What to use for breakthrough pain?

Discussion in 'Fibromyalgia Main Forum' started by lvjesus, Feb 19, 2011.

  1. lvjesus

    lvjesus Member

    I have hydrocodone 5/500 for "regular" pain but sometimes, once in a great while, have pain that won't be tamed by it. I have been taking half of a 650/100 darvocet, which works well but makes me soooo sleepy, but last night I was trying to research darvocet vs hydrocodone and it seems that hydrocodone is more powerful, not less, than darvocet.

    So does anyone use vicoden/hyrocodone and have something else for breakthru pain?

  2. 3gs

    3gs New Member

    Have you considered taking a half with a whole on those days? I have had to this on really bad days.

    The crazy thing about this disease is what will help. So many were helped with darvocet and couldnt take hydrocodone. I take 10/500 of lortab.

    My doc has given me various pain meds for breakthrough. Morphine etc. talk to your doc and ask him,maybe for those days he will give you a stronger dose to take.
  3. lvjesus

    lvjesus Member

    I did think about that. I started with taking 1/2 when I first started with it about 5 years ago. Then I went to 1/2 with 3-4 advil (with my doctor's approval). Then I moved up to a whole one with 3-4 advil, which is where I am at now. Usually that works very well and long enough for me to get through work and be home where I can do the heating pad, etc.

    It takes about an hour for the hyrocodone to take effect. I have considered several options, taking another half alone, taking another half with advil, taking another whole or taking another whole with advil. And here is why I agonize, I worry about taking something but not enough. What I mean is that if I take a half and nothing happens, I have wasted that half.

    I want results and I don't want to take too little, but I don't want to take too much. If I had any idea the Darvocet would have put me out like that I would not have taken a half at work like I was. but I have to say the pain relief was COMPLETE. The pain was gone not just knocked down.

    Thanks for the suggestion and I guess I will have to just "bite the bullet" and try something. I guess a half that doesn't quite get it is better than a whole that knocks me out!
  4. 3gs

    3gs New Member

    Actually 5/500 is pretty low doseage. on bad days taking another whole wouldnt hurt. understand about the wasting the half have done that also.

    are you talking about half of a 5/500 hydro? that would be a waste. They also have hydro in 7/500 perhaps have doc up you to that? Save the darvocet for when you get home. also if you are taking a 5/500 plus that many advil its time to reevaluate with your doc.
  5. Janalynn

    Janalynn New Member

    Darvocet is barely above Tylenol 3 in some people's minds. It is not a very strong pain reliever at all.

    As mentioned, the dose you're on of Vicodin is not very high at all. Perhaps your Dr. would let you adjust that on your really bad days.

    Usually "break through pain" relief is talked about when one is on a what is thought to be stronger medication (often extended release) and another med is needed, often just as strong if taken on it's own.

    It sounds like your pain just isn't being controlled by the vicodin you're taking when you're having a bad day. How long do you have to wait before you can take another dose?

    Definitely have a talk w/your Dr. If you've had a procedure done, (even minor) you'll see that most scripts are written for one to two pills taken every 4-6 hrs.
    So it's definitely not bad for you.

    One thing- if you want less Tylenol, you can certainly inquire about Norco, which is 10 mg hydrocodone and 325 mgs Tylenol. (10/325) Lortabs are usually 7.5/500 (also a hydrocodone)
  6. lvjesus

    lvjesus Member

    Thanks for your input. I certainly appreciate it. I get 30 pills a month of hydrocodone and the directions are to tak 1/2 twice a day. I find now that the best thing for me to do is take a whole. If I take a whole and 3 advil, I usually get complete relief.

    I had gone back to him once asking about better pain relief because I was having some issues and he put me back on Amitriptiline (which I had been on and gotten off) to see if that would help. He kept me on the same dosage, etc of hydrocodone but said if I were to run out before the end of the month, he would call in another script.

    He is cautious with the pain meds due to the potential for addiction. I do not have refills on my script; he calls in a new one each month. I have no problems with that at all. It works fine so far.

    Due to being able to skip some days last month, I did not use all I had last month, but went ahead and fillled the script on time so that if I did need extra some days, I would have them. I just wondered if something else to suppliment is something I should look into.

    I have a low tolerance to meds. It doesn't take much for me so I guess in this case I am fortunate. I think the next time I have issues I will go ahead and take a second whole pill without any advil.

    I did ask about the advil when I went the time he put me back on elavil and he said it is okay. I am happy to say that today is better. Yesterday I stood up for 3 hours doing my daughter's hair color and paid for it with a wipe out for the rest of the day. So far today I feel okay and have only had one dose of pain meds.

    Thanks for taking the time to reply and God Bless. Sonya
  7. lvjesus

    lvjesus Member

    Well, today I took a second hydrocodone without advil. It worked for the pain but made me very sleepy! Soooo, next time I guess I will try a half and if I waste it, well, I waste it.

  8. TaniaF

    TaniaF Member

    How are you all getting Darvocet. It went off the market via FDA? It was a great pain pill and around for so long - can't believe it's gone.
  9. kellyamos

    kellyamos New Member

    I know there are very strict warnings from various medical personal that state you should NEVER share your meds with anyone else and you should NEVER take a presctiption from someone else.

    There are many reasons for this strict warning as you never know what type of side effects you could have from taking a prescription that was not given to you and monitored by your own doctor.

    I see a pain specialist and take narcotics for my RA and FM and I had to sign a pain contract that states I will never give my meds to someone else and I will never take another prescription pain med from anyone else. This is for our own well being.

    I would highly advise against this choice and be very careful about taking someone elses pain meds. It could end up being a very bad decision if you have sericous side effects from this.

  10. Janalynn

    Janalynn New Member

    A cautious Dr. is fine, but he shouldn't be concerned about addiction with you. You are on such an incredibly low amount of pills (and dose) and so much research has been done showing that actual addiction rarely happens in true chronic pain patients. We only take our pain medication when we're in pain!

    Dependency is totally different. It's a body's normal reaction. I have been on pain meds for a long time. Surprisingly though, I have been able to go without for some days at a time with no reaction whatsoever. (weird and surprising)

    I know you know all of this - I just hate for your Dr. to deny you pain relief that you may need because he is afraid of addiction. 1 pill a day is not very much on a bad day, a 24 hr bad day.
    The GOOD thing is that he'll call you in some if you need it. Maybe he'll recognize if your pain is not being controlled at some point.

    Hope you have a great day today!

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