I Have A Herniated Disc At L5s1 And Am Taking 8mg Dilaudid 1every 2 To Three Hours As Neede For Pain First It Was Working Well Now Doesnt Last

17 Replies Updated



Conversation Starter

debbie Says:


need info on 8mg dilaudid and what might be a good medication for breakthrough pain while taking this med every 2 hours. please help. ive been on oxycontin & roxycodone and cant find them anymore thats why i changed to dilaudid. please help.



Showing Replies 1 - 17 of 17 RSS Feed


Page of 1     Sorted By:
1
Ejknowsmore Says:

Opana Ir Or Er im sure an Opana 40 Er would would cover your pain if not try Morphine, I prefer morphone. Hydro-morphone= dilaudid. Oxy-morphone=Opana. I say Opana is ATLEAST equal to an Oc 80. Fentayln patches also work great as well as liquid Morphine Sulfate. Mainly for Iv but can be ingested.

REPLYSHAREREPORT
Was this helpful?      1  
2
Verwon Says:

YEs, if you're on the regular release formulation, you may want to ask your doctor about using the time release formulation for longer pain control.

As was already mentioned, it's called Opana ER.

https:/­/­www.medschat.com/­wiki/­Opana/­

Does anyone else have any ideas to add?

REPLYSHAREREPORT
Was this helpful?      0  
3
debbie Says:

thank you for that info.

REPLYSHAREREPORT
Was this helpful?      0  
4
debbie Says:

i will speak to my dr. about that. thanks for the info.

REPLYSHAREREPORT
Was this helpful?      0  
5
mr unknown Says:

Damn, you get dilaudid for a herniated disc? That's sound like over kill. I have 3 herniated discs, spinal stenosis, and numerous other problems. And I don't get dilaudids and oxy or opanas..youre not in that much pain. Over exaggerated, I mean come on, I have friends who shattered legs or lost limbs do too diabetes, and they don't get that.

REPLYSHAREREPORT
Was this helpful?      4  
6
Why live in pain when you should be healed Says:

Please take my advice. My wife suffered with a herniated disc l5-s1 for 5 years. She was on every medication combination you can think of. Very strong ones too. It all lead the same direction. No matter what you take, it will wear off in time and you will need more at some time. She finally did back surgery and fusion in May. The same day her leg and back pain were gone and it has been gone ever since. Don't let failed surgery stories online scare ou away. The failed surgeries are because people do not follow surgeons strict instructions afterwards. Go see a NueroSurgeon. Have faith and believe that you will be healed. I stood by for years and saw my wife in agony while she popped pill after pill. Do your research. No more drugs! Get your life back today!

REPLYSHAREREPORT
Was this helpful?      6  
7
Jonathan Says:

Your pain is not being treated correctly. Your primary analgesic should not be administered every 2-3 hours. Rather, this is what your treatment regimen should be:

-Use of long-acting opioids around-the-clock for baseline management of persistent pain.
-Use short-acting opioids PRN (rescue) for breakthrough pain.
-Strongly consider using the same drug for both baseline and rescue doses whenever possible (e.g. long acting morphine + short acting morphine, or long-acting hydromorphone (Exalgo) + short acting hydromorphone (Dilaudid)).

Rescue Dosing:
-The rescue dose should be 10-15% of the 24 hour total daily dosage.
-Oral rescue doses should be available every 1-2 hours; parenteral doses every 15-30 minutes

Adjustments of the baseline/rescue doses:
-If taking consistently 3 or more rescue dose daily, consider increasing the baseline round-the-clock dosage--being sure to recalculate the rescue dose whenever the baseline dosage is changed.

Example:
Calculate rescue dose for patient on baseline coverage of Exalgo 16mg q 8 hours:
-First Calculate total daily dosage: 16mg x 3 = 48mg hydromorphone/d
-Second, establish rescue dose:10-15% of 48mg = 4.8-7.2mg short-acting hydromorphone
Therefore:-
>>>Oral rescue dose is hydromorphone 4.8-7.2mg PO q 1-2h (Use hydromorphone syrup or solution for oral administration to achieve an exact dose).
>>>Parenteral rescue dose, though not applicable here as this individual is on oral medication, the parenteral rescue dose, would be based on a continuous infusion where in 24 hours, 48mg hydromorphone is being delivered: calculate the rescue dose based on 25-50% of hourly dose: 48mg / 24h = 2mg/hr; thus 0.5mg to 1.0mg per rescue dose.

NOTE: Where price is a factor, consider using methadone. Equivalent levels of analgesia can be obtained for pennies on the dollar. Hydromorphone / Oxymorphone / Morphine are preferred as they possess no analgesic ceiling dose, it is safe to continue increasing the dose of these medications until relief is achieved or side effects develop. Demerol is not suggested for anything but certain analgesic purposes, and should not be used for either acute or chronic pain.

REPLYSHAREREPORT
Was this helpful?      6  
8
chris Says:

Normally i would agree but i have chronic pain, nerve damage in both arms and legs, as well as degenerative disk disease. Having had 27 surgeries im familiar with meds not working, as has been my case. Everyines pain receptors work differently. Even just for a sprain...it may seem like an amputation. No disrespect to hou and yiur voiced opinion.

REPLYSHAREREPORT
Was this helpful?      0  

9
cyndi Says:
via mobile

Diladid is for break through, 1 to 2, 8 mlg every 3 hours is an extreme amount for a cancer patient let alone one bad disc. Sometimes it is psychological That you think you need more. Take some advice its a never ending circle, find a more responsible Doctor. If the day comes you end up with a debilitating disease Such as cancer nothing is going to work for you. Im not saying you are not in pain, im saying your doctor is not doing you any favors. You would be better off taking long term medication with a much smaller amount of short term. Just because someone has a medical license Doesnt mean they have your best intrest.

REPLYSHAREREPORT
Was this helpful?      1  
10
TRiNA Says:

Please may I ask where you are? I moved to north east PA from Jersey and I am having the WORST time finding a doctor I am in constant pain from injuries to my knees and back I don't have the money to keep going back to Jersey to see my old doctor, I was on 30 mg Roxicodone but I'd be willing to try something else if I can't get that. I'm beyond frustrated and in a world of pain

REPLYSHAREREPORT
Was this helpful?      0  
11
annmarie Says:
via mobile

I take 8 mg dilaudid and MS Cotin sulf ed 60mg for break through pain

REPLYSHAREREPORT
Was this helpful?      2  
12
elisabeth Says:

i have herniated l5S1 and nerve compression also and im on 2 dilayded 80oxy er and oxy 30 max dosage i can take and i can barely move- i can relate to how severe the pain is - im living on the couch and i dread waking up everyday - i feel for you . i wish u had my Dr he cares

REPLYSHAREREPORT
Was this helpful?      2  
13
Mpathia Says:

May I move to your state? Impossible in RI.

REPLYSHAREREPORT
Was this helpful?      0  
14
Linette Says:
via mobile

I have been on 4mg 3xs a day I recently lost my script my chronic pain is awful but I can barely walk n since being of Dilaudid I feel better.withdrawls are so hard n my chronic pain is awful .I just found my script my husband wants me finish withdrawals n stay off Dilaudid but my pain ontop of withdrawals I don't know if I can go till the 7th. But it's ruining my body.please be so careful

REPLYSHAREREPORT
Was this helpful?      0  
15
Silky Says:
via mobile

Many people are unaware that Methadone isn't only used to treat opiate addicts. It is actually used for acute and chronic pain. I don't know what state you live in or if each state has different laws concerning narcotics prescribed for pain relief. If you don't already, you may want to get a referral to go see a Pain Management Doctor, who should be able to prescribe a medication or medications that will relieve your pain, as well as prescribe something for breakthrough pain. I've been under the care of a Pain Management Doctor Specialist since 2007, and I've always been very pleased with my treatment and the medications he prescribes are working well for me, though I will always suffer with some amount of pain but not nearly as bad as if I didn't go to my Pain Management Doctor. He understands pain and specializes in the treatment of pain, so in my opinion one couldn't ask for anyone better or more knowledgeable of pain, both acute and chronic. In my case it's "acute on chronic", where the acute goes hand in hand with the chronic. I had tried many other pain medications with little success, until I was prescribed Methadone, and as long as I follow my prescribed dosages, I have very little pain, and it took me years to find the right medication. I suggest that you ask your doctor to prescribe Methadone for your pain, and if he or she isn't legally or professionally able to give you a Methadone prescription, then ask to be referred to a Pain Management Doctor who specializes in the treatment of pain. Then when you see the Pain Management Doctor, he or she may have something else in mind besides Methadone, perhaps a medication more suited to your individual treatment plan. I certainly hope this has given you some good suggestions. I feel for anyone who is in excruciating pain. I hope you find who and/or what you need and that you will be feeling much better very soon! Hope I've helped, and passed on a lot of hope ;) Take care & be well.

REPLYSHAREREPORT
Was this helpful?      0  
16
Perry Says:
via mobile

Seems like your a drug seeker.
Be thankful I get what I do !!!

REPLYSHAREREPORT
Was this helpful?      0  
17
Dan Says:

Re: cyndi (# 9)

I agree, as much as i'd like to get more narcotic pain meds myself for a herniated disc, you gotta try other options in conjunction. I have found torodal to be way more effective for breakthrough pain. Instead of taking more and more opioids, try to stabilize those and add other meds like better anti-inflammatories, gabapentin, electronic muscle stimulation, inversion table therapy, muscle relaxers for spasms as a result of the pain. The comment about problems down the road are very accurate and hyperalgesia is a real thing, don't ruin your pain receptors now as you need to have an option for pain control when you do get cancer for example down the road. In the meantime, don't do things that make it worse and get it surgically fixed! I am currently in a similar boat awaiting surgery, but have elected to keep the opioids at a reasonable level. I have very bad pain at times, and really try to save the narcotic pain meds only for pain when it is in the forefront of my mind or keeps me from sleeping. It's very easy to keep escalating narcotic pain meds if you are trying to reach an unrealistic level of relief. I'm happy to keep my pain at a "5" and just need to hang in there until surgery.. which at times is frustrating as I wait in bed for the wheels of medicine turn very slowly. It's been 2 months of waiting... I hear yah. This is an old post, but hopefully it will be helpful to others reading through, and i hope that you have found relief since you posted a few years ago.

REPLYSHAREREPORT
Was this helpful?      0  




Viewing page 1 of 1     Reply


More Discussions:

I was using tight panty to hide my tummy for 2 to 3 days Now I have pain in my stomach I am taking combo flame since one week for six hours I don g
I have a stomach pain below the skin burning sensation. May be I have using tight crochet (panty) continuously / doing s...
my pain dr writes 5 8mg s dilaudid and 1 avinza 60mg s time released morphine 1every 24 hrs ive been on the for 7 8years seem
My pain Dr. Writes 5 8mg. Dilaudid plus 1 60mg. Avinza 1every 24 hrs. time released morphine, I have been on the dilaudi... 7 replies
Am A Colon Cancer Patient Taking Razo For 7 Days After Chemo And Cepcitabine Caps 14 My Is Avastin Irinoticanits Now5 I Have This Pain In Heart Or May
whats the chest/heart pain am experiencing am taking razo for 7 days, cepcitabine caps for 14 days it has been 5 days si... 1 reply
I Have Been Taking Methadone For 9 Years Went To My Appointment And The Place Was Shut Down Now Cant Get Records Live In Chronic Pain But
I am in immediate need of a pain doctor who will write methadone,my spciatic nerve is crushed and I have 2 slipped disk ... 22 replies
I Have Chronic Pancreatitis An In PDr Had Me On Dilaudid But It Only Worked For About Two Hours As Well Percocet He Has Changed
II Have Chronic Pancreatitis And PDr Had Me On Dilaudid But It Only Worked For About Two Hours As Well Percocet He Has C... 11 replies
Ihave Been Taking Sera 50mg For Last 2 Years Can I Stop Itas Am Feeling Well
I was prescibed Serta-50mg.by the doctor for depression.I have been taking it for last three years.Since I am feeling ne... 2 replies
Can taking Amlodiphine- Benaz cause kidney pain? I was switched to this medicine and am now having bad pains seemingly worse when I need to urinate.
I changed my BP medicine to this about 3 weeks ago. Since then I have been having bad back pain that I thought was a hur... 1 reply
I Have Been Taking Mirtazapine For Last 6 Days And Feel Very Dizzy Tired Stiff Neck Headache Migrane Musles Pain When Does It Dissapear
Mirtazapine for last 6 days. I feel very dizzy, sleepy, tired, anxious (it was actualy prescribed for my anxiety),quick ... 4 replies
am taking chrominac a for 2 months i have pcos but last month period was scanty and this havent got my periods yet pregnancy test ngtv
i had a usg last week,doc said pcos..3 months ago i had used an ipill..i had my periods after that..after my periods i s... 2 replies
I Am Suffering From Rhematic Arithrites So Now Taking Wyslon 20 Mg But When Decrease To 10 My Pains Are Increasing By Using 20mg Have
actualy i am using wyslon since 3years so i have too many side effects.but i am bound to use the drug.if i forget to tak...


Post a Reply

No registration needed.
Simply fill out the form below.

 *

 *


 Optional, stays hidden.
Get notified when a reply is posted here.




4) Text Verification: *
Prevents SPAM.

Click here to show the question



This form will be submitted securely


TRUSTe

Discussion Thread Guidelines: Any participation in the discussion threads signifies your agreement with the Terms of Use and Privacy Policy. (1) Act civilized and be respectful towards others. No profanity, vulgarity or lewd / suggestive content is allowed. (2) Posts encouraging, facilitating, or seeking advice about the abuse of medications or other substances are prohibited. (3) Personal contact information (such as telephone numbers, email addresses, etc) is not allowed to appear on our discussion threads. (4) We do not allow our forums to be used for buying, selling, trading, or for the promotion of a product or service. (5) Posting external links to other web sites is not allowed without our prior approval. (6) We reserve the right to edit or remove content which we find objectionable to the community at our sole discretion.


Note: All times displayed are GMT - 7.

This information has been independently compiled and is for informational purposes only. It is not intended to be a substitute for medical advice from a qualified healthcare professional; nor is it intended to diagnose, treat, cure or prevent any disease. For more details please see the Medical Disclaimer. This page was last updated on 29 September 2017.

We are committed to your privacy.

Copyright © 2005-2019 All Rights Reserved. MedsChat® is a registered trademark of Limelight Innovations L.L.C. 9888 W Belleview Ave #5000, Denver, CO, 80123, USA