Has anyone been on palexia? I am on it at present but not getting any relief, I wondered if it is just me as the pain is driving me nutty, or should I say nuttier than usual and of course it's Boxing Day!

I've been told I have an opioid malabsorption condition. Apparently certain enzymes can be absent in the gut which breaks down the chemical components into bits and pieces which are then turned from one chemical to another which the body then absorbs and reacts with pain receptors. The following do zip for me. Morphine, codeine, endone, targin, pethidine. They all have no effect on pain whatsoever, and I just vomit non stop. My body can absorb some artificial opioids if given sub lingually (under the tongue). This is absorbed through the mucous membrane in the mouth, and goes directly into the bloodstream, bypassing the intestines, which don't break it down. Cocaine works the same, absorbed through the mucous membrane in the nose. Also have had Fentanyl patches which worked well. Again absorbed through the skin and directly into the bloodstream. (Think nicotene patches and hormone patches) This method gives a slow, sustained relief, and I was given the same drug under the tongue until the patch had gotten into my system. This was sorted out by the pain clinic at a major teaching hospital in Sydney. What a relief to finally have something on my record, to be used if necessary.

My daughter, who has Ehlers-Danlos Syndrome, which causes chronic and acute pain, is on palexia. She also needs Endone as well at times, and also Lyrica. Maybe you could ask your doctor about these meds. My daughter did see a pain specialist who recommended this combination.Hope you find a solution. Pain is such a bummer.

Well that was a great distraction from the anniversaries. It all helps

Endone has a tendency to make be throw up, Tramadol works a bit but mostly just has the constipating effect, I can't take aspirin as I'm allergic to it, or ibuprofen because it belongs to the same family and I'm not willing to chance it. So bloody annoyed about the codeine clamp down as the real opioids are the only thing that really works for me. And I'm very conscious of only taking them when I need to - not because it's so hard to get them but because they stop being so effective if you take them too often.

I asked my GP on Monday and was told a permit was needed I have been seeing him for 20 yearsOne day last week a TV program allegedly showed 5 brand new patients going to a new GP for Fentanyl 4 GP gave out the drugthe patients with a Genuine need for Endone won’t receive it and suffer the painWhat a Dysfunctional system.

Pain Management | Online Network

35 Replies

kmakm
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7 years ago
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Where is the pain @iserbrown?
iserbrown
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7 years ago
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Bones and spine
kmakm
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7 years ago
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Very difficult. Is this med the strongest you've tried?
iserbrown
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7 years ago
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?not sure what you mean!
Have you been on palexia? I wondered if anyone else has been on it with success!

From the net an explanation of the drug

PALEXIA® (tapentadol) SR is used to relieve chronic (around the clock) pain, that is moderate to severe and is expected to be long lasting. This strong pain reliever belongs to a group of medicines known as opioid analgesics. This medicine is available only with a doctor’s prescription.
Stork
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7 years ago
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@iserbrown
Is is the same as Endone and or OxyNorm?
iserbrown
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7 years ago
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Before BC it was the odd panadol

Years ago when I had spinal problems nothing worked. Painkillers were like taking lollies. Perhaps that's where I am again.

Surgery was the only solution and in the long recovery fibromyalgia was a problem

From the Internet

What is known about this drug Tapentadol SR is a centrally acting opioid analgesic that binds to the mu-opioid receptor. In addition it inhibits noradrenaline reuptake. Trials have shown that tapentadol SR may have analgesic effects equivalent to those of oxycodone CR for certain chronic pain conditions.
pammiesyd
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7 years ago
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My daughter, who has Ehlers-Danlos Syndrome, which causes chronic and acute pain, is on palexia. She also needs Endone as well at times, and also Lyrica. Maybe you could ask your doctor about these meds. My daughter did see a pain specialist who recommended this combination.

Hope you find a solution. Pain is such a bummer.
kmakm
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7 years ago
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Yes, that's what I mean! Sorry C, still in a Christmas coma here. I've certainly found it to be very frustrating to take a strong pain killer, expect relief, and then not get any. Have you had success with opioids at all in the past? A pain specialist might be your next port of call. Big hug, K xox
iserbrown
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7 years ago
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@pammiesyd
Thank you! I will be on the phone tomorrow chasing appointments.
Appreciate the help!

Hope your daughter's condition is under control

Take care
iserbrown
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7 years ago
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@kmakm
Kate no worries! Christmas and pain doesn't always make for a good mix!
I held it together for Christmas and the day was terrific but today the distractions are not enough to get away from the pain.
Thanks for trying to help me!

Take care and hopefully your trip away helped to clesr the fog of all the treatments et cetera