Pain Concern
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Butec 5 and cocodamol together

I have been on cocodamol 30/500 soluble 2x4 daily. Recently pain management clinic put me on butec 5 patches. My GP on receipt of letter from pain management recently started me on patches and didn't tell me to stop cocodamol. I have to see them six weeks from commencement for an opioid review. I am wondering should I stop co cocodamol as I am wondering about withdrawal symptoms from them. No one ever makes things clear and I get frustrated trying to get an appointment to see GP. My own GP is only there two days a week.

Has anyone else been on both together.

So far I am still in a lot of pain due to osteoarthritis and rheumatoid arthritis.

21 Replies
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They are similar drugs so you may get double the effect.

Have a word with your pharmacist if you can't get to see your GP.

Usually if a new drug is prescribed the pain clinic will say to stop taking the other drug...if they wanted you to

x

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Thank you, yes it looks like quite a few on here are taking both. Support has been brilliant and it's reassuring to know I am not alone.xx

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Hi. I am on Butrans patches 15mg and am still being prescribed Cocodamol by my Pain clinic? The idea being that the patch stops the 'ups and downs' of my pain and the cocodamol for any breakthrough Pain. If I’m sensible and pace myself effectively then the idea works but if I don’t and I do too much, then it doesn’t and I take quite a few. The pain clinic are aware of this and seems ok with it? The hope is that eventually I’ll get the pacing right and then I’d only need the odd cocodamol here and there.

Best of luck xx

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Thank you. It has given me some peace of mind as I worry about taking too many painkillers . Obviously pain management new what medication I was on but I wanted to double-check.xx

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I have taken both at same time no problem have also taken co-codamol with gabapentin but still suffer

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Thank you for replying. Sorry to hear you are still suffering. I have only just started Butec and so far no relief. X

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I've been given gabapentin but I can't take it because I fill up terrible with fluid in my legs and feet . So bad u

I can't wear shoes! I'm on tramadol zapain and separate codiene and liquid morphine . , the doctor did put me on just morpine capsules. But I turned into a totally nasty bitch , really really horrible to my family. I'm due for a review in July and no may ask about patches. Do they itch? I tried patches for smoking and I almost ripped my skin with it .i have ostio and breast cancer ( taking) tablets for that too and chronic fatigue and fibromyalgia as well as mental health problems, knackered old fart at 51 😔☹️😩😫😪😭🤒🤕

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So sorry to hear you have so many problems. I do hope they can sort something out for you soon.

Regarding the patches itching....so far I have not had any itching but it's only been 2 weeks. I wonder sometimes how they can just keep prescribing more and more pills when people are still in pain and nothing working. Surely it would be safer to stop one before starting another. I am confused as to which side affect is from which drug.

Hopefully one day they will get it right but then in reality we are all different and what works for one will not work for another.

Good luck with your health and you get some relief. Xx

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I'm allergic to medical adhesives, so almost all patches, most plasters, the tape they use to stick down IVs, etc. I couldn't use stop-smoking patches, contraceptive patches (in US), or pain patches.

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So you have no option if oral don't work. I shouldn't complain. So far touch wood there has been no sign of skin allergy.

Do you suffer with a lot of pain?

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There are some patches made with a hypoallergenic adhesive - expensive though.

Yeah, and the tramadol, naproxen, morphine are killing my stomach. :/

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Do you mind my asking you why you are on so many painkillers ?

What are you diagnosed with?

I have quite a few things going on and a long list of diagnosis and you obviously have similar to be on so many.

Life can be an uphill struggle without ill health so I empathize with anyone on a daily path of suffering. X

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Hi there. :) 10 years ago I slipped a disc (badly, apparently - the radiographer called 2 students in). Nothing helped, so I had spinal surgery. It worked great! That is, until 6 weeks later, when I started having a different kind of pain. It turns out that some people with hypermobility (which I have, although I'd never even heard of it at the time) tend to grow a lot of rather lumpy scar tissue (the scars on my skin are pretty interesting). I proceeded to grow a large quantity of scar tissue around my spinal nerves and my left sciatic nerve, and it grew all the way up the wound track to my skin. The scar tissue rubs against the nerves constantly, causing a lot of pain, stiffness, etc. They advised against trying to operate again, as it's intertwined with the nerves, and the possibility of damage to some rather important nerves is high. I'd probably just grow more scar tissue anyway. By a couple of months later I had developed severe neuropathic pain in my back, all sciatica in my left leg, numbness down the outside of that leg, and into my two little toes, two muscles in permanent spasm in my lower back, and several paralyzed muscles along my spine. I also started getting back spasms, which are...difficult to describe. Ever get a foot cramp, or a calf cramp? Imagine that, but in your left lower back, arse, hip and thigh. They can happen anytime, generally 0-5 times a week, can last anywhere from a few minutes to 9 days, limit my mobility, and range from 6.5-9.5/10 pain. I had to be admitted to hospital for 5 days of IV morphine for a particularly bad one, a few years ago. Fun fun. If the spasms would stop, I could probably work, as the other pain and various other symptoms aren't as bad, and they tend to be predictable. The muscle spasms are so unpredictable that I can't plan anything, never mind get a job. :/ Anyway. That's me.

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Sounds like pure hell! I can't imagine how you cope. I do know of hypermobility as I have a grandson who was diagnosed very young with hypermobility syndrome. He is 15 this month and does still have problems.

My spinal problems arose from a bad fall so I can understand that with you. It was the spinal surgeon that referred me to pain management for morphine.

I do feel for you and hope someday they get a breakthrough for treatment.

Thank you for sharing your journey. Gentle hugs on the way.xx

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I should have also said that though I have no skin allergies, I still have lots of pain so unless they start helping before my review I would imagine they will stop the Butec patches. X

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! Have you been on them long?

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It takes time for both medications to unite, similar to a marriage!!! so have faith

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Thanks. I guessed it may take time so I will have to be patient.☺

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Have been on both & was advised f I was worried about addiction etc to use the soluble Co-Codamol ( I was prescribed Solpadol which was a great pain med for me at the start of my trouble ), for break through pain. It really helped me...hope Ya get on the mend soon.

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I am on the soluble cocodamol anyway as I couldn't use others because they made me sick. It really helps knowing others are on the same. I hope your pain is under control. Thanks for your reply.xx

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Ask a pharmacist/chemist?

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