A member asked:

I have been wearing norspan 10 + 20 for 2 years and 5 months. breakthrough pain is frequent now. doc is reluctant to increase weekly dose. i am 72.

2 doctors weighed in across 2 answers
Dr. Ron Jones answered

Specializes in Family Medicine

Defeats purpose: Usually buprenorphine/naloxone products are used in patients who have had problems in the past with opioid dependency. The hope would be to eventually wean from the norspan. Increasing the dosage would contradict the purpose. Need to find out why the breakthrough is increasing and treat the source not the symptom.

Answered 9/7/2013

4.9k views

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Dr. Robert Kent answered

Specializes in Physical & Rehabilitation Medicine

Opioid issues: Some docs just don't feel comfortable increasing pain meds, but it sounds like you might be due for an increase. However, other things need to be considered, including other health issues, concerns about falls, and the nature of your pain. I would recommend seeing a pain specialist or physiatrist to discuss other modalities, functional issues and increase or change in pain meds. Best of luck!

Answered 9/7/2013

4.9k views

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