I have Ostheo-Arthritis in the spine as well as Osteoporosis. I am taking Fosmax 70mg. I have severe pain in the Throsic area of my back with pain & spasms in the bra line area. I was taking Tylenol #3, which wasn't providing me with any relief. Last Wednesday my Doctor, seeing the pain I was in felt I needed something other then Tylenol #3. She put me on "Endocet" one pill 3x day or two every six hours. If severe maximum 4 times a day. What I want to know is does this come in only one dose like other drugs you will see 25mg etc. This isn't on my prescription. The pill is white with c636 engraved on one side. Is this the same as Oxycontin & Percocet? I am looking for more insight into on what I was put on by my Doctor. She did tell me there was codeine and medication similar to morphine inside. Due to the increased pain on the nerves, she said it would give me more relief. I have been in severe pain for the past 8 months, that is why they have tried this drug. I would like a bit more info on the medication I am taking. Thanking you Marie Thank you for your Inquiry, To answer your primary question, Endocet, made by ENDO Pharmaceuticals, is it's brand name. It's primary ingredient is Oxycodone. Yes, both Oxycontin (time release) and Percocet contain Oxycodone as well. As far as dosage, I would recommend like your Doctor, taking Endocet three of four times a day. This should be sufficient. Remember also engaging in some form of physical therapy like walking or swimming can provide short term relief. Good Luck, the Doctor at Painlab.com _____________________________________________ I have Myoclonus which my Doctor prescribes several medications for these. Some of these include Clonazepam and Tylenol #3. He also suggested Methocarbamol (active ingredient in Robaxacet & Robaxasil). I don't want to take the aspirin or acetaminophen in the Robaxacet family. Do you know if the red side of the pill is the Methocarbamol side? Sincerely, John H. Thank you Thank you for your Inquiry, Well, to be honest, I don't believe methocarbamol is very effective. At least in my experience. Also, you should know that Tylenol #3's include acetaminophen. I would suggest having your Doctor prescribe Valium 10-15 Mg's. A good replacement for the medication your currently taking. A great muscle relaxant. Another possibility could be Baclofen, another muscle relaxant. Give them both a try. Always remember to try to engage in some form of physical therapy, walking, swimming etc. Ideal for short term relief. Good Luck, the Doctor at Painlab.com _____________________________________________ I have had two Epidurals in 2 months and am told not to have another if I am thinking about surgery. I am in fairly constant pain and take Vioxx in the morning, which helps a little. Than Ultracet throughout the day and Oxycodone at night to be able to sleep. I than wake up at 5:00 AM in pain again. I have been told about the Arizona Pain Clinic and wonder if you know anything about it. I also have been in contact with a Doctor at Cedars-Sinai in L.A. Although I haven't so far pursued surgery since so many discs in my back and neck are involved, according to the MRI's. Any Advice for me? Thanks, Howard R Thank you for your Inquiry, Epidurals can be helpful in the short term from time to time. It is not the most consistent relief therapy. Also, as I have mentioned numerous times in my responses, surgery is not a guaranteed solution. Your best option is to continue with the medication your on. The Oxycodone and Ultracet your currently taking are very effective. Perhaps have your Doctor increase the dosage. Waking up with pain in your predicament is not uncommon. The pain clinic you mention is one I am not familiar with. Although the weather in Arizona is ideal for someone in chronic pain. Easy access to pools, which can provide great water therapy. Also the temperature of course. Good luck, the Doctor at Painlab.com _____________________________________________ My husband has cancer of the Esophagus. He has been on many pain relievers including Oycontin, MS Contin, Roxanol and many others. They did not help. He is now on 300mg. Duragesic and a morphine pump, which is set at 23mg., with a 6mg. push once an hour. His pain was under control until last night. It was unreal. He was hearing things and talking to people who weren't there. He went outside in the middle of the cold night. He is now down to 15mg. with the 6mg. push as needed. He is still very agitated and can't sleep. But the pain will come back if he receives less mg's. then current. We both need our rest but that is not happening. What would you suggest? Thank you for your Inquiry, I sympathize with your husbands predicament. Cancer pain is probably the worst category of chronic pain. It is incessant and difficult to combat. Also can prove difficult for loved ones as well. In the past myself included. I would recommend continuing with the Duragesic and Morphine. The hallucinations he's experiencing could be due to the Morphine but I doubt it. It's very difficult to find the right balance of medications in your husbands situation. In addition, I would recommend Dalmane 15 to 30 Mg for sleep (start with 15mg at bedtime). His Doctor might be horrified at this suggestion but it has proven helpful with many of my past patients who suffered from Cancer with difficulty sleeping. Also resilience is the key here. I understand it is difficult. Good Luck, the Doctor at Painlab.com _____________________________________________ Greetings, I don't really know how I found this link to you except for the fact that I have been looking terribly hard for some answers for all this Pain I have been suffering with for so very long. I can hardly stand it any more at times and have gone to the extreme of screwing a hook above my bed to hang a nylon strap, affixing my ankle in at night to stretch my left leg in a form of traction to relieve the pain long enough to relax and maybe sleep. If I get 5 hours of sleep I'm doing great. It's like a constant charlie horse in my upper left femur from a old, very bad accident in 1976. My femur was fractured, all my ribs broke and a crushed left pelvis. I also punctured a kidney and lung and lost a few teeth. There was a lot more. As well as 92 days in the hospital. I was in a hip spika body cast for 90 days and endured a year rehabilitation. Now I am 51 years old and my Doctor has found a bone spur protruding from the old fracture into my sciatic nerve. I am and have been taking Hydrocodone 10/325 and for two years now Vicodin ES. But they are not doing the job well enough or long enough. I have a great job for 11 years now and continually have to try and hide my pain. Sometimes I am in agony. At my age and with these problems they would pretty much be done with me if they knew the extent of my pain. What do you recommend? Please Respond... Sincerely, James J. Thank you for your Inquiry, You are not alone in your predicament. It's incredibly difficult to endure chronic pain and let's say, "keep a straight face.", especially in a work environment. I would recommend asking your Doctor to provide MS Contin and Oxycontin on a trial basis, both are time-release and very effective. If helpful continue with them. Also OxyIR, effective for break-through pain. The two medications your currently taking are good but much weaker than the above. From the description in your email, you are experiencing a high rate of pain, thus you need to move to a higher catagory of pain medication. Remember to try and engage in light exercise with warm water therapy. This will only provide you with additional relief. Good Luck, the Doctor at Painlab.com
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