Doctor insights on:
Nucynta And Methadone
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
Which of these is most effetive> Oxycontin vs. Fentanyl patches vs. Methadone vs. Nucynta (tapentadol)?
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. ...Read more
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?
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. ...Read more
Odds are: You'll likely be gone as overall this isn't a particularly high dose. You may notice some sedation, nausea, itching or constipation. But the bigger issue is changing how you take a medication, particularly opioids, without reviewing this with your doctor. It's incredibly important to discuss medication changes with your doc. Not doing so could lead to your doc no longer prescribing for you. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Yes: Chronic use of any opioid medication affects the endocrine system. This leads to depression and sex hormone decreases. Irrespective of any other causes, chronic opioids are enough to shut testosterone production down. This leads to decreased libido as well as ability to perform. The best treatment is an opioid holiday. ...Read more
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. ...Read more
See below: Methadone withdrawal may not peak for 7-10 days and may last for several weeks. In general, at pharmacologically equivalent dosages, studies have shown Methadone to produce a withdrawal syndrome that is less intense but longer lasting than that of heroin. However most people who have experienced both tend to rate the Methadone withdrawal as more severe. ...Read more
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. ...Read more
Maybe: Suboxone, or the drug contained there in is called: Buprenorphine (bupe). Bupe is also an opiate but is different from methadone. Neither is a cure for opiate addiction. Both are considered opiate replacement therapy. You must see a dr who is able to prescribe bupe. Look up the "buprenorphine physician locator" on line to find a dr near you. It can be tricky switching from Methadone to bupe. ...Read more
Worse: Patients on chronic opioids are at risk of more severe pain that is more difficult to control with acute noxious stimulus like labor. In essence, up to 4-6x as much opioid as normal might be necessary to control pain and often this makes a patient very sedated, with less pain relief than expected. Taper as much as possible prior to labor or surgery. ...Read more
Same as pills: The liquid is just the vehicle for the drug, although many have food colorings and sugar which may cause problems in some people. Long-term methadone has few major side effects when used properly, but causes physical dependency (like all opioids), and can reduce both male and female sex hormones, cause constipation, dry mouth/dental issues, sweating, weight gain, and rarely a heart rhythm issue. ...Read more
Yes, you can:
Only under pain management supervision. Methadone, a synthetic mu agonist opioid, has pharmaceutical activity similar to morphine. Because it can be taken orally and has an extended duration of action in suppressing withdrawal symptoms in physically dependent individuals, it is frequently used as a substitute for morphine and heroin in addicted patients.
Consult your physician for more info. ...Read more
Yes: By using methadone, physicians are able to ease the withdrawal symptoms and to keep the addict in treatment. Facilities may not be able to come up with statistics that say their patients have completed their program and are clean and drug-free, but that they are heroin-free. According to many, this is a better alternative. ...Read more
Depends on whether: You are in a Methadone treatment program, in which case the counselor, nurses and doctors in the program should be helping you gradually taper, or are being treated for pain, in which the prescribing pain physician should be the one assisting you in coming down off the medication. If you have been on for a long while, it takes a long while to come down- go slow. Other meds may help sometimes too. ...Read more
Some guidelines: You should not try this on your own, rather, you need an experienced practitioner to help make the switch. It can be quite tricky. The guidelines are to be on 30 mgs of Methadone or less for at least one week, then completely off Methadone for at least another week. The Methadone remains in one's system for three weeks, so the Suboxone needs to be started at a low dose and increased very slowly. ...Read more
It is our policy to: Not comment on such matters. If you are suicidal you should get help. Call the. National suicidal lifeline at 18002738255 or. The drug abuse helpline 1-866-643-6144. You can also call 911 or go to your nearest emergency room. Best wishes. ...Read more
It's one method: It's a common method. Saboxon is another one. ...Read more
Varies: By doc and reason for wean.Get a more detailed answer ›
Varies by brand: It comes in different colors, most commonly used one is red, and comes in different consistencies, some of which contain sugar and some of which do not. It does everything that methadone in pill or wafer form does, with the additional flexibility of allowing differences as little as 1 mg. Most methadone treatment programs dose by computer equipment that requires liquid. It is a long-acting opioid ...Read more