I have 2 herniated disks in my spine which contributes to 24/7 pain and I am hesitant about having surgery on my spine at the moment. I am a bariatric patient so when I take a medicine it does not stay in my system as long as a non-bariatric patient, it cuts off about 2 hours sooner. At first I was put on Vicodin 5/500 (1-2 tabs every 4-6 hours) for the first month and I had to take more of the 5/500 tabs for it alleviate the pain and have a theraputic effect on me. I was then moved up to Vicodin 7.5/750 (1-2 tablets every 4-6 hours) and it didn't do much for me so my doctor put me on Norco 10/325 tabs (1-2 tabs every 4 hours) it helped but then eventually it stopped working and now I am taking 8+ Norcos in a 24 hour period. My doctor has prescribed Fentanyl 25 MCG/HR and I hear that it is about as strong as morphine and it leaves you feeling drowsy, etc. My question is will I be able to do things like go to school, etc. once I start taking Fentanyl? Since I take 80+mgs of hydrocodone a day should I wait until the vicodin is out of my system before I start using the patch or will I be okay to start it immeadiately? I am really nervous about taking it but it's been almost a month since I have been able to sleep in my own bed. Thanks for the help ahead of time.
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replied September 14th, 2008
As always, stay honest w/ your doc
Mz. Lolo,
I had a similar experience w/ the drugs; was prescribed 5/500 vicodin; but that didn't do squat for my pain.

One of the problems w/ vidodin & most narcotic analgesicis is they are mixed w/ Tylenol, and I've heard that at levels over 3000 mg / day, Tylenol can be toxic to your liver. So check with your doctor and pharmacist.

supposedly Oxocodone (or oxycodone) is more effective than hydrocodone (like in Norco/ Vicodin) so you might want to ask about that. Percocet / percodan are options, one mixed w/ Tylenol, one mixed w/ aspirin.

Just be honest w your actual doses, and if the meds aren't working, let them know. I'm currently going to pain management and potentialy going to try morphine, as the Percocet is not effective on my pain at this time.

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