tapentadol

[ss2brandon]

so yesterday i suggested to my doctor that i needed both the oxy and hydro for pain relief. she writes my script and doubles my does which is nice. then i ask her about a new drug called nucynta. she had not heard of it so she looked it up. i tell her i'd like to try it so she writes out another script for 50 75mg pills.i came home and popped four of them. seemed to synergize nicely with my oxy and hydro. she also switched me to soma instead of flexeril. man those are nice!and she doubled my ativan dose to 1mg. man i love that lady

 

[grumpy w00kie]

Dayum that doctor knows whats up!

 

[Violenza666]

Its refreshing to have an understanding dr isnt it?? Brandon you mind if I PM you?

 

[K'd-OUT-in-AZ]

I started a thread earlier about Nucynta, I'm also prescribed it but 100mg three times daily for fibro management. My doctor prescribed me it because most other pain medicines aren't effective while on buprenorphine. I'd compare 100mg of tapentadol to about 15mg oxycodone. I find that it really helps.

 

[ss2brandon]

go ahead 666 whats up?

 

[ss2brandon]

i would say do not snort these things. and when takien at the same time as other opiates it seems to compete so much and you end up not feeling euphoric just sweaty and stomach sick
had to get mexclizine.d

 

[BabyGurl3171]

so yesterday i suggested to my doctor that i needed both the oxy and hydro for pain relief. she writes my script and doubles my does which is nice. then i ask her about a new drug called nucynta. she had not heard of it so she looked it up. i tell her i'd like to try it so she writes out another script for 50 75mg pills.i came home and popped four of them. seemed to synergize nicely with my oxy and hydro. she also switched me to soma instead of flexeril. man those are nice!and she doubled my ativan dose to 1mg. man i love that lady

Sounds like you have a very nice, understanding dr! Glad she listened to you, as a lot of drs now a days don't care and do what they think is best. I hate when drs don't listen to you even though it's your body and you know best.

 

[K'd-OUT-in-AZ]

i would say do not snort these things. and when takien at the same time as other opiates it seems to compete so much and you end up not feeling euphoric just sweaty and stomach sick
had to get mexclizine.d

Didn't you say that you are also on Hydrocodone & Oxycodone? First you said seemed to synergize nicely with my oxy and hydro and now you say that it competes with them so much that you feel sick. ???

Anyway, it doesn't compete with Buprenorphine, in fact they have great synergy together. I've been on the combo for a few months and no problems. Never attempted to snort or IV them.

 

[THE_REAL_OBLIVION]

I have some pure tapentadol HCL powder in my posession. I am also on suboxone. I assume i'd have to wait 48 hours before doing anything with it. How is it when IV'd/can it be safely IV'd ? Remember, it is the pure powder, Nucynta isn't even scripted in Canada so there you go. It doesn't seem to have the caustic properties of a lesser friend called AH-7921....is there an ampoule version of tapentadol in hospitals ? I mean there is even an IV solution called OxyFast which contains Oxycodone in hospitals, and this being Canada, not so long ago we had Heroin Hcl solution (only in hospitals, now they prefer to use 50mg/ml Dilaudid solution). I didn't want to create a new thread despite the fact there doesn't seem to be a Nucynta/tapentadol megathread. Please help, I'm not stupid and will not be touching the stuff, even less IV'd.

Thanks a lot.

 

[maybeimamazing]

i have been on subs for a few months, 16 mgs. a day. i was a heavy opiate user (morphine, oxy, opana) for many yrs.. i still have legitimate pain, for which i took all those pills in the first place. last month, at the doc, i told her how i still have unbearable pain that bupe doesn't help at all. i didn't think u could still take any opiate while on subs. so, someone pls. tell me what the deal is! i have no knowledge of nucynta or the other one, tapentadol? so will someone pls enlighten me? i don't wanna get strung out on tons of shit anymore, but i stay in pain, due to orthopaedic-related injuries from my childhood. so, what to do? thnx guys.....

 

[cwake18]

I honestly tried Tapentadol (150mg tab) one time, and it was pathetic. It's rated at 1/10 the strength of morphine, and it's a C-II in the US, so kind of hard to get unless doctors are smart enough to realize that it's much weaker and potentially safer than oxy, morphine, etc.

I did the whole pill and it didn't take away my withdrawals really from a VERY mild opioid habit at the time. It was an incredible waste of money from the guy I bought it from.

@THE_REAL_OBLIVION: Is AH-7921 really that bad? I'm thinking about ordering a few grams from Canada seeing as shipping time to USA would be quick and it's legal and all. It's said to have 80% the potency of morphine, but after reading the AH-7921 thread, I'm left with a lot of inconclusive information. Since this is off-topic, maybe you could PM me with your experience? I'd appreciate it.

 

[RTrain]

Not that I'd be complaining, but it doesn't exactly define a doctor as "kind and understanding" because you can convince her to write you narcotic prescriptions and keep jacking up the dose. OP doesn't exactly say what he is getting all these meds for or the exact doses, so its hard to sit here and justify being on 3 different opioid medications, not to mention the benzo.

Idk what you all think the role of a doctor is, but it isn't to provide a cheap source for a legal high. OP admits to abusing the medication, too. So don't sell me on this doctor doing what is best for their patient by prescribing any drug they ask for.

Sounds like you have a very nice, understanding dr! Glad she listened to you, as a lot of drs now a days don't care and do what they think is best. I hate when drs don't listen to you even though it's your body and you know best.

Yeah that is what all doctors should do, let their patients tell them what to prescribe based on the information they garnered off the internet. Just throw out all they learned in school, the hundreds of hours studying pharmacology, physiology and biology. Instead, as a doctor, just make all your decisions based on what a person looked up on the internet for 15 minutes, then told you about.

i have been on subs for a few months, 16 mgs. a day. i was a heavy opiate user (morphine, oxy, opana) for many yrs.. i still have legitimate pain, for which i took all those pills in the first place. last month, at the doc, i told her how i still have unbearable pain that bupe doesn't help at all. i didn't think u could still take any opiate while on subs. so, someone pls. tell me what the deal is! i have no knowledge of nucynta or the other one, tapentadol? so will someone pls enlighten me? i don't wanna get strung out on tons of shit anymore, but i stay in pain, due to orthopaedic-related injuries from my childhood. so, what to do? thnx guys.....

It is similar to tramadol and for the same reason, provides effect while on buprenorphine. It has a norepinephrine reuptake inhibitor effects. The opioid effects are weak and still blocked.

 

[THE_REAL_OBLIVION]

I honestly tried Tapentadol (150mg tab) one time, and it was pathetic. It's rated at 1/10 the strength of morphine, and it's a C-II in the US, so kind of hard to get unless doctors are smart enough to realize that it's much weaker and potentially safer than oxy, morphine, etc.

I did the whole pill and it didn't take away my withdrawals really from a VERY mild opioid habit at the time. It was an incredible waste of money from the guy I bought it from.

@THE_REAL_OBLIVION: Is AH-7921 really that bad? I'm thinking about ordering a few grams from Canada seeing as shipping time to USA would be quick and it's legal and all. It's said to have 80% the potency of morphine, but after reading the AH-7921 thread, I'm left with a lot of inconclusive information. Since this is off-topic, maybe you could PM me with your experience? I'd appreciate it.

I only said it is lesser because of how caustic it is, there's a guy around here who was snorting it and got a massively fucked up nose and back of throat now (scabs). I kept telling everyone in its dedicated thread that one should just buy some empty gelcaps and fill em with doses and stop this insanity. I have never had any but just from the info I got here, it seems like the most caustic RC in existence and will hurt one's mouth/nose. MT-45 seems safer. Both AH and MT are about 80% as potent morphine so if one can have the choice between the 2, i'd go with the milder powder.

 

[THE_REAL_OBLIVION]

So, is Nucynta available as IV solution in hospitals ? Say like how they use Demerol a lot for people allergic to codeine,morphine,oxy, dilaudid etc. who can only have totally synthetic opioids ? The powder is still sitting in its vial, not tempting me of course, but if this thing has been IV'd by anyone, especially the pure powder like I have or at the hospital in IV'able form, or through a micron filter...how is it? This thing seems really strange, I hope it's not THAT related to tramadol, I could get powder of that too but swiftly passed, I once ran in the middle of a snow storm to the ER that scripted me the Tramacet (only form we have it in,well in IR form) to have it changed it back to Empracet 30's (codeine+apap), it made me feel very close like I was gonna have a seizure, nevermind the fact I am on benzos daily (legally).

 

[issokay]

I want Nucynta information (& more…)

8( 8)

I’ve been taking MS Contin 200mg twice daily & Morphine Immediate Release 30mg 3x/day for some time now. (Increasing the dose over the past year, but took at a secondary lower dose before suffering a separate, 2nd injury.) I went in to tell my doctor that I still have breakthrough pain so he switched me to OxyContin 80mg ER & OxyCodone 15mg 4x/day but the OxyContin wasn't covered by my formulary. Now my doctor wants to put me on Nucynta 150mg ER with Nucynta 50mg Immediate Release for breakthrough pain, but I very much don't want to take Nucynta partially due to negative things I’be read about others’ experiences, partially because if it’s anything like Tramadol, I am scared to take it because I had memory problems, it made me jittery, I would get big twitches & jerks, almost (or maybe it was like little seizure jerking & muscle twitching/spasms…) it didn't help my pain, & I just want to go back to the MS Contin I was on before, and the Morphine IR for breakthrough pain.

He did offer to increase that one slightly, but we went with the Oxy regimen prior to knowing it was not covered by my insurance. I'm worried now that he will want to stick with his new idea of putting me on Nucynta & I am frightened of it and I'd rather just go back to what I know was working for the long-acting, & his offer previously of just slightly increasing the Morphine IR from 3x/day to 4 or 5 times a day.

Does Nucynta even compare to Morphine? I can't imagine it would. I feel like I'm trapped if I can't just go back to what I know works, maybe I was just hoping too much for perfection with the complaint of breakthrough pain.

What do you think, & what can anyone tell me about Nucynta, the side effects, the 'high' or 'euphoria' if any, relative to itself, & when compared to morphine, because I believe that it is part of the way ones pain is controlled.

Please help me with the questions I have posed herein, followed by anything you can tell me about the side effects, & lastly, anything else you may have to add.
I just remember Tramadol being one of the worst & scariest drugs I've ever been been prescribed.

What should I do? I wish I would've just agreed to the slight increase in my breakthrough pain control. If I'm in pain, it is so severe, that I can't explain it, & now, I'm having exacerbated panic attacks and anxiety/stress because I'm worried about not having pain control that's effective. It's not something that I am able to withstand for a whole month, just waiting to talk to the doctor when my rx runs out so I can be put on something else. I feel like Icarus in that I may have flown too slide to the sun with my wings of wax in hopes to fix the breakthrough pain problem, which was the last pain problems that affected me.
I don't want to bounce around from rx to rx, & I mentioned that I get panic attacks for which I take several meds including a bento: lorazepam (Ativan) 2mg 4x/day.

So I also hope I'm not perceived as having drug-seeking behavior just due to my anxiety which is currently focused on my issue over pain control and regretting not just accepting his other offer of slightly increasing the breakthrough rx.

My anxiety can be on anything that affects me at a particular time, so I'm not normally worried about pain issues, but I'm mostly unable to control my panic attacks/extreme anxiety when I get it, & I don't want it to be perceived incorrectly.

I'll probably be going through higher than normal anxiety & panic attacks now until when I next see my PCP F2F in just over a fortnight (January 16th, 2015)

If someone here reminds me the day of my appointment, I should be out by noonish, & I’ll try to fill everyone in with an update to tell how it all went.
I would need to be reminded here in a reply because I never recall the specific places I post things at on this large forum…

Thanks,
—Issokay