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Dr. Andrew Rynne

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Is Norco or Oxycodone good for chronic pain?

Answered by
Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 3222 Questions

Posted on Tue, 27 Oct 2015 in Medicines and Side Effects
Question: I have been on opioids for pain management for 15 years. What are the advantages of Opana vs. Norco or Oxycodone? I am 49 yrs old with conditions that will never be cured and my pain is never truly managed. I worry about becoming tolerant to all forms of pain killers. In NC, fentynl isn't accessible without a prior Hx of cancer. I used to get 3 600mcg lollipops of those, but can no longer receive them. Any recommendations?
Answered by Dr. Matt Wachsman 26 minutes later
Brief Answer:
Consider all options.

Detailed Answer:
Fundamentally there is only the duration and dose of the narcotics. Norco and oxycodone are very similar. They are short duration and come in moderate doses. Opana is considerably more potent and lasts longer. So it is more dangerous and more addicting.
Methadone by an addiction clinic is safe... by pain management it has had a very high rate of fatalities. It is perhaps not as helpful for pain as equivalent doses of other medications but is administered at higher doses. Don't suppose I can recommend methadone.

Mainly 40 mg a day of narcotic such as vicodin is a very reasonable dose. It is quite smaller than either the fentanyl or most doses of OPANA. If someone can be on a dose that has low toxicity, low impairment and even if addiction, at a dose where the withdrawal would not be very much (40 mg a day) that would be good.
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