Tuesday, September 02, 2014

Friday, May 30, 2008 Chopper Dan, Community Member, asks

Q: How does Lorcet 10 rate in the order of pain releaf?

I had my upper and lower spine fixed with steel rods and have a scar on my spine. I am all ways in pain. What can i do to help my self. Doc. gives me 3 loratab 10 a day and said that is what the law allow. I have a hard time beleaveing that. What can i do to help my self. C.D.

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Answers (9)
Cort, Health Guide
5/30/08 3:07pm

Lortab 10 is the strongest form of Lortab made. According to RxList the usual dosage for Lortab 10 is a tablet every 4-6 hours with no more than 6 tablets a day.  Do not increase your dosage without your doctor's permission. Lortab can cause numerous side effects. Lortab 10 is a 'schedule three' drug which means it can cause physical dependence or addiction. Patients can also become tolerant to the drug; i.e. - recieve less benefits from it over time.

 

There are many different types of pain medications and different options you can pursue to get pain relief. You might consider getting a second opinion if you feel your doctor is not pursuing all the options possible. Good luck!

 

http://www.healthcentral.com/chronic-pain/find-drug-24941-25.html

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loofielew, Community Member
6/ 3/08 10:29pm

First of all your doctor is Lying to you! I get 6 percocet 10mg a day!!!!!!   Sounds like your doctor is afraid to prescribe to you what you need. You might want to tell him that the lorcet does not help, and that you would like to switch to percocet.  Percocet is almost 3 times stronger for pain relief and you can take less of it for the same effect on pain. And its spelt LORTAB!

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Spooky, Community Member
10/24/09 9:25pm

Yes, and and I take fentanyl, which is 100+ times stronger than percocet and would surely be illegal if 3 Lortab 10/400's were since it's 40 times stronger than HEROIN!  You are missing the point. I also use both a TENS unit and ultrasound several times daily, use several topical pain meds made for my specific kind of neuralgia by a compounding pharmacist that reduce my need for medicines that go through my whole body, participate in a relaxation program and am an active participant in my care.  He needs to consult with a pain specialist and get a program of both drug and non-drug pain programs designed to relieve his particular pain, because his spine surgery was supposed to take away his pain, NOT cause pain he needs narcotics for.  He has to go through the steps toward getting his life back rather than focusing so much on how much medication he can get legally.

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Pain24_7owieee, Community Member
8/ 6/09 9:24am

This may be bad advice according to some people, but I go to a pain specialist and after 6 years I'm up to 6 oxycodone 30 mgs per day and 8 hydrmorphone 8 mgs per day. This would KILL most people. I am highly opioid tolerant. Be careful, but there are MUCH stronger meds out there. Do your research but don't be in pain! If you are near the Tulsa OK area, see Dr. Sorenson.

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Spooky, Community Member
10/24/09 9:28pm

Dr Sorenson will be thrilled you've given him a reputation as a doctor who will prescribe strong narcotics.  That could make the DEA watch him just that much closer.

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yeti105, Community Member
11/12/09 11:42am

if dr sorenson is not breaking any laws then he may be a bit uncomfortable with that reputation, but if DEA came down on him as long as he has paperwork to back up his prescribing methods there would be no reason for him to worry. my 2nd pain management doc lost her license cuz 2 of her pt's decided to commit suicide, using meds she prescribed of course. though these people would have found a way in any way if they were that intent, it just so happened that it was her perscriptions that did them in. she then had to go before the board, do numerous tasks and such to get license back, she had to go through hell as far as paperwork for DEA records. we, the pt's, had to do range of motion, and sobriety type testing before she would even see us. she did random urine testing to see if her pt's were using something she had not prescribed. i do say though that most of the pain management doc's that JUST give meds and do not send you to other physicians for further testing are not doing anyone a service and exploring all avenues of recovery. in the long run she had such a fight w/all the other doc's in our area due to that fact she gave up her narcotics license. the side of the story on doc's that do not do justice for their pt's and keep them just lingering in pain is when the thoughts of suicide come in to play, that is me, before i found this doc every one i went to decided for themselves that i was not in pain therefore i was a drug seeking addict, of course i was seeking RELIEF. it is hard to be a pain management doc as pain is so subjective where is the line drawn that says joe can only take this much and it works but sally must take 3 x's more to work? the guy that get's only 3 lortab a day is the one that may be cruising toward the big light in the sky due to his pain issues there is only so much anyone can take, i know it says somewhere in the bible "God only gives you what you can handle" well i think for a long time my handle was broken. thank God for the doctor who went WAY above 3 lortab's a day to help me. sorry to run on but when she gave up her license it may have broken a lot more handles.

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CoCowboy692000, Community Member
9/30/09 6:50pm

How old is your back surgery? I think it's pretty common knowledge among back patients that, you hope for 10 relatively 'good years' per surgery and anything more is icing on the cake. If you get less than 10 well, you hope to get as close as possible to 10 as you can. If your back surgery is recent, read on...

 

I would recommend that you consider a pain management specialist. If you have Rods after major back surgery, they should have already removed the pain causing issues, such as impinged nerves, etc. What is causing your pain? Not a scar... I know everyone is different, I really do.

 

My first surgery was done without rods. I never did get relief from that surgery. Finally 9 years later, I was in a wheel chair. Second surgery: I was cut on both sides - about 16 inches on my belly down to my crotch and another 14-16 inches on my back. The surgery was 14 hours. I have rods from L3 to L5-S1. I had more pain in front near my hip where they took the bone to cement the rods... and I wouldn't classify that as pain. I didn't even take an asprin for it. Amazing relief! After being wheel chaired prior to my second surgery, I was taking stairs within 14 hours. I was so giddy I felt like a kid in a candy store!

 

I have had complete Laminectomy, Foratomy and Discectomy at every one of those levels and then rods 7 years ago. I was completely thankful for the rods.

 

Sure, I have the occassional bad day, most back patients do. I doubt this is what you wanted to hear, but there it is for what it is worth. Good luck...

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Spooky, Community Member
10/24/09 9:31pm

Exactly!  The surgery was supposed to be pain relief!  A pain specialist should be consulted to determine why this pain relieving procedure seems to have caused so much pain!  Narcotics may be necessary, but the wrong doctor is being consulted and under those circumstances one almost always comes up looking like a drug seeker.

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msavalanche, Community Member
1/13/12 11:33pm

OMG the pain docs in bryan texas suck.. go to houston and the corner doctors are everywhere and very better..

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PARAINTN27, Community Member
2/11/10 9:39am

Hi. this is a reply to the one who had back surgery and it worked for them, I am a comlete paraplegic for 32 years and have had spinal fusion with harrington rods pin and screws after my car accident, I was sixteen at the time and went to Craig rehab in Denver Colo. life was different but I adjusted and was very active, got married had a child and then had to have the rod removed because they were trying to poke through the skin. The doctor who had done my first fusion done this one as well, but he did not put anything back to keep my spine stable, I done ok for a few years, had a hysterectomy and everything snowballed after that, was put on painkillers and then duragesic patches, I glad they help some people in my case it was hell way to strong for my small framed body. lost so much wieght and would vomit after even a small meal. I quit them cold turkey and that was awful. I 2006 had a posterior and anterior spinal fusion with rods pins cadver bone and wore a brace for 6 months, this surgery got my spine straight but has not helped the pain, if anything it is worse. so I am now on loratab 10/325 up to six a day and xanax for mucsle spasms, I have had really strong spasms from the start, now I am in chronic pain 24/7 my spine Dr, tells me I will most likely need pain meds the rest of my life and told me before my fusion that it may or may not help with pain, many days I spend in bed or on a good day am able to do small chores. I gets to me, I miss my freedom and the fact that I miss out of family things, I try very hard to stay active somedays it just is not possible. This works on my mind because I feel like the pain has robbed so much of my life. pain mangement is somewhat of a joke, and I understand that the people who Dr. shop or abuse the meds make it very hard for people in real need. I would love to be able to medical mary jane, it does help for a while, but being in PM can't use it. God put here for a reason and to me it is alot safer than the man made drugs, or booze. I hope the medical field would see the benifts, I scared to mention this to my PM DR. I don't want to be cut off my pain so I don't do it!!

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Spooky, Community Member
10/24/09 8:51pm

Hydrocodone is the narcotic component in Lortab.  The law doesn't say how much he can prescribe, but doctors are watched carefully to make sure they are screening patients who get narcotics carefully to make sure patients aren't abusing or reselling them.  Hydrocodone is a fairly weak narcotic, effective against mild to moderate pain.  It is recommended that an adult not take more than 70mg of hydrocodone/day--which would be 7 Lortab 10/400.  The danger in that dose is more from the APAP (Tylenol) in it than the hydrocodone.  In short, Lortab is simply not likely to help you in any dose and your doctor is irresponsible to give you any at all, IMO.

 

Lots of things need addressing, here.  What you are having is chronic pain--which is different than acute pain both in QUALITY as well as quantity.  Lortab is GREAT for acute pain, but all but worthless for chronic pain--in any dose.  What, besides Lortab, are you doing for your chronic pain?  How much physical therapy did you have after surgery, and will your insurance company pay for more?  Have you tried a TENS unit or ultrasound?  Both of these are available for you to do yourself at home and both have helped many people cope with chronic pain.  Also, a good relaxation program usually helps bring the pain down as well.  Tricyclics, often on-label for depression but NOT ALWAYS--one of the most common tricyclics is cycobenzeprine--brand name Flexeril, and on-label for muscle relaxation, often make a great deal of difference improving chronic pain, especially at night when they can ease the pain and help you sleep.  They do usually take 1-3 weeks to work and you do have to take them every day.

 

If all of the above have not been tried, you should not be given any narcotics for chronic pain--even 3 Lortabs/day.

 

Now that I've pissed you off--Lortab is among the least effective narcotic pain medicines.  It is the same medicine as Vicoden, and it is GREAT for getting high, which is why it is so often abused.  That's probably why your doctor is telling you he can't give you more.  Most people who take hydrocodone for pain keep taking it to get high after the pain is gone.  I'm not saying you are, I'm saying that it's a bad medicine for the kind of pain you're describing, and clearly the doctor you're seeing is not a pain specialist.  If, after you are using all of the above, you still have pain that prevents you from doing the normal activities of daily living--that's what the rule is, you know, not "do you have pain" but "how much is it interfering with activities of daily living"--find a pain doctor.  They are trained to treat pain and are less likely to prescribe based on fear that the DEA will take their license away for prescribing pain medication because pain docs are expected to prescribe pain medicines.  They will help you maximize the pain relief you get from non-drug methods and, if you still need it, prescribe strong narcotics that will help get your pain level down to a level where you can participate in daily life again.  If he does this, you will sign a pain contract that will obligate you to follow rules like briinging you med bottles in a certain number of times so they can count your pills and confirm you are taking them as directed and take regular drug screenings to confirm you are taking prescribed meds in the correct amounts and not using any illegal drugs, etc.  No, the law does not say you can only have 3 Lortabs a day.  Your primary care doctor is unlikely to give you any more than that and you should thank your lucky stars if he gave you that much more than 2 or 3 times.  A pain doc can give you any amount of any drug he feels will improve your activities of daily living, but you have to be in a pain program, and that requires you work hard on both drug and non-drug methods of improving your life.

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yeti105, Community Member
11/12/09 11:55am

you are right on about lortab/vicodin/hydrocodone/norco all the same w/different name. it is crap,it never relieved my pain, it never got me high but i know someone who's dr is not addressing her issues what so ever and hiking up the pain meds each session. she is on fentanyl (very good chronic pain control,but patches don't stick on me) 150mcg every 72 hrs,vicodin 10/325mg 4 day,oxycodone 30mg 4 day, valium 10mg 4x's day,soma 350mg 3x's day,ambien 10mg for sleep. i am sure there is more, this has been going on almost 2 yrs now she was also on oxyfast but they quit making that for regular pt's i heard now it is only for cancer pt's. she has been waiting for MRI and EMG for 1 1/2 yrs. i say pt advocate, she is usually so stoned she cannot even talk correctly but her doc says that she has not gotten the full benefit from oral meds. that is crap, if i were her family member and in good health myself i would go w/her and demand to be tx'd w/respect for what i am going through. sorry i will shut up vicodin is crap. oh and the most i have ever seen given is when i was still a nurse on post op floor a doc prescribed one pt 2 vicodin 5/500mg every 3 hrs, i was not comfortable w/that amount of APAP but i was just a nurse and the doc said so.

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billie, Community Member
1/18/10 9:28pm

Not for me. I need OxyContinMS, 80mgs. 4x's a day, and that barely takes the edge off.

I have an insane tolerance to medications it's pathetic.  I have had several surgeries and no matter what they give me to sedate me, it takes about 3 attempts, then I have to make cissy, AND going into the operating room, I am speaking with the DR. 

Every month I get my 120 oxy's and in 2 weeks I'm cutting them in half, then licking them. Therefore, thank heaven I have been on these pills soooo long and take so many, that I have to withdraw about 5-7 days before my next visit for more. My withdrawals don't start on me right away, I have enough that about 4-6 days I slowly slide into a horrible frump.

Economy has made sure I had to give up an awsome Ins. Plan. My new one, if I chose to stay on Oxy, will cost $600.00 Normally they cost almost $1300.00  I was paying $4.00   So, now I am looking for a wicking pain medicine that will at least do what oxy did. I did Fentynal that worked, but kept running out. For me, it came no where close to a 3 day patch. I was lucky to get 1.5 days out of it, so they put me back on the oxy. And I am chronic. I won't get better. I can't drive well any more after 35 yrs. of freedom. I now am literally shackled to my house.

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spody, Community Member
4/20/10 7:26am

Chopper Dan,,,,

 

Understanding the spinal problems and surgery. I don't know what state you are in, but, my Dr. prescribes me 5- Lortab /10mgs,  per day. I take 5 daily, along with klonopin for panic attacks/seizures. Been on this for over 10 yrs. Not working as well as before. Will need to discuss with my Dr. Anyway,,,just wanted you to know that it is legal HERE for Dr. to prescribe 5 Lortab 10's per day. Good Luck and have a GREAT day.

Pam

 

ps...I suffer from fibromyalgia, tmj, rhuematoid arthritis, degenerative disc disease, asthma, high blood pressure, panic attacks, rectocele hernia and internal and external hemmroids. (sp).. Have had two discs fused together, metal plate in back of neck, hemmroid surgery and a rhizotomy done on back of neck. Rhizotomy is where they go in and burn the nerve endings to relieve the pain. What they DON'T tell everyone,,is,,that,,the nerve endings grow back after a year or more.

 

I, TOO, am sick and tired of being labled due to the type of medication that I am on. I'm sure you know what I mean. It just isn't right! I need my meds just to function normally. It hurts to vacuum, dust, etc. etc. At least with my meds, I CAN get some things done. W/out it, I just HURT!!! Non-Stop! Hurt always anyway, but, meds take the edge off enough so that I may enjoy life somewhat. Makes it so I can enjoy the Grandkids and actually do things with them. Why can't people understand our pain????????

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phyllis bricker, Community Member
6/15/10 4:23pm

The DEA is cracking down hard on dr's prescribing controlled meds. I, too, have chronic severe pain. I started out on Norco (same as lortab10), every 4-6 hrs. After a couple of years, it did nothing to relieve my pain. I have seen several specialists. Each one suggested I go to a pain management doctor. She increases my narcotics slowly as they become less effective in treating my pain. I am now on a fentanyl patch and oxycontin 15mg 3xday for breakthrough pain. But everyone is different. Ask yourself whether you can live with the pain you experience with your current med regimen. If you can't and your dr won't prescribe what you need, find another one. Pain management dr's usually prescribe more opiates than other physicians. Good luck.

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Rainmother, Community Member
7/26/12 12:39pm

No one has discussed medical marijuana, which is legal in my state.  I have had back surgeries, fibromyalgia, arthritis, and some other health issues and my doc slowly lowered my pain med dosage to an effective dose along with the med weed.  I have not become addicted to the marijuana, I take pain meds some days and a bowl of weed on others.  I am functioning better than I have been in years and no more jonesing for addictive pharma!!

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By Chopper Dan, Community Member— Last Modified: 04/26/14, First Published: 05/30/08