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Ouestion on pain!


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AllisonAnneMar 9, 2007 8:32am
I have very severe pain at times, in my legs and lower spine. There is so much I can't take because I only have one kidney and certain things affect that. I am tired of waking up in pain and I have to find something that helps! Any ideas, please contact me.


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TheScrappyCatMar 20, 2007 12:17pm
What doctors have you seen, Allison?


PhosOct 24, 2007 6:28am
As far as I know Fentanyl has no active metabolites, so clearance issues shouldn't arise with it if you can tolerate it. Can get it in a patch (Duragesic) that delivers a consistent amount over 2-3 days (they even have a lower starting dose now for those that are not opioid tolerant), and there are now two forms of fentanyl breakthrough (neither is cheap) as well. Methadone also doesn't have renal clearance issues, but it wouldn't be my first choice unless its neuropathic pain. It interacts poorly with a lot of antibiotics, and has an incredibly variable half life - so its slow to safely adjust to the proper dose.

If the pain is only occasional but comes on severe and suddenly - Actiq (fentanyl in a loli-pop form) is an excellent choice. Hope your insurance covers it or will make an exception, its *not* cheap. Its an extremely fast delivery system, and a very potent pain drug.

Just some ideas for you to discuss with your doctor or pain management physician.


Ouestion on pain!

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