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I recently discussed this with my Doc.....Nucynta does not contain any Ibuprofen or Tylenol.....It does not work as well as 600mg motrin.   sometimes my pain is so bad I resort to the Motrin and take it with tagamet or prilosec. I have had Hep C for 32 years.....Needle stick in nursing school...bummmmmmmer before they even diagnosed me. ("Non A Non B")      Any way....I did a year of tx and 50 grand later it came back... I did have insurance for part of it though..70% of 50 grand    I guess that I am venting .   So if anyone has any ideas......Broke 4 ribs and twisted my spine. I am using heating pads , mindfulness, massage tx and mediation   Thanks....and nucynta 75mg
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1747881 tn?1546175878
"I have had Hep C for 32 years."

Have you had a biopsy, do you know the current condition of your liver ?

The reason I am asking is


Hepatic Impairment

No dosage adjustment is recommended in patients with mild hepatic impairment [see Clinical Pharmacology (12.3)].

Nucynta® should be used with caution in patients with moderate hepatic impairment. Treatment in these patients should be initiated at 50 mg with the interval between doses no less than every 8 hours (maximum of three doses in 24 hours). Further treatment should reflect maintenance of analgesia with acceptable tolerability, to be achieved by either shortening or lengthening the dosing interval [see Clinical Pharmacology (12.3)].

Nucynta® has not been studied in patients with severe hepatic impairment and use in this population is not recommended [see Warnings and Precautions (5.10)].

1747881 tn?1546175878
766573 tn?1365166466
It was a very long time ago that HCV was referred to Non A Non B Hepatitis. What is your genotype and what stage of fibrosis are you? Either way I am not sure about a narcotic for long-term pain management - on the other hand you have not really shared much about your overall health or anything else. It sounds like it might be time to follow through with a Hepatologist and see what options are available as far as pain management and your HCV.
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