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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest An Effective Alternative To Hydrocodone For Chronic Pain

I have 7 screws and 22 bone grafts in my spine which took 3 surgeries to get them to stay in back in 2002. My pain med was Hydrocone 10/325 4 10mg tabs per day. Now that brand is no longer made and other one is made by Watson says it is same strength and it does not giver me enough relief from the pain to work or have any type of life. And my doctor gave me Hyslinglia ER as a trial $221 to 12 tabs. Today my insurance BC declined it and but I can pick up a script for it and get it filled for for over $925 tomorrow!!!
Tue, 29 Jan 2019
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Addiction Medicine Specialist 's  Response
Hi,

Ok, while alternate generics have to have the same stuff at the same amount the gets the same blood quantity into you (within 15%), there is no way to say how fast and how long and what peak level the pill produces. It's subjective feel will be different.

So, people have a different effect each time they take a different tablet. What not to do is increase narcotics. Other options are anti-inflammatories, massage, acupuncture, nerve damping pills like amitryptiline, possibly anti-depressants (but doubtful) and then..... change the relationship to pain.

Obvioulsy there are the drug levels of the drug (first order), then there is a change in the level of drug (second order). This can be changed NOT by the drug, but by the level of pain, so increasing the level of pain in a way that you have agency over (called physical therapy and / or exercise) or other pain like activities (Church, volunteering, parenting, etc) will lower pain when you stop doing them.

Then, related to this is the relationship to the ups and downs of pain (third order). If you regularly have pain and stop, you get over it. It is another sensation. You detach from it.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman,
Addiction Medicine Specialist
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Suggest An Effective Alternative To Hydrocodone For Chronic Pain

Hi, Ok, while alternate generics have to have the same stuff at the same amount the gets the same blood quantity into you (within 15%), there is no way to say how fast and how long and what peak level the pill produces. It s subjective feel will be different. So, people have a different effect each time they take a different tablet. What not to do is increase narcotics. Other options are anti-inflammatories, massage, acupuncture, nerve damping pills like amitryptiline, possibly anti-depressants (but doubtful) and then..... change the relationship to pain. Obvioulsy there are the drug levels of the drug (first order), then there is a change in the level of drug (second order). This can be changed NOT by the drug, but by the level of pain, so increasing the level of pain in a way that you have agency over (called physical therapy and / or exercise) or other pain like activities (Church, volunteering, parenting, etc) will lower pain when you stop doing them. Then, related to this is the relationship to the ups and downs of pain (third order). If you regularly have pain and stop, you get over it. It is another sensation. You detach from it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist