Doctor insights on:
No but......: Narcotic is more a legal term than a medical term. It does not necessarily refer to just opiate type medications. In general i think Lyrica (pregabalin) is a very helpful medicine, and i rarely see any addiction problems, however i did have a recent case of Lyrica (pregabalin) dependence. With that said most patients even with addiction history may still try this med if indicated and monitored. ...Read moreSee 2 more doctor answers
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. ...Read more
Buprenex (buprenorphine): It is Buprenorphine used in high doses >2mgm to control moderate acute pain in non opoid totrant patient in lower deses. It is also used in high doses sublingually for detoxification and long term replacement therapy in opoid dependance patients.It is marketed under name of soboxone or subutex, and the drug is now used for that purpose in us.Long term replacement or detox therapy in opoid dependant. ...Read more
Not necessarily: I have heard patients tell me that suboxone withdrawal is not as bad and have also heard it's worse. It depends on from how high of a dose one is stopping whatever opiate they've been taking. It is much easier and safer to try and gradually decrease the opiate dose until one is stopping from a very low dose and not a higher dose. The higher the dose, the worse the withdrawal when stopping. ...Read moreSee 2 more doctor answers
Mostly: Wellbutrin (bupropion) interferes with reuptake of dopamine&norepinephrine(noradrenaline)in the central nervous system, thereby leaving these neurotransmitters to sit longer&stronger in the synapse between communicating brain cells, which enhances dopamine&adrenaline activity at the cellular level. That can treat depression, feed pleasure to help sex&bypass tobacco, improve adhd&cognition, lower weight, etc. ...Read moreSee 2 more doctor answers
Ketamine: Ketamine offers very interesting possibilities for depressed patients who don't respond to standard therapies. It does induce dissociation and sometimes hallucinations, but in some there's an antidepressant effect that lasts for several hours/days after those are gone. Some drawbacks: can be liver damage; it must be given IV in a controlled setting; effects may wear off. All is being studied. ...Read moreSee 2 more doctor answers
No: Pregabalin is an anticonvulsant drug used for neuropathic pain and as an adjunct therapy for partial seizures with or without secondary generalization in adults. It has also been found effective for generalized anxiety disorder and is (as of 2007) approved for this use in the european union. It was designed as a more potent successor to gabapentin. ...Read moreSee 2 more doctor answers
What is the equianalgesic dose when comparing 50mg tramadol to Demerol (meperidine hydrochloride)?
What about 30mg codiene to Demerol (meperidine hydrochloride)?
50mg tramadol to Demerol (meperidine hydrochloride)?: Meperidine (Demerol) 50 mg was superior to tramadol 50 mg for acute pain relief in patients with suspected renal colic when given intravenously. Because many patients in both groups received supplemental meperidine and the response to tramadol alone cannot be predicted, clinicians may want to choose higher doses of meperidine alone or other alternative combinations. ...Read more
Bupropion is not: considered an anxiolytic medication. Sedating antidepressants often can have effect of reducing anxiety - whereas bupropion tends to be more stimulating. Increased anxiety can sometimes occur as a side-effect. However, some more recent findings are showing at least some anxiolytic affects of bupropion. ...Read moreSee 1 more doctor answer
Tapering is best: Tramadol is a synthetic opiate with weak Mu opiate agonist activity and some re-uptake inhibition of norepinephrine and serotonin. In translation: it acts like a weak narcotic AND antidepressant at the same time. It has a long half life: 7 hours. So it takes a while (4-5 half lives) to build up and to come out of the body. Taper over 2 weeks reducing the dose 10% per day to avoid withdrawal. ...Read more
No such thing: It is not what is most effective, it is what is best for you. I am sure your doctor will choose the safest type of opioid to treat your pain and see how you respond. If you do not respond, then he/she may try a different opioid. The most important thing is to find out what is causing a pain bad enough to require and opioid. ...Read moreSee 1 more doctor answer