Pdr Narcotics

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Craig Says:
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I suffer from chronic pain/neuropathy. I am medically disabled due to the neuropathy and chronic pain. Currently I am taking A total of 400 mg of Nucynta ER daily and a total of 200 mg of the center I are daily. Initially I was taking 200 mg ER in the morning 200 mg at night and 50 mg of IR in the morning and 50 at night. However, after several months, I found out that my pain was more controlled by taking 400 mg of your center in the morning and 100 mg of BIR in the morning also for total of 500 mg this work much better for me and my pain generally was controlled from 8 to 12 hours depending on activity and other issues The problem is that after about 6 PM every evening I am in severe pain again with no medications left . After checking the physicians desk reference PDR, I found out that the max dose of your center ER is 500 mg today and extended I are 600 mg a day. I have no renal or hepatic compromise at all and Iroutine lab work to assure that I know how my body is processing these narcotics . I am a restaurant nurse and know a lot of information about medicines and chronic pain. However, I desperately need something in the evening to be able to function and even fall asleep with managed pain. Considering the dosing, there's a lot of flexibility with what I can do even with the limited Dosing. What would you recommend? Please remember I do have a opioid tolerance after being on medicines for over 20 years .

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Verwon Says:

Hello, Craig! How are you doing? I am very sorry that you're in pain.

Unfortunately, as of January 2017, it is going to become more difficult to have opiates prescribed and get such prescriptions filled.

The DEA has issued a press release and a notice in the Federal Register that they are going be decreasing the amount of almost all schedule 2 opioids by 25% or more next year. Thus, most doctors are already cutting down on the amount they are prescribing for their patients, or planning to stop prescribing them altogether.

I was just researching this for someone else a few minutes ago.

As to how you space out what you are currently taking, that is entirely up to you and your doctor, you need to find a schedule that works best for you.

Does anyone else have any ideas that may help?

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