New Analgesic on the market

Well folks to all of you, finally got off the Nucynta, and done with the pain management doctor.  Again I told you all that I lived in WA now moved to NE, and sure enough I knew it was going to hard to find a great pm doc.  Well anyhoo. I finally after talking to my family physician about my meds and what works and what doesn't work, he has agreed to give me back my perc 10/650 and give me what I need for the whole month.  We have discussed surgery and I have seen a neuro doc, and I am deciding to have surgery in November.  I have been doing alittle research on this double fusion thingee, and well I guess I am really skeptical. I understand that everyone is different in the healing process, and all that. But really there are more cons then pros. Any body here want to help me out with suggestions or maybe suggest another type of surgery that you will be able to get yourself more mobile then the fusion being out for quite awhile? It is crazy out there about docs and the hard time its taken me since I have been here to get my meds on track. I mean between the new stuff they came out with, and then them making you feel like your a addict already before you even seen.  I was even kind enough to bring ALL my meds to the clinci appt with the pm doc, and its like we cant touch it,  you need to flush whatever you have left with the nurse, and so forth and so forth, its just a crying shame that for some of us we are using it as directed, not selling it,I would be to afraid to do something like that anyways, dont they know that folks look at all that thru your insurance.  I mean I just would never damper my health not being able to have my meds. That is all I am saying.  Shame on all of you that it applies too for some of us that get treated like this because there is so much abuse out there. So much...... 

Anyways, please give me your thoughts and opinions okay I really do enjoy everyones input about this surgery.

Thanks, Tike 

Well I guess that makes it something like 12 strikes and 1 hit for the Nu team, Y2K. As I wrote earlier, it seems that Nucynta is only effective as a "first tier" analgesic . . . no CP that has tried it to replace opioid dosages above that tier has reported a positive result. I'm glad to hear that your side effects were minimal, Y2K, and also that your PMD didn't give you the run-around on returning to Norcos. Oneir's post on dealing with tolerance was 100% correct in my book . . . I hope that you are able to maintain a pain reduced life with the minimal amount of "help".

After a construction injury over 23 years ago I chose to live with the upper back pain rather than a chancey surgical procedure or the Opioid route. I had to limit myself somewhat in the level of exertion that I was now capable of, no heavy lifting, etc., and also accept the constant pain. I'm glad that I chose that route, I got out of constuction and became a fine art picture framer making a lot more money with even more job satisfaction. I always advise people to stay away from the ever increasing dosages of Opioid pain therapy. However, there is a point that to continue abstinence is foolhardy and can even be life threatening. When I was no longer able to deal with the pain triggered by my cancer therapy, I chose opiates. This site has helped me make the best choices out of a very confusing pharmacological menu. Good luck, Y2K . . . Q

just stik to the old stuff

Tike, I had a fusion in 1988, probably not exactly what they propse for you (L4/L5 SI; it was undoubtably the worse decision I ever made.  First of all, it was a gruelling surgery.....tough recuperative process with body cast and such.  I now carry a Titanuim rod within me, one that sets off metal detectors and such.  The thing about hardware, no matter where it is within your spinal column, it is undoubtably going to be stronger than whatever is above or below it - meaning that other levels of your spine are not going to be as strong and will fail.  I am a firm beleiver that back surgery....creates more back surgery.  For me, when they got to the fifth one.....there was a loud "done" in my vocabulary.  Still occassionally a doctor will casually mention a "new procedure".....I tell them they had five chances, talk to someone else.  I don't mean this to change your mind....only to say that a fusion is not be done without caution and lots of forethought.  "They" say it's different now, surgery has changed in the last twenty years...again for me, talk to someone else.

I think it all comes down to pain...what you can stand and what you can't.  Those of us that have back problems are never going to be symptom free.....they cannot "fix" us and we are not going to "get better".  We are not the same as we were before back surgery.  Some of us are just lucky that way.

Good luck in your decision Tike.  I feel for you..........talk to many, many doctors before you let them cut

After all of the research I have done, how in the world could this be scheduled as a class II? I hav found 1 refrence to strong uphoric feeling on a website, so where is the potential for abuse? I just was scripted NuCynta today, and have not found a pharmacy 1 that carries it. I have to have it ordered in. I'm in serios doubt of this drugs effectiveness after reading this post, and many other refrences. I've been on every possible Opiate of different strength and know their pharmacology fairly well. I was in an auto accident and am currently considering a surgery option but I'm hesitant to "go under the knife". I hope this new drug isn't useless. I'm evaluating this Nucynta to possibly replace the 15mg Morphine 3x day in conjunction with Fentanyl 100mcg patch every 48 hours.

I'll post my findings

K.

I think I would cry if my doctor asked me to try Nucynta. Litterally.

What a sour 3-6 weeks good buddy . . . I've been dealing with a truly bizarro vision problem that the Docs think was caused by my relatively small daily dosage of OxycodoneIR----average #3-4 30 mg p/d as needed for BTP. I've been Rxed #8 p/d prn for 2.7 years now but I rarely go there. That plus the cancer stress/depression/genital dimorphism and the bloody heat have taken a toll on the Q this late summer. I'm over the hump now though and I do not intend to look back . . . that's for sure 'n certain!!! 

Isn't that cool about the Fentora? It took some doing but the triage nurses at the Santa Fe Cancer Care Center would not take anything but a big fat YES for an answer on my HI approval for that outrageously expensive ($16.50 each for #120 p/m) but truly effective BTP drug. The acute pain certainly did it's share of damage but all is now squared away and my life will return to normal in just a few more weeks.

I'm beat, my friend . . . I'll hit you on the back channel real soon . . . Q 

Q man, when you get your Fentora script, if you dont mind, please share your results with me. I am curious as to the effectivness of Fentora coming from someone who's as articulate. Give me the full run down of how much it helped, how long it took to work, how long it lasted. Im curious to see how your experience compares to technical online medical sites. Ive used Actiq so I am eager to compare the two, not that it would work the same for my body chemistry, but gives me a general idea.

Thanks Q man, you da man Quincy  & again, glad to hear you're doing better.

P.S. Would you mind sharing which type of cancer you have?

Q, you have a great spirit!! Thanks for sharing that bit of personal information. Im glad you are one tough cookie, I enjoy what you have to say here. So your pain treatment is what they consider "palliative" correct?

Thanks for the info, I have always been curious about that PSA poster on the PCP's & Proct.'s wall for who knows how long. I feel for you, I could not imagine having prostate cancer. I dont think many people realize how sensitive the prostate is. Having stress/anxiety related, chronic non bacterial prostatitis, I know the symptoms of that alone are very uncomfortable, let alone cancer & then the treatment make your body take up arms. Like I said, one tough cookie.

What was your pain level before you started treatment with the Lupron-Depo?

On "palliative" You are so funny, I was going to say it was a matter of symantecs, but your really got down to the "nitty gritty" and I cant argue with that!

I've been following the posts on this medication and as you have seen, most are negative. Despite that I have seen several posters saying that it works great for them, even as good or better than percocet according to some users. You'll have to try it and let us know...the more input the better...

hope it helps you

Hello all. I live in New Jersey, and I was prescribed NuCynta on Monday. It took my pharmacy 5 days to get the medication. I took the first dose about an hour and a half ago, and so far so good. My pain level has dropped, and I have no headache. Thats not to say that it could not change at any time. And I wonder if it acts differently because of me taking Opana and OxyContin? As I continue to take this medication, I will try to update you all on my Progress. Also NuCynta has a website that has all the information and such on it.

In their studies, they compared it to Oxycodone IR 10/325mg. My doctor also compared it to Oxycodone, but that could just be because he read it or the drug rep told him that.

No, the only side effect I am having, is the euphoria. I feel a little buzzed.

Let's hope that it continues to help you reduce your pain. I read a study (put out by the manufacturer, unfortunately) that said something like 35% of the CPs that participated in one of their double blind tests preferred it to both Percocet 5/325 and Lortab 7.5/325. Having said that, I would like to provide some little known reasons for this product's timely development and FDA approval as well as some of it's questionable marketing ploys and the obscenely high uninsured price of #120 for $411. That price was provided by a poster, I would appreciate it if you could tell us what you were charged without insurance, MiccoKoi.

First, the development and release of this drug coincided with an FDA panel's recommendation that all "hybrid" or "combo" opioids be banned. That means analgesics like Vicodin, Percocet, and Tylenol3. The reason given was the number of deaths due to Tylenol overdoses. The manufacturer proposed to save lives by providing this Tylenol free analgesic. However, they market it not with an emphasis on it's lack of Tylenol/Acetominophen/APAP but on the fact that it doesn't contain Oxycodone. They say as little as possible about the fact that it is an addictive Opioid agonist even worse than Oxycodone. As for a price comparison with OxycodoneIR 5 mg, I've bought #300 OxycodoneIR 5 mg (Tylenol free) at Sam's Club for $45.68 and that is full retail, no insurance. And all the while the media blathers on about the horrors of opioids.

I'd like to be able to say that I don't get it but, unfortunately, I do get it . . . right in the very spot that the sun doesn't shine. Oh yeah, I almost forgot to add that the introduction of NuCynta happened to coincide with the "Great Oxycodone Shortage of the Winter of '08/'09". I don't believe in coincidences so I guess this NuCynta is fairly drowning in good luck. Look at the record:  1:  An FDA panel proposes the banning of the drugs that Nucynta is meant to compete against.   2:  Simultaneous with it's release it is almost impossible to obtain Tylenol free Oxycodone due to a SNAFU  (Military jargon for Situation Normal, All F'd Up) caused by the combined efforts of the DEA and the FDA.   3:  PMDs are Rx'ing NuCynta like it's the best thing since penicillin while the manufacturer is charging over 10 times as much as what NuCynta claims it is equivalent to . . . 10 mgs of OxycodoneIR. (I did the math, at the prices given here one dose of NuCynta costs about $3.41 and two 5 mg OxyIR tablets cost about $0.30.)

I hope that it's still doing it's job for you, MiccoKoi, you or your HI company certainly paid enough for it to do more than goldbrick. Please keep this link informed with your thoughts and experiences. Thanks loads . . .

                                                                            Q      

I'm wondering if maybe the dizziness is messing with the part of your brain that is in charge of spelling, Kikipk. What do you think?

                                                                            Q