I would think her nephrologist would be more concerned if she is taking anything that may be harmful to the kidneys... Acetaminophen is found in Lortabs and Darvocet, and Tramadol is contraindicated for anyone with kidney problems.
Phenergan has a sedating effect at high dosages and is also sometimes given for nausea (which she may be experiencing due to renal disease).
In any case, Lortabs, Darvocet, and Tramadol are all opioids and should be addressed by the methadone counselor. Not sure why the counselor wouldn't be interested in knowing this...
Flexiril interacts with opioids but I don't know in what way. Not sure if it has a synergistic effect or not.
Yesterday I learned she has been taking methadone daily since 97. Since mid March she has taken 35 lortabs in the last 7 days she has taken 20 tramadol, 20 flexiril- in the last 48 hrs 13 darvocets. Over the last 7 months she has taken approx 20 phenegran every 10 days or so--- consistently. She notified her nephrologist and her methodone counselor- none of which seemed concerned- She will see methadone counselor on Friday and nephrologist later today. I think she needs substance abuse assessment- and some medical test- but is that right-shouln't they be as concerned as me?
Could you clarify - is she only taking methadone now, or do you think she is currently also taking lortabs, tramadol, darvocet, flexiril, etc?
Phenergan sometimes contains codeine by the way. But it would be clearly labeled.