Sorry Skittlezzz, was on the go ystrdy.
Beware; Anything you read about Nucynta/Tapentadol will likely be prefaced with 'A Novel Opioid', lol, because it is, IMHO, a big headfuck!
It's stronger than the weak opi's, (codeine, tram), but weaker than oxycodone.
It's similar to tramadol in that it contains an antidepressant, noradrenalin. This is combined with the tapentadol to ideally target neuropathic pain.
It comes in ER & IR forms, however, I believe 150mg BID is the max prescribed. Any more & the SNRI effects are overwhelmingly too strong.
If you're only taking 10mg oxycodone twice daily, it may be worth a trial, 10mg oxy = 100mg Tapentadol.
Waffle head, my former PM dr made up ketamine lozenges for a patient of his with TN. He wasn't very keen on Weed, so I never heard if that was helpful for her. Mind you, I think he must've been getting kickbacks as he was using ketamine infusions through his private clinic as well as the public clinic that he was the director of.
I formerly have had cluster headaches, similar to TN, all that relieved those were visits to ED for pethidine shots! Not very practical or likely avail on a daily basis nowadays
Dextersmom, so sorry that your pain also is not being relieved. I gather the plaquenil is for your lupus & Gabapentin for fibro? Most Cpp's are on a low dose antidepressant as it can contribute a tiny amount of relief especially when used as an adjunct med.
Are you under Pain Management? Sounds as though not, just a primary care dr/GP.
The medical system in the States seems to suck,- only the well off receive the care they need
As another suggested, are you able to find a more sympathetic dr? You probably saw a rhuemy for the Lupus diagnosis,- though they, IMHO, aren't too forthcoming with pain meds.
I sincerely hope you find what you need, in the meantime this is an awesome thread to keep posting on. Many helpful, empathic, knowledgable folk contribute.
Rtp