Methadone for back pain and vicodin for breakthrough pain. I need some help!?

Question

I have been on methadone for spinal stenosis and DDD for about a month now. I am on a total of 55 mg per day and have vicodin (10/500's) for breakthrough pain. So far I have not had to use the vicodin but my doc said I could use it when I needed to. I feel like I am on a high dose of methadone and even though I got the go ahead I am worried about taking the vicodin along with it (I also take Soma as needed). I have having a bad day with my back and feel like I could really benefit from taking a vicodin. I took 2 Somas about 3 hours ago and it didnt help (I am allowed to take 1-2 up to 3 times per day as needed of the Soma). Is anyone on a dose of methadone similar to mine and taken vicodin or other pain meds for breakthrough? How did it make you feel? I dont want to feel to sedated or too out of it. And I dont want to worry about taking too much meds. Advice would be great! And btw...I do have a call into my doc office but they have yet to call me back.

Thanks in advance!

Answer 1

It is not at all uncommon for pain management specialists to prescribe methadone, in addition to the vicodin (hydrocodone) for breakthrough pain. As long as you don't exceed the dosage prescribed, you should be fine taking the vicodin, too, if you're still in pain.

With the dosage of methadone you're on, you should not feel too sedated by the vicodin.

If you feel you are taking too high a dose of methadone, try cutting your dosage back a bit tomorrow. Does your prescription say "as needed"? Try to get by on less methadone, perhaps reducing by only 5 or 10 milligrams. Try to get by on just enough methadone to control your pain, supplementing with the vicodin for breakthru pain.

Answer 2

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Answer 3

Do NOT screw with your methadone dose without consulting your doc. I'm on a very high dose of methadone and yes you can take the Vicoodin and no it won't kill you. Don't let that scare you. I have been on methadone for 15 years and on morphine for around the same. I'm still alive hun. If your doc prescribed it he knows what he's doing but you never mess with the methadone dose or do anything your doc has not told you to do. I've been in chronic pain(for age 3-38) and have studied these drugs extensively for years. The only thing my doc has drilled into my head is not to mess with the methadone dose. You will be fine and if you still have reservations wait for the doc to call. Ask for a lower dose of Methadone. It does take some time to get used to higher doses. I won't tell you how much Methadone I'm on for fear the drug addicts that fly thru here will think they can take that much and it would kill those who don't have the tolerance. good luck

Answer 4

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Answer 5

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Answer 6

Yes, Methadone and hydrocodone or oxycodone can be used together, provided the oxycodone is in the short-release formulation. In chronic pain management a long acting narcotic is often used in conjunction with a short-acting narcotic for breakthrough pain. Methadone is no good for pain? It was invented as a pain pill and is frequently used by pain management specialist to treat... yes, pain. Granted, the most commonly known use is for treating drug addicts. Contrary to common belief it doesn't prevent highs. It simply replaces the illegal, more dangerous drug in the bodies receptors, thus cutting the cravings and withdrawal symptoms.

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Answer 7

I have Fibromyalgia and I take Oxcodone (very similar to Vicodin, which I have taken in the past), actually they're kind of stimulants. I take Soma as well (muscle relaxant) but I dont take Methadone. My friend takes all of the above and she functions just fine. Trust your Doctor, I'm sure you'll be fine. Hope you feel better :)

Answer 8

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Answer 9

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Answer 10

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