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First, he said that over counter medicines like Advil won't give more pain relief the more you take. But in general, narcotic pain medicines do. So the more, the more relief (under Drs. supervision of course) But you have to be careful about the amount of Tylenol in drugs because you can overdose on that.
He said that for moderate pain he often uses: Tylenol#3, Vicodin, Percocet (all 3 have Tylenol in them) and Tramodal
For severe pain, he often uses: morpheine, hydromorphone, Oxycodone, Oxymophone, Dilaudid, Methadone, Fentynol patch
He sometimes uses nerve blocks, spinal opiods
He talked quite a bit about Fentanyl patch and said it can be very, very helpful. However, it takes up to 18 hours once it's placed on the patient to reach full strength. There is no effect for 6-8 hrs.
Fentanyl can also be given in lollipop, or compounds that you stick in cheek or nose (these all work very quickly) or a Fentanyl pill.
One advantage to Methadone is that it stays in the body longer than some other narcotics. He said patients usually only need a dose once a day. About 1/3 of his patients use Methadone.
END OF NOTES. Hope this helps. Hopefully your local docs can refer you to a pain specialist - there must be one somewhere or perhaps they can consult with one. There is absolutely no excuse for a patient to be in pain because the doctor is ill-informed!
I hope she finds relief soon.
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