I was prescribed Generic Norco 10/325 1 to 2 tablets every 4-6 hrs for pain associated with a severe abdominal infection after being hospitalized. My situation is complicated by several medical conditions (a rare blood disorder that causes my neutrophils to drop very low and leaves me weak and susceptible to infections as well as high blood pressure). I have been on the Norco since being hospitalized mid June 2010. After finally getting my white blood cell count and infections under control in late August I decided that I was done with the pain meds. I thought nothing of it since I have taken vicodin off and on for other pain issues and never had any dependency symptoms. Within 5 hours of stopping the Norco I had severe abdominal cramping, hot/cold flashes, anxiety and irritability that made me want to jump out of my skin and restless legs to the point of running circles in my house. I never took the max dose (as of August I was taking 1 every 4 hours and 1 extra tablet at bedtime if the pain was bothersome).
I tired to talk to my prescribing doctor and she said for me to take clonidine 0.1mg (1 tablet) every 8 hours and taper down the Norco by extending each dose by 15 minutes each time. By the time I reached 1 tablet every 7 to 8 hours the withdrawal symptoms have returned full force with the anxiety and restless leg symptoms becoming unmanageable. I spoke to my PCP who prescribed Klonopin 1mg every 8 hours for 3 days and then she wants me to taper off of that. So far the klonopin has done nothing for the freaking out and even less for the restless leg symptoms.
I have several questions -
1) should the clonidine and klonopin be reserved only for when I finally stop my taper or used as part of the taper?
2) is there some magic order in which you should take these combinations of drugs to keep all the withdrawal symptoms at bay?
3) are slow tapers better? What would a reasonable taper schedule look like to keep withdrawal symptoms at a minimum? (I have a 2 year old son that I must care for and can't be running around the house anxious when needing to bathe him and feed him!)
4) my PCP told me that it might be best to seek out a suboxone doctor. Does anyone have experience with that kind of a program? What are thoughts on such a program? Am I still setting myself up for more withdrawal symptoms?
5) if Idecide to taper by myself, can the generic norco be cut in half to create 2 5/187.5 doses? Is it best to taper by time (leaving dosage intact) or by MG (cutting up doses) or both?
I am so sorry for the volume of info and questions but I am so shocked and scared and uncomfortable. I never thought that I would/could become physically dependent on medicines if I took them as prescribed. Shows how naive I was. This is absolute H*LL!
Thanks for any advice!