Palexia Sr 50 Mg

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Les Says:


I was prescribed Palexia 50mg for a chronic neck problem. I had amazing results after all else failed. However, the Dr then gave me the SR meds when he renewed the script and I have unpleasant side effects, which I did not have on the original meds. (Not SR) They were prescribed as 1 a day. Do I have to take them every day like chronic meds or can I take them like pain tablets... when I need them?



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Roy Says:

Hi Les - does it say anywhere on your prescription leaflet whether you are supposed to take your medication every day as a form of pain prevention, or whether you should simply take a dose as needed for pain? I've seen immediate release pills for breakthrough pain. Long acting (sustained release) pain meds are intended for around the clock pain relief. Are you familiar with the phrase "stay ahead of the pain"? Nurses will sometimes say that to patients who are recovering from surgery and need to be on pain medication as part of the recovery. Does your doctor think that this is a good approach in your case?

I found a patient leaflet PDF for Palexia SR (Tapentadol) from NPS Medicinewise (Australia). It says "The usual dose is 1 tablet every 12 hours. Your doctor may prescribe a different, more appropriate dose or interval of dosing, if this is necessary for you ... Depending on the medical condition for which you require PALEXIA® SR, your doctor may tell you to take it for only a day or two or longer, up to a few months or more".

That being said, was your prescription filled for a full month's supply or even more tablets? If you're taking one per day, how many days worth of tablets were given to you? Hope this helps and that you are doing well.

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Jools Says:
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Re: Roy (# 1)

I can only add to the previous posters comments by saying the stay ahead of the pain is very much old school thinking but also hospital thinking. We call it hospital thinking as dosing someone up ahead of any pain will keep them quiet and I have no problem with it but never for a prolonged period. There is much new thinking in the pain relief field & it can easily lead to an hellish addiction. For obvious reasons I do not disclose my real identity on here but the use of pain Meds has drastically changed in my time working with some very sick patients but, conversely, some badly addicted people. The majority of the latter group had not become addicted for pleasure but because of some very lazy doctoring. The nurses then have had a maximum dose to dispense but not on an as needed basis.

Anyway, before I go into an essay I would ask that you tread carefully with ANY medication for pain as I’ve had to deal with those unfortunate souls who have got lost and become drug addled zombie like shells of their former selves. I used to use Trazadone to help with neuropathic pain but saw too many become totally hollow shells of their former selves. Depending on the reason for your pain should determine the type of pain relief.

If I get called out for acute cases then I find a small amount of a benzodiazepine plus some dihydrocodeine or hydrcodone in the USA, will work well but I only do this and give enough so that the person suffering has the time to see a general practitioner and hopefully an appointment with a specialist.

New rules which now govern the use of Opiods has seen a massive amount of people coming to hospital with huge and long addictions. I have been helping a fair amount of people on long term prescribed and deadly amounts of Opiods. Anyway, please try and get an appointment, as soon as possible, then you can find out the basis of your pain and an appropriate diagnosis and treatment plan can be put in place.

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Roy Says:

Thank you Jools, very insightful!

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Jools Says:
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Re: Roy (# 3)

You’re most welcome Roy and I hope you get the right treatment quickly. I suffer from Wegeners granulomatosis and have a great relationship with my specialists but I do get favourable treatment due to my job

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Mollie Says:
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Enquiring for a friend taking Palexia following a shoulder op but the pain is 10/10 and no relief so far. Is this normal? Could the Palexia be making it worse?

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