April 21, 2009 - 12:55pm
I have a general question maybe someone can offer up an answer.
Are certain opiates prescibed for different types of pian? I mean why would I get percocet for a wisdom teeth extraction and Vicodin for an ingrown toe nail? I understand the different strengths of the meds. Is it strickly just the doctor's preferance? I also understand the patient's tolerance and all that.
The same with the benzos. It doesnt make sense that different meds in the same catagory are given out for basically the same pain.
thanks
Keolu
April 22, 2009 - 9:49pm
#2
demerol knock out an
demerol knock out an elephant?
demerol isnt really very strong at all.
actually, according to this link it isnt nearly as strong as hydrocodone. Just wondering why he would say that would knock out an elephant, but yet, give you something stronger and didnt think to tell you that.
April 22, 2009 - 9:50pm
#3
Yea
I agree demerol is not strong at all. Also, its way more effective IV. Just like how morphine taken orally isnt all that effective but taken IV is a whole different story.
April 22, 2009 - 10:03pm
#4
when it comes to pain
when it comes to pain medication it is definatly up to the doctor what dosage and medication that he/she prescribes.. It is a little bit different when it comes down to benzodiazipines because of the different disorders of anxiety, panic attacks, and phobias.. so its pretty much all up to the doc... pain can come in different forms and varieties also thats why there are so many different kinds and combonations of the same medications.
April 22, 2009 - 10:14pm
#5
cannot remember the mgs
but demerol, puts me down fast, i believe its the way it melts fast in the system, but what he gave me did knock me out temp, won t think my dentist would done it on purpose, but as i say on many of my threads they give you they least strength, an less addivtive rx s first, a lot of dentist thinking that if you already on like a steady requiment of hyrocodone for mod. to severe pain that should be enough, they don t understand about overriding pain, my wife was taking hyro 10s an had several teeth extracted an he told me she did nt need nothing, i told him that she been taking hyro s for 6 yrs an that there is a immunity effect an if he did nt want write to call her pain management dr, an he would, the dentist wrote hyro-5s , i looked at him an ask did he want us to go to prison, that if we turn that script in, it won t be filled because she had a active hyro-10 as of now, he called her pm Dr. an he wrote her 2 perocet 10 for bt s with her hyro s
April 22, 2009 - 10:16pm
#6
a lot of the prescriptions
depend on what drug rep, takes the doctor , to red lobster, the most lol
April 22, 2009 - 10:20pm
#7
man
I dont know about red lobster lol but a good laugh indeed.
April 22, 2009 - 10:26pm
#8
All pain medications are
All pain medications are indicated for specific levels of pain. Some doctors have a clear grasp on the way the levels are worded but a lot of doctors have no clue. Hydrocodone/APAP for example is indicated for Moderate to Moderately Severe pain whereas Oxycodone is indicated for Moderate to Moderately Severe when in combo with apap but Moderate to Severe pain when alone. So technically Vicodin ES tablets and Percocet tablets could be Rx'd for the same pain level/type of pain. Unfortunately it usually comes down to the doctors med of choice and they seem to get stuck in a rut rxing the same thing for different levels of pain. Morphine is also indicated for moderate to severe pain. To me theres a huge gap between what I consider moderate and severe.
April 24, 2009 - 9:56am
#9
THIS COMES IN PLAY TOO
ALLERGIC REACTIONS A PATEINT MAY HAVE, OR PHYISCAL CONDITIONS, , A DENIST MOST THE TIME GIVES NOVAICAINE TO NUMB PAIN, SOME PATIENTS MAY BE ALLERGIC OR HAVE HEART PROMBLEMS THEN HE GIVES LIDOCAINE, HE HAS ABOUT 4 OR 5 PREPRATIONS , A DR MAY PRESCIBE 1 PATEINT 1 PARTICUILAR DRUG DUE TO HI BP, OR HE MAY BE ON BLOOD THINNERS AN THE RX WOULD EITHER ADD TO OR INTERFER
April 24, 2009 - 4:19pm
#10
Thanks
Thanks for all the input.
April 27, 2009 - 11:18pm
#11
Other factors might include
Other factors might include age, duration of pain, which meds have been used in the past, other medications being taken and whether or not the pain is around the clock or just randomly. Also they look at abuse potential. Not just the drug's potential but the person. Young people are more likely to abuse, or so they say. They also look at whether or not the person has a history of substance abuse....
Seems like there are some random factors too...
MOST DENIST S GIVE 7,5 OR 10 HYROCODONE, IF ITS A EXTRACTION THAT WAS A PROBLEM THAT TOOK LIKE 15 MINUTES AS WISDOM TEETH OR EYE TEETH, THEY GENERALLY GIVE PEROCET, I HAD 7 TEETH EXTRACTED 1 TIME HE GAVE ME DEMEROL, IT KNOCKED ME OUT FOR 1 HOUR THEN I STAY IN BAD PAIN TILL NEXT DOSEAGE, NEXT DAY I WENT TO HIM AN TOLD HIM I NEEDED SOMETHING FOR THE PAIN, HE SAID WHAT I GAVE YOU WOULD KNOCK OUT A ELEPHANT, I TOLD HIM IT WOULD BUT I WAKE UP A HOUR LATER, I ASK HIM FOR LORITABS , HE TOLD ME I HAVE TO GIVE HIM THE DEMEROL BACK, I HANDED HIM THE REST AN HIS JAW DROPPED, WE WORKED TOGETHER IN THE COAL MINES WHILE HE WAS GOING THRU DENTAL SCHOOL, HE TOLD ME I WAS THE ONLY PERSON WHO REQUESTED MORE AN ACTUALLY RETURNED MEDICATION, HE WROTE LORITAB 7.5 AN I GOT RELEIF , GENERALLY A DR WILL WRITE THE LOWEST PAIN REQUIMENT HE FEELS NECESSARY, MANY PATIENTS THROW THE SCRIPTS BACK AT THEM, THIS SHOWS DRS THAT PATEINTS WERE THERE FOR STRONGER MEDS, NOT WILLING TO WORK WITH THEM, IF ITS A PM OR FAMILY DR , TRY WHAT HE WRITES IF IT FAILS THEN SEE HIM FEW DAYS LATER AN TELL HIM THE RESULTS, ITS UP TO THE DR.