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Addicted To Spacmoproxyvon For Arthritis And Body Pain. Now Drug Is Not Available. How To Manage Withdrawal Symptoms?

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Posted on Thu, 22 Aug 2013
Question: Dear Doctor, My 82 year old mother is addicted to Spasmoproxyvon; she takes 6 capsules per day for arthritis and generalised body pain. Now the drug is banned and not available. I am worried how to manage her pain and also how to manage withdrawal symptoms. Please advise.
doctor
Answered by Dr. Sundar Gnanavel (42 minutes later)
Hello.......
Thanks for your query. Spasmoproxyvan is dextropropoxyphene belonging to opiate group of drugs. I would suggest starting tramadol in the place of dextroproxopoxphene after calculating opioid equivalents. Tramadol is an opioid freely available in market with a prescription. That should address her pain issues as well as successfully manage opioid withdrawal symptoms. We face this problem regularly in clinic after spasmoproxyvan was withdrawn from market. Wish her good health.
Regards
Dr Sundar
Substance use specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sundar Gnanavel (35 minutes later)
Thanks Doctor,
Please do elaborate on how to "calculate opioid equivalents."
Regards
doctor
Answered by Dr. Sundar Gnanavel (3 hours later)
Hello......
Conversion in terms of opioid equivalents and decision on right dosage of tramadol is best left to the physician. I would not advise you do that by self. Wish her speedy recovery.
Regards
Dr Sundar
Substance use specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sundar Gnanavel (7 hours later)
OKay Doctor!
Thanks very much for your prompt reply and helpful response.
Regards
doctor
Answered by Dr. Sundar Gnanavel (9 hours later)
All the best.
Regards
Dr Sundar
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sundar Gnanavel

Psychiatrist

Practicing since :2009

Answered : 632 Questions

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Addicted To Spacmoproxyvon For Arthritis And Body Pain. Now Drug Is Not Available. How To Manage Withdrawal Symptoms?

Hello.......
Thanks for your query. Spasmoproxyvan is dextropropoxyphene belonging to opiate group of drugs. I would suggest starting tramadol in the place of dextroproxopoxphene after calculating opioid equivalents. Tramadol is an opioid freely available in market with a prescription. That should address her pain issues as well as successfully manage opioid withdrawal symptoms. We face this problem regularly in clinic after spasmoproxyvan was withdrawn from market. Wish her good health.
Regards
Dr Sundar
Substance use specialist