Doctor insights on:
Medicare part d: Good luck - appropriate coverage is becoming a thing of the past. Keep in mind that there is going to be a further $500mil dollar reduction in medicare funding. ...Read more
Stadol Allergy: Butorphanol (Brand name: Stadol) is a synthetic opioid agonist- antagonist that is used for pain control. The brand name medication has been discontinued by the manufacturer. Allergic reactions to medications could include swelling of tongue, throat, lips, mouth, face, hives or difficulty breathing. ...Read more
Review with your doc: You should review the dosing regimen that is optimal for you, as this is a plan that should be determined between a patient and his/her physician. Often butorphanol intranasal spray is administered a 1 mg (1 spray) every 3-4 hours as needed but this may not be best for you depending on your pain and medical/medication history. ...Read more
Can you tell me how is it possible that buprenorphine and butorphanol are partial agonists-antagonists?
Agonist/antagonist: They are agonists at some receptor types and antagonist at other receptor types. Also agonist/antagonist effects may also be dose dependent as well. ...Read more
I would like a neurologist in the nashville, tn area that specializes in migrane/lupus type of headaches and uses stadol (butorphanol) as a treatment?
Off the market:
It looks like Stadol is off the market.
In general, using opioids more than 5 times a month can make your migraines worse, so use them sparingly, if at all. ...Read more
Please explain why is Narcan (naloxone) (narcotic antagonist) given to cancel out stadol in l&d since stadol is not a narcotic?
Stadol is a narcotic: Narcotic is actually a legal, not a medical term, but stadol (butorphanol) is a synthetic opioid, which acts on the kappa receptors, which are opioid pain receptors, but blocks the mu receptor (another pain receptor) - it is called a mixed agonist/antagonist. The effects of the rug usually don't need to be reversed, but Naloxone (narcan) will block the kappa effects of stadol. ...Read more
I am nervous about an upcoming abortion (first trimester) where I will be given versed and stadol. Is this a safe combo with pretty low risk?
No: Not to my knowledge but only confirmatory testing is 100% accurate. Screens are just that a screen and not absolutely to be relied upon. ...Read more
Migraines 15yrs, tried otcs, -triptans, narcs, blockers, diet, with varying luck. Best luck-stadol nasal spray (max use 10x/mo). Any long term concerns?
What is the best treatment for rebound headaches if your allergic to triptans, dhe, tordol, stadol, and ultram. Botox didn't work. Status migraine 2 w?
Rebound or migraine?: A rebound headache is also called a"medication overuse headache, "&occurs, paradoxically, from daily use of "as needed" headache meds like acetaminophen, butalbital, triptans. There is less risk with NSAIDS (eg.naproxen).Individual advice requires appt, &in your specific case, with a Toradol allergy, you would need to clear this with your doctors first. A 2wk headache is very difficult-wishing you well. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more