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Doctor's go to opioids for pain?

Treefa

Treefa

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Mar 27, 2011
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Krombopulous Michael
So long story short I'm wondering why doctors (in America), IF they plan on prescribing anything stronger than tramadol always prescribe hydrocodone?

I ask because only recently I found a kind understanding doc who gives me 2 10mg hydrocodone per day (far more generous than other docs ive been to) and it does work.

But basically I'm wondering why hydrocodone seems to be prescribes so much in America.

Personally I think tylenol 4 works as good as or if not better than hydrocodone..but I'm sure not going to jeopardize my chance of pain releif by asking my doctor about opiates..

Anyway just add your thoughts, thanks,
Treefa
 
SirTophamHat said:
It's not as desirable to junkies.
Click to expand...

Codeine or hydrocodone?

In my experience, at least where I'm from, people fork over anywhere from xxx bucks for a 10mg hydro.
If I could find any tylenol 4 the price probably wouldn't exceed xxx dollars a pill even though 60mg codeine is equal to 10mg hydro.

Most seem to think codeine is a mild analgesic but if I take 240mg of codeine I find it far superior to 40mg hydrocodone.

I'm confused as to which you say is less desirable to junkies though...
 
Last edited by a moderator:
I was talking about hydro. I think docs prescribe it less because oxy is typically more sought after and anything "harder" than oxy (dilaudid, opana, morph sulfate) is out of the question for most patients who don't have super debilitating pain.

We can't talk about prices on BL, but what you quoted is definitely less than what people pay for almost any other pharmaceutical opiate or opioid.

I forgot Ty4 = codeine since I don't really mess with it, IMO codeine is better and maybe equally as often prescribed? Not sure, I try to stay out of hospitals and doctors' offices...

I was just guessing with my original reply though I'd suspect it's not far from the truth.
 
SirTophamHat said:
I was talking about hydro. I think docs prescribe it less because oxy is typically more sought after and anything "harder" than oxy (dilaudid, opana, morph sulfate) is out of the question for most patients who don't have super debilitating pain.

We can't talk about prices on BL, but what you quoted is definitely less than what people pay for almost any other pharmaceutical opiate or opioid.

I forgot Ty4 = codeine since I don't really mess with it, IMO codeine is better and maybe equally as often prescribed? Not sure, I try to stay out of hospitals and doctors' offices...

I was just guessing with my original reply though I'd suspect it's not far from the truth.
Click to expand...


Oh I see, I think you misread.

I know most docs only prescribe oxy and dilaudid etc to people in really severe pain.

I'm inquiring as to why most docs seem to have a preference for prescribing hydrocodone as a first-string opioid, and why they would prefer prescribing hydrocodone over CODEINE.

Don't get me wrong I like oxy alright bit my chances of getting that are nil lol, I almost prefer codeine/morphine to oxy anyway.
 
oh ok, I didn't know you were comparing the two. Sorry! i don't really have an answer for you, it probably depends on the practitioner. what they have personally had the best experience with in treating pain, etc. i'm sure the final decision has plenty of factors that go into it. my best guess is abuse potential. hopefully someone else has more of an insight for you.
 
isn't vicodin 5/500 the most prescribed drug in america or something? I feel like i heard that somewhere, although it seems like a hefty claim.
 
I would believe it honestly. Every kid who ever had their wisdom teeth out probably got a script of those, I know I did

Maybe not the most prescribed drug, ADHD meds are popular nowadays, painkiller though? sure
 
i got prescribed the 5/500's when i got my wisdom teeth yanked earlier this year. of course i was already dependent on heroin so...
 
Bigfanofthemdrugs said:
isn't vicodin 5/500 the most prescribed drug in america or something? I feel like i heard that somewhere, although it seems like a hefty claim.
Click to expand...

Yeah I believe I heard that also, but it wasnt dose specific..they just said vicodin is the #1 prescription in u.s. in X year.

I'm still wondering why doctors in the states love vicodin so much..

Ive never heard of it being used in any other countries.

Why would they rx hydrocodone over codeine?
See what I mean?

I honestly like codeine a lot better, only downfalls would be rather short duration and the 1/2gram ceiling dose. But getting an rx for codiene is at least 2x as hard as getting one for hydro...unless its in the cough syrup, but I don't like so much antihistamine..
 
Dude if I have to get mine yanked, there's not a chance in hell of me leaving my dentist without a script of at least some 10mg oxy or 30mg morphine tabs or something at least 2x as strong as hydrocodone 10mg.
I take 10mg hydrocodone on the regular for back pain and i do have a bit of a tolerance so yeah, I'm going to tell the dentist about that first thing and if he hands me that week shit I'll have to slap him in slow motion...and steal the tank of nitrous oxide LOL..
 
Treefa said:
So long story short I'm wondering why doctors (in America), IF they plan on prescribing anything stronger than tramadol always prescribe hydrocodone?

I ask because only recently I found a kind understanding doc who gives me 2 10mg hydrocodone per day (far more generous than other docs ive been to) and it does work.

But basically I'm wondering why hydrocodone seems to be prescribes so much in America.

Personally I think tylenol 4 works as good as or if not better than hydrocodone..but I'm sure not going to jeopardize my chance of pain releif by asking my doctor about opiates..

Anyway just add your thoughts, thanks,
Treefa
Click to expand...

Hate to be a sinic (some of the time). But pharm companies often have everything to do with Dr's prescribing habits. Here oxy is prescribed quicker than codeine/dihydrcodeine. Go figure...

Nice avatar btw, early cuyler. :)
 
Hydrocodone is the most prescribed drug in the United States with a whopping 131.2 million prescriptions written solely in 2012. I would imagine this drug is prescribed more frequently due to it's high acetaminophen content, leaving it undesirable to most drug abusers - never stopped anyone from a CWE though.
 
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