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I took hydrocodone 10 for several years before I was put on Avinza as my primary medication at 120 mgs. One question is that I took 4 hydrocodone 10/325 ( generic norco). How does that compare with the Avinza? Am I being short-changed on the Avinza since it does not seem to work to well? My doctor now wants me to use the same 120 hydrocodone as breakthough medication.
This is my basic question. The 120 hydrocodone was my month's supply when it was my primary pain medication. Since taking the Avinza, I still have to take the 120/month hydrocone. However, with both the pain medications, I feel pain free without being 'high' Am I overdoing the theory of break through medication?
When I was but on the Avinza, it did seem to help but slow acting. I have asked for the Oxy time release but he doesn't want to do that.
One last question. I thought that breakthrough medication was for when I did some extraneous work that I do not normally do. And think this should not be an every day thing taking break through medication-certainly not the full amount that I took when the hydrocodone.
Can someone give me the striaght information concerning breakthough medication. Am I over doing the hydrocodne taking both it and the Avinza?One last thing-Avinza was designed to be a long term pain medication and a person can be prescribed up to 1660 mgs a day. So I am on the low end taking 120.
My doctor is great and I don't want to lose him or freak him out by asking for a higher dosage for Avinza or keep asking for 120 a month hydrodone. The last thing I want is for my doctor to get into trouble for over prescribing. He has mentioned that he wants to try a standard regimine for pain releif-which could be anything.
Thanks for any information.
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Toberlone Stranger
Reged: 02/12/04
Posts: 13
Loc: outside its America
I think your pm doc views the hydrocodone as "rescue" pain meds; as in when you pain "breaks" through the longer acting pain medication that you take. When your pain breaks through, you take your hydro. I can understand your PM doc giving one or the other time release opiate, not both at the same time. Avinza is gaining popularity. A friend takes that, with hydro for breakthrough. My PM prescribes oxycontin, with no rescue or breakthrough pain meds at this point, but I don't need them. When I was on the duragesic, I needed breakthrough meds, and I used oxycodone IR. So, if you find that you are pain free, I wouldn't worry about it, and enjoy the fact that you are able to BE pain free. This is something we are all striving for.
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Baseball is like church, many go, but few understand. Unknown(to me)
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night_shade Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
Kimbell-
The morphine in the form you are taking is continuously released into your system throughout the day, which helps cut down on the sedation and also develops (after a few days) a steady level of medication in your system without the peaks and valleys that oral hydrocodone causes--even at 4 a day.
Therefore, it makes perfect sense that you receive better pain relief without added sedation. And it is COMMON to need frequent dose adjustments with morphine as a body quickly builds tolerance to it. Perhaps at a higher does of the Avinza, you would need less hydro. Don't be afraid to report your pain to the doctor and ask questions about dosages, etc. 1660 is very high and usually not needed unless the patient has severe pain (usually cancer pain) or is that tolerant to narcotics.
This is nearly the same combo I was on for cancer pain many years back...MSContin (480mgs per day--3 100's and 3 60's) and Percocet. It worked very well for me.
-------------------- Never underestimate the predictability of stupidity.
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