Chronic back pain and hep c

[jenaty]

I have very bad back and knee pain. I have had both knees operated on and have been able to avoid back surgery so far. I have been taking percoset for pain but I was wondering if Oxycontin would be better for me due to my Hep C. The percoset I take is 10/325. I am just getting sick of all the acetaminophen, "spell check" I am taking. This cant be good for my liver. So my question is, what would a pain management doctor prescribe? Percoset or Oxycontin?

[beachqueen]

with fatty liver disease is it dangerous to be taking 10mg percocet 3x a day? I also take Roxicodone since opana ir shortage. Thanks

[Mollyrae]

I think that was a good move on the Doctors part. With the Tylenol and Hep C, it also depends on how far the liver disease as progressed. If you are at Stage 1 or 2 and Grade 1 or 2, I would not worry so much. Anything past that stage and grade is something to be concerned about.

In your case, stay as far away from Tylenol as you can. Also Gabapentin has a great effect on the liver. That is another drug to avoid with Hep C.

Good luck and best wishes,
Mollyrae

[jenaty]

Ok, just got back from PM and he perscribed me Oxycodone HCL 15MG and wants me to try those and see him in 2 weeks. I will let you all know how they work and thanks again everyone.

[namnam46]

Thank you for letting us know when your appointment is.

Please keep us updated after your appointment as we are very concerned about you...Sherry

[jenaty]

Thank you all for your replies. I am seeing a new PM Thursday. I guess I am just getting sick of taking all that acetaminophen. It cant be good for my liver. I guess the Oxycontin would probably be much better for my liver, I dunno. I just want something that works...

[Tuckamore]

Sorry I forgot about your Hep C until I reread your post. Ppl with Hep need to be more cautious with medications. So my suggestion remains the same, talk to your PCP. You can obtain oxycodone without acetaminophen.

My Best to You,
~Tuck

[Tuckamore]

Hello Jenaty,

Welcome to the Pain Mangement Forum. I am glad that you have found us and took the time to post. I am so sorry to hear about your chronic pain (cp). We all know how cp can reek havoc on our daily lives. You have asked a very good question.

You are on a low dose of Acetaminophen. The recommended daily intake has been 4,000 mgs. There has been talk of reducing this to 2,200 or 2,800 mgs. Per my calculations at current recommended doses you can ingest 12 tablets per day. If that is lowered you can ingest only 7-8 tablets per day. There is great debate as to the impact acetaminophen actually has on our liver. Some scientist beleive it is minimal to nil if take as prescribed, others beleive that it can be damaging even at low doses. In general both concede that the actual percentage of ppl that experience liver damage is very small.  

In my opinion the key is how effective your current medication regime controls your chronic pain. If oxycodone is effective you can request that it be ordered without the acetaminophen. I am always hesitant to move up to a more potent opiate but that is just my personal opinion. It depends on a lot of things, one being your level of pain. your your current oxycodone. Take as little as possible as long as your pain is controlled..

I would imagine that a PMP will ask you may of the questions that have been brought up here. What a PMP will prescribe for you is difficult to determine. I would discuss the alternatives with your current PCP. He/she knows you best and will be better able to direct you.

I hope that you will keep us updated and let us know how you are doing. We will look forward to hearing from you again.

Take Care,
~Tuck

[RunningMom]

I'm very surprised that your doctor has you on percocet.  Oxycontin with oxycodone hcl would be a much better combo for you.  The oxycodone is for the breakthrough pain and most people are prescribed both.  You could be getting sick from the opioids too.  I know they make me very sick until my body full adjusts to the dose, and they do help with the pain.  It all depends on the pain management doctor.  They do not all treat you the same.  In fact, there are very few good pain management clinics.  I found this out by experience.  Good luck to you and I hope you find the relief you need.

[namnam46]

Good Evening and welcome to the Pain Management Clinic we are so glad that you have found us!! This Forum is CP (Chronic Pain) Patients ONLY. NO  Dr.s at all on this Forum. We share our knowledge and expertise in different areas with each other. We hop that you will become an active member and share your experiences with all of us too!!

I'm so very sorry for all of the surgeries and pain that you have been suffering from. I gather that you are not with a PM Clinc now from your question. A PM (Pain Management) Clinic or Dr. will prescribe ALL of the meds that you have mentioned. They prescribe Lortab, Norco, Perocoet, Oxycodone, and Oxycontin and MANY others. It just depends on the patient and the patients needs and history.  You really should get with your Dr. and talk about your concerns with him/her and decide together what will be the best for you.

I hope that you will let us know and keep us updated as to what evolves with your meds. Once again I want to welcome you and hope you will be an active member on here.

Good Luck....Sherry

[mellie4]

I don't know but I would think they would prescribe oxycodone or oxycontin.  I doubt they'd prescribe anything with Tylenol in it.

Do you have an affiliation with a pain clinic yet?  Make sure it's a good one.

Sounds like you need to get in touch with your doctor and figure out a better plan than you have now.