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What Does Severe Pain In The Legs After Quitting Spasma Proxyon Indicate?

Posted on Thu, 12 Jan 2017

Question: Hi sir,
This side XXXXXXX I have taken Spasma proxyon capsules for last 6 years.Now I m trying to quit it & for last 15 days I have not taken any SP capsule. But every night lots of pain in my legs & not sleep well.please suggest me any medicine to quit SP.

Answered by Dr. Shubham Mehta (20 minutes later)

Brief Answer:
Opioid substitution therapy

Detailed Answer:
Hello dear XXXXXXX
Welcome here.
I can understand your concerns.

Quitting SP abruptly can cause withdrawal symptoms. Pain in legs, especially in night time is one of the prominent withdrawal symptom.

The treatment approach in such a case is to start opioid substitution therapy(OST). In this, you will be given a drug which has similar effects on body as SP. Then this new drug can be withdrawal slowly under medical supervision.

Tramadol, codiene, buprenorphine are some of the drugs which are used is OST.

Kindly discuss this with your doctor and start the treatment only under his supervision. You will be fine.

I wish you well.
Thanks.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Shubham Mehta (37 minutes later)

How can I take these tablets.Please tell me the schedule.

Answered by Dr. Shubham Mehta (21 hours later)

Brief Answer:
To be taken under your doctor's supervision

Detailed Answer:
These are prescription drugs and should only be taken under your doctors' supervision.
The dose and duration varies from patient to patient.
Tramadol is usually started at the dose of 50mg. Buprenorphine is started at the dose of 2mg.

Kindly consult your doctor and start the appropriate treatment.
Thanks

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Above answer was peer-reviewed by : Dr. Yogesh D