Question 1

oxycontin vs. fentanyl patches vs. methadone vs. nucynta, (tapentadol) which is better?

Accepted Answer

Better for what???: Opioids may be all that a person needs for acute pain (broken bone, sprained ankle) but is NEVER the primary treatment of ANY chronic pain.  Each of these drugs has a different half-life, side effect and safety profile, and some are better for some people, and some are more dangerous in some people. Methadone is the most dangerous, particularly when given by doctors with less experience using it.

Question 2

which of these is most effetive> oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?

Accepted Answer

An impossible ?: All opioid drugs, when given in equivalent doses, are equally effective in most people. Some may be more effective in some people for some kinds of pain, and some may be better tolerated than others in some people. Depends on the kind of pain, the dose given, and the specific biology of the person. Methadone and Nucynta (tapentadol) may be more effective against neuropathy pain than the others in some people.

Question 3

my pm doctor wants to switch me from methadone to nucynta (tapentadol) for fibromyalgia pain relief. i'm also taking cymbalta. i don't feel like nucynta (tapentadol) will work ?

Accepted Answer

Research suggests: That use of narcotics in fibromyalgia may be a bad choice in the end and drugs such as Cymbalta, Savella, (milnacipran) and Lyrica offer better longterm success.  Yet, the Methadone needs to be handled, and a better switch at this stage would involve suboxone.  I agree with you, going to Nucynta may not be a wise decision.  Try to see a pain specialist.

Question 4

methadone side effects?

Accepted Answer

Similar to others: Methadone side effects are a matter of research for numerous scientists. If the dosage of the medicine is correct, then there are no risks of kidney, heart, liver, lungs or any type of failure. 

A number of common Methadone side effects include constipation, skin rash, water retention, dizziness, weakness, extreme sweating and flushing and in some circumstances erectile dysfunction.

Question 5

can methadone cause hot flashes?

Accepted Answer

Diaphoresis: Not necessarily hot flashes, but more like profuse sweating. You may also experience lightheaded/dizziness, sleepiness, nausea, and constipation. If you have any serious side effects, such as trouble breathing or chest pain, contact your doctor and get evaluated right away. Take care.

Question 6

does arithromycin affect methadone?

Accepted Answer

Yes, dangerously: The combination of Erythromycin and Methadone can increase Methadone levels, risk of fatal overdose, risk of heart rhythm problems and possible death from acute heart problems.  The combination may cause qt prolongation, something that can lead to a potentially fatal heart rhythm problems.

Question 7

does methadone cause sexual problems?

Accepted Answer

Probably: Not listed in my resource as an issue but generally thought that if a drug is good for the mind it is bad for the sex organs and vice versa.  This is a potent narcotic and i would strongly believe that it could/would have some degree of sexual side effects.  Consult a pharmacist/pharm. D.  Or your pcp or addiction medicine doctor.

Question 8

is it safe to drive while on methadone?

Accepted Answer

Yes: As long as you are on a stable dose and not sedated.  However, if you get in an accident they will still try to blame you.

Question 9

methadone and midol taken together okay?

Accepted Answer

Drug interaction: Midol is non-sedating so it should not be a problem. You should however inform your prescribing physician of all medications, including over the counter medication, you are taking.

Question 10

can you take advocare diet on methadone?

Accepted Answer

No contraindication: Any change in lifestyle can place a stress on ones life, including the start if a new diet.  As long as you deal with the stress of the new diet, and do not relapse into using illegal drugs to cope, then it is fine.  If you include the doctor in your healthy living/diet plans, then it would be even better.  Best wishes.

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Doctor answers about:

Nucynta and methadone

A member asked:

Oxycontin vs. fentanyl patches vs. methadone vs. nucynta, (tapentadol) which is better?

A member asked:

Which of these is most effetive> oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?

A member asked:

My pm doctor wants to switch me from methadone to nucynta (tapentadol) for fibromyalgia pain relief. i'm also taking cymbalta. i don't feel like nucynta (tapentadol) will work ?

A member asked:

Methadone side effects?

A member asked:

Can methadone cause hot flashes?

A member asked:

Does arithromycin affect methadone?

A member asked:

Does methadone cause sexual problems?

A member asked:

Is it safe to drive while on methadone?

A member asked:

Methadone and midol taken together okay?

A member asked:

Can you take advocare diet on methadone?

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