What Would Be A Logical Change In Meds For My Pain? (Top voted first)

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I have reverse swan neck and it has caused 3 herniated discs in my neck. I currently take 3 10 mg percocets daily and 2 20 mg opana ER's. I'm not really getting the relief I'd like. What would be a logical upgrade in my meds?

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Although I don't have personal experience with these types of medications, I thought I'd still go ahead and post a list of other possible options for you. Some types of opioid drugs include:

codeine (only available in generic form)
fentanyl (Actiq, Duragesic, Fentora)
hydrocodone (Lorcet, Lortab, Norco, Vicodin)
hydromorphone (Dilaudid, Exalgo)
meperidine (Demerol)
methadone (Dolophine, Methadose)
morphine (Avinza, Kadian, MS Contin, Ora-Morph SR)
oxycodone (OxyContin, Oxyfast, Percocet, Roxicodone)

I think there's some speculation as to whether or not Opana is stronger than Oxycodone + Acetaminophen (Percocet), but based on my research, I'd imagine the next step up from either of those medications would likely be a higher dose of Oxycodone (on it's own), Dilaudid or Fentanyl. I'd consider asking your doctor about one of those alternatives, if they have an extended release formulation.

Does anyone else have some suggestions from personal experience?

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Thank you for your input. My pain doc has been pretty understanding. He knows I work 50-60 hours a week and makes adjustments whenever I really complain. Bit I have noticed that the changes made lately have been small and insignificant. I'm not sure how to broach the subject.

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