example and took some med with tylenol in it you could damage your kidneys, or worse, by dosing with too much Tylenol.

    Usually you can take Darvocet 4-6 hours apart. However, if you can take ibuprofen (Motrin or Advil) you might take this in between doses of the Darvocet to help with inflammation and pain. Call you doc's (the your one who prescribes the Darvocet) office, talk with his med nurse and ask her if you can take the ibuprofen, or what would they like you to do to get more relief, and that it seems to wear off before you take the next dose.

    This combination might help. Another thing a lot of us take is magnesium a couple of times during the day. It seems to help muscle pain.

    Until you get the rest of the tests it is hard for you to make a plan. And this is what you and your team of docs or pain specialists must do. What works for one of us, may not for you. I can take a stronger pain med than some because I don't drive, and work at home.

    Vicodin is hydrocodone and acetominophen, and it also comes in different strengths. It also is for moderate to severe pain.

    Vicoprofen is similar, but has ibuprofen in it instead of the acetominophen.

    So, you see there is all kinds of help, and wiggle room when it comes to prescriptions for pain control. Don't be afraid to ask your "team" to help you achieve what works best for you. Ultram (generic is tramadol) is a longer lasting pill that gives some of us excellent relief. It, perhaps, is less addicting than the others, and some doctors would rather prescribe it than the other first mentioned "narcotics."

    There are TENS units that might offer help depending on where your pain is, what it is from. Also, there are units that can deliver directly into body automatically stronger medication, without having to have shots every few hours, if your pain requires this.

    Check out other posts for more information, as there is plenty of it around! Your Pain Specialist will locate and help you with your pain! You are headed in the right direction!
  4. Josie39

    Josie39 New Member

    OMG!!!
    Even the NURSE at the doctors office (where I have been going for awhile) doesn't have the *knowledge*that you two have brought to me! (and she's an LPN)
    Thank you sooo much!
    I have looked meds up on the Internet but all I have been able to find is the different kinds. Not much info on what they are for and how they work.
    Just like the Darvocet, I had NO idea how they can effect the kidneys if taken while having a bad cold.

    Thank you BOTH oh sooo much!
    I now believe that I AM on the right track and heading in the right direction. I have suffered for sometimes now but yes, I DO believe I am going to get where I need to be.

    I'll go into MORE of the post and read up, as you have suggested.
    (((hugs))) to you both!
    Josie :eek:)

  5. NyroFan

    NyroFan New Member

    Josie:
    For what I use:
    Tramadol is the weakest and Percocet is the strongest.
    I wish you good luck in getting the right meds. It is so very important and difficult to do. Thankfully my doctor knows fibromyalgia is characterized by widespread pain over the entire body.

    N.F.
  6. CatofDoom

    CatofDoom New Member

    i found that darvocet would do the exact same thing that it does for you (helping a little for only a little while befote the pain comes back just as strong), i now take Vicodin (which is stronger and a combination of tylenol and codeine) and Oxycontin (even stronger than Vicodin, in the percocet range). i recommend you talk to your doc about trying something else for pain, since it sounds like Darvocet hasn't been working well for you.

    i think you should talk to your sister and maybe try one of her Vicodin, start with just a half a tablet at first. i havea friend who gave me one of hers one day when my pain was very bad and the darvocet just wasn't cutting it. it helps my pain without making me a zombie. but you should also talk to your doctor, i've found that talking to a doctor about pain also yields pretty good results.

    good luck^.^
  7. Josie39

    Josie39 New Member

    Thank you ALL!
    I have a WONDERFUL gp that I have been seeing for a few months now. He is sooo knd and caring. (HE is the one that put me on Nuerontin and Darvocet) The NEW Rheumy that I have just begun seeing is now kinder since she saw my xrays and blood work. She was sooo cold at the first visit but has even said NOW that she is sending me to the pain doc.
    (SHE is the one that just put me on Celebrex) Then she says to come BACK to her because she wants to treat my FMS. (I have a lot of nerve damage she says, because I have NOT been seeing a doctor before now)

    Since I have read all of your replies to me, I can see, I am GOING to finally find some relief. The Darvocet is just NOT lasting long enough and all of you are right!
    I received the phone call yesterday to the Pain Doc and I will be seeing HIM next month. Yeaaaa! relief is on it's way(prayerfully!)

    Again, thank you ALL sooo much! There is so much support and encouragement here it is almost UNbelievable!
    (((hugs to all of you!)))
    Josie ;o)
  8. deb06

    deb06 New Member

    I too take oxycodone 40 mg twice daily with 3- 10mg hydrcorone daily for breakthru pain. Works well for baseline pain, but the more pain I am in- the more ineffective it gets.

    I have purchased a maxsie backsie ma roller- that is a lifesaver for me. Use it throughout the day to keep my muscles loose and in alignment. I have smaller ones that can be used anywhere. I also have the footsie roller for my plantars fashiitis. These along with my heating pad probably do more than the meds.

    Deb
  9. rachel432

    rachel432 New Member

    if you have questions reguarding medications there is a great web site. www.rxlist.com. it's easy to use and has great infromation.
    rachel
  10. dragon06

    dragon06 New Member

    I have taken Darvocet, Percocet and Vicodin for pain. Now I am taking Vicodin. Darvocet and Ultram seem to be the lowest with Hydrocodone (Vicodin) in the middle and Oxycodone (Percocet) on the high end. There are many different kinds of pain meds hydrocodone, oxycodone, morphine and so on.

    Finding the right med sometimes takes awhile as people will have different reactions to each one and some work well for some people but not as well for others.

    The only thing I can suggest is talking to your doctor about getting a pain med that is stronger than your current one and explaining why you need it. I wouldn't recommend asking your doctor for one specifically by name as this is sometimes construed as "drug seeking behaviour".

    Explain your issues to your doc and see if they can come up with something a little stronger that will work with your current regiment (if you take any other meds).

    One thing I can say is never try someone else's prescription. Not only is this dangerous but it is also illegal. Narcotics are a controlled substance and it is illegal to take them without a prescription for them. They can also carry some nasty side effects, especially if you are taking another med that they may interact with.

    If your current doctor doesn't want to prescribe anything higher then you may want to consider trying a different doctor.