Doctor insights on:
Effectiveness Vicodin Sciatic Pain
Short-term...: Vicodin is a combination of a narcotic and acetaminophen, and can be helpful for significant acute pain. One disadvantage is the combination- there is a limit to the dose that can be given, as higher levels of Acetaminophen are toxic. In general, narcotics like vicodin are not a good idea for chronic, non-cancer pain due to problems with physical dependence and addiction. ...Read more
Vicodin: Onset: ~20min; duration of action ~4 -8hrs (1/2 life elimination ~4hrs). Effects can be variable depending on liver health, rate of metabolism, rate of excretion (gi, kidney), drug-drug interaction & whether or not opiate naïve. Genetic variations in cyp2d6 (poor or extensive metabolizers) may also influence effect. "effectiveness" diminishes rapidly if you're asking about its euphoric effects. ...Read more
I take vicodin 7.5 for two years. They are not helping like they used to. Would skipping a day every now and then help with their effectiveness?
Not for long term: Vicodin, because it is short acting and has Tylenol (acetaminophen) in it, is not for regular or long term use. It is not in any way appropriate pain management for chronic pain. Perhaps it is time for getting clean and getting your true health condition off of it evaluated. ...Read more
My Adderall (dextroamphetamine and racemic amphetamine) decreases effectiveness of vicodin been on both for awhile vicodin works when I don't take Adderall (dextroamphetamine and racemic amphetamine) but I need both. What should I do?
Extreme pain in both legs from cyatic nerve injury was seen in er. They gave me vicadin and sent me home. Nothing working. What should I do?
Sciatica: Sciatica typically comes from a pinched nerve root in your back. This may be due to a herniated disc. I usually treat with oral steroids. Sometimes a medication called Neurontin (gabapentin) helps with pain. You should have an MRI if symptoms persist or if you have weakness or bowel/bladder problems. It usually resolves without an operation but surgery to decompress the nerve may be needed. ...Read more
Vicodin + NyQuil: Do not take both of these drugs together. Nyquil has a significant amount of alcohol. This combination would be the same as taking vicodin with an alcohol beverage. This combination will have an additive depressive effect on your body systems and could very well have serious adverse consequences. ...Read more
If I irritated the nerve or nerves contributing to the sciatic n. due to sleeping on the floor, What should I do to treat it?
MoreComplicatedIssue: First, if you have to sleep on the floor try and get some form of firm cushioning even if it's only putting a few towels or blankets down. That would be better than sleeping on a too-soft mattress. Second, that's not usually the cause of "sciatica, "if that's actually what you have (there are a lot of mimics).What do you do with the 'x' number of hours that you're awake? Sit all day? Lift stuff? ...Read more
Lower right side back pain. Hard to move. Very painful 3 days now. Been using ive flexerill n vicodin no help. Pain does not radiate down?
SEE YOUR DOCTOR: Your medications indicate that you have very many complex medical conditions - hypertension, diabetes, probable rheumatoid arthritis, depression and severe coronary disease. Your pain needs to be evaluated by your physician in the context of all your other problems. I understand you want relief, but it is ultimately more important to find a cause and treat it directly, and not mask the symptoms. ...Read more
Combined approach: Manipulation can be helpful, but I prefer a multifaceted approach incorporating non steroidal or steroidal antiimflammants, muscle relaxants, and analgesics if indicated. Massage can be helpful. If the patient fails to respond to the above within one to two weeks, then certainly appropiate diagnostics should be pursued, ie x rays followed by MRI of the lumbar region to determine the exact cause. ...Read more
It's posterior: All the nerve roots of the lumbar plexus r combined into the sciatic nerve & it exits the pelvis through the sciatic notch & takes a journey down the posterior thighs shedding branches 2 various muscles and sensory nerves on it's journey & then divides into branches at or above the knees that then iterates via these nerves various muscles and skin as these branches divide into smaller nerves 2 toe. ...Read more
The amount that: Your doctor prescribes. The FDA now has ordered that medication combinations containing acetaminophen not have more than 325 mg per tablet. Generally, one to two tablets three to four times a day is safe for a limited time. Using for longer periods of time or in higher doses can be dangerous and lead to physical dependency, addiction and other problems, including liver problems from the tylenol. ...Read more
What does it say: On your prescription? And, if you DON'T have a prescription, then the proper amount would be none. The therapeutic dose of hydrocodone is between 5 and 15 mg, usually combined with 325 mg of Acetaminophen (tylenol) in each tablet. A typical tablet contains 7.5 mg of hydrocodone, and 1-2 is the usual dose, depending on severity of pain and the level of tolerance of the individual. ...Read more
Sciatica: The sciatic nerve goes from the lower back, through the buttock on both left and right, and down the back of the leg to the foot. Pain starting in the low back going down the back of the leg, or pain in the buttocks that goes down or up to the back are likely to be sciatica. There are some serious reasons for sciatica, such as disk damage, so it is suggested that you check with your physician. ...Read more
Take how much and: For what purpose? If it is prescribed for pain, and you take it as prescribed, all you should feel is a reduction in pain. Some people get nausea and even vomiting with opiates, many get constipation, but generally normal doses for self-limited pain (ankle strain etc.) people don't experience anything outside of pain relief. If you take too much, you can experience resp. Depression and even death. ...Read more
Dr Advice: The doctor wrote your prescription for you personally. I would not exceed his recommendations on the rx. If you do not feel it is relieving you pain, then discuss this with him. Do not self adjust. ...Read more
Sciatic pain: Permanent is a loaded term - a sound exam by a neurologist or physiatrist should be done - your exam, plus any other testing, can lead them to determine if this issue is significant or not; an easy answer can't be made here - you need a work up to determine that answer - good luck! ...Read more
Sciatica: The sciatic nerve emerges from the lower spinal cord, and divides into the peroneal and posterior tibial nerves. Sciatica is the term to describe nerve compression affecting the nerve roots of the sciatic nerve, such as L-5 or S-1, and pain radiates down the buttock into the leg. ...Read more
Addiction: Addiction alters one's ability to think clearly, make good choices and use sound judgement. It affects lives negatively usually in the form of time spent obsessing over obtaining the drug, and using the drug. As a result, relationships start suffering due to lack of nurturing and the person may even start missing work. The addict can no longer feel normal without the substance they are abusing. ...Read more