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Message Number 260964
Posted by Shelley F. on 9/30/09 at 14:49
Going to Cleveland Clinic was my end of the line. I guess I thought they would perform miracles immediately. When I applied for the appointment online I was put in the care of Dr. John Donohue. He is a rheumatologist. I only went one time which is my fault. I had my EMG done at Palms West in West Palm Beach, Fl. and it was sent to him. I should follow up with him but it is a two hour drive from where I live. Quite frankly I didn't feel any kind of doctor patient relationship with him. I'm trying to find someone in the West Palm Beach area. I just don't know where to begin? Should I go to a rheumatologist or back to an orthopedic? If you know of anyone please share their names with me. My pain is spreading. I've never asked a doctor about RSD until now. I've already been to a pain management doctor. I was on hydro-codone for around a year. My problem with all the drugs is that I'm in recovery for alcohol for 13 years but I will always have addictive tendancies; and I'm scared of them. Recently my internist put me on Tramadol which does nothing. Where do I go to get an accurate diagnosis? Please help me Thanks for your response. Shelley
Result number: 1
Posted by scooter on 7/13/09 at 00:15
I'm in good hands a The Univ of Penn. They have run more tests than I can remember Blood work, x-rays Nerve tests etc. I am 43 year old man in otherwise good health. All my tests came back fine. Sugar levels great. So They don't know what caused it but the pain is real. Very real. Now how is it possible that I have two very painful conditions. The neuromas from five years ago and the neurpathy. Could the neuroma caused the nuropthy ? So I have idiopathic small fiber neuropathy and a neuroma that are ruining my life. Lyrica and tramadol work some and the cryo worked for 11 months. Every day is a challenge. Something always hurts.
Result number: 2
Posted by JonJonK on 3/25/09 at 16:52
I'm going to give a full run down for how I believe I've lead upto today.
In 97 I sustained a tib/fig compound fracture to my lower right leg about 5inches above the ankle. 17in rod was put in and two screws above the ankle and two screws at the knee. Took some time to get better but i got there. Then in 00 i had the screws removed which is normal but during that time they stripped one of the screws at the ankle because of the screw bit wasn't the same as they normally use. needless to say it was a struggle ot get them out. everything had been fine until July 08 where I all of a sudden found a mass about where they took the screws out and it was giving all sorts of pain. went to PC and they did the rote of going through gabepentin, to finally lyrica as well as from low dose pain to loratab 7.5. nothing was working so finally went to ortho. ortho first decided to do PT to see if could break up the mass. nothing worked. only suggestions where do nothing and deal or surgery. i opted for surgery in oct 08 because didn't feel at 27 this was something i wanted to deal with for the next 50 years. during surgery they removed the 4cm x 4cm x 1.2cm adipose tissue with acute classification and small hemmorhage. after removing this they can across a small traumatic neuroma that was non-neoplastic. which is good. they removed that too. after surgery they assured should be fine with everything in a couple days. well day each day it began to swell more and become really tight and very hot to the touch. my first assumption infection. well after a week they decided to open me back up and test for infection. and the culture came back negative for infection. still swelling and lots fluid build up. upped dosage of lyrica, on a antibio just to be safe, as well as upped loratabs to 10's. so they decided to keep my incision open, fill it with new gauze every 3 days and filling it less and less each visit until closed up. still experiencing pain to touch, feels like burning, tingling and all sorts of piercing. after about 3 weeks it started to heal but still feels the same. 7th week after surgery healed completely but still feels the same with lots of scar tissue. now we start on tramadol and slow decrease on loratabs. after a few weeks the pain plateaus and still decrease loratabs as well as massage therapy. on final week of loratab (5/week as needed) and still on tramadol (2/4to6hrs as needed) still plateaued. i'd definitely say that the pain isn't the same as 2months ago but definitely same in the last month and much more inconsistent from hour to hour and day to day. doc says either live with it and get off all meds, or surgery to cut nerves in middle of calf to eliminate pain. I'm really not sure about either one of those options so I asked for a second opinion and the 2nd doc didn't even meet with me. His PA just called and said declined to visit because doesn't feel he can offer anything more. So here I am stuck and not sure what I should do? surgery? 3rd opinion? I've tried talking to my doc but they don't seem to even take notice.
Result number: 3
Posted by Art B on 3/20/09 at 17:57
Do you know if their are any neurosurgeons trained in the Dellon method
of surgery? I have Peripheral Neuropathy, and take Neuronton and Tramadol, but they only help a little bit.
Result number: 4
Posted by jessica on 2/26/09 at 17:10
Since the pain in my ankle returned approx 7 months ago I have developed a discoloration of my tibial tendon area. Somedays it looks like a black and blue and just recently took on a very red color. I have shown my drs and they never answer my question. I just returned from a vacation and while there I had a very bad 'outbreak'. I went to the nurses station at the resort and she had no idea what it could be. I took pictures but have to wait until next week to see my dr at which time he is going to perform a nerve block. Have any of you had a nerve block before for TTS? And now I am told I could have a blockage at my sacchonis nerve.(I have no idea how to spell). Anyone have any ideas? Why does my dr insist that Tramadol is the only medication he can prescribe to me? It does not work and I have told him over and over. I have read alot on here and none of you seem to have been prescribed Tramadol- does any one know about this drug?
Result number: 5
Posted by RN7888 on 2/15/09 at 22:29
My problem began 22 years ago, I had a neuroma removed in my right foot. Which lead to having the neuroma removed every two years until 1999. At which point I had tarsal tunnel surgery bilateral. This gave me a few years of relief. But I'm to the point now I can't take it anymore. I'm 45 years and my feet and lower legs are painful 24/7. I have tried every insert, shoe, brace, therapy I can find. I can't wear shoes with backs on them so clogs are it. Right I'm sitting here and from my feet to my knees feel cold, burning and hurt. There are areas on both now that are numb and my right leg is getting smaller. EMG, MRI's all come back negative. The pain always starts in my feet and moves up to my knees and sometimes to my hips. I can't walk barefoot even on carpet, and God help me in the morning after being off my feet all nite. The medication that gives me any relief right now is tramadol. I have taken the anti-inflammatories for so long I am either allergic to them or it does not help. I have to go to an assigned clinic because of my husband's job and the last time I went there the doctor to me that it was plantar facitis and treatment didn't help. I've been checked for diabetes and that negative. Also the skin on my feet peel from the heel around the bottom outside to the ankle (where my scars are) across the bottom of my foot (it makes a triangle). I really don't know what it' like to live without pain and I don't know who ask or request to see. I'm in Indiana and if there is a specialist around here I would greatly appreciate the name. Thanks
Result number: 6
Posted by rekha sharma on 2/10/09 at 11:05
Hey there, I just saw the response to this thread today...Well I have RSD in the left side of my body. Unfortunately this time it struck right after my most recent devestating miscarriage in early 2007- (in which I conceived after a very rough & tumultous cycle of IVF). What good timing, huh??....the story of my life.... :-(
Fortunately, I have a milder form for some reason....the Lumbar sympathetic nerve blocks stopped helping, and I just accepted that I will have this disease forever. My brain has rewired itself and it is 'centrally sensitized'
Once I went thru the 5 stages of grief, and just went thru the acceptance stage, I am much happier, and know that these are the cards I have been dealt with and I have to try my best to be positive every day. Some days are pretty tough, but I have learnt meditation which really helps...
My biggest problem is the hypersensitivity to cold - (cold allodynia) - I am sensitive to the fan or air hitting my left side...especially left side of my face and neck which I cant cover with clothing...so on cold days, I just wear a scarf..luckily I live here in mild, Fremont, Ca...(even on sunny hot days, I enter an A/C buillding and the a/c hitting my face is agonizing). Unless you experience this, you dont know how hard it is that a mere breeze can cause you pain...
The med's I have tried haven't helped - but lately Ultram/tramadol seems to take the edge off a lil bit....I am working with a great Dr. Gerald Frank here in Union City Kaiser, who is a Pain management specialist...
I am now back to working full time at this great job, and my husband, Raj, is very proud of me.
Result number: 7
Posted by Ryan on 2/03/09 at 18:43
I've seen posts here about folks going to a pain control doctor to get help with pain. Maybe you can get to one while you are waiting to get a solution to your problem. Seems like someone should be able to control your pain a little better, maybe different med then Tramadol. Ask your doc about a referral to see a pain doctor. Couldn't hurt you.
Result number: 8
Posted by jessica on 2/03/09 at 17:48
Hi, I am currently being treated for ankle pain. The Dr. I am seeing now was suggesting at my last visit that I have Tarsal Tunnel Syndrome. He sent me for an EMG, which I had last week. The Dr who performed the test explained during the test that my Tarsal nerve was 'functioning'. I went back to my Dr today and he has no answers. Approx 12 years ago I had tendon/ligament reconstruction to this ankle. When the pain started 7 months ago, it felt like the same pain/symptoms. I had an MRI in Oct 08 which said I had mild tendonitis. My first ortho gave me a cortisone shot, shoe insert, cam boot and crutches. Months later with pain that is only getting worse and different I sought a second opinion from the Dr I am seeing now. I asked him today what I could do. He wants to talk to a neurologist about possible lidocaine injections. I am currently taking Tramadol that does not help the pain at all and have terrible pain all the time. My toes go numb, my heel feels like there is a nail through it, and it feels like there is a vise surrounding my entire ankle. I may be impatient but I went for 12 years with no pain and now I can't sleep or workout. Do I seek another opinion? I know you can not diagnose me without seeing me but what would you do if you were 34 years old and in excruciating pain? Thank You
Result number: 9
Posted by jessica on 2/03/09 at 16:18
Kelly, Okay I am no longer positive. I went to my ortho surgeon today and he has no answers for me. When I saw him prior to my EMG he told me he was 99% sure I had tarsal tunnel due to the tinels test. Today, he just doesn't know. He wants to talk to the dr who did the test about possibly trying Lidocaine injection. Which I am aware is just a numbing agent. I asked what I am supposed to do while he talks to him. He said there is nothing he can do. I asked about the accuracy of the EMG and he said that he agrees to a certain extent but in surgical studies they have found that operating without a positive EMG is likely unsuccessful. He said it is likely it would make me worse. I told him I am in agony and he gave me a topical cream to put on it. Am I going nuts? I walk with electrical shocks going through my foot, the same feeling a nail being driven through my heel, a vise around my ankle, and unbearable pain while driving. I can not deal with this for years. This is the third doctor I have seen and do not want to keep paying co pays for no answers. Do you just live with it? I asked him for medication other than Tramadol (which does not work) and he said there is nothing he can prescribe. I asked for another MRI- he said he wants to speak to the Neurologist first. I have this black/blue/red mark directly under my ankle bone on the inside that was not there before and he has no idea why it is there. He just wants to inject it sounds like. Does anyone have any words to help me right now? I am at my wits end and just want to give up.
Result number: 10
Posted by tammy on 6/07/08 at 12:08
I too am sorry but you exemplify the point I am trying to make. You are a 'specialist'. It falls within your job-description to be educated about the PF diseaes process as well as any new treatments thereof. Forget that I am a nurse and that we have never been asked to include 'foot pain' in our head to toe assessments. Focus instead on my experience as a patient. As I have said on here before, the first 'doctor' I saw said PF is a 'normal part of the aging process'. Even worse, he wanted to put me on Elavil for treatment. The first 'podaitrist' I saw also had a similar attitude about PF. He said 'you're going to have to quit your job' and 'learn to live with this' I did quit and had limited results even after all the 'conventional' treatments including PT, cortisone, splints, nsaids and now am on Tramadol with condition even worse than before. I have excruciating shooting pain in the back of my heel. Since nothing significant showed up on my MRI other than the usual suspects (djd, effusion, swelling) my first podiatrist said he could 'not justify doing exploratory surgery to look for an embedded nerve' HUH? I am only in my mid forties! I am I just supposed to stop living?! Most of us have some sort of managed health care and we are at the mercy of getting approvals for referals to specialists. If the specialist we see doesn't think it is a big deal, we have to start all over again. All of the doctors who post here are obviously passionate about their profession and caring individuals. However, out here in the wilderness, all to often we are confronted with not only indifference but ignorance as well. After seeing three doctors, two of whom were podiatrist, I can tell you noone has looked at my gait or stance. Are they not 'educated' about the biomechanic component of this disease? I am a military spouse and we have moved so now I will start the whole process over again. Somedays I wonder if I shouldn't have just taken the Elavil and slept my way through this. In talking to others, I know many people have shared these same frustrating experiences. Okay, my soap box is starting to wobble. Bottom line is I appreciate what you all do here because for many of us, this site has been the only source of true relief. Which is why I came here to inquire about the HTP seets in the first place. I trust the integrity of the people who contribute here.
Result number: 11
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Result number: 12
Posted by Janet C on 9/13/07 at 12:07
I am on nuerontin 6 aday,it does not help,they have put me on metanx 2 aday,it seems to help plus they have me on Tramadol,it makes me
really down,i hate to take pain medicine but it does help.
Result number: 13
Posted by DDGirl on 8/28/07 at 15:20
I am considering haveing a bone spur removed from the top of my big toe joint and my question is - is it too early in the degenerative process to have it removed? My main problem is pain (from a dull ache almost all the time to so painful I have to walk on the outside of my foot and stay up nights because it won't let me sleep despite a sleeping pill). I am taking elavil and tramadol for rheumatoid arthritis. Secondary to that is that my affected foot doesn't fit into any shoes I own anymore except for sneakers. Pressure on it is extremely uncomfortable to painful. I'm 31 and both podiatrists I've seen say I could do the surgery now, but that it's not crucial and that I could wait for it to get worse. One recommended breaking the foot, the other said she thought it wasn't necessary and that removing the bone spur would be enough. I want relief from the pain very much but understand that from a doctor's perspective, the surgery isn't crucial at the moment. At my age, would it be better to just deal with the pain and put off surgery?
Result number: 14
Posted by patsycal on 7/31/07 at 13:10
I have been treated for 13 years for idiopathic sensory neuropathy of the left foot. It started after surgery, a hysterectomy and bladder repair. I have had most of the treatment modalities mentioned on this site (including infrared Anodyne). I take neurontin and tramadol and the pain has been manageable enough to permit work and sleep. But there is either a change in the pain pattern or I've developed a new problem. I have a severe toothache-like pain that extends from my big toe joint along and just below the first metatarsal. There's a ligament and a nerve running along the hollow beneath the bone where the pain seems to radiate from the joint at the base of the big toe. I also have tightness and soreness where the ligaments cross the front of the ankle. The pain is most severe at night--I haven't been sleeping at all. Does this sound like a new problem, or just an extension of the sensory neuropathy? And I'm also curious about this: my regular doc gave me a few Ambien to take because I had to go to Europe for work and she was concerned about jet lag. I only took one four nights, but I slept great each time! How is it that Ambien can override pain not touched by neurontin and tramadol?
Result number: 15
Posted by mcurnett on 7/11/07 at 07:19
I've been on fentanyl patches (50 mg), vicodin ES, cymbalta (60mg), mirtazipine (for depression), tramadol, diclofenic (NSAID?), etc. Nothing has ever done anything to stop the pain, it's only masked it or made it less noticeable for a small period of time. I've had TTS releases (bi-laterally), PF (bi-laterally), PN (bi-laterally), and a herniated disc L4-L5 for years. I'm at the end of my rope. Now that I have decided to take charge of my life again (and not let the meds keep 'in-charge).....I'm frustrated and the withdrawl symptoms are terrible. MY PCP told me good luck. I went to the ER night before last with a terrible migrane. I was given Vistaril (50mg every 6hours) to take to help with the symptoms. BUt now I don't know what's next? I've tried all conservative, sugerical options that I know of. Any ideas?
Result number: 16
Posted by Kris on 6/14/07 at 00:31
Well it works great for me, but my pain IS clearly neuropathic. Recently I ran OUT, on a Saturday - ordered it thinking I could go a day and get it on a Sunday, but found the pharmacy closed, and boy did I know that I was out.
I ended up taking Merergan that I was just glad I had to get through the day - the burning was horrible.
I also take tylenol - along with tramadol it is great. I also take the too expensive Celebrex, but it helps my arthritis so much.
However, none of the nsaids ever, ever work for the burning pain.
Result number: 17
Posted by kris on 5/22/07 at 22:10
Well for years I was told that surgery would not help me. I had tts for 9 years and developed fibromyalgia to go with my severe RLS. What a bundle of joy MY life has been with this. lol
Whatever you do, do try to keep a positive attitude. A book - When Walking Fails - helped me a bit.
I have a pain management doc. It helps not to have to beg for medication - that's for sure. I'm not on any heavy guns - tramadol, neurontin, mirapex mainly. No narcotics.
What I find of great help - might sound weird- is that my pain management doc understands that I hurt and shows sympathy. It is a very healing thing in and of itself to me.
He always asks if I need refills, I never have to ask. He also tends to handle my referrals, and I am glad. I never have to beg for those either. I mean, like to my orthopedic surgeon, for my HMO requirements.
Result number: 18
Posted by stacy1075 on 3/08/07 at 03:55
Well, it's over! I had micro nerve decompression surgery yesterday morning, about 24 hours ago, for TTS. They found a cyst in the back of the heel which I haven't really got all the info on like how big, where it was, why it didn't show up on the MRI, etc. I still can't feel my toes, I'm guessing because of the nerve block. They found a pain medication I can take, finally. It is Tramadol or Ultram (gen name, I think). Overall I am doing very well! I still have it bandaged which I can't take off, I go to the doctors on Monday. 3 weeks from now I am supposed to have pf release on the right foot and possible removal of heel spur. I hope that one goes as well as this one did! I am having trouble sitting still and I want to get out and do something but I don't want to push it! Thank you guys for the nice posts and support! I will update more later! Good luck to everyone!
Result number: 19
Posted by Dr. Ed on 1/01/07 at 20:46
I am glad to hear you are having success. The side effects you mentioned generally do subside in a week or so.
Result number: 20
Posted by Debbie on 1/01/07 at 14:23
This is a pain specialist (radilology intervention), that is recommending it. I have a TENS unit, I have been using, I place the pads on my lower back, but it doesn't seem to be helping. As a matter of fact, it seems to aggravate the pain. I am also on fentanyl pain patch, & tramadol. I have tried neurontin and lyrica, with no success. I hurt so much. I am to my wits end. This is not a worker's comp case. I wanted some feedback to see if other's were helped. Please let me know about the other patient. I am scared to do this. Thanks for your input. All would be appreciated. Happy New Year! I hope mine is less painful.
Result number: 21
Posted by MariaM on 1/01/07 at 13:13
Thank you so much for the information. I think it is really helping me. I've been on it for about 4 days now. I am hoping my body gets used to it soon so that the side effects (drowsiness and dizziness mostly) subside because it seems to be very helpful otherwise.
I will be walking around a whole lot more once I get back to my university in 2 weeks and using tramadol is an attempt to minimize the effects of getting back into a very active lifestyle so soon. I will be very excited if it works for the first few weeks I am back :)
Result number: 22
Posted by Dr. Ed on 1/01/07 at 11:43
Tramadol is not a strong pain killer but it seems to have a decent effect on nerve pain. It can have a good synergy with drugs such as Lyrica, the effect of the tow together being better than the individual effects. Tramadol's mechanism of action is not fully understood as it appears to act, in part, like a mild narcotic and may have some addiction potential although that is a subject of controversy. Julie had mentioned CNS stimulation as a side effect. A combination of Lyrica (a CNS suppressant) and Tramadol would probably nullify that potential side effect.
Result number: 23
Posted by Julie on 12/31/06 at 11:10
Amongst other effects, mainly gastrointestinal, he had "CNS stimulation", which you'll find a description of in the list of adverse effects on this website:
Once I'd done my research he stopped taking Tramadol, and got better. It's a "rare" side effect, and probably happens only to individuals who are extra-sensitive, but very nasty and frightening if you get it. All the others are unpleasant too. I hope you get none of them, and probably you won't. I just wanted to caution you: our experience has made me suspicious of Tramadol.
Result number: 24
Posted by MariaM on 12/31/06 at 09:17
I have researched it on the internet and have taken it for two days now only. I am doing well with it as far as any serious side effects go. How did it effect your husband's central nervous system? I'm not sure I understand what kind of side effects that would bring.
Result number: 25
Posted by Julie on 12/31/06 at 08:51
Tramadol is said to be "generally well tolerated", but it has a number of unpleasant adverse effects (google Tramadol side effects). Some are rare, including effects on the central nervous system. My husband had most of them and it made him seriously ill until we realised that is was Tramadol that was causing his symptoms. Because it is a relatively new drug, many doctors aren't yet aware of some of the rarer unwanted effects (ours wasn't).
I'm not saying don't try it, just be cautious, and be super-aware of how it might be affecting you.
I hope it relieves your pain.
Result number: 26
Posted by know them on 12/31/06 at 07:59
Try Ultram which is Tramadol or Ultracet which is Tramadol with acetaminophen. They are both non- narcotic pain relievers.
Result number: 27
Posted by MariaM on 12/31/06 at 07:48
Anyone take it for their pain? I asked my doctor for something inbetween an anti-inflamm. and a pain killer to help me when I go back to school in 2 weeks (lots of walking). He suggested a few meds to me (including Lyrica again), but this one sounded best to me as far as side effects and it's ability to take the edge off go since I hope to be recovered in several months.
Thanks a lot!
Result number: 28
Posted by Kate on 12/30/06 at 16:20
Vent away! We all have from time to time on this site!
I too am a nurse and I know what you mean about no one helping. What did they do, give you all the new admits too? The sisterhood is not always very kind to its own. Blew out 3 lumbar disks and one thoracic so I can't do patient care any more. I just love it when docs seem my MRI and comment on how unusual it is to see a herniated thoracic disk...it makes me feel so "special" :-) But I thank God for worker's comp on the back stuff! I remember clearly the day that I helped lift a 700# patient off the floor....unfortunately, I'll never forget it.
I live on Tylenol and Zanaflex -(being mindful of the maximum doses!)and it helps. Tramadol helps more but I sort of save them for the bad days. Lyrica, however, is my God-send. I sound like I own stock in the drug but I don't. It just helps so much. That and Lidoderm patches. Bottom line is that TT release hurts and takes a long time to completely heal. I'm having a re-do in 2 weeks with Neurawrap. It is surgery #9 in 2 years for me so I'm not nervous - more like dreading it. If they could only fix the thoracic disk too, my life would be mine again. The nice thing is that when my back is acting up (can you tell that today is a bad back day?) it takes my mind off my feet completely. I suppose that hitting one's head against a brick wall would have the same effect but it seems sort of drastic.
Hang in their sister! You just need time and coworkers that understand. Could you do a small inservice on TT release???? Not to mention a short one on invisible pain and oh yes - COMPASSION? They seem to need a refresher in Nursing 101.
Result number: 29
Posted by MUF on 12/22/06 at 12:10
I understand completely being in a similar boat.
Use tools to help you until the doctors get this under control. Bar stool in the kitchen, wheelchair (yes, I know the view - butts and guts) at the mall and premade frozen stuff. No one even notices if you serve frozen lasgna with added cheese and herbs. In fact, most of your family won't even care and the ones that do care should help with the cooking! A bag salad and some french bread and you are done with no effort.
Hang in there and believe. I really do believe that my January re-do of the TT with a nerve wrap will be the answer. Until then, Lyrica, Lidoderm and some Tramadol are my friends and I grit my teeth and walk on these dang feet. No one (beside those of us with TTS) know how much this hurts and few care to hear about it. Hang in there and lean on us!
Result number: 30
Posted by BraeC on 11/18/06 at 00:38
I am also getting a cheilectomy during the first week of December -- somehow it seemed the perfect time, as I can never get much work done over the holidays anyway.
There are plenty of other pain meds you can get besides codeine. Ask you doctor about percocet, which is also a narcotic, but some people tolerate it better. Also, tramadol (brand name is ultram, a different class of painkiller and somewhat milder.
I'm a little worried about the first 12-24 hours post op. Did anyone get an anaesthetic injected into the joint before they closed up the wound? Can they do that?
Result number: 31
Posted by Gilligan - moderator on 10/15/06 at 09:34
Something about the warning sheet had me a little fearful of it. Maybe i'm wrong to say it's not right for PF. But any pain killer might be the wrong thing for PF because it could allow the person to walk more which is asking for disaster by ignoring the pain. To get better, the underlying cause must be identified and corrected. This often means changing lifestyle which can only occur with a great deal of pain. Covering up the pain may place the person in a worse situation, sort of like using valium or xanax for stress.
Result number: 32
Posted by DawnT on 10/15/06 at 06:03
Sorry, you've lost me. Why do you feel tramadol is inappropriate for pf? When I took it the first time round I found it a good pain reliever for my pf pain.
Result number: 33
Posted by muf on 10/15/06 at 01:11
I found that it did nothing but it tells us how emtpy the arsenal is for the docs treating nerve pain - or any pain for that matter. Either we can be drugged into zombies (which sounds good right this minute, it makes something else flare up (like an ulcer) or it doesn't work.
Result number: 34
Posted by Gilligan on 10/14/06 at 20:02
tramadol seemd to work well on the pain of a busted ear drum. the first time i used it right after the injury, it seemed amazing....later the benefit seemed less. but it seems inappropriate for plantar fasciitis.
Result number: 35
Posted by Theresa on 10/14/06 at 18:46
Found it useless.
Result number: 36
Posted by DawnT on 10/14/06 at 17:02
I took/take tramadol for my foot pain (non-nerve related). I took it for a period of a few months a couple of years ago and found it ok. I stopped taking it as after an op I had a temporary relief of the worst of the foot pain. The pain has returned with a vengence now but I now find taking the tramodol leaves me slow, dizzy, fuzzy headed, unable to concentrate or think and with a really dry mouth. I only take it when I'm finding the pain really unbearable as I hate the side effects. I have no idea why I used to be able to take it without problems but no longer can.
Result number: 37
Posted by Elaine T on 10/14/06 at 16:26
I found Ultram to be completely useless for my level of pain
Result number: 38
Posted by Nicole on 10/14/06 at 15:36
Has anyone ever taken this medicine for pain?
Result number: 39
Posted by Nicole on 10/12/06 at 18:11
Update: Went to my primary doctor and seen a doctor that was there I have never seen before. Well, she had never heard of TTS, and perscribe Tramadol HCL 50 mg three times a day. I scheduled an appt with the Orthopedic surgen for next week as the primary has no idea what to do. Lets say she was dumb founded and when I asked her what she could do for my pain she gave me this medicine. SO, I am going to try it until next week and will keep you all udated.
Gerry, do you have pain and swelling with the numbness?
Result number: 40
Posted by kris on 9/14/06 at 02:14
chiropractor and accupressure have helped.
Neurotin & tramadol helps.
Other than the neurontin, I got no help at all from MDs - and to be frank they all acted like it didn't matter at all to them.
I know it sounds unreal - but really, the accupressure works very good but I have to do it 2-3 times a day and it hurts to do it........but it is much better than the sciatica. That is just awful.
Result number: 41
Posted by john h on 8/24/06 at 12:28
For someone under 65 and who has no liver problems the usual max dose of tylenol is 8 standard tablets in a 24 hour period. One should get a liver function blood test once in a while to make sure you are tolerating the med. You can also get tylenol combined with meds as the poster notes such as in Tramadol.
Result number: 42
Posted by Viagra2007 on 8/16/06 at 02:51
Result number: 43
Posted by Wes M on 7/31/06 at 12:07
I ended up driving myself to the appointment on my motorcycle (crotch-rocket) on Friday. For some reason, the pain caused by riding the motorcycle is significantly less than that of sitting in a car. If I sit in a car or on a chair, I start to black out from the pain.
Again, same several steps as the first three. They pulled me at 90 lbs. again. I didn’t have to take any pain meds after the appt. on Friday. By the time I did get home though, I was in pain from riding on the motorcycle, but after laying down for a bit, the pain subsided and I felt great. Saturday morning I woke up for the first time without having to take pain meds. I made an effort to walk around more, but by late evening the pain intensified to where I took pain meds. Sunday was similar. I woke with no pain, but after being on my feet for a short while, I ended up being in pain and taking some meds in the morning, and then right before bed. Today (Monday) I woke feeling no pain. I have been walking around quite a bit, and the pain comes, but not as intense as before. So far, I have not needed the pain meds.
As an FYI, I am 28 years old, 6’1” and before the injury I weighed 185 lbs. and in really good shape. Also, I am taking Tramadol for the pain.
Next appt. is this afternoon.
Result number: 44
Posted by john h on 7/20/06 at 10:21
No Ralph I am not on heavy meds or any narcotic meds. I do take Tramadol which has some tylenol in it. I think it helps some but certainly does not take the pain away. Actually I have never found a med that would touch my low back pain to any extent. I do not like meds that make me drowsy so that rules out narcotic type drugs. As always my back pain can be very bad for a period of time and then no so bad for a period of time for unknown reasons. My back was very manageable until I got PF which eliminate my running, basketball,golf, and other sports. I was sort of a sports nut and I think all the physical activity helped keep my back in shape. Once the activity was mostly eliminated my back got worse. I still walk for around an hour and do some weights but that is a far cry from my old routines.
Result number: 45
Posted by DawnT on 7/12/06 at 01:17
Hi, could I get some advice on what's happening with my foot please. The basic background is pf for almost 5 yrs having had almost all treatments including operation and my doctors are baffled as to why I'm not better.
However something new happened last night that's worrying me. I was getting a lift home after a windband rehearsal and I suddenly realised I had a egg sized patch in the middle of my arch that felt numb and cold. The surrounding areas (especially my toes and the front pad of the foot) on the otherhand were very warm. When I got home I had a bath as I wanted to soak my foot to try and ease the numbness - I don't know why but it felt the right thing to do. However since then my foot has been really stiff and painful. I've been taking my maximum painkillers (Co-codamol 2x30/500 and Tramadol 2x50mg) but it's still really sore and I only got a couple of hours sleep last night. Can anybody suggest what's going on as this is something that's never happened to me before and I'm getting rather worried.
The timing also sucks. It's my graduation ceremony tomorrow and I really want to be able to walk onto stage without it hurting too bad to receive my degree. Not fair!
Result number: 46
Posted by Bambi/Helen Tap4TTS.co.uk on 7/03/06 at 18:37
Hey I hope the tramadol is out of ur system now. What a mess. Good luck with your next try of whatever it is your going to be given next. Keep us posted.
Result number: 47
Posted by JG on 7/01/06 at 21:33
Wow, Kris, I would have traded the rash for a huge increase in energy in an instant!
Result number: 48
Posted by Kris on 7/01/06 at 18:45
I've noticed some sweating, and a huge increase in energy. I love tramadol. I swear it gives me my life back. I also have fibro and it helps it too.
Result number: 49
Posted by JG on 6/30/06 at 21:52
I hear you on the part about being drugged and still hurting! I am glad the Tramadol is working for you. I guess I am in the <1% of the population that can't take it. It took me by surprise. We just have to discover on our own what works.
Result number: 50
Posted by JG on 6/30/06 at 21:46
More feeling in your foot? That's fantastic, Helen! You've been through a lot. You deserve some good times! I am so thrilled for you.
I saw my primary care doc today. He gave me prednisone to counteract the lovely effects of my single Tramadol pill. Can you hear that flushing sound? That's the sound of my medication going down the toilet.
Result number: 51
Posted by Debbie on 6/30/06 at 19:42
Tramadol, does well for me, sometimes, NOTHING takes the pain away completely. I use tramadol in addition to the fentanyl patch. I am pretty drugged most days. But tramadol doesn't cause me any bad side effects. Now the patch does cause major sleepiness, but helps some. I also use Lyrica. I sure wish I and the rest of us sufferers could get relief!! I am tired of being drugged and still hurting like a you know what!
Result number: 52
Posted by Bambi/Helen Tap4TTS.co.uk on 6/30/06 at 19:32
I would not be supprised if Tramadol was discontinued in a few years. I know so many who react badly to it. When normally such bad side effects are classed as rare.
Aqua Tilis both times have really made a difference. I am able to walk futher, using my muscles correctly, not in the wheelchair as much these days. Plus I have even more feeling in my foot now...good feeling. The Professors and consultants I am seeing are very pleased with and are now all for it. Some were unsure of it before I went, now... they have seen a difference!
Result number: 53
Posted by JG on 6/27/06 at 16:15
Thanks for the info. I wonder what's in it that is giving us fits? It's unusual for me to have a drug reaction like that.
How did your 2nd round of AquaTilis treatments go?
Result number: 54
Posted by Bambi/Helen Tap4TTS.co.uk on 6/27/06 at 15:25
I'm fine with Tramadol surprisingly..I have allerigies to a few meds. Sorry to hear about the big itch. Please if you will, post your reaction on my med poll! I know of many people who have had bad reaction to that drug. My neighbour and a lady incharge of accounts at my old work place, had bad reactions. They warned me to stay clear of it (knowing how I usually react to meds) they were shocked when I said I was fine.
Result number: 55
Posted by JG on 6/27/06 at 10:15
Aggghhhhh! Sorry for double post. Computer was really, really, really slow so I went back and reposted, not realizing the first post took.
Result number: 56
Posted by JG on 6/27/06 at 10:11
Have any of you had an itching reaction to this drug? I only took 1 either Friday or Sat. night (can't remember which). Anyway, I now have an awful itch that started Monday mostly on my arms and face area. I called the pharmacist and she said I could be allergic to inactive ingredients in the drug. Just curious, anyone else had this problem?
Result number: 57
Posted by JG on 6/27/06 at 10:10
Have any of you had an itching reaction to this drug? I only took 1 either Friday or Sat. night (can't remember which). Anyway, I now have an awful itch that started Monday mostly on my arms and face area. I called the pharmacist and she said I could be allergic to inactive ingredients in the drug. Just curious, anyone else had this problem?
Result number: 58
Posted by Debbie B on 6/26/06 at 14:33
I have severe NP and also tts. My doc put me out of work, as I am on my feet on concrete for 8 hrs a day, walking. I am having a hard time getting my disabilty approved thru my short term disability. Hs anyone else had this problem? I am in so much pain, I could scream. I take lyrica, tramadol, and on a fentanyl patch. They help some. I can not walk very far. I feel like I am going insane some days. Anyone use a cane to walk? I am thinking about getting one to see if it would help. If anyone can offer any suggestions, please help me. Thanks.
Result number: 59
Posted by Bambi/Helen Tap4TTS.co.uk on 6/07/06 at 05:13
Maybe you need pain med to take in the day time. I was presribed a number of meds to help me through the day with the different types of pain. I took Lyrica in the morning and evening, Tramadol as and when needed, Lidocaine patches to put on the TTS area to numb it (12 hours on 12 hours off), and Amitriptyline before bed.
Result number: 60
Posted by messed up foot on 5/21/06 at 13:43
thinking back to last year, I still had quite a bit of pain 14 days post-op TTS/Pf and Voltaren (diclofena) worked wonders. I have a script for Ultram (Tramadol) too but it doesn't work as well for the achy type of pain and an NSAID like Voltaren or Motrin. Lyrica is a newer nerve pain drug that works incredibly well. If you are really taking lot of Motrin, be careful - it can trash your kidneys. All of the NSAID have a maximum pain value and taking more doesn't give you less pain. It means that you need something else.
I too have laxity in joints plus a tendency to over do it. You have probably been up too much on that foot which is really easy to do unless you have had a housekeeper and cook for the last 2 weeks. Try elevating it more and get ice on the sore spots.
Result number: 61
Posted by Kimberly on 4/28/06 at 06:19
The reason for the injection? I'm having surgery on June 2nd. Since, the pain is getting worse and the Tramadol isn't taking care of the pain any longer.....my Dr. is recommending an injection to help until surgery! Does that explain your question?
Also, I never ask any questions on this site that I wouldn't/ have asked my Dr. I like being well informed! Plus, being able to discuss different theories/ approaches helps find the best treatment plan for me. If I go into my Dr. with information and have well educated questions - I beleive we can determine what is in the best interest for me! My Dr. is wonderful and is very open to discussing others (Dr.'s) theories to treatments or recovery limitations - but ultimately he is the one that makes the treatment plan based one his experience and what he see's during our visits!
Result number: 62
Posted by Kris on 4/11/06 at 13:01
Wearing CROCS helps!
For me, getting my foot in water is great. We have an above ground swimming pool and when it is warm that helps a lot. Also, we are getting a hot tub.
There's something about kicking my foot around in water that really helps.
Result number: 63
Posted by Melissa H. on 4/07/06 at 15:19
I just wanted to alert you guys to a drug interaction that I believe is listed on the literature that comes with tramadol. If you take tramadol with Benadryl, expect to get really noxious and possibly sick to your stomach. I popped one last night after I took tramadol for the first time in like two years, within the hour I was super noxious and threw up my supper, along with the Benadryl. I felt instantly better, but remember a time a couple years ago when I didn't catch it right away and I woke up in the middle of the night feeling like I was dying. So, read the drug interactions and don't forget them like me! Tramadol rocks otherwise.
Result number: 64
Posted by Kimberly on 4/07/06 at 05:36
Good Morning! Thanks for replying to my post. The only med's I'm taking at this time is the tramadol (Ultracet)- which helps alot. My surgery is scheduled for June 2nd and I'm trying to deal with the pain until then. I've also started feeling more pain up into my calf thru the knee area. I'm guessing its getting worse. But I'm staying positive and I know there is an end in site!!!!
Please feel free to give me some suggestions on anything else that may help me cope with the pain until my surgery.
Result number: 65
Posted by safemelifeishorrible on 4/04/06 at 17:38
I take 200mg Tramadol each day, 100mg in the morning and 100 8 hrs after.
Result number: 66
Posted by Kris on 4/04/06 at 16:16
I take neurontin, mirapex, and tramadol/tylenol as needed.
Tylenol helps some, motrin and aleive don't do anything. I don't have a lot of swelling though.
My biggest complaint in pain. The neurontin helps the burning, but sometimes a deep aching sets in - it feels like a broken bone.
Actually, lol, I have a broken bone in that foot right now and it doesn't hurt as bad as my ankle will at the end of the day.
When my tts acts up with aching, it will ache nearly up to my knee.
Result number: 67
Posted by Kimberly on 4/04/06 at 15:19
Which medicine are you taking? And what is the dose? Plus, Dr's why would you prescribe one over the other?
Result number: 68
Posted by Kimberly on 4/04/06 at 15:17
Why doesn't your insurance cover it? I have had releif from the Ultracet (Tramadol HCI) I'm guessing because of the tylenol in it w/ the tramadol(Ultram) is the reason the say not to use it for long term periods of time? Do you think I should ask my Dr. for the Tramadol and not Tramadol HCI? Can the Tramadol(Ultram) be taken on a regular basis?
Result number: 69
Posted by Bambi/Helen Tap4TTS.co.uk on 4/04/06 at 08:29
as you know I take a combination of things Lyrica (Pregabalin) 75mg, 2 capsules twice a day (300mg),Amitriptyline 10mg and Lidoderm (Lidocaine) patches 5%, 1 per day,to take along with the Ultram (Tramadol) 50mg when needed.
Some times taking the odd Tramadol is the difference between me needing to go to hospital for pain refief as it can get quite bad and being able to control it myself.
Result number: 70
Posted by Kris on 4/03/06 at 17:33
ultracet is just tramadol with tylenol - my insurance won't cover it, so I take my own tylenol and save myself 30 bucks
Result number: 71
Posted by Kris on 4/03/06 at 17:31
It keeps me from jumping off a cliff. Right now this minute my fOOT hurtS so bad up to my knee and the other foot hurts a bit too - after 3 hours of running errands, that I'M flat on my back with the feet up. If they don't calm down, I will take 50 mg of tramadol and some tylenol and I will make it through the night.
YES! It helps!
Result number: 72
Posted by safemelifeishorrible on 4/03/06 at 13:46
Tramadol HCL is Tramadol... Same thing.
Tramadol saved my life. It's the most amazing pain killer I've ever had. I honestly want to hug my doc next time I see him for prescribing it.
Result number: 73
Posted by Kimberly on 4/03/06 at 04:54
OOPS! Its early in the morning and my spelling is off -LOL!!!! I meant to say "Also" and not Aos. Sorry :(
Result number: 74
Posted by Kimberly on 4/03/06 at 04:52
I find it to be helpful for my pain. But, I try not to take it often. Aos, my Dr. has me taking Ultracet (Tramadol HCI) instead of reg. Tramadol. What is everyone else taking? What dose and how often?
Result number: 75
Posted by Elizabeth on 4/03/06 at 01:17
Has this medication helped anyone? I don't have burning or tingling anymore after TTS release but heel hurts bad.
Result number: 76
Posted by Kris on 4/02/06 at 16:25
Even with my insurance, my neurontin is 60.00 a month.
I find that it tremendously helps the burning pain, but it does NOTHING for the aching pain that I get sometimes that feels like I have broken my lower shin bone. I have to take tramadol for that.
Result number: 77
Posted by Kris on 4/02/06 at 16:12
My doc did write my tramadol, and I was GLAD.
I have a referral to a pain clinic. Luckily my MD noticed how very different my two feet look when I was in the office the other day. My bad foot has shrunk some, and she actually noticed that too. (I suspect I've some rsd setting in, as the foot with the tts tends to look mottled and messed up - like DEAD or something, and the other foot looks fine, and it just darn HURTS constantly.)
I'm told because of other problems in the foot that I've not got a good chance of success with the surgery, so what else am I to do?
Quite frankly, I'd rather be an addict than non-functional. I was very happy to get a referral to a good pain management doc. I was really starting to get quite angry about the whole thing.
Result number: 78
Posted by Bambi/Helen Tap4TTS.co.uk on 4/01/06 at 16:41
for your kind words and for your advice. I must say that tramadol does make me feel a little spaced out sometimes but gives me relief with my combined meds. Sometimes it's the only way I can relax from the shooting pains which have me on edge and cannot keep still from the pain. If out in public when this happens I get strange looks from people around me. with the energy I've burned off with fidgiting from the pain and the tramadol I can sit fairly still then have a better nights sleep.
Result number: 79
Posted by Julie on 3/31/06 at 00:23
I'm glad to hear that you're able to take Tramadol and get relief from it.
As Kathy said, reactions to medications vary, and of course there are many people who can take Tramadol without adverse effects. It does, though, appear to have some major ones, including one that compromises the CNS, so when you mentioned Tramadol warning bells rang for me.
You're doing wonderful work for TTS sufferers with your website. You're a terrific example of someone using her pain and the knowledge gained from it to help others.
Result number: 80
Posted by Mary A. on 3/30/06 at 18:47
I am taking the Tramadol ER 100mg tablets. They are a slow release Tramadol, so you only take 1 pill a day. It took about 4 days to get a therapeutic level in my blood stream, but now it is working great. I am only 6 weeks post TTS release and while things are going well, I am still having those regenerative nerve pains that are so annoying. Everyone here knows those pains !!! But the Ultram ER is working great.
And as a pediatric RN I have taken care of children on Ultram for years. Those with Sickle cell disease are often placed on Ultram for maintenance pain med. I think that you can build up a physical dependence on it that requires a weaning off of, more so than it becoming addictive. The children I knew that were on it, had no difficulty changing to other meds and had minimal to no side effects from it. But it is important to know the possible side effects and of and all medications that you take. So always read the information sheet that comes with your meds and monitor yourself closely. Everyone reacts differently to medications.
Result number: 81
Posted by Bambi/Helen Tap4TTS.co.uk on 3/30/06 at 16:24
Thanks for your concern... I've been taking the odd Tramadol when needed since July 2005. The only side effect I experiecnce is constipation which is why I do not take it all the time. I must say though when I do take it I am able to be more mobile although sometimes too much and end up with ankle swollen from doing too much.
I find Lyrica (Pregabalin) is the worst for me, side effects are real bad from that but I think my body has adapted to it now, the Professor is wanting me to change meds soon anyway.
Thank you for posting, it's nice to know I have people looking out for me.
Result number: 82
Posted by savemelifeishorrible on 3/30/06 at 13:43
Wow, Tramadol is AMAZING. I actually don't have pain!
Result number: 83
Posted by Kathy G on 3/30/06 at 08:04
As with all medications, side effects can vary. My brother-in-law has been on Tramadol for years and the only side effect he has is less pain. When I took it (for PF and OA), it was like taking a placebo. No side effects and just as much pain.
As for being addictive, that's where the discussion of pain management comes in and it can be discussed forever. If I could take Tramadol for my pain, I'd take it, even at its maximum dose, for as long as it did me any good. I wouldn't care if I were addicted as long as I didn't suffer any terrible side effects from it. The next step up is narcotic pain relievers and many of those are far more addictive. But of course, the whole discussion about whether people who are in pain can really become addicted is one of the questions that no on can really answer.
All I can say, is, good luck, Kris. I hope another doctor helps you. And Julie, it's always good to see your name!
Result number: 84
Posted by Julie on 3/30/06 at 05:55
Sorry about the various proof-reading errors - I'm in a hurry! Also I forgot to say that Tramadol CAN be addictive, so if you take it for a time and decide to stop taking it, depending on how long you have taken it and at what dose, you might need to come off it gradually. Your GP can advise.
Result number: 85
Posted by Julie on 3/30/06 at 05:50
Please think carefully about taking Tramadol. It has a number of adverse effects, some of them common (dizziness, nausea, constipation, headache, somnolence) and some rarer. When my husband took it for post-operative pain last summer, he experienced several of them, including a particularly nasty one called CNS (central nervous system) stimulation, a complex of responses including nervousness, anxiety, agitation, tremor, spasticity, euphoria, and hallucinations. He didn't have the euphoria or the hallucinations, but he had all the rest. He also had gastronintestinal symptoms that were so serious, and caused so much rapid weight loss (a stone in two weeks) that our GP referred him to a gastroenterologist for a gastroscopy. This revealed nothing, because by that time he had it I had searched the internet and learned about Tramadol's adverse effects, and he had stopped taking it, and begun to recover.
Many doctors will tell you that Tramadol has "few or no side effects". They aren't intentionally misleading you: it's a relatively new drug, so they may not (yet) have had patients who have experienced the adverse reactions to it.
I rarely post now, but I saw your post and felt that I should share our experience with you. You already have nerve issues, so I would caution you to consider carefully whether Tramadol is a good medication for you. It is certainly an effective pain medication (though some sources say that it is no more effective than paracetemol which really does have few side effects) so if you decide to take it, at least be aware that it CAN have some very serious adverse reactons, and monitor yourself vigilantly.
There are a number of websites you can research:: just key Tramadol adverse effects into Google. Here is one that made me sit up was http://www.rxlist.com/cgi/generic/tramadol_ad.htm
Result number: 86
Posted by Bambi/Helen Tap4TTS.co.uk on 3/30/06 at 04:41
I take Lyrica (Pregabalin) 75mg, 2 capsules twice a day (300mg),Amitriptyline 10mg and Lidoderm (Lidocaine) patches 5%, 1 per day,to take along with the Ultram (Tramadol) 50mg when needed.
The top neuro Professor in the country (UK) has told me that I am better off taking the Tramadol than the other meds which give me bad side effects. That Tramadol, when used properly by us chronic pain sufferers, is not addictive! I take it sometimes then can go for months without, he is very right in my opinion.
Also Metronidazole (antibiotics) prescribed for a tooth infection has stopped my burning stabbing sharp shooting pains! Amazing!
Result number: 87
Posted by Kathy G on 3/29/06 at 09:34
I believe that Neurontin should be taken on a regular basis in order for it to work properly. And it can start at very low doses and then as you keep a diary, the dosage can be increased a little at a time until such time as your pain is at a more bearable level. That's the way my brother-in-law who has chronic pain takes it and for him, the Neurontin along with Tramadol, both now available in generic forms and thus much lower in price, is a good combination for his pain.
Was your Neurontin prescription more than a year old? If it was, by law, the pharmacy can't refill it without a new RX from your doctor. They should have told you that.
Call your doctor and see what he says. It has worked wonders for many people I know.
Result number: 88
Posted by Kris on 3/28/06 at 15:01
What do you take for pain? For those of us that didn't have the surgery or for whom it didn't work?
I take neurontin. Some days tylenol is enough, some days I take tramadol. Recently I had trouble getting my tramadol refilled, even though the last prescription for 180 pills lasted me more than 15 months! (I hardly think I'm an addict, but if I were, I'd prefer THAT to the severe pain I have sometimes.)
I was just wondering what was normal for folks? Is asking for tramadol a time or two a week really that out of line?
Result number: 89
Posted by Bambi/Helen Tap4TTS.co.uk on 3/20/06 at 06:49
Sounds like your recovery is going really well! I get really excited when I hear of success stories. It gives the rest of us hope. I do not know what I would do if the TT op (I need on right leg) doesn't turn out as planned. If that too is numb and painful and has uncontrollable burning etc I will have even bigger problems with mobility. I think I am doing well in recoverying from the bad outcome of my ops (some people cannot see anything wrong with me which is a compliment in a way, because I have worked hard in trying to walk properly.)I only go out maybe 2 days a week as it is all I can manage, I am being sensible by using wheelchair when needed which is giving me a better nights sleep and am able to cut out Tramadol.
I'm keeping my fingers crossed for you that you continue to improve. Keep us posted!
Result number: 90
Posted by Bambi/Helen Tap4TTS.co.uk on 3/15/06 at 10:44
Hi Fellow sufferer,
I think that we cannot judge eachothers problems, whatever effects your quality of life, IS a problem. If you know what I mean. Like...some days I can walk around the house and outside for a little bit, then other days I am bed bound and need to use a wheelchair. My fiend who is wheelchair bound, may think I should be grateful that I can walk at all. So everyones problem however big or small they seem, shouldn't be dismissed.
My pain is constant, random electric shooting/burning pain... never ending. I cannot stand without my trainers or socks on my feet, my feet are too hypersensitve and feel like there in no padding. I am greateful I can wear shoes and socks since taking my medication. Sitting on a bath board having a sit down shower is hell, the water (however hot or cold) makes the burning worse. The sprays of water out of the shower head feel like daggers. I cannot do house work or cook, as I cannot sit whilst doing it. My house isn't adapted. I am lucky I still live at home so my mom does it all. I do try give my room a quick dust but I am now very clumsy with the upright hoover (I loose my balance). However, the pain has improved so much since taking Lyrica, Amitriptyline, tramadol and Lidocaine patches. Although now my body is used to them I think they have less of an effect. The External Neuromodulation Device does help Neuropathic pain! I will be adding more details to my website soon!When it comes to the US i will let you know. Chin up I continue to research and talk to medical profesionals.
Result number: 91
Posted by Kris on 2/12/06 at 20:02
Darvocet is too strong for me or something! One pill and I sleep for 2 days!! Now that the RLS is under control, tramadol is fine and/or tylenol. I also take Neurontin 2400 mg a day.
Mirapex is pretty widely prescribed for RLS. I tend to read the boards at www.rls.org and a lot of folks there are on it. I never tried requip. I would fight tooth and nail to stay on Mirapex - it works SO well overall- I can sleep!- I don't want to mess with it for anything.
The big problem with Mirapex are the side effects a lot of people have. It is fine for me!
From what I can gather, folks with really bad RLS tend to do better on Mirapex, and milder RLS tends to do better on Requip. Either way, eventually a lot of people with severe RLS have to switch because of augmentation.
You know, so many people (including me) have bad PLMD - I wonder if that is what makes the TTS so bad - kicking my darn feet all night hurts the nerves?
Result number: 92
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Posted by Kathy G on 1/27/06 at 08:40
I've been waiting for someone with experience with TTS to answer you but no one has and I can't stand just leaving you hanging out there with no response.
I no very little about TTS. I know a lot about osteoarthritis as I have it all over. Just the same, I can't answer any of your questions except to say that I've never met a good doctor who objected if a patient asked about a certain medication he or she had seen advertised or even knew someone who had had good results with it.
Hopefully the doctor can recommend something to help you. Perhaps a muscle relaxant at bedtime. Again, since you have TTS, I don't know if gentle stretching would help but Julie's foot Yoga works wonders for me. When I get cramps in my calf, I know I haven't been doing my exercises enough and I do them three times a day.
Good luck and please let us know how you make out. And don't forget, there are pain drugs out there that don't make you sleepy. Tramadol (generic form of Ultram) is one that many people have good luck with.
Result number: 94
Posted by Koryn H. on 1/27/06 at 06:45
K.Plasket- My podiatrist listened to me when I told him that after 3 months trying Ibuprofen, Naproxen, and Celebrex and those didn't work for my pain, he gave me a prescription for Tramadol which is a little stronger pain reliever and you have to have a, Rx for it. It doesn't make me sleepy and it really helped me a lot to get through the pain at work on my feet all day. I try not to take it if I don't really need it too much and am able to stay off my feet on other days because it can be addictive. You may be like I am and just not respond to OTC pain relief. It is worth asking for something. Good luck!
Result number: 95
Posted by Bambi/Helen Tap4TTS.co.uk on 1/19/06 at 11:15
The External Neuromodulation Device has arrived!
On the 16th December 2005 I reported something would be available to help nerve pain. I had tried it and was impressed by the results. That ‘something’ I am now permited to say, is the External Neuromodulation Device. It will be available from 24th February 2006 in the UK and later on in the year in June in the US. It is simular to TENs but more Specific to the area of pain and more intense. TENs no longer works for me although it had before my TTS surgery. I now have TTS ('good leg') PN/NeP CRPS (RSD - type 2) this machine gave my 2 hours pain-free after 10mins use. It has since been improved further and I will trial it again in February, and soon after be able to get one on the NHS. I am happy as there is a possiblity that I can cut down on my medication (Lyrica/Amitriptyline/Lignocaine patches/Tramadol) with the help of this device.
Please see my website soon for more info and updates www.Tap4TTS.co.uk
Result number: 96
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Posted by Bambi/Helen Tap4TTS.co.uk on 1/09/06 at 17:43
I also take Lyrica (also known as Pregabalin) 75mg 2 caps twice a day, along with Amitriptyline 50mg, Lignocaine patches and the odd tramadol since September 2005. It has made a big difference in being able to tolerate the pain I have. When I first started taking it I looked like I was drunk, I'd have dizzy spells, I felt sleepy, couldn't tolerate dimmed lighting, my skin is fairly greasy on my face and neck and I had and still have short memory loss. I used to have a very good memory before but I would get so muddled up that in the end my mum had to take my medication off of me for her to manage because I could never remember if I had taken the pills or not. I know I would be a lot worse off without it but I hope I do not have to take it forever.
Result number: 98
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Posted by BambiWhassup@aol.com on 11/15/05 at 10:33
Hi Kay, my name is Helen, I'm 23yrs old and I have TTS. I had an op on left leg in July this year. I now have nerve problems PN see my post 'PLEASE READ do you have TTS/PN or NeP?' and please vist www.neurocentre.com they are a charity who help sufferers of PN & NeP. I was praying to die after my op when the pain was uncontrolable. standard pain killers had no effect. I am currently on Pregabalin, Amitriptyline, Lignocaine patches and Tramadol all to help the nerve pain...things are more bareable now although I still use crutches/wheelchair and rely on my upperbody to get me up and down stairs at home. I need an op on right leg too but am considering Cryosurgery although not available in UK at the mo, so I am considering going abroad. Please stay positive I know it's hard.
Result number: 100
Posted by Kathy G on 10/31/05 at 10:50
I'm so sorry to hear that, Ralph. Back pain can be such a mystery and I can only imagine your frustration in getting conflicting opinions. I wonder if the pain clinic has any other options for you. My brother-in-law has piriformis syndrome (his piriformis muscle is resting on his sciatic nerve) and he found a pain clinic helped him the most. He ended up on a heavy dose of tramadol and neurontin but it keeps the pain from being completley debilitating, although it's always present. He actually went to two pain clinics. The first one did him no good at all.
Here's hoping that pain-free days are ahead. Keep us posted because we care!
Result number: 101
Posted by Brenda S. on 9/16/05 at 13:13
Thank you. I am using ice packs on my feet a lot. Still taking Tramadol which I was on to start with for the osteoporosis in the lower part of my back. Don't really think it is helping my feet. They just hurt too bad. I am not going to have surgery right now. Just keep reading too many responses about surgery not helping. Really just in limbo about what to do. Just keep praying for my feet to quit hurting. Just don't know.
Thanks again. B
Result number: 102
Posted by brenda s. on 9/11/05 at 21:45
Haven't had TTS surgery yet. Only on Tramadol. Doesn't help much. Am allergic to NSAIDS--swelling face, itching all. Don't know what I am going to do. I like reading all the info people post on this message board. Gives me medicine ideas to ask my doctor about when I go back. Good luck with all you are going through. God bless you.
Result number: 103
Posted by messed up foot on 9/08/05 at 12:08
Voltaren is my magic medication! I've tried Neurontin (makes me stupid) and Elavil (dry mouth) and Tramadol (does nothing). My neurologist admits that there isn't much that really addresses neuropathic pain. Voltaren is a prescription NSAID and it too has side effects but for me, it works so well that it is worth it and I haven't experienced any problems.
I had my cast (in it for 5 weeks) removed this week after ligament repair and the very same day, I could walk in relative comfort in a normal shoe. Yes, the surgery (#3 in 9 months) was very successful and has finally addressed over one year of serious foot and ankle pain. And I do still have neuropathic pain post TTS release and now a new impingement of the superficial peroneal nerve from chronic eversions. And I have PTTD as well (surgery is on hold)but it is all tolerable. I have no stock in drug company - it is an older NSAID that has been around for awhile and fell out of favor. You might have to ask about it.
With any of these meds, you just have to accept that you will never be completely pain free.
Result number: 104
Posted by Debbie on 9/06/05 at 19:51
I am having horrible foot pain. I had a plantar fibroma removed 5 yrs ago and have a lot of scar tissue from that on my bottom arch which hurts so bad, I also have plantar fibroma's in the other foot arch which hurt also. I have tts I think, I had the pssd test which said I did, and I work on my feet 10 plus hours a day walking on concrete. I take neurontin, tramadol and salsalate daily, with not much pain relief. I do not know what is left to do. I have diabetes also and have PN. I need help as I feel like I am about to go crazy from pain. Anyone know a good foot doc in the Dayton, Ohio area? When not at work, I want to just sleep with all the meds. HELP!!!!!!!
Result number: 105
Posted by Brenda S. on 7/26/05 at 22:08
The only pain med I have is Tramadol (Ultram). It was given to me primarily for the osteoporosis in the lower part of my back. Tonight when I got up off the couch I could just barely make baby steps to get my feet going. Looks as though I will end up with surgery sooner than I expected. I am going to the chiropractor with information tomorrow to see if he can help me until my husband gets over all this heart stents and all. I have to walk, like you said, but it is very painful. I am a volunteer EMT-B with our fire department but the team is so helpful that mostly I do the PCR's and blood pressures or "small" stuff. Thanks for talking to me. I did not know there was a message board for this until the other day. Thanks again.
Result number: 106
Posted by Brenda S. on 7/23/05 at 22:33
I have these symptoms with tts. At times, can't walk, feet hurt, burn, etc. all the time. Take tramadol but doesn't seem to help. The dr said surgery is only relief in my case but at this time my husband is having heart problems with 4 stents being put in the front of his hear on the 21 July, 2005 and in one month more stents for the back of the heart. Money is very much a hardship at this time with both of us being "sick".
Thanks for listening.
Result number: 107
Posted by Janet C. on 7/16/05 at 09:16
I have posted in response to some of the older posts, and now am ready to ask some of my own questions. After looking at Dr.Dellon's site for trained docs, there aren't many that are ortho. surgeons. Noone in KS.Shouldn't the surgery be done by a ortho surgeon?
The pain and the meds (tramadol) that he takes are constant and make it hard for our little girls. He is only 36. He had a nerve conduction study, and has had 3 pod. say he has TTS. He has orthotics, new shoes all the time (1x month), and a foot bath that has a tens unit built in. Like I have read on here, good days/bad days are more of a reality. Unlike alcoholism, there is not a support group for chronic pain. 5-6 years of this plus a diagnosis of insulin resistance (prediabetic condition) makes me think this is a diabetic neuropathy problem. Does anybody else have an angle on this? Diabetic socks seem to have made him more comfortable.
Anyway, surgery is the only option we think is left, but we are saving money for him to be off work 3 months. He is on concrete and stairs at a power plant. We are told this is a rare condition. Is this true? Thanks for all your posts. I have really read them and my heart goes out to all who have this pain. Janet C. in SW KS
Result number: 108
Posted by Janet C. on 7/15/05 at 16:31
Norm, I am a first time poster here. My husband is actually the suffering one, and I am desperate for him. My mother lives in Chicago and wants him to come there to see someone @ Northwestern Memorial where she works. How did your visit go? My DH has had pain now for 5-6 years. We are on 3rd orthotic, a 300$ foot bath with tens unit, and he has had full body muscle spasms from neurontin. He is currently on Tramadol. Losing wieght seems to help, however, that is hard to do when you are in so much pain. Plus he is insulin resistant, and in this condition, the weight seems to be glued to you.
Here are my questions:
We live in the SW corner of KS and have been told there is not one orthopedic surgeon in KS to trust with feet...can anyone here tell me anything else?
How long is recovery from the TTrelease?
Should we quit wasting time, and get it done ASAP? The nerve tests the injections, the orthotics, the drugs that have landed him in the ER ...he has had it and we are saving money so he can be off work for 3 months.
Thank you, NOrm and anyone else kind enough to help. As a family member living with TTS, my heart goes out to all of you. We just want to raise our girls. janet c. in SW KS
Result number: 109
Posted by Ed Davis, DPM on 5/20/05 at 20:42
TTS is basically the "foot version' of carpal tunnel syndrome although our understanding of its causes are not quite as good as for the hand. It is a nerve entrapment of the posterior tibial nerve, the nerve that gives sensation to the bottom of your feet. Scar tissue can entrap the nerves casuing the problem or a growth can be placing pressure on the nerves.
Naproxen does little for nerve pain, being more for bone and joint pain.
Other drugs such as Tramadol and neurontin are more commonly used for nerve pain.
I am a bit puzzled as to why the neurologist would not do a nerve conduction velocity test on the soles of your foot FIRST.
Is the pain primarily on the bottom of your feet?
Is it noticeable at night?
Read through as much of this board as possible and don't hesitate to use the "search" feature on the site as specific questions arise.
Result number: 110
Posted by Diana I on 2/18/05 at 12:55
I have a friend who has OA in the lower back. He wasn't taking Vioxx, but is taking pain medication, Tramadol, and occasionally Vicodin, when pain gets really bad. I know that OA isn't debilitating, but sure is painful.
I had a neck infusion done about 3 years ago. Sure wish I could have see the Xrays on a CD. How cool is that! I'm like you, technology is amazing.
Result number: 111
Posted by Kathy G on 2/07/05 at 10:34
Thank you all for your kind, encouraging words. My husband suggested we go over toward the beaches on Saturday as there was a new sports store he wanted to check out. Saturday was a wonderful sunny day, with temperatures in the high fifties, a real gift in February. Naturally, since we were near the coast, we went to the beaches and I breathed the wonderful air and the ocean was so beautiful. He knew that that was the best thing for me and would make me feel better and it did. I would never have thought of it but he knows me so well and knows how the ocean rejuvenates me. We did go to that sports store but it's been there for six months. He obviously just figured it was a good way to get me near the water and it did me a world of good. I'm so fortunate to be married to such a nice guy!
I decided to experiment with the Tramadol some more because I really hate how spacey the Darvocet makes me. I'm going to try taking 100 mg., along with an extra strength Tylenol, which will come out to being the same as an Ultracet, every five hours and see how I do. Then I won't have to feel so zonked. I started with it yesterday eveing and this morning and so far, so good. I can save the Darvocet for night use.
I made an appointment with my rheumatologist for Thursday and will have a shot of cortisone in my hand. Hopefully, it'll cut down that pain a bit. It will be a long time before I consent to a cortisone shot in my neck. I just don't feel comfortable with that idea.
And Julie, I'm making a point of breathing deeply several times a day as I don't want the muscles in my rib cage to tighten up because of the arthritis there. And of course, it just makes me feel better. I usually stretch once a day, other than my foot stretches, but I'm thinking that twice would be a good idea so I'll start that today, making sure it's gentle so I don't strain anything!
Result number: 112
Posted by Kathy G on 2/04/05 at 19:13
As most of you old-time posters know, I have osteoarthritis very bad in my hands, particularly my left one. Over the last three years, it has developed in my wrists, elbows, toes, tops of my feet and shoulders. A year and half ago, I missed a step while coming out of my daughter's new apartment and fell hard on my hands and knees. The result was a pain in my clavicle that is still with me. At the time, two doctors thought I'd torn a tendon.
Back in September, I saw a hand surgeon who recommended surgery on the CMC joint of my left hand. He said he would go into detail with me when I came back but that it would involve bypassing the CMC joint by using a tendon from my wrist. He said that rehabilitation would take six months and full recovery a year.
When I did research on this, I found out that it's a very painful six months and that two out of three patients see improvement. The other 33% get worse. I decided, given my track record with having a strange (but beautiful:))body, I'll stick with cortisone shots and supports and skip the surgery for now. It's a quality of life issue; it won't affect whether or not the OA progreses. He also gave me a great shot of cortisone but said that I can have only four shots in the same joint - in a lifetime. I swear that's what he said but now I'm wondering if I misunderstood.
Since putting away the Christmas decorations, the pain in my hand has been just awful. Worse is the pain in my shoulder and clavicle and it now involves my rotator cuff. When Dorothy posted those exercises for the rotator cuff, it was like she knew how awful I was feeling that very day. I've been reduced to taking muscle relaxants and Darvocet regularly.
Late last week, I went for the cervical xrays my PCP had ordered in September. I figured they'd just show I had a little arthritis in my neck but because my chiropractor is so hesitant to work on me, I wanted confirmation that most of my pains were muscle related.
Today I went to my PCP, who had left a message on my machine that he wanted to see me to discuss the results of my xrays. I also had to see him because I have developed pain, that feels like arthritis, where my ribs attach to my sternum. I've been ignoring it because I figured it was arthritis but given that it's in the area of the heart and lungs, I figured I'd better find out for sure.
Yup, that's what it is. He said he could actually hear my ribs cracking when I took a breath, through his stethoscope. He asked if it hurt when I laughed or coughed and I said it didn't. He said not to panic if it starts to because it's quite possible. He also said that he can now feel arthritis in my clavicle.
As for my neck, he said that if he were to look at the xrays, he would figure they were the xrays of a seventy-eight year old woman, not someone fifty-five. He said my neck isn't bad enough to warrant surgery but down the line it may have to be discussed.
He's a great doctor and spent a long time with me and we talked about pain management. I have been taking two to four Carisopridol (a muscle relaxant) a day for the muscle spasms which result in my neck and shoulder from the OA and he said to continue to do so. He also said that since Tramadol doesn't help my pain, the Darvocet was the next best thing because we should save the narcotics for the future. He isn't blunt or unfeeling. He knows I understand that there's a good possibility I will need stonger painkillers someday. So for the time being, I will stay on these drugs until the pain abates, which I assume it will do.
Since seeing him this afternoon, I've been thinking that it could be worse. I could have RA or bone cancer or something terrible. Lots of people live with arthritis. One good thing is that the pain in my feet isn't nearly as noticeable because the other places hurt so much more! I can't drive right after taking the drugs but I can after a couple of hours. And when my hands hurt that much, I can't drive anyway so it's not a big deal. I'll just time my outings around my medications. And maybe the pain will lessen so that I won't need to take as much. I'll continue to do my stretching exercises, my rotator cuff exercises and the yoga exercises I like and I'll take full advantage of the good days. I think I've learned to pace myself but I still sometimes overdo it. I'm learning. It's very hard because I haven't been able to foodshop alone the last few weeks. If it snows and my husband is at work, I used to snowblow the driveway and I can't do that anymore. I can't bring the recyclables to the transfer station. I've taken to ironing just the front of my husband's shirts because that's all that shows. These are all minor things but they take away my independence and the feeling that I'm contributing something to the household.
I wonder what I'd be like if I had lived a different lifestyle. I never smoked, never drank, never did drugs, even pot. I always took vitamins. I was always slim and very active and I always ate sensibly. I kind of feel like I'm in that Woody Allen movie, I think it was Sleeper, where the owner of the healthfood store wakes up in the future and finds out that fat and sweets are good for you! I wonder - would this have still happened if I'd been wild and crazy? Then again, given my personality, would I have been capable of being wild and crazy? :)
I just had to let you, my internet support group of friends, know what's up with me. I feel uncomfortable telling most of my friends because I think I sound like I'm complaining. With you folks, you've all experienced chronic pain so you understand. You're also really nice people.
Thank you all and I apologize for this being so long.
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Posted by Marty from SLC on 8/26/04 at 15:03
Does anyone know of some medications to help with burning????? I'm on 2400 mg of neurontin and the burning is real bad. Can't wear shoes or socks at work and I think I'm to a point where I need some stronger meds. If I stand even 5 minutes I'm hurting real bad. The neurologist gave me some tramadol but it doesn't even put a dent in it.
This really sucks!
Result number: 115
Posted by Ed Davis, DPM on 8/16/04 at 13:36
Alleve is okay for musculoskeletal pain but not real helpful for nerve pain. Many treatments exist for TTS:
1)pain meds that have a greater effect on nerve pain, eg. tramadol
2)medications that "calm down" the injured nerve, eg. neurontin
3)physical therapy - inculding high frequency interferential stimulation
5)injections along the post. tibial nerve to decrease scar tissue placing pressure on the nerve
6)exploration of the area around the nerve with sonography or MRI to see if anything is placing pressure on the nerve (any growths or enlargements)
7)checking for any biomechanical contribution eg. foot rolling in too much thus stretching the nerve
8)surgical tarsal tunnel release
Result number: 116
Posted by Eric on 8/08/04 at 04:21
Im new to this site also, but have read alot about TTS. I might have had this for over five years now, but only have been in a sort of treatment for about nine months. I used to be a very active person and im currently in the Navy in Iraq at the moment and I believe I have TTS bilaterally. I have all the symptoms down to the tee, so its real convincing I have this. My doctors are still kinda in the rule out phase but im sure of it. I have to take pain medication or I become completely wiped out and with a mirgraine. Im currently taking tramadol and naprosyn, both analgesic and nsaid. Ive had a emg done in march that was positive for latency with the medial nerve, which is basically a great indication for having tts. I been in denial for a long time cause I love soccer, im military and im only 29. Ive always been told I have flat feet so I have always taken a motrin(ibuprofin) and blew it off. Well time has come and im in so much pain now I cant go with out pain meds, i take them all day long now. This is tearing my career apart as well as my family. I feel so helpless, I lay there every night in bed in pain until I fall asleep and often wake up in the middle of the night in pain. Its like a nightmare, ive put something off for so long now I feel im like so far deep im never going to get out of this. Well anyway I dont know about surgery yet, hopefully something soon though. Im trying steriodal injections next, though I think surgery is the only way for me.
Result number: 117
Posted by Kathy G on 5/14/04 at 08:25
It's hard for you to grasp right now but you will get through this and your pain will lessen. It sounds as though your doctor is leaving no stone unturned and that is good. The guilt part is tough; you just have to remember that children have a great capacity for compassion and if you explain to your son your difficulty, he'll understand.
Have you spoken with your doctor about pain management? There may be something he can prescribe that would at least take the edge off the pain for you. Some people have found Ultram (Tramadol is the generic name for it) to be of help. Others find Fiorinal, Darvocet or some of the other non-opiate drugs to help. I don't think any of us have found anything that makes the pain go away, but just to lessen it a little, even if it's only at the end of the day, can make it easier to cope.
Hang in there. You'll find the right combination of treatments that work for you. In the meantime, try to rest as much as possible. Remember to make things as easy for yourself as possible. No elaborate meals for a while; help with the washes, if available, and do as little housecleaning as possible. Most of us have found rest to be the key element that helped us when our PF was in a massive flareup as yours appears to be. Easier said than done, I know.
Keep us all posted!
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Posted by Kathy G on 2/12/04 at 16:12
Well, the point is my obsessive feeling that I should be exercising, Julie. I am feeling very discouraged of late. Not depressed because believe me, I know all the signs. Just discouraged. The day before yesterday I did simple errands and went to a few stores to look around. I did things I used to do after working five hours, on my feet. I came home with incredibly sore feet. Over the weekend, I had a family get together and couldn't believe how much my feet hurt and that didn't even take into account the way the stupid arthritis is attacking my elbows and now, my knees.
I'm a very proactive, type A personality, as you've gathered from my posts over the years. Since I started with problems with my feet nine years ago, initially with a Morton's Neuroma, I have gained ten pounds, developed high blood pressure and high cholesterol. Granted, I'm still not overweight and neither of the other two are very elevated but I'm on low doses of meds for each. Actually, the hypertension was inevitable as it runs in my family.
I just feel like, at fifty-four, I've become a non-functioning member of society. I have to push myself to do anything and it's not depression; it's pain. The tramadol seems to help some but it makes me constipated and then I have that problem, too. I'm just tired of it. I used to have so much energy!
I fear I'm becoming a boring person because I don't DO anything. Many of my hobbies have been taken away because they hurt my hands so much.
How can anyone find me interesting if I don't do anything? I miss interacting with people and while I enjoy my Zoning Board of Adjustment, I don't enjoy the Garden Club because they're all older than I. And half of them can run circles around me! I actually come home from those meetings so discouraged that I'm going to drop out. I continue to read and do crossword and jigsaw puzzles.
I guess I was just thinking maybe water aerobics would be the magic bullet I'm looking for, but you're absolutely correct. I was thinking of how much the chorine burned my skin and I would be a fool to subject myself to such a thing.
Sorry to go on so and not on the appropriate board. This, too, will pass. I have much to be thankful for and I just need to accept that lots of people who don't exercise on a regular basis live long lives and I could be just like them. No need for you all to feel you have to boost me up because I know that.
I was just going to delete all this but my stupid finger is numb because of the problem in my shoulder and I'll be darned if I'm going to waste all that typing! Don't worry; I'll be fine.
I do wish I could get myself an outfit like Pam's, though! :))
Result number: 123
Posted by Linda on 1/27/04 at 05:46
Reflex Sympathetic Dystrophy
Reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome (CRPS), is a chronic progressive neurological condition that affects skin, muscles, joints, and bones. The syndrome usually develops in an injured limb, such as a broken leg. However, many cases of RSD involve only a minor, seemingly inconsequential injury, such as a sprain. And in some cases, no precipitating event can be identified. Pain may begin in one area or limb and then spread to other limbs. RSD/CRPS is characterized by various degrees of burning pain, excessive sweating, swelling, and sensitivity to touch. Symptoms of RSD/CRPS may recede for years and then reappear with a new injury.
Types Two types of RSD/CRPS have been defined:
Type 1 - without nerve injury
Type 2 (formerly called causalgia) - with nerve injury
Both types express the same signs and symptoms.
Incidence and Prevalence
Millions of people in the United States may suffer from this chronic pain syndrome. RSD/CRPS affects both men and women, but is more common in women, and can occur at any age, but usually affects people between 40 and 60 years old.
The National Institute of Neurological Disorders and Strokes (NINDS) reports that 2% to 5% of peripheral nerve injury patients and 12% to 21% of patients with hemiplegia (paralysis on one side of the body) develop reflex sympathetic dystrophy as a complication. The Reflex Sympathetic Dystrophy Syndrome Association of America (RSDSA) reports that the condition appears after 1% to 2% of bone fractures.
Causes and Risk Factors
RSD/CRPS appears to involve the complex interaction of the sensory, motor, and autonomic nervous systems; and the immune system. It is thought that central nervous system (brain and spinal cord) control over these various processes is somehow changed as a result of the injury.
Conditions associated with the onset of RSD/CRPS include:
Trauma (e.g., bone fracture, gunshot and shrapnel wounds)
Spinal cord disorders Cerebral lesions Heart disease, heart attack
Hemiplegia (paralysis on one side of the body) Infection
Radiation therapy Repetitive motion disorder (e.g., carpal tunnel syndrome) Surgery
In 10% to 20% of cases, no direct cause can be found. Injury that precedes the onset of RSD/CRPS may or may not be significant.
Signs and Symptoms
The symptoms of RSD/CRPS may progress in three stages—acute, dystrophic, and atrophic—although this notion is subject to debate.
Acute: burning pain, swelling, increased sensitivity to touch, increased hair and nail growth in the affected region, joint pain, color and temperature changes; first 1-3 months
Dystrophic: constant pain and swelling, limb feels cool and looks bluish, muscle stiffness and atrophy (wasting of the muscles), early osteoporosis (bone loss), 3-6 months
Atrophic: cool and shiny skin, increased muscle stiffness and weakness, symptoms may spread to another limb
Characteristic signs and symptoms of sympathetic nervous system involvement are Burning pain Extreme sensitivity to touch
Skin color changes (red or bluish) Skin temperature changes (heat or cold) Pain is usually disproportionate to the degree of injury and can be triggered by using the affected limb or by stress and can be spontaneous or constant.
Symptoms associated with an immune reaction include:
Joint pain Redness Swelling Accumulated immune cells in the site
Signs of motor system dysfunction include
Difficulty starting movement Increased muscle tone Muscle spasm
Other symptoms include
Migraine headache Excessive sweating Fatigue Dermatitis, eczema
Patients with any chronic illness, including RSD/CRPS, often suffer from depression and anxiety. Skin, muscle, and bone atrophy (wasting) are possible complications of the syndrome. Atrophy may occur because of reduced function of the limb.
RSD/CRPS can be difficult to diagnose and often requires excluding other conditions that produce similar symptoms. A thorough history and neurological examination is of utmost importance. During the exam, the clinician may notice that the response to mild sensory stimuli produces severe pain.
Physical examination involves observing the skin color and temperature, swelling, and vascular reactivity; overgrown and grooved nails; swollen and stiff joints; muscle weakness and atrophy (wasting).
Other conditions are ruled out with appropriate testing that may include MRI studies, a full laboratory panel, EMG/NCV (electrophysiological studies of the nerves and muscles), and a test known as a thermogram, which uses an infrared video camera to measure the emission of heat from the affected limb.
The goal of treatment is pain control and as much mobilization of the affected limb as possible. An individualized treatment plan is designed, which often combines physical therapy, medications, nerve blocks, and psychosocial support.
Medication Medications are prescribed to control pain. The type of pain experienced by the patient determines the type of medication prescribed.
Constant pain caused by inflammation is treated with nonsteroidal anti-inflammatory drugs (e.g., aspirin, ibuprofen, naproxen, indomethacin).
Constant pain not caused by inflammation is treated with central acting agents such as tramadol (Ultram®).
Stabbing pain and pain that disrupts sleep are treated with antidepressants such as amytriptyline, doxepin, nortriptyline, and trazodone. Oral lidocaine, a somewhat experimental treatment for RSD/CRPS, also may be prescribed.
Sudden sharp pain may be treated with anticonvulsants (e.g., carbamazapine, gabapentin).
Generalized, severe pain that does not respond to other medications may be treated with opioids (e.g., propoxyphine, codeine, morphine).
Muscle cramps (spasms and dystonia) can be treated with clonazepam and baclofen.
Localized pain related to nerve injury may be treated with Capsaicin® cream, but its effectiveness has not been proven.
Medications that block selected actions of the sympathetic nervous system, such as clonidine (Catapres®, available in oral and patch formulations), can be useful in some cases.
Muscles stiffness may be treated with muscle relaxants such as
Physical therapy should include daily range of motion exercises. Patients should be advised to avoid activities that could accelerate osteoporosis or joint injury.
Sympathetic nerve block interrupts the transmission of pain signals from a group of nerve cell bodies (called a ganglion). When treating an upper extremity, it is called a stellate ganglion block. A small needle is used to inject an alpha adrenergic antagonist alongside the windpipe. When treating a lower extremity the nerve block is performed in the lower (lumbar).
The procedure, usually performed by an anesthesiologist familiar with the technique, involves the insertion of a needle into the appropriate location and the injection of anesthesia into the ganglion. The effect is monitored over time.
Sympathectomy Patients who have a good but temporary response to nerve block may be candidates for sympathectomy. The goal of surgery is suppression of sympathetic nervous system activity in the affected area.
A transcutaneous electrical nerve stimulation (TENS) unit may be used to treat the affected area. In some cases, spinal cord stimulators are implanted permanently to supply a low intensity impulse to a location in the spinal cord in an attempt to interrupt the pain signals that are being transmitted to the brain.
RSD/CRPS patients often become depressed and anxious because of chronic pain and loss of physical ability. Counseling, support groups, and chronic pain center programs help patients learn coping strategies and provide emotional and psychological support.
Result number: 124
Posted by Kathy G on 1/20/04 at 17:16
I was thinking about my prior post and thought that it might be taken in the wrong way. I don't know if you're depressed because I'm not a doctor. What I should have said is that based on your previous posts, you sounded extremely frustrated and kind of down. Whether or not you're depressed is for you and your doctor to decide.
There is a long history of depression in my family and I forget that some people still consider depression to be a sign of weakness or something that people don't talk about. I have a sister who suffers from bi-polar disorder and I think I shock people when I just say it so matter of factly. She's a wonderful person who suffers from a chemical imbalance that she inherited from my mother. The only reflection on her character is favorable. She knew she had a problem and sought help for it.
Anyhow, I didn't want you to misinterpret my post.
And I also wasn't clear on Tramadol. It's a pain killer that works for some people's pain. I can't say that it helps my feet a whole lot but it does help my arthritis pain.
And once again, Good Luck!!
Result number: 125
Posted by Kathy G on 1/20/04 at 14:40
If he's a Pain Management Specialist, he should be open to the idea of adding an antidepressant to your drug regime. I truly think, judging from your posts, that you would benefit from it. Constant pain is depressing. Along with that, you have that blasted ringing in your ears.
If he doesn't think an antidepressant is a good idea, then discuss it with your PCP. Darvon and Vicodin can make you feel depressed as well due to the sedative affect they have.
Have you tried Tramadol (ultram)? If not, it might help you out.
Good luck, Michael, keep us posted as to how you do because we all really care!
Result number: 126
Posted by bluestella on 1/17/04 at 18:14
Well i had tts after having a break in my heel. Caused by way too much standing and retail! So i have release surgery on may 22nd of 2003! I still havent seen that much improvement. Actually i think its worse. Podiatrist. Release in the tunnel area. Not diabetic! No insurance so i am still battling with the lawyers and that. I have even been refused medical treatment but just finally now started getting some physical therapy! Which i think its great cause its some exercise cause my foot is stiff. I still am in a wheelchair. I wear a walking boot. I have excess swelling! And lots of pain! I am on neurotrin and evail and tramadol. And also taking horsechestnut! some herbal stuff my dr recommended me. I havent noticed that much of a change! But i do have no more burning in my toes. But have also been diagonised with PF now! And crps? Something like that. bye hope this helped some!
Result number: 127
Posted by john h on 1/15/04 at 13:06
Yes Michael it is Brian G and he seems to be on top of what might work and not work with meds for PF. Some doctors do not seem to recognize that the pain associated with PF can sometimes be worse than the disease. It causes depression, anxiety, job loss, immobility, weight gain, family difficulities and many other things. Pain should be treated aggressively.Some Doctors take such an approach but we the patients need to make it clear to them just how bad the pain is and how much it is disrupting your life. So many Doctors because of our drug laws are reluctant to take an aggressive approach on treating pain. Rush Limbaugh is an example of someone who had/has terrible back pain and went outside the rules to obtain Oxycontin to treat his pain and becamed addicted. He has been dragged thru the mud but no one has asked the question what does Rush Limbaugh now do to treat his pain? The pain just did not disappear. This made such big news what are the chances of us getting a treatment of Oxycontin when it may in fact work very well for us if used in a prescribed manner.One of my family Doctors said he was careful in prescribing Tramadol even though it is not particularly addictive but has a big street value. Apparently if you take 8-10 pills you can get some sort of effect. Now the kids are taking over the counter cold meds in large quanities and get a big high. Some have died.
Result number: 128
Posted by bluestella on 12/28/03 at 00:48
Hi marie!!! Can u please email me at ravenjune@Aol.com i have recieved a newer computer from my dad for xmas! And i no longer have the information you gave me on the board? So if you could thank you. I am still in lots of pain but hopefully when i go the 6th to pt itll relieve some. I did use my foot spa tonight but heel is still throbbing. I seen u take 30 mg of evail????? i only take 10mg???? do u find a difference?? U know i also take neurontin 300 mg 3 times a day and tramadol.. and that horse chestnut. I still find no relief much. Except the burning sensations have stopped for over 2 months now :) but that doesnt help when the rest hurts ha ha ha take care
Result number: 129
Posted by bluestella on 12/09/03 at 00:41
Hey hows it going!! Yes and i got the email from sharon about the foot thing and i would like to join but i deleted the email!! can u send me the link!! I didnt do well today i went to the physcial therapy appt just to be turned away again so after waiting 30 mins they tell me well the drs can choose if they want to see u or not. I go isnt that against the hyporcratic oath that they take? I was soo mad!!! Because i am in so much pain and no one wants to help me out when i try to get the help. They were like have u tried public aid im like yes 8 times! And then they gave me a number to a free clinic so i was like wow this is nice. I wonder if they can help me with my medicine or something. I call and they say thats funny they sent you here we have no doctors!! CAN U BELIEVE IT!!! my email is firstname.lastname@example.org if u wanna email me by the way :) Yes i have a camera. I havent had a chance to talk to my dr about gabatril since he told me to see him after i had pt for a few times but they wont see me just like pain management last week wont see me and then they did just to say i would be left untreated lol.. I am on evail yes very cheap i like that. And on tramadol and neurotrin. And my dr has made me start taking horse chestnut? Some herbal thing who knows. Well take care marie
Result number: 130
Posted by Dorothy on 11/19/03 at 19:49
Read this recently and hope it might be of use:
Guidelines Help Doctors Treat Nerve Pain
Wed November 19, 2003 06:58 PM ET
By Karla Gale
NEW YORK (Reuters Health) - New guidelines just released should help doctors treat patients with nerve pain, according to a report in the Archives of Neurology.
The report indicates that five drug types are suitable first-line treatments for nerve pain: opiates, tricyclic antidepressants, gabapentin, topical lidocaine and tramadol.
And when medication fails to relieve symptoms, surgical treatments are increasingly successful, Dr. Cole A. Giller maintains in a second report in the Archives.
Nerve, or "neuropathic," pain arises from disease or injury to one or more nerves. This contrasts with other types of pain in which the nerve itself is not damaged, but simply transmits the pain message from an affected body part to the brain.
Dr. Charles R. Argoff, from New York University Medical School, and colleagues reviewed published information to develop treatment recommendations for patients with neuropathic pain.
"Patients in pain have to be recognized and treated as assertively and as appropriately as soon as possible" to increase the likelihood that treatment will be successful, Argoff told Reuters Health. When deciding on treatment, doctors should consider a medication's benefits, cost, side effects, ease of use, and interaction with other drugs.
Up to 50 percent of primary care doctors consider nonsteroidal anti-inflammatory drugs (NSAIDs), an appropriate first line treatment for neuropathic pain. But "NSAIDs are not effective for this type of pain, and they pose a significant risk for side effects," Argoff said.
One option is opiates. "Old teachings that neuropathic pain is resistant to opiates is nonsense," Argoff said. When an opiate is used as treatment for medical conditions, "it is extraordinarily unlikely that the patient will become a drug addict."
Topical lidocaine and tramadol are also possible options, he added.
If a doctor isn't comfortable with treating neuropathic pain, Argoff advises referral to "a neurologist, an anesthesiologist, or a podiatrist, anyone with skill in pain assessment, diagnosis and treatment."
In his article, Giller outlines the major surgical treatments for neuropathic pain. Electrical stimulation of the spinal cord or brain often precedes procedures designed to destroy certain nerves. Another option is to set up a device that delivers drugs directly into the spinal canal.
SOURCE: Archives of Neurology, November, 2003.
Result number: 131
Posted by BrianG on 10/24/03 at 18:56
You can find this information at any search engine, by typing in "drug interactions". I went to RxList.com to do a quick check for you. According to this website, the 2 drugs (Neurontin & Ultram) are compatible. There is one warning, about alcohol and Ultram. Still, it's only a web site. Too be sure, I'd call your pharmacy, as the others suggested.
Regards, and glad you finally got your meds!
Cut & Pasted from RxList.com
We found 1 interaction for:
Ultram, Neurontin (and food, alcohol, and tobacco)Click on a name to search for general product information.
Health Profile Items: Some items from your prescription history may be missing from this list. If so, please add the item now.
Please do not stop taking a prescribed medicine without consulting your doctor. We recommend that you discuss this information with your doctor or pharmacist.
Return to your medicine list to add another item.
Fill your prescription at drugstore.com.
ULTRAM (TRAMADOL HYDROCHLORIDE) and ALCOHOL
Description: Drinking ALCOHOL (or taking any product containing alcohol) while being treated with TRAMADOL may result in slowing down your nervous system.
Drinking alcohol while being treated with tramadol is not recommended. You may experience loss of balance, slurred speech, confusion, changes in mental awareness, or dizziness.
IMPORTANT: This tool doesn't include every possible interaction or account for individual responses to medicines. For example, very few studies examine how herbs, vitamins, and other supplements interact with medicines or each other. In addition, this tool doesn't list the increased effect you may experience when combining medicines with similar side effects. We recommend that you discuss this information with your doctor or pharmacist
Result number: 132
Posted by john h on 10/22/03 at 11:11
Brian the latest letter I saw sent out by the manufacturer of Ultram and which was approved by the FDA noted the following information. Not a direct quote but the information is close:
Approximately 5 million people have taken or are taking Ultram for moderate to severe pain. There have been approximately 115 or 185 reported cases that might be considered dependancy. Former drug abusers are more likely to experience this type of symptom..You are correct in that it could be addictive but the odds are very small and one would need to measure that risk against say a NASID which with long term use can cause ulcers or stomach problems and kidney or liver problems with long term use
Ultram is typically prescribed 1-2 50mg tablets up to 4 times a day not to exceed 400mg on any one day. One should just not quit taking 8 tablets a day but should taper off if you are on that large a dose.
Ultam does not effect the stomach or kidneys and is why it is often prescribed for people with stomach or kidney problems and also used in older patients. As with all drugs both over the counter and prescribed we need to be informed. By the way I never took Ultram for foot pain as it did not help. I used it for back pain. I have never taken a pain medication that helped my foot pain and I tried a lot of them. If you ever find one that helps your foot pain let me know about it.
Result number: 133
Posted by BrianG on 10/22/03 at 08:10
I realize that you are taking a small amount of Tramadol, and you will most likely never have any problems. The only reason I brought it up is because you had said it was non-addicting. Who knows how many people are reading these posts, most of which probably realize that you know what your talking about. It was really for everyone that I posted the information about the non-addicting info. It could very well make a difference in someone's else's life down the line
Since I don't have a copy of the PDR, could you take a look and see what it has to say about addiction. I'd be interested to know if all the various precautions mention it, or just some of them. I agree that the PDR is the Gold Standard and would be the most likely source to contain the correct info.
No pheasants yet, but the season has only been open for less than a week, and I can only go out in the woods for about an hour a day. The fishing rods have been put away for the last month :*(
Result number: 134
Posted by John H on 10/21/03 at 22:19
I have read all the indications on Ultram in the Physicians Desk & Drug Reference and discussed it with both the Doctor and Pharmacist. I think you can find a case story that is an exception to almost any drug. Ultram is a non narcotic. As with any drug one needs to read all the contraindications and be personally aware of how it may effect you as all drugs effect each of us differently. From my perspective it could be a safer choice than aspirn on a regular basis (ulcers) or many of the other over the counter NSAIDS. A close friend was hospitalized from regular use of tylenol which created a severe liver problem. Tylenol is still a very safe drug when used as directed. Deaths and severe stomach and liver reactions from such common drugs as tylenol and aspirin far exceed problems with Ultram. In any event I have never taken more than 100 mg in one day and gone for months without taking any. For me a problem with Ultram is a non starter. For others, as with any drug, follow your Doctors advice but keep yourself informed and know your on reactions to anything you take including non prescription drugs,herbs and other medicinals. There is no one size fits all as you well know. Drug reactions always brings to mind our altitude chamber rides every 3 years in the Air Force. The chamber is depressurized up to about 35000 feet. You have a partner. You take your mask off to note how the lack of oxygen effects you. Everyone has very different symptoms. Some get giddy. Some have blue fingernails. Some start talking nonsense. Some get light headed. Some vomit. Ultimately all pass out if your partner does not help you get your oxygen mask back on. One Doctor told me Ultram had a street value because if you took 8 or 9 pills all at once you could get some sort of feeling. I can do the same thing with 8 or 9 twinkies. Since Ultram had it's patient run out and the generic form is very inexpensive they come out with Ultracet. This is very expensive and has less of the effective ingriedient in the regular ultram with the equivlent of less than one tylenol tablet added. Druggist are always a great source of information as they keep up on drugs more than the average family physician. And if you really want to overdose on drug information go to the more or less gold standard Physican Desk Reference which sits next to my bed..
Result number: 135
Posted by BrianG on 10/21/03 at 21:04
I know that you think that your Tramadol is non-addicting, but I've heard differently many times. One specific instance was another forum dedicated to chronic pain. An American living in the Phillipines was in terrible back pain, but could not find any doctors to treat his pain accordingly. He was finally put on Tramadol, and he thought he had died and gone to heaven. To make a long story short, he soon developed a larger tolerance to the drug, which soon failed to work as well as it had been. His doctor was more than willing to raise his dosage, as it was supposedly non-addicting. Within a year, he could no longer tolerate the Tramadol's side effects (he was on a large dosage) and he had to be taken off them. At first he stopped cold turkey, and very soon developed full blown withdrawal symptoms. He then had to taper off the med, just like any other opiate. I did a little cut and paste for you. I'd suggest you look into Tramadol a little closer, if you think it's totally non-addicting. The small amount you are on may negate any sytmptoms you might feel if you suddenly stoped taking it. Please check out the section for "How to Use". I think you'll be surprsed.
Cut & Pasted:
ULTRAM DRUG INFO
IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.
TRAMADOL - ORAL (TRAH-muh-dall)
COMMON BRAND NAME(S): Ultram
USES: Tramadol is used for pain relief.
HOW TO USE: Take this medication by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use this medication exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using this drug without your doctor's approval. When used for extended periods, this medication may not work as well and may require different dosing. Consult your doctor if the medication stops working well.
SIDE EFFECTS: This medication may cause dizziness, weakness, incoordination, nausea or vomiting, stomach upset, constipation, headache, drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of these effects persist or worsen, inform your doctor. Notify your doctor if you develop any of these serious effects while taking this medication: chest pain, rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Tramadol is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.
DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medications you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.
NOTES: Do not share this medication with others.
MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store this medication at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom. Keep this and all medications out of the reach of children.
Result number: 136
Posted by kellys on 9/03/03 at 11:30
How are you doing now? After ~ 3 years of trying everything except surgery for PF/TTS, I was diagnosed with `idiopathic peripheral neuropathy' 6 months ago. I got suspicious when I developed new but similar pain in my hands/forearms so finally got to a neurologist. I was hesitant to try drugs for pain relief since I am relatively young and otherwise very healthy, but I've been working with my neurologist and pain doctor to find the combination that works for me. The side effects are annoying but tolerable and overall my quality of life has improved dramatically. I'm also trying out alternative therapies to complement the conventional prescriptions. I checked out a book from the library called "THe Chronic Pain Solution" by a Dr. James Dillard. He is affiliated with Columbia U (NY) pain clinic and advocates for a multi-pronged approach to chronic pain(conventional/alternative). There's a section in there specifically on peripheral neuropathy. Typical conventional drugs used to treat PN-related pain are tricyclic antidepressants, certain anti-convulsants (e.g. Neurontin), ultram (tramadol). A good pain doctor will be willing to work with you to find the right single drug or combination. Individuals respond differently to each drug, so what's right for someone else may not work for you. I'm converging on a good combination now after about 6 months and really am a lot happier. The pain isn't ever 100% gone, but for the most part it's at what I'd call a "manageable" level where I can generally exercise (bike, swim, weights) 5 days a week and handle the daily activities (cleaning, errands) much more readily. Still have some ups and downs but it's never anywhere near as bad as before I started on the drugs, and I am learning to not be so hard on myself.
You may also wish to check out the message board at www.neuropathy.org.
Good luck, and know that it's ok to seek out help for your pain. I am glad I finally got to a neurologist, pain dr, and physiatrist (rehab dr). Not to mention a terrific yoga instructor :).
Result number: 137
Posted by Sharon W on 8/17/03 at 06:54
Please check this out: it's Costco's pharmacy prices (you can go into their stores without being a member, just tell them you are only going to the pharmacy):
Costco's generic prices, according to their online pharmacy website (the first link, above): for 50 50mg tramadol (generic Ultram) tablets: $13.39; for 50 50mg amitriptylene (generic Elavil) tablets: $11.27
Result number: 138
Posted by Sharon W on 8/16/03 at 20:03
Ask your doctor about Prudoxin (prescription stuff to rub on for burning and such). It's not going to take away ALL the pain but if you rub it right in the tarsal tunnel area it may help a little bit.
Another thing that sometimes helps with nerve pain and is a lot cheaper than Neurontin is amitryptyline (Elavil). Elavil is actually an antidepressant, but it works to help control nerve pain for some people. You would probably have to start by taking it only at night, because it makes a lot of people sleepy... but if it works for you, maybe you could take more, and/or take it twice a day... That would be up to your doctor, of course.
And of course, there is tramadol (Ultram) -- I don't know how much that one is costing these but I heard it's available in generic now. Ultram is a just a pain killer, but it's supposed to be especially effective for NERVE pain -- something that isn't true of Vicodin.
I hope that helps, at least a little bit.
Result number: 139
Posted by Kathy G on 7/31/03 at 11:07
Thanks for the information on the Neurontin, Pam. I have to go to the dentist this afternoon but when I get home, I plan to take a stronger dose of Tramadol and see if that helps the pain. I'd like to stick to that if I can. I know this too will pass, but man, I'm so tired of hurting all the time!
Result number: 140
Posted by Sharon W on 7/14/03 at 12:17
Believe me, I understand what you mean about just "not having the energy" to go back to the Dr. on this. Sometimes going to doctors for these things can be VERY frustrating!
I would suggest you ask around and see if there is a podiatrist or a physiatrist in your area that other people recommend, rather than go back to the same ortho surgeon who operated on you before. Sometimes a new, fresh point of view on these things can be like a ray of sunshine!
It does sound like, for now at least, you probably do need either a higher dose of Neuronin (400mg per day is a VERY low dose!) and/or you need something you can take just when it's really burning and causing lots of pain (Ultram - tramadol - might be a very good drug for that).
In the meantime, contrast baths are a good idea; they always seem to have helped me feel better for a little while -- I just wish the relief from them would last a lot longer!
My thoughts will be with you; I hope this is only a temporary setback and you'll be feeling better very soon, Pam!
Result number: 141
Posted by Sharon W on 6/13/03 at 17:11
I really hope that the Ultram will help you. But Ultram is usually prescribed for about Q6H, PRN. If you were taking 4 per day, you'd go through them in just 6 days -- and then you'd have no pain meds to help you at all! So, I guess you're wise to save them when you're going out and will be on your feet (and therefore in more pain) -- or when you can't get to sleep -- or when, for no reason whatsoever, the pain just becomes overwhelming.
Even then, for someone in as much pain as you're in, it would be VERY easy to go through 24 Tramadol in one month -- and it will probably take more than a month to get someone to figure out what's wrong so you can (hopefully!) get some REALLY effective treatment.
Result number: 142
Posted by Sharon W on 5/21/03 at 10:49
Prescription drugs may deplete, or use up, certain vitamins etc in your body. If you'd like to see a list of prescription drugs (including drugs for pain, cholesterol, high blood pressure, diabetes, etc.) and what nutrients they deplete, click on the link below (I've included a couple of excertps:
Hydrocodone (codeine) with acetaminophen (Tylenol)- "A narcotic/analgesic used for the relief of moderate to moderately severe pain. Depletes glutathione."
"Note: Hydrocodone combined with aspirin depletes the following nutrients: folic acid, iron, potassium, sodium, Vit. C, glutathione. Oxycontin is also included here. Oxycontin is only different in that it is a timed-release drug."
"Prednisone - oral (prednisone) - A corticosteroid used to treat inflammations. Depletes calcium, folic acid, magnesium, potassium, selenium, Vit C, Vit D, zinc."
Darvocet-N (propoxyphene with acetaminophen) - "narcotic/analgesic combination prescribed for mild to moderate pain. Depletes glutathione."
There are also prescription drugs that should not be taken together with certain herbs or other supplements. For info on that, check out this site (a couple of examples follow):
Coenzyme Q10 (CoQ10) - Supplementation Possibly Helpful
St. John's Wort, SAMe (S-Adenosylmethionine), Yohimbe, and 5-HTP - Possible Dangerous Interactions
St. John's Wort - Possible Harmful Interaction"
"[Drugs in the same family include]:
amitriptyline hydrochloride (Elavil)
clomipramine hydrochloride (Anafranil)
desipramine hydrochloride (Norpramin)
doxepin hydrochloride (Sinequan)
nortriptyline hydrochloride (Aventyl, Pamelor)
protriptyline hydrochloride (Vivactil)
trimipramine maleate (Surmontil)
"Tramadol is a unique non-narcotic and non-anti-inflammatory analgesic medication used for the treatment of moderate pain. It has many effects in the body, including some that relate to endorphins and others that involve serotonin."
"St. John's Wort, 5-HTP (5-Hydroxytryptophan), SAMe (S-Adenosylmethionine)
Possible Dangerous Interactions
There are two case reports that possibly implicate tramadol in serotonin syndrome.1,2 This syndrome is caused by excessive levels of serotonin, which bring about various dangerous side effects.
Since St. John's wort and 5-HTP might increase serotonin levels, and SAMe (S-adenosylmethionine) has reportedly caused serotonin syndrome, combining any of them with tramadol could be risky."
Calcium and Vitamin D - Helpful Interactions
Topical Herbal Treatments - Possible Helpful Interactions
DHEA (Dehydroepiandrosterone) - Possible Positive Interaction
Chromium - Supplementation Possibly Helpful
Ipriflavone - Possible Harmful Interaction"
"Corticosteroid drugs (also known as glucocorticoids) act like the naturally occurring adrenal cortisone in the body. They are strong anti-inflammatory and immune-suppressant medications used in many inflammatory and autoimmune conditions, such as arthritis, asthma, inflammatory bowel disease, and systemic lupus erythematosus. Corticosteroids are also prescribed to suppress transplant rejection."
"Drugs in this family include
cortisone acetate (Cortone Acetate)
dexamethasone (Decadron, Dexameth, Dexone, Hexadrol)
hydrocortisone (Cortef, Hydrocortone)
prednisolone (Delta-Cortef, Pediapred, Prelone)
prednisone (Deltasone, Liquid Pred, Meticorten, Orasone, Panasol-S, Prednicen-M, Sterapred DS)
triamcinolone (Aristocort, Atolone, Kenacort)
Result number: 143
Posted by Sharon W on 4/18/03 at 10:14
I don't know what to tell you. You are DEFINITELY being under-medicated for pain, but if you prefer to continue with a doctor who has that attitude, that's your choice to make. Some doctors just don't BELIEVE in pain control, and yours is obviously one of them.
I was under-medicated for pain during the first 7 months after my TTS diagnosis, and I suffered quite a bit. Am I proud of that, proud that I could "take it"? Do I think it makes me a better person to have gone through that without adequate pain control? No. It was a mistake not to insist on effective pain meds a lot earlier. I should have insisted, demanded, pleaded, cajoled -- whatever it took. If necessary I should even have kept changing doctors until I finally found someone who would prescribe me something that could make my quality of life more reasonable.
By the way, Ultram and Ultracet are the same drug (tramadol) except that Ultracet contains Tylenol and Ultram doesn't.
Result number: 144
Posted by Kerig P. on 4/17/03 at 20:33
I posted a a few questions about my battle with TTS a few weeks ago and received an overwhelming response. Unfortunately I have not gotten any better during that time, but today I just saw my Orthopedic Surgeon and this visit makes me feel like I have more questions than what he had answered.
First off, as I had mentioned earlier, the OS took me off of the Ultram that I had been taking for a year and put me on Ultracet (Tramadol) for the last 3 weeks, which did absolutely nothing for me. I mentioned this to him and asked if there was something else that I could take for the pain, and he answered with a resounding 'no'. He said that my TTS is not going to go away with drugs (I agree), and that he did not want me to become dependant upon them. I mentioned what had been said on this board, and what Dr. Davis said about Ultram, which was a BIG mistake because the OS seemed to get somewhat agitated by me second-guessing him. I understand why this probably bothered him, but after 9 doctors and 2 years of pain, I'm going to second-guess ALL doctors now.
Well, I asked if I could stop taking the Ultracet and put back on the Ultram, which he agreed to, but only for a short period of time (he only prescribed 30 tablets, taken 2 times a day). Again he cited that he did not want me to become accustomed to any drugs, and that drugs were not going to solve my problem. Unfortunately the pain in my feet has become so bad that I've been having a hard time functioning at work even though I sit all day (I design websites). When I come home I am so exhausted that I soak my feet in very cold water and lay down and immediately fall asleep for a few hours. All of this I had explained to him, with little response.
Also, over that last 2 weeks I've been to see a physical therapist, which did help me regain slight mobility that seems to have dwindled away over the last few months. The PT also showed me many stretching exercises to do at home, which I do several times a day. The Orthopedic Surgeon did not renew for me to see the PT, but wanted me to continue with my daily exercises.
Additionally, after a 2 week wait, my orthodics came back with the modifications that were made. I've only been breaking them in for that last 6 days, but they feel more painful than ever. I will probably have to take them back once again to be adjusted So there goes another 2 weeks.
The Orthopedic Surgeon also said today that he would not consider surgery for my TTS until 6 months have passed from the time I begin wearing the orthodics daily. He implied that it would be the orthodics that would correct my TTS. Has anyone here been completely healed by orthodics alone?
I also asked if an MRI should be done on my ankles and feet, and he said that since my TTS is bilateral, it would be doubtful that an MRI would show anything, but if it had been only on one foot, then he would (I feel that a taste of heaven would be if my TTS was restricted to only ONE of my feet).
So now I don't see the OS for another 6 weeks, and in the meantime I hope and pray that during this time the orthodics and stretching exercises will miraculously make me begin to feel better. Am I right in feeling that I'm not attacking this aggressively enough? I see another summer wasted in pain while I watch my children grow as dad becomes immobile because...well to most people it sounds silly and unimportant...but because my feet hurt.
Thanks for listening and I'm open to all thoughts, experiences and advice!
Result number: 145
Posted by Bev on 4/16/03 at 10:08
Cathy, OH, I feel so badly for you, how do you keep on working in that much pain :(( I had to quit working(due to the severe pain), I could not keep it up on my feet all day (nurse). Oh, I feel your pain soooo badly, is there any way you can try for disability , or something? It just does not seem right that you have to work in that much pain :( , can you use a scooter to get around the halls and then a stool in the lab? Will your insurance get you a scooter from Go-Go Scooteer ? They are really small and compact for work, a few on the board use them for work. Possibly you could check into it. What do you use for the pain? Someone on the board told me they have gotten their life back from using Ultram (Tramadol). In fact, I put a call into my doctor today to see if I could be switched from the Motrin 800 to the Ultram to see if it will help any better. I feel like such a wimp for being off work now as I only have the PF and PN and you have so many more problems and are still working, you are so very brave.You deserve a rose @};-. You take care and keep in touch, Cathy, okay. Bev
Result number: 146
Posted by tim on 3/25/03 at 17:59
__--== ALL PRICES ARE IN US DOLLARS ==--__
***** Section 1 - INJECTABLE STEROID ***** FINAPLIX 20ml 100mg/ml - LIMITED STOCK, DOMESTIC DELIVERY> $165
WINSTROL DEPOT 1ml 50mg/ml - ZAMBON or ITALIAN..........=> $8
WNSTROL RESFAR 1ml 100mg/ml STANAZOLOL..................=> $11
ARGOVIRIN DEPOT 2ml 25mg/ml - (Test Suspension).........=> $10
TESTEX Leo Prolongatum (Test Cypionate) 2ml 250mg.......=> $10
TESTOVIRON DEPOT 2ML 250MG (Test Enanthate+prop)........=> $10
SUSTANON (AKA DURATESTON) 1ml 250mg - ORGANON...........=> $8
TESTOVIS (Test Propionate) 1ml 100mg....................=> $12
DEPOSTERON (Test Cypionate) 2ml 100mg/ml................=> $9
PRIMOBOLAN DEPOT 1ml 100mg/ml - SCHERING................=> $10
DECA-DURABOLIN 200mg - NORMA 2ml 100mg/ml...............=> $14
DECA-DURABOLIN 50mg - ORGANON 1ml 50mg.,................=> $8
EQUIPOISE (Boldenone) 1ml/100mg ........................=> $8 **** Section 2 - ORAL STEROIDS, ANTI-ESTROGENS and others **** HEMOGENIM 10 tabs 50mg/tab. (AGAIN IN STOCK, LIMITED)...=> $15
ANADROL, (ANAPOLAN) oxymetholone 50mg/TAB 100 TABS......=> $150
ANADROL50 10 tabs 50mg/tab - SYNTHEX....................=> $12
ANAVAR 100 tabs 10mg/tab................................=> $200
ANAVAR 10 tabs 2,5mg/tab - SPA..........................=> $15
ANAVAR 100caps 10mg/capsule(PRIVATE LABORATORIE)........=> $200
WINSTROL 15 tabs 10mg/tab HUNGARY ......................=> $15
WINSTROL 100 capsules 25mg/cap..........................=> $100
SUPER-WINSTROL, stanozolol 50mg/cap 100 caps............=> $250
PRIMOBOLAN 100 capsules 25mg/cap........................=> $150
ANABOL (THAILAND D-BOL) 100 tabs 5mg/tab................=> $50
SUPER-DBOL, methandienone 50mg/TAB 100 TABS.(out stock).=> $180
RUSSIAN D-BOL 100 tabs 5mg/tab..........................=> $75
TEST SUSPENSION *sublingually* 100 tabs 20mg/tab........=> $150
METHYL-TESTOSTERONE 100 tabs 5mg/tab....................=> $60
MASTERON 50mg/CAP 100 CAPS .............................=> $250
NITROTAIN, ethylestranol 20mg/TAB 100 TABS..............=> $150
ORAL-TURINABOL 100 tabs 10mg/tab........................=> $150
METHANDRIOL 50mg/tab 100 tabs...........................=> $150
STERANABOL (Clostebol Acetate) 100 tabs 20mg/tab SUBL...=> $150
CLOMID 50mg/tab 20 tabs.................................=> $30
CYCLOFENIL 20tabs 200mg/tab.............................=> $15
FEMARA 2.5mg/tab 28 tabs................................=> $190
ARIMIDEX 1mg/tab 28 tabs (original by ZENACA)...........=> $200
NOLVADEX 10mg/tab 30 tabs ..............................=> $35
NOLVADEX 20mg/tab 30 tabs ..............................=> $65
PROVIRON 20tabs 25mg/tab................................=> $12
YOMAX (aka: Yohimbi) 60tabs 5,4mg/tab...................=> $16
VIAGRA 1 tab 100mg/tab..................................=> $10
**** Section 3 - PAIN MEDS, PAIN KILLERS, PAIN RELIEVERS **** *MSCONTIN (MORPHINE SULPHATE)fast release 30mg/tab 1 tab => $3
*MSCONTIN (MORPHINE SULPHATE)slow release 30mg/tab 1 tab => $3
*MSCONTIN (MORPHINE SULPHATE)slow release 60mg/tab 1 tab => $4
*MSCONTIN (MORPHINE SULPHATE)slow release 100mg/tab 1 tab=> $5
*OXYCONTIN ( oxycodone ) 10mg/tab 1 tab BY PURDUE....... => $5
*OXYCONTIN ( oxycodone ) 20mg/tab 1 tab BY PURDUE....... => $7
*OXYCONTIN ( oxycodone ) 40mg/tab 1 tab BY PURDUE....... => $11
*PERCODAN (5mg Oxycodone + 325mg Acetaminophen) 1 tab .. => $3
*PERCOCET (5mg Oxycodone + 325mg Aspirin) 1 tab......... => $3
ULTRAM (aka Tramadol) 10tabs 100mg/tab.................. => $30
ULTRAM (aka Tramadol) 10caps 50mg/tab................... => $15
ULTRAM 1 ampoule 100m/amp (aka Tramadol)................ => $15
CODEIN 12 tabs 7,5mg/tab................................ => $8
CODEIN 30 tabs 30mg/tab................................. => $20
CODEIN 30 tabs 60mg/tab................................. => $30
*HYDROCODONE 2mg of PURE HDYROCODONE 1 tab ............. => $1
*HYDROCODONE 10mg of PURE HYDROCODONE 1 tab ............ => $3
*VICODIN 10mg Hydrocodone + 325mg Acetaminophen 1 tab .. => $3
*TEMGESIC, buprenorphine 0,2mg/TAB 100 TABS *sublingual* => $70
*TALWIN 25mg/TAB 100 TABS............................... => $150
TYLENOL 20tabs 750mg/tab................................ => $10
**** Section 4 - TRANQUILIZERS, Sleep AID, SEDATIVES/others **** ZOLOFT 20tabs 50mg/tab (Anti-depression)............... => $30
KLONOPIN (clonazepan) 20 tabs 0.5mg/tab.................=> $5
KLONOPIN (clonazepan) 20 tabs 2mg/tab.................. => $10
PROZAC 14 tabs 20mg/tab................................ => $30
RITALIN 20 tabs 10mg/tab............................... => $15
VALIUM 20tabs 5mg/tab - ROCHE.......................... => $6
VALIUM 20tabs 10mg/tab - ROCHE. (THE "BLUE VALIUM").... => $10
VALIUM 1 ampoule 10mg/amp - ROCHE...................... => $2
ATIVAN (LORAZEPAM) 20tabs 1mg/tab...................... => $7
ATIVAN (LORAZEPAM) 20tabs 2mg/tab...................... => $10
LEXOTAM 20tabs 3mg/tab - ROCHE......................... => $5
LEXOTAM 20tabs 6mg/tab - ROCHE......................... => $10
XANAX 20tabs 0,25mg/tab - UPJOHN....................... => $6
XANAX 20tabs 0,50mg/tab - UPJONH....................... => $11
XANAX 20tabs 1mg/tab - MERCK........................... => $15
XANAX 20tabs 1mg/tab - UPJOHN.......................... => $15
XANAX 20tabs 2mg/tab - MERCK (The oval pills).......... => $25
XANAX 20tabs 2mg/tab - UPJOHN (THE FAMOUS "BARS").......=> $25
ROHYPNOL 20tabs 1mg/tab- ROCHE (GREEN "GERMANY" version)=> $12
AMBIEM 10 tabs 10mg/tab................................ => $12
PHENOBARBITAL 60mg/TAB 100 TABS........................ => $150
****** SECTION 5 - BRAIN STIMULANT ****** PIRACETAN 30 tabs 800mg/tab............................ => $12
HYDERGYNE 28 tabs 4,5mg/tab............................ => $50
****** SECTION 6 - DIURETICS ****** LASIX 20 tabs 40mg/tab..................................=> $10
ALDACTONE 20 tabs 25mg/tab..............................=> $10
ALDACTONE 16 tabs 100mg/tab.............................=> $20
****** SECTION 7 - APPETITE STIMULANT ****** PERIATIN (Aka: Periactin) 50 tabs 4mg/tab................=> $12
REMERON 20 tabs 45mg/tab.................................=> $85
***** SECTION 8 - FAT LOSS, TYROID MEDS, OTHERS ***** PHENTERMINE 25mg/tab 20 tabs.............................=> $20
TRIACANA 100tabs 0,350mg/Tab (Tiratricol)................=> $10
CYTOMEL, T3 25mcg/TAB50 TABS.............................=> $10
CYTOMEL, T3 50mcg/TAB50 TABS.............................=> $15
L-TYROXINE, T425mcg/tab 20 tabs..........................=> $10
L-TYROXINE, T4100mcg/tab 30 tabs.........................=> $20
TYROPLUX, MIX of 45mcg T3+ 180mcg T4/tab 50 tabs.........=> $20
SALBUTAMOL 20tabs 2mg/tab................................=> $5
SALBUTAMOL 20tabs 4mg/tab................................=> $8
CLENBUTEROL 20mcg/TAB 10 TAB...........................=> $6
Super-Clenbuterol100 tabs 0.2mg clenbuterol + 5mg ketotifen ...=> $120
REDUX 40mg/TAB 100 TABS..................................=> $150
PHEN-FEN15mg/30mg 100 TAB................................=> $150
MERIDIA 15mg/TAB100 TABS.................................=> $150
******** SECTION 9 - BALDNESS TREATMENT ******** PROSCAR (Finasteride) 15tabs 5mg/tab.....................=> $35
PROPECIA (finasteride) 30 tabs 1mg/tab...................=> $30
***** SECTION 10 - ORAL INSULIN ***** GLUCOPHAGE 30 tabs 850mg/tab........................... => $12
****** SECTION 11 - KIDNEY/LIVER PROTECTORS *****
SILIMALON (Aka: Sylimarin ) 20tabs...................... => $20
XANTINON 20tabs......................................... => $5
ARTICHOKE 100tabs....................................... => $12
METIOCOLIN 40tabs....................................... => $12
ORNITARGIN 20tabs....................................... => $5
***** SECTION 12 - Muscle Relaxers ***** SOMA, (Carisoprodol) 300mg/tab 20 tabs............ => $20
NAXEN 20 tabs 250mg/tab........................... => $10
NAXEN 20 tabs 500mg/tab........................... => $15
DORFLEX 192tabs................................... => $35
DORILAX 12 tabs................................... => $10
MIOFLEX 16tabs.................................... => $7
TANDROR 10tabs 200mg (Fenoprofeno)................ => $12
Result number: 147
Posted by john h on 3/03/03 at 10:59
Kathy: There was never a warning to take Ultram with food on the container or that it could be a problem on the stomach. I re-read the instructions on line and there was no mention of it causing stomach problems or even taking it with food. The generaic name for Ultram is Tramadol and at drugstore.com it cost $17.99 for 30 tablets (50 mg) or $56.99 for 100 tablets. This is about half the cost of the name brand.
Result number: 148
Posted by Sharon W on 2/27/03 at 09:33
I found some information for you on small fiber neuropathy, a personal story posted on the neuropathy.org bulletin board by someone with this condition (I will only post a few quotes). Tramadol is the generic form of the drug found in Ultracet -- one of the pain drugs prescribed to Marty. Here's the link for that lady's post (but I'm not sure if it will work, since it comes from a membership site:
Conf: Neuropathy Bulletin Board
From: Michele W...
Date: Saturday, February 22, 2003 08:09 PM
"...last year I had to stop all exercise and any activities that involved standing. I could not clean house, shop, cook anything or really "use" my feet in any way... There was more and more pain that changed over time to include, blunt, raw, burning, and itching. Throughout this time I aggressively sought out care and and diagnosis. I even saw two neurologists who missed the mark but one did manage to prescribe neurotin. Last month I saw a and physician in the Neurology department who is also an associate professor at Johns Hopkins and treats PN patients. ...Johns Hopkins... They have many on-going studies on this exact condition... after having a painless 3 punch nerve test (which they discovered at JH not to long ago) they are able to get a data point for tracking the nerve damage by counting the actual small nerves in each area. Other punches will be done on me later to determine progression of nerve damage. Anyway, he said they have a group of medicine that they at JHs have found most effective. ...I was told most folks best respond to a combination of several medicines which also helps to keep side effects to the minimum. ...He said the first one to try was Tramadol, he said for those it works for, success is INCREDIBLE. It is NOT an opiate BUT it acts like one... It blocks the brains ability to accept the pain message. For me, it has given me my life back. That doesn't read right, let me try again - -I HAVE MY LIFE BACK! EVERYTHING BACK! I am me again (as long as I don't forget to take my medicine, that is). For me, It 90% blocks blunt pain, 80% blocks burning, and helpful but not so good on the "bugs crawling" on my feet and calves. ...I can even walk barefoot (I have been a padded shoe gal for so long). ...Next appointment he said we would add a med. to help with the "bugs". Let me make clear, I do not have a moderate case of PN. I was bed-ridden for 11 days of the month before my appointment... He has me take a minimum of 2 50 mg [tramadol] tablets a day (he said it must be kept in the system)but one can take up to 6 of 50 mgs."
"...I see Dr. Hoke at Baltimore Johns Hopkins. Dr. Griffin reviewed my case and referred me to him based on my records."
Result number: 149
Posted by Sharon W on 2/25/03 at 22:19
Most pain killing drugs (including the one in Ultracet) can have sedation as a side effect. However, tramadol (the painkiller in Ultracet) actually keeps some people wide awake! One of tramadol's most SERIOUS side effects is an increased risk of SEIZURES, but Neurontin is an anti-seizure medication -- so if the two drugs are taken together they kind of balance each other out. Tramadol (either Ultracet or Ultram) is also not supposed to be as addictive as most other prescription pain killers, and it IS supposed to be especially effective against nerve pain.
In short, it might not be a bad idea to give the Ultracet a try...
There might be problems with taking Ultracet (tramadol) if you also take Elavil, though -- combining tramadol with Elavil can increase the risk of seizures. (Do you take Elavil?)
PS my husband is a programmer, too!
Result number: 150
Posted by Marty on 2/25/03 at 19:22
Your right Sharon it doesn't feel like inflammation so much but more like a buzzy feeling. I plan on going to pt and getting all the kinks worked out. Good point with the drain .... I can take a little swelling if it is swollen, can't really even tell with the wrap on.
I do have a job where I can take the pain medication because if it make me to unstable I will just call the wife to come and get me.
Hey I still have those Ultracets that the neuro gave me ... I wonder if they are any better?? Hard to say I haven't tried them, should of tried one while I have the chance. LOL It says on the sample packets: 37.5 tramadol, 325 acetaminophen. Do you know if the tramadol is a sedative like the oxycodone is in the percocets? Oh I just thought of something, I can cut the percocets in half and see if that's does the trick if needed. I'm a programmer so I need to be mistake free pretty much..... haa haa, the wife says I haven't been myself since I started taking the neurontin 2 years ago and as you can tell be my posts LOL. She (wife) really wants me to cut back on them (slowly of course), well just have to see where I end up after the left foot is all better. :) Speaking of stoic .... my wife the true blooded Finn... is so stoic the day after having a baby she was up VACUUMING sheesh! LOL Ah ok I'm rambling again.
I see the pod Monday so we'll see how he feels about the stitches. I guess there's a chance that I could end up with a bulge on the side of my foot if I go to fast because there 2 incisions parallel to other.
Result number: 151
Posted by Sharon W on 2/20/03 at 17:13
Ultracet tablets (each) contain 37.5mg tramadol and 325mg acetaminophen (Tylenol). So, since your surgeon told you they were safe to take with Percocet, and since the 650mg of Tylenol in the Percocet PLUS the 325mg of Tylenol in the Ultracet add up to only 985mg of Tylenol in total (less than 1000, in any case), it SHOULD be safe to take 2 Percocets and 1 Ultracet together, if the pain starts getting really bad in the middle of the night or whatever.
Result number: 152
Posted by chuck on 11/13/02 at 13:06
What are you taking? I've taken the following and have had marginal results: relafen, naproxen, acetamenophen, aspirin, vioxx, celebrex, and the two ultra narcotic - tramadol and elavil, which supposedly relieves nerve pain. Currently on neurotin, have been off and on it for seven years. Use it in conjunction with acetamenophen when I have really bad pain, my I'm a severe case so dont follow my prescription.
Result number: 153
Posted by wendyn on 8/05/02 at 11:23
Scott? What's up with this?
Result number: 154
Posted by hero on 8/05/02 at 03:06
http://zyongfu.3322.net Pharm Chemical Product: Pioglitazone 99% Dobutamine HCl USP24 Omeprazole USP24 Ramipril USp24 Sulpiride 99% Chloroquine Phosphate BP98 Pizotifen CP2000 Sildenafil Citrate 99% Halcinonide CP2000 Dextromethorphan HBr USP24 Proglumide CP2000 Benzocaine USP24 Tolbutamide BP98 Sulfathiazole Sodium BPV2000 10 DAB III 99% Avermectin 95% Ivermectin EP2000 Nilestriol CP2000 Thiodipropionic Acid Loratadine 99% Minoxidil USP24 Galanthamine HBr CP2000 Sibutramine 99% Phentolamine Mesylate 15% Rifampicine BP98 Oxybutynin HCl USP24 Amoxapine USP23 Artemether CP2000 Sulfamethoxypyrazine CP95 Sulfadimethoxine Sodium 98% Sulfadoxine USP23/BP98 Atropine Sulfate USP24 Gibberellic Acid 90% Oxytetracycline BP98 1H-Tetrazole 99% Alprazolam USP24 Chlortetracycline HCl BP2000 Cephradine CP2000 Carvedilol 98% Rifabutin USP23 Rifamycin S /S Na /SV Na Tobramycin USP24 Florfenicol 99% Natamycin (Pimaricin) 93% Oxaliplatin 98.5% 7-Ethyl-10-Hydroxy camptothecin 99% Trenbolone acetate USP24 Trenbolone MP: 170℃ Min Nandrolone 98% Boldenone BP98 Mestanolone 99% Methandrostenolone USP24 Nendrolone decanoate 97% Nandrolone phenylpropionate Oxymetholone USP24 Stanozolol USP24 Testosterone USP24 Testosterone propionate USP24 Testosterone Phenylpropionate Testosterone Decanoate BP98 Methyl testosterone USP24 Testosterone Phenylacetate Testosterone enanthate USP24 Epiandrosterone 99% Somatropin (rhGH) EP98 Stanolone 98% Androsterone 99% 1,4-Androstadiendione 98.5% Estra-4,9-diene-3,17-dione Estrone USP23 Estradiol USP24 Mifepristone 5α-Androstan-3,17-Dione 5α-Androsten-3β,17β-Diol 5α-Androstan-3α,17β-Diol 19-nor-4-androstenedione 98% 19-nor-5-androstenedione 98% 19-nor-4-androstenediol 98% 5-androstenedione 98% 5-androstenediol 99% 4-androstenedione 98% Dehydroepiandrosterone 99% 4-androstenediol 98% Sildenafil Citrate 99% 16-Denyprasterone Acetate Canrenone 98% Hydrocortisone USP24 Hydrocortisone Acetate USP24 Cortisone Acetate USP24 Progesterone USP24 Hydroxyprogesterone caproate Pregnenolone 99% Dehydroepiandrosterone acetate (DHA) 99% Clomiphene Citrate USP24 Tamoxifen Citrate SUP24 Androstenone 98% Nilestriol CP2000 Colchicine CP2000 10-DAB III 99% Baclofen USP24 Paracetamol BP98 Vitamin B12 Tramadol HCl EP2000 Doxycycline Monohydrate USP24 Doxycycline HCl USP24 Streptomycin Sulfate BP98 Lomerizine HCl 99% 5-HTP 98% Estradiol Valerate CP2000 Pravastatin 98--102% Oxaprozin JP13 Etoposide Sodium Saccharine USP24 2-Amino Pyrimidine Meglumine USP24 Clomiphene Citrate USP24 Tamoxifen Citrate CP2000 Idebenone 98.5% Colchicine CP2000 Bisoprolol Hemifumarate CP2000 4-Hydroxycoumarin 98% 2-Amino-6-Chloropurine 99% Sodium Phenylbutazone 98% Paromomycin Sulfate USP24 Primaquine Diphosphate BP88 7-Keto DHEA Galanthamine HBr CP2000 Levamisole HCl BP98 Heparin Sodium EP97 Fenfluramine HCl Aniracetam 99% Reserpine 99% Diatrizoic Acid BP98 Dihydroartemisinin CP2000 Somatropin (rHGH) EP98 Danazol USP24 Nifedipine USP23 Itraconazole BP2000 Ketoconazole USP24 Furosemide BP93 Simvastatin USP24 Famotidine USP24 Irinotecan 99% Atenolol BP98 Kinetin 99% Beta carotene USP24 Chlorcyclizine HCl CP2000 Amphotericin B USP24 Ceramide-E Cellulose Acetate Phthalate USP Captopril USP24 Levonorgestrel USP24 Fenbendazole EP2000 Terfenadine CP2000 Fleroxacin 4-Aminophenylacetic Acid 98% DHEA Sulfate Sodium 98-101% Ellagic Acid 95% Phytonadione 98-103% Nicotinic Acid USP24 Grape Seed 95% 5-Methoxytryptamine 98% D-phenylalanine 99% Donepezil HCl 99% L-glutamine FCCIV/AJI88 Betamethasone USP24/BP98 Milrinone 98-102% Clonazepam USP24 Thioctic Acid 99.5% Ornidazole 99% Bupivacaine HCl USP24 Cytarabine HCl CP2000 DL-proline AJR90 98.5% Mitoxantrone CP2000 Guanidine Carbonate 99% Triamcinolone Acetonide BP93 Aclacinomycin JP13 Paclitaxel 99% Vincristine Sulfate BP98 Vinorelbine 99% Mitomycin C USP24 Modafinil 98% Midazolam BP98 Clozapine BP98 Alpha Lipoic Acid 99.5% Orazamide CP2000 Gentamicin Sulfate BP98 Tranilast 99% Sulfamethoxazole BP98 Cordyceps Sinensis Powder Misoprostol Gabapentin 98% Anastrozole 98.5--102% Raloxifene 97--103% Bethanechol Chloride USP24 B-Estradiol USP24 Doxazosin 99% Amprolium HCl 98--100% Budesonide 99% Paroxetine HCl 99% Testosterone Propionate Testosterone USP24 Undecanoate CP2000 Testosterone Decanoate BP98 Fursultiamine Sucralfate USP24 HCG USP24 Letrozole 99% Amoxicillin Trihydrate USP24 Arbutin 99.5% Kojic Acid 99% Triclobendazole Gemfibrozil USP24 Iopanoic Acid Thiabendazole USP24 Acetamide Thiamphenicol Glycinate HCl 98% Methyldigoxin Tablets Sulfadiazine Sodium USP24 Cinoxacin CP2000 Dextran 40, 70 CP2000 Sulfamethoxypyridazine 99-101% Testosterone Enanthate USP24 Ondansetron HCl USP24 Rosiglitazone Maleate 99% Sulfachloropyridazine Sodium 99%
Pharm Chemical---Your reliable supplier of nutrition supplement, pharmaceutical, intermediate and chemicals.
Main contact: Hero Zhou
E-mail: email@example.com or firstname.lastname@example.org
PHARM CHEMICAL PRODUCT LIST:
Dobutamine HCl USP24
Chloroquine Phosphate BP98
Sildenafil Citrate 99%
Dextromethorphan HBr USP24
Sulfathiazole Sodium BPV2000
10 DAB III 99%
Galanthamine HBr CP2000
Phentolamine Mesylate 15%
Oxybutynin HCl USP24
Sulfadimethoxine Sodium 98%
Atropine Sulfate USP24
Gibberellic Acid 90%
Chlortetracycline HCl BP2000
Rifamycin S /S Na /SV Na
Natamycin (Pimaricin) 93%
7-Ethyl-10-Hydroxy camptothecin 99%
Trenbelone acetate USP24
Trenbelone MP: 170℃ Min
Nendrolone decanoate 97%
Testosterone propionate USP24
Testosterone Cypionate USP24
Testosterone Decanoate BP98
Testosterone Undecanoate CP2000
Methyl testosterone USP24
Testosterone enanthate USP24
Somatropin (rhGH) EP98
Sildenafil Citrate 99%
Hydrocortisone Acetate USP24
Cortisone Acetate USP24
Dehydroepiandrosterone acetate (DHA) 99%
Clomiphene Citrate USP24
Tamoxifen Citrate SUP24
10-DAB III 99%
Tramadol HCl EP2000
Doxycycline Monohydrate USP24
Doxycycline HCl USP24
Streptomycin Sulfate BP98
Lomerizine HCl 99%
Estradiol Valerate CP2000
Sodium Saccharine USP24
Clomiphene Citrate USP24
Tamoxifen Citrate CP2000
Bisoprolol Hemifumarate CP2000
Sodium Phenylbutazone 98%
Paromomycin Sulfate USP24
Primaquine Diphosphate BP88
Galanthamine HBr CP2000
Levamisole HCl BP98
Heparin Sodium EP97
Diatrizoic Acid BP98
Somatropin (rHGH) EP98
Beta carotene USP24
Chlorcyclizine HCl CP2000
Amphotericin B USP24
Cellulose Acetate Phthalate USP
4-Aminophenylacetic Acid 98%
DHEA Sulfate Sodium 98-101%
Ellagic Acid 95%
Nicotinic Acid USP24
Grape Seed 95%
Donepezil HCl 99%
Thioctic Acid 99.5%
Bupivacaine HCl USP24
Cytarabine HCl CP2000
DL-proline AJR90 98.5%
Guanidine Carbonate 99%
Triamcinolone Acetonide BP93
Vincristine Sulfate BP98
Mitomycin C USP24
Alpha Lipoic Acid 99.5%
Gentamicin Sulfate BP98
Cordyceps Sinensis Powder
Bethanechol Chloride USP24
Amprolium HCl 98--100%
Paroxetine HCl 99%
Testosterone Propionate USP24
Testosterone Decanoate BP98
Amoxicillin Trihydrate USP24
Kojic Acid 99%
Thiamphenicol Glycinate HCl 98%
Sulfadiazine Sodium USP24
Dextran 40, 70 CP2000
Testosterone Enanthate USP24
Ondansetron HCl USP24
Rosiglitazone Maleate 99%
Sulfachloropyridazine Sodium 99%
ALUMINIUM HYDROXIDE BP88
AMANTADINE HCL BP98/USP23
AMANTADINE SULFATE 99% MIN
AMIKACIN SULFATE USP23
AMINOPHYLLINE ANHYDROUS BP98
AMIODARONE HCL BP98
AMPICILLIN SODIUM BP98
AMPICILLIN TRIHYDRATE BP98
APRACLONIDINE HCL USP23
ATROPIN SULFATE BP98/USP24
AVICEL PH-102 （MCC） USP23
BARBITURIC ACID Enterprise Standard
BENZATHINE PENICILLIN G BP93
BENZATHINE PENICILLIN G （CONTAIN 1% LECITHIN） BP93
BENZYLPENICILLIN POTASSIUM BP93
BENZYLPENICILLIN SODIUM BP98
BETAMETHASONE SODIUM PHOSPHATE BP93
BIFENELANE HCL BP
BROMHEXINE HCL BP93
CALCIUM FOLINATE USP23
CALCIUM LACTATE BP98
CALCIUM LEUCOVORIN USP23
CALCIUM PROPIONATE FOOD GRADE
CARBAMAZEPINE BP88/93/98 USP22/23
CEFETAMET PIVOXIL HCL 653ug/mg MIN
CELLULOSE ACETATE PHTHALATE USP23/BP93
CHLOMADINONE ACETATE BP93
CHLORAMPHENICOL PALMITATE BP98
CHLOROQUINE PHOSPHATE BP98
CHLOROQUINE SULFATE BP93
CHLORPHENAMINE MELEATE BP98
CHLORPROMAZINE HCL BP98
CHLORTETRACYCLINE HCL BP98
CIPROFLOXACIN HCL USP23
CIPROFLOXACIN LACTATE Ministry of Health Standard
CITRIC ACID ANHYDROUS BP93
CITRIC ACID NOMOHYDRATE BP93
CITRUS AURANTIUM EXTRACT
CLINDAMYCIN HCL USP23
CLINDAMYCIN PHOSPHATE BP98/USP24
CLOBETASOL PROPIONATE BP98
CODEIN PHOSPHATE BP98
COPPER SULFATE BP98
CORN STARCH WHITE
CORTISONE ACETATE BP98/USP24
CYPROTERONE ACETATE EP
D-ASPARTIC ACID AJI90
DAUNORUBICIN HCL USP22/23.BP93
DCDA 99% MIN。
D-DIHYDROPHENYLGLYCINE DANE SALT （M。NA）
DEHYDROEPIANDROSTERONE （DHEA） 99%MIN
DEHYDROEPIANDROSTERONE ACETATE （DHA） 99%MIN
DEXTROMETHORPHAN HBR USP23
DICLOFENAC POTASSIUM BP93/ADD96
DICLOFENAC SODIUM BP98
DICYANDIAMIDE 99%min, water 0.25%min. M.p.170C min
DILTIAZEM HCL USP23
DL TETRAMISOLE BPV85
DOXAZOSIN MELEATE 99.0%MIN.
DOXAZOSIN MESYLATE 99.0%MIN.
DOXIFLURIDINE Enterprise Standard
DOXORUBICIN HCL USP22/23.BP93
DOXYCYCLINE HCL BP98
DRIED ALUMINIUM HYDROXIDE GEL BP88
ECONAZOLE NITRATE USP23
ENALAPRIL MALEATE USP23
ENOXACIN Ministry of Health Standard
EPIRUBICIN HCL Enterprise Standard
ETHOXYQUIN 58-60%, 95% MIN.
ETOFYLLINE CLOFIBRATE USP
EUCALYPTUS OIL 70%, 80%
FERRIC AMMONIUM CITRATE BP93
FERULIC ACID Enterprise Standard
FLUMEQUINE 99% MIN.
FLURAZOPAM HCL USP24
FOLIC ACID BP98
FORTIFIED PROCAINE PENICILLIN G BP93
FORTIFIED PROCAINE PENICILLIN SODIUM STERILE BP98
FOSCCARNET SODIUM BP
GENTAMYCIN SULFATE BP98
HYDROCORTISONE ACETATE BP93/USP23
HYDROCORTISONE BASE BP98/USP24
HYDROXYCHLOROQUINE SULFATE BP98/USP24
HYDROXYPROPEL METHYL CELLULOSE (HPMC) USP24
HYDROXYPROPYL METHYLCELLULOS PHTHALATE USP24
IDEBENONE Enterprise Standard
IOPANOIC ACID BP98
KETAMINE HCL BP93
KYTRIL(GRANISETROH) Enterprise Standard
L-ASPARTIC ACID AJI92
L-CARNITINE BASE USP23
LEUCOMYCINS 1300u/mg MIN
LEVAMISOLE HCL BP98
LEVAMISOLE HCL BP98
LEVOFLOXACIN HCL 98.5%
LINCOMYCIN HCL BP98
L-LYSINE FEED GRADE FEED GRADE
LOPERAMIDE HCL BP98/USP23
MAGNESIUM OXIDE HIGH DENSITY BP98
MAGNESIUM STEARATE CP95
MAGNESIUM TRISILICATE BP88
MANNITOL BP98 PYROGEN FREE
MEBENDAZOLE POLYMORPH C BP98
MEFENIDE ACETATE CP95
MEGESTROL ACETATE BP93/USP23
METACYCLINE HCL USP23
METFORMIN HCL BP98
METHYL PREDNISOLONE BP93/USP23
METHYL VIOLET BP93
MICONAZOLE NITRATE USP23
MONOAMMONIUM GLYCYRRHIZINATE Enterprise Standard
NEOMYCIN SULFATE USP23/24，BP98/EP3
NIMESULIDE Enterprise Standard
NORFLOXACIN HCL 99%MIN.
NORFLOXACIN NICOTINATE 99%MIN.
OMEPRAZOLE PELLET 8.5%
OROTIC ACID Enterprise Standard
OXALIPLATIN Enterprise Standard
OXYTETRACYCLINE BASE BP98
OXYTETRACYCLINE HCL BP98
PARACETAMOL BP98/USP24 DC90,DC96
PARACETAMOL DC96 BP98/USP24
PENICILLIN G POTASSIUM FOR INJECTION BP98
PENICILLIN V POTASSIUM BP93
PHENTOLAMINE MESYLATE CP95
PHENYTOIN BASE BP93
PODOPHYLLOTOXIN Enterprise Standard
POLYGONUM CUSPIDATUM EXTRACT
POTASSIUM CHLORIDE BP98
POTASSIUM PERMANGANATE BP93
PREDNISOLONE ACETATE USP23
PRIMAQUINE PHOSPHATE BP88
PROCAINE PENICILLIN G BP98
PROCAINE PENICILLIN G (CONTAIN 1% LECITHIN) BP93
PROMETHAZINE HCL BP98
PROPRANOLOL HCL BP98
PROVIDONE IODINE BP93/USP23
PRQAZOSIN HCL USP23
PVP K-30 USP24
PYRANTEL PAMOATE USP23
PYRIDOXINE HCL （VITAMIN B6 HCL） BP98/USP24
PYRIMETHAMINE BASE BP98/USP23
RANITIDINE HCL BP93/USP23
RIMANTADINE HCL 99%
SILICON DIOXIDE （PHARMA GRADE） PHARMA GRADE
SODIUM CARBOXYMETHYL STARCH USP23
SODIUM CHLORIDE FOR INJECTION BP98/USP24
SODIUM CITRATE BP93
SODIUM FLUMEQUINE Enterprise Standard
SODIUM PROPIONATE GRANULAR FOOD GRADE
SODIUM SACCHARIN (20-40 MESH) BP98
SODIUM SACCHARIN (40-80 MESH) BP98
SODIUM SACCHARIN (5-8 MESH) BP98
SODIUM SACCHARIN (8-16 MESH) BP98
SORBIC ACID FCC-4
SPARFLOXACIN Ministry of Health Standard
SPECTINOMYCIN HCL USP23
SULBACTAM Enterprise Standard
SULBACTAM SODIUM USP23
SULFADIAZINE SODIUM USP23
SULTAMICILLIN TOSYLATE JP90
TERAZOSIN HCL 99%MIN.
TETRACAINE HCL BP93
TETRACYCLINE HCL BP93
THIAMINE HCL BP98/USP24
THIAMINE MONONITRATE BP98/USP24
THIAMPHERICOL GLYCINATE HCL
TRIBULUS TERRESTRIES P.E.
UBENIMEX 98% MIN
VITAMIN A ACETATE 1M IU/MG PHARMACEUTICAL GRADE
VITAMIN A ACETATE 500000 IU/MG FEEDGRADE
VITAMIN B12 BP98/USP24
VITAMIN B2 BP93/USP23
VITAMIN B4 Enterprise Standard
VITAMIN B6 BP98/USP24
VITAMIN E ACETATE 93%MIN.
Products ----III (B)
Norethisterone Acetate BP98
P-Hydroxy Benzyl Alcohol
P - PHENYLENE DIAMINE SULPHATE
Phenul boronic acid
Pig goll powder
Queen BEE Acid
Vitamin U Chloride
WEEPING FORSYTHLA & FLOWER EXTRACT
Other Pharmaceuticals and Chemicals
m-chloro benzoic acid
m-chloro benzoyl chloride
m-chloro peroxy benzoic acid
16-DPA BP93 20kg/drum
17α-HYDROXY-1α,2α-METHYLENEPREGNA-4,6-DIENE3,20-DIONE-17-ACETATE Q.B. 25kg/drum
19-Nor-4(5)androstene-3,17-dione Q.B. 4kgx2Tin/box
19-Nor-4-androstendione >98% 5kgx2Tin/box
19-Nor-4-Androstenediol ≥98.% β>65%/β>75%
19-Nor-5-Androstendione Q.B. 4kgx2Tin/box
19-Nor-5-Androstenediol Q.B. 4kgx2Tin/box
2-Methyl-5-nitromidazole BP96 17kg/drum
4-Androstenedione Q.B. 25kg/drum
4-Androstenediol >98% 25kg/drum
5-Androstenediol >99% 5kgx2Tin/box
5-Androstenedione >99% 25kg/durm
7-KETO DHEA >99% 25kg/drum
7à-hydroxydehydropiandrosterone Q.B. 25kg/drum
Aceclofenac 99% 25kg/drum
Acyclovir BP98/USP24 25kg/drum
AE-Actived fat ≥99.5% 20kg/drum
Aluminium glycinate USP24 25kg/drum
Amikacin Sulfate USP24
Aminopyrine BP98 25kg/drum
Amoxicillin trihydrate BP93/USP24 25kg/drum
Ampicilin Sodium BP93,USP23 5kg/Bag
Ampicillin Trihydrat BP93/USP24 25kg/drum
Analgin DAB10 25kg/drum
Androstandeione USP23 5kgx2Tin/box
Androstenedione Q.B. 5kgx2Tin/box
Antipyrin BP98 25kg/drum
Arteannuin CP95 10kg/drum
Ascorbyl palmitate NF19/FCC-IV
Aspirin BP98 25kg/drum
Azithromycin USP24 25kg/drum
Bambuterol HCL BP98 5Kg/drum
Benzalkonium bromide CP95
Benzalkonium chloride 97%
Benzobarbitone RP XI 25kg/drum
Benzocaine BP98/USP24 25kg/drum
Benzoyl phenobarbitone RP XI 25kg/drum
Benzylpenicillin Sodium BP93,USP23 5Bou/Tin
Benzylpenicillin potassium Ind/Inj
Betamethasome sodium phosphate USP23 5kgx2Tin/box
Betamethasone BP93,USP23 5kgx2Tin/box
Butazolidin USP24 25kg/drum
Butazolidin Hydroxy USP24 25kg/drum
Carbamazepine BP88/BP98/USP24 25kg/drum
Carbamazepine（Anbromine） USP24 25kg/drum
Carbenoxolone sodium BP98
Cefotaxime sodium USP24 5kg/Tin
Ceftriazone sodium CP2000
Chloramphenicol BP98 25kg/drum
Chlordiazepoxide BP98 20kg/drum
Chloroquine Phosphate BP98
Chlorpheniranine Maleate BP98/USP24 25kg/drum
Chlorpromazine Hydrochloride BP98 20kg/drum
Chlortetracycline HCL USP23/98
Cimetidine A JP13/USP24 25kg/drum
Cimetidine AB USP23/USP24 25kg/drum
Cimetidine HCL USP/EP
Ciprofloxacin HCL USP23/USP24
Clenbuterol HCL CP95 1,5kg/Tin
Clindamycin HCL BP93 25kg/drum
Clindamycin palmitate USP24
Clindamycin phosphate BP98/USP24 5kg/Tin
Clobetasol propionate BP98 5kgx2Tin/box
Clotrimazole BP98/USP24 25kg/drum
Cortisol sodium Succinate USP23 5kgx2Tin/box
Cortisone acetate BP93/USP23 5kgx2Tin/box
Cyproterone Acetate BP2000/EPIII 1kgx2Tin/Ctn
Dacarbazine(DTIC) BP93 0.5-2kg/Tin
Dehydroepiandrosterone acetate MP≥158 20kg/drum
Dehydroepiandrosterone(DHEA) ≥99% MP≥148-151 20kg/drum
Deoxycholic acid Q.B.
Dexamethasone BP93 5kgx2Tin/box
Dexamethasone acetate CP2000,BP93 5kgx2Tin/box
Dexamethasone sodium phesphate BP93/EP/BP98 5kgx2Tin/box
D-glucosamine sulfate 2kcl 99%
Diazepam BP98 25kg/drum
Diclofenac Sodium BP98 25kg/drum
Dienoestrol BP98/USP24 5Kg/drum
Dimenhydrinate BP98/USP24 25kg/drum
Diphenidol HCL CP2000/BP93 25kg/drum
Diphenoxylate 98% 25kg/drum
Dopamine HCL CP2000/BP93 25kg/drum
Doxazosin Mesytl 99%
Doxycycline HCL BP98 25kg/drum
Doxycycline Hyclate USP23/BP98 25Kg/Drum
Econazole Nitrate BP93,USP23/BP98,USP24 25kg/drum
Enorfloxacin HCL 25kg/drum
Enorfloxacin sodium(Inj.) 25kg/drum
Enrofloxacin lactate 25kg/drum
Ephedrine HCL BP93/USP23
Erythrocin BP93 20kg/drum
Erythrocin rhodanic acid 5Bou/Tin
Estradiol USP23 5kgx2Tin/box
Estradiol valerate USP24 10kg/drum
Estrilo USP23 1kg/tin
Estrone Q.B. 5kgx2Tin/box
Etamsylate BP98 25kg/drum
Ethambutol BP98 25kg/drum
Ethionamide BP98 25kg/drum
Ethyl carbamate(Urethane) 99.80% 25kg/drum
Ethyl Estraenol BP93 1kg/Tin
Ethynyl androstenediol Q.B.
Ethynyl estradiol BP98 10kg/drum
Famotidine USP23/USP24 20kg/drum
Fenarolum USP24 25kg/drum
Fenfluramine HCL BP98 25kg/drum
Florfenicol Q.B. 25kg/drum
Fluconazole oral 99% 25kg/drum
Flufenamic acid BP93 25kg/drum
Flunarizine HCL CP 25kg/drum
Fluocinolone Acetonide BP93 1kgx2Tin/Ctn
Fluorogestone Acetate Q.B. 5kgx2Tin/box
Folic acid BP98
Furazolidone BP98 25kg/drum
Furosemido BP93 25kg/drum
Gatifloxacin 99% 25kg/drum
Gemfibrozil USP23 25kg/drum
Gentamycin BP98 5Bou/Tin
Glibenclamide USP24 4kg/T
Gliclazide BP98 25kg/drum
Guaifenesin USP23/USP24 200kg/drum
Hexoestrol BPC68 5kg/drum
Hydoxyurea USP23 1kg/Tin
Hydrocortisone BP93 5kg/Tin
Hydrocotisone Sodium Succinate USP23
Hydroxyprogesterone acetate 99%
Hydroxyprogesterone caproate 99% 25kg/drum
Ibuprofen USP98/USP24 25kg/drum
Iminostibene-5-carbonyl chlonde 148℃/150℃ 40kg/drum
Indomethacin BP98 25kg/drum
Inositol hexanicotinate BP98 25kg/drum
Isoniazid BP98 25kg/drum
Isonicotinic acid Q.B.
Kanamycin Sulfate BP93 20Kg/Drum
Ketoconazole USP24 25kg/drum
Ketoprofen BP93/BP98,EP27 25kg/drum
Leucogen Q.B. 10kg/drum
Leueovorin calcium CP2000/USP24/BP98
Levodopa BP93 25kg/drum
levonorgestrel USP23 1kg/Tin
Lidocaine HCL CP2000 25kg/drum
Lincomycin HCL BP98/USP24/EP2000 20bou/drum
Lomefloxacin HCL >98.5% 10kg/drum
Lycine HCL Q.B.
Meclofenoxate HCL JP 15kg/drum
Medroxyprogesterone Acetate BP98,USP24 5kgx2Tin/box
Mefenamic acid BP93/BP98 25kg/drum
Megestrol acetate BP98/USP24 5kgx2Tin/box
Mestanolone Q.B. 5kgx2Tin/box
Metamizole megresium salt DAB10 25kg/drum
Metformin HCL BP98
Methazolamide USP23 588.24
Methocarbamol USP24 25kg/drum
Methotrexate USP24 1kg/Tin
Methyl testosterone BP98 /USP24 5kgx2Tin/box
Metronidazole BP98 25kg/drum
Metronidazole benzoate BP98 25kg/drum
Miconazole Nitrate BP93,USP23/BP98,USP24 25kg/drum
Midazolam HCL BP98
Midazolam maleate BP98
Mifepristone WS-177(X-099)-95 5kgx2Tin/box
Molsidomine 98% 20kg/drum
Nabumetone BP98 25kg/drum
Nandrolone USP23 5kgx2Tin/box
Nandrolone Decanoate 5kgx2Tin/box
Naproxen BP98/USP24 25kg/drum
Naproxen sodium USP24 25kg/drum
Netemycin sulfate non-steril USP23 1Bou/Tin,
Nicotinic acid CP2000
Nifedipine BP98/USP24 20kg/drum
Nimodipine HCL USP23 25kg/drum
Nitrazepam BP98 10kg.case
Nitrendipine USP23 25kg/drum
Nitrofurantoin BP98 25kg/drum
Nitrofurazone BP98 25kg/drum
Norcantharidinum CP2000 5kgx2Tin/box
Norethisterone Q.B. 4kgx2Tin/box
Norethisterone Acetate BP93 5kgx2Tin/box
Norfloxacin USP22/USP23,24 25kg/Barrel
Norfloxacin HCL 98.50%
Norfloxacin nicotinate 98.50%
Ondansetron HCL 98%-102%
Ornidazole BP97 40kg/drum
Oxaprosin ≥99% MP161-163℃
Oxiconazole Nitrate 99% 25kg/drum
Oxymetholone USP24 5kgx2Tin/box
Oxytetracycline USP23/BP98 25kg/drum
Oxytetracycline HCL BP98 25kg/drum
Oyproterone Acetate EP 5kgx2Tin/box
Pantoprazole 98% 10/25kg/drum
Phenobarbitone sodium USP22 25kg/drum
Phenprobamate JP 25kg/drum
Phenylpropanolamine HCL BP98/USP24 25kg/drum
Piperacillin Sodium USP23 5kg/Bag
Piroxicam USP24 25kg/drum
Plant sterol Q.B. 25kg/drum
Potassium Guaiacolsulfonate USP23 25kg/drum
Pralidoxime chloride USP24 25kg/drum
Prazosin HCL USP24
Prednisolone BP93/BP98 5kgx2Tin/box
Prednisolone acetate USP23 5kgx2Tin/box
Prednisolone sodium succinate USP23
Prednisone BP93 5kgx2Tin/box
Prednisone acetate CP2000 5kgx2Tin/box
Procaine HCL BP98
Procaine Penicillin G BP93,USP23 5Bou/Tin
Progesterone USP24/BP98 25kg/drum
Propafenone HCL USP24
Propranolol HCL BP98/USP23 25kg/drum
Prothionamide CP95/BP93 25kg/drum
Pyrazinamide BP98 25kg/drum
Pyrimethamine USP23/BP98 25kg/drum
Quinestrol USP22 10kg/drum
Ramefenazone HCL 99% 25kg/drum
Ranitidine USP24/EP97,BP98 25kg/drum
Ranitidine HCL USP23
Ribavirin USP24/BP98 25kg/drum
Rutin NF11 >96.5%
Salbutamol Sulfate BP98 25kg/drum
Secnidazole 99% 25kg/drum
Sisomycin sulfate steril(non-steril) USP23 1Bou/Tin,
Sodium cromoglicate BP98
Spiramycin EP 25kg/drum
Stanozolol USP24 5kgx2Tin/box
Stilboestro BP98/USP24 5kgx2Tin/box
Sulbactam sodium EP/USP23 10kg/drum
Sulfadiazine BP98 25kg/drum
Sulfaguanidine BPCT3 25kg/drum
Sulfamethoxazole (SMZ) BP98 25kg/drum
Sulfasalazine USP24 25kg/drum
Sulphadimidine sodium(SM2) BP98 25kg/drum
Sultamicillin tosylate JP90 10kg/Tin
Tamoxifen citrate USP24/BP98 5kgx2Tin/box
Taurine JP8 25kg/drum
Terazosin HCL 99%
Testosterone USP24 5kgx2Tin/box
Testosterone enanthate 5kgx2Tin/box
Testosterone propionate BP98 /USP24 5kgx2Tin/box
Testosterone Undecanole Acid CP2000 5kgx2Tin/box
Tetracycline base USP23/BP93
Tetracycline HCL USP23/BP93
Tetramisole HCL BP98
Tiapride HCL USP24 25kg/drum
Tobramycin sulfate USP24
Tolbutamide BP93 25kg/drum
Tramadol Hydrochloride DAC86
Trenbolone acetate USP24 5kgx2Tin/box
Triamcinolone Acetonide BP93/USP23/EPIII 1kgx2Tin/Ctn
Triamcinolone（Base） BP93 1kgx2Tin/Ctn
Triazinale ≥99.5% 25kg/drum
Triclosan 99% 25kg/drum
Trimebutine ≥98.5% 25kg/drum
Trimebutine maleate JPC or ≥98.5% 25kg/drum
Trimethoprim (TMP) BP98 25kg/drum
Vaporpac ≥98% 25kg/drum
Vecuronium Bromide Q.B. 1kgx10Tin/box
Vitamin A BP98
Vitamin B6 BP98/USP24
Vitamin E oil 96%/98% 25kg/drum
Vitamin E power USP24/EP97,BP24 25kg/drum
Vitamin E Nicotinate
Polypeptide & Others
Nitrofuran & others
Antituberculotic & Antileprotic
Chlorphenamine maleate BP98/USP24/JP13 113-92-8
Clopidogrel sulfate 120202-66-6
Decloxizine HCl CP2000 Rescupal
Diatrizoic acid 117-96-4
Diphenhydramine HCl BP98/USP24 Benadryl,Dihydral,Diphantine 147-24-0
Glucosamine HCl 66-84-2
Glucosamine Potassium Sulfate
Glucosamine Sodium sulfate 4999-43-0
Inosine AJI88 58-63-9
Loratadine Azaladin,Claritin,Clarityn,Lisino 79794-75-5
Meglumine D-Glucitol 6284-40-8
Molsidomine Corvasal,Corvaton,Molsidolat,Morial 25717-80-0
Piperazine Ferulas 99% Aweisuan Paiqin
Promethazine HCl BP98 Fenazil,Genphen,Prorex,Prothazine 58-33-3
Taurine USP23/JP8 107-35-7
Terfenadine Aldaban,Seldane,Terdin,Ternadin 50679-08-8
Amitriptyline HCl USP24 Amitid,Elavil,Laroxyl 50-48-6
Chlorpromazine HCl BP98,EP2000 Wintermin 69-09-0
Clozapine BP98 Clozaril,HF-1854,Leponex 5786-21-0
Doxapram HCl 7081-53-0
Doxepin HCl BP98/USP24 Cidoxepin,Doxal 1229-29-4
Fluoxetine HCl USP24 Prozac,Fluctin,Fluoxeren,Fontex 59333-67-4
Haloperidol Eskabarb,Gardenal,Hydantal 52-86-8
Nimesulide Aulin,Flogovital,Mesulid,Nisulid 51803-78-2
Paroxetine HCl Seroxate,Aropax,Paxil 61869-08-7
Phenazine BP93,CP2000 Perphenazine chlorpiprazine 58-38-8
Promethazine HCl BP98 Fenazil,Genphen,Prorex,Prothazine 58-33-3
Sulpiride(L-Sulpiride) JP13/USP24(99%) Abilit,Dobren,Guastil,Sulpitil,Trilan 15676-16-1
Tiapride HCl USP24 Tipridal,Gramalil,Italprid,Luxoben 51012-33-0
Aceclofenac 99% Biofenac,Glycolic acid,Tresquim 89796-99-6
Allopurinol Lopurin,Monarch,Urosin,Zyloric 315-30-0
Aminopyrine BP98 Amidopyrazoline,Dimapyrin,Dipirin 58-15-1
5-Amino salicylic acid USP24
Analgin DAB10 Novalgin,Dipyrone,Metamizole Sodium 9005-34-9
Antipyrin BP98 Phenazone 60-80-0
Aspirin BP2000/USP24 Acetylsalicylic acid,ASA 530-75-6
Benorylate CP2000 Benorilat,Fenasprate,Benoral,Salipran 5003-48-5
Benzydamine HCl Afloben,Benalgin,Benzyrin,Benzyrin 132-69-4
Diclofenac 99% Benzeneacetic acid 15307-86-5
Diclofenac Sodium JP12/EP2000/BP98/USP23 Valetan,Vollaren 15307-79-6
Diclofenac Potassium JP12/EP2000/BP98 15307-81-0
Diflunisal BP98/USP24 Difludol,Dolisal,Dolobid,Dolobis 22494-42-4
Fenbufen Bufemid,Cinopal,Cinopol,Lederfen 36330-85-5
Fenoprofen BP93 Feprona,Fenopron,Lilly-53858 31879-05-7
Fenoprofen Calcium USP24
Flurbiprofen Esflurbiprofen,Flurofen,Froben 5104-49-4
Indomethacin BP98/USP23/JP14/EPIII Indometacin Indocin 53-86-1
Ibuprofen USP98/USP24 Brufen,Fenbid 15687-27-1
Ketoprofen BP93/BP98,EP27 Alrheumat,Alrheumun,Orudis,Prodenid 22071-15-4
Mefenamic acid BP93/BP98 Mefenacid,Namphen,Ponstel 61-68-7
Metamizole magnesium DAB10
Nabumetone BP98/EPIII Arthaxan,Balmox,Consolan,Nabuser 42924-53-8
Naproxen(DL) BP98/USP24 Naixan,Napren,Naprium,Naprius,Naprux 22204-53-1
Naproxen sodium USP24 Aleve,Alfa,Anaprox,Apranax,Miranax 26159-34-2
Oxaprozin 98.5% 2125
Paracetamol BP98/DC90/DC96 Acetaminophen,P-Acetamidophenol 103-90-2
Phenacetin BP68 Acetophenetidine,Acetophenidin 62-44-2
Citicoline Nicholin,Cytidine diphosphate
Piroxicam USP24 CP 1617,Feldene 36322-90-4
Sulindac Aflodac,Clisundac,Sudac,Sulinol 38194-50-2
Products (II) ----Steroids and Hormones
Trenbolone acetate CAS: 10161-34-9 USP24
Trenbolone CAS: 10161-33-8
19-nor-4-androstenedione CAS: 734-32-7 98%
Nandrolone CAS: 434-22-0 98%
19-nor-4-androstenediol CAS: 19793-20-5 98%
5-androstenediol CAS: 521-17-5 98%
4-androstenedione CAS: 63-05-8 98%
Dehydroepiandrosterone DHEA CAS: 53-43-0 99%
4-androstenediol CAS: 1156-92-9 98%
Nandrolone decanoate usp23
Nandrolone phenylpropionate usp23
Sildenafil Citrate, Acetate
Trenbolone Acetate cas#10161-34-9
Trenbolone Cyclohexylmethylcarbonate cas#23454-33-3
16-Denyprasterone Acetate(16 D.P.A.)
17 a hydroxy progesterone acetate
Chlormadinone Acetate BP93
Clormadinone acetate bp93
HGH (2.5iu/vial, 4.5iu/vial. 10iu/vial) Hydrocortisone Base USP23 / ~ Acetate USP23
Hydroxyprogesterone caproate 99% / ~ Acetate 99%
Nandrolone decanoate USP23/ ~ phepropionate USP23 / Nandrolone Base USP23
Pregesterone BP 93/usp23
Testosterone Base / ~ Enanthate / ~ methyl/ ~ propionate
1, (5α)-androsten-3, 17-dione
17a-Hydroxy Progesterone Acetate
17α Hydroxy Progesterone
Betamethasone Sodium Phosphate
Dexamethasone Acetate BP93
Dexamethasone Sodium Phosphate BP93
Gestrinone Hydrocortisone BP93
Prednisolone Acetate USP23
Trenbolone acetate USP24
Androsta-1, 4-diene-3, 17-dione
CLOMIFENE CITRATE BP03
CLOMIFENE CITRATE BP03
CORTISONE ACETATE BP93
PREGNENOLONE FACTORY STANDARD
CUPROTERONE ACETATE （CPA）BP97
DESOXY CORTICOSTERONE ACETATE 98%
DEXAMETHASONE BASE BP98
DEXAMETHASONE SODIUM PHOSPHATE BP98
16a,17a DIHYDROXY PROGESTERONE FACTORY STANDARD
HYDROCORTISONE ACETATE（MIC／NON－MIC） BP93
HYDROXYPROGESTERONE CAPROATE BP88
HYDROXYPROGESTERONE ACETATE BP88
MEGESTROL ACETATE BP93
TRIAMCINOLONE ACETONIDE BP93
17－HYDROXYLPROGESTERONE ACETATE 98％
Adrenocorticotropic Hormone (A. C. T. H.) Analgin
Medroxy progesteron Acetate
Dexamethasone Acetate USP23
Dexamethasone Sodium Phosphate USP23
Triamcinolone Acetonide Acetate Cp95
Medroxyprogesterone Acetate USP23 BP93
Megestrol Acetate USP23
Tamoxifen Citrate USP23
Spironolactone USP23 BP93
Clomiphen Citrate USP23
Xiyin (Mifeprestone Tablet ) 25mg,200mg
Misoprostol Tablet 0.2mg
Weinian (Nylestriol Tablet ) 1mg,2mg,5mg
Medroxyprogesterone Acetate BP93/USP23
Megesterol Acetate BP93/CP95
Hydroxyprogesterone Hexanoate BP93/CP95
17a-HYDROXY PROGESTERONE Enterprise Standard
Pyruvic acid 98%
Calcium pyruvate 98%
Potassium pyruvate 98%
Magnesium pyruvate 98%
Sodium pyruvate 99%
Methyl pyruvate 98%
Ethyl pyruvate 98%
Butyl pyruvate 98%
Creatine pyruvate 98%
Ethyl Bromopyruvate 80-85%
Zinc pyruvate 98%
Glucosamine hydrochloride 99%
Glucosamine sulfate, potassium salt 99%
Methyl bromide (Bromomethane) 99.5%
Alluminium phosphide 56%
Magnesium phosphide 66%
Magnesium phosphide 56%
Sodium Prasterone Sulfate
Citric Acid Monohydrate
Citric Acid Anhydrous
Refined Citric Acid anhydrous
Titanium Dioxide of Anatase (enamel grade)
Titanium Dioxide of Anatase (normal grade)
Titanium Dioxide of rutile (chloride process)
Indole (2,3 Benzopyrolle)
Penicillin Series :
Benzylpenicillin Sodium Packing:8Bou/Tin
Benzylpenicillin Potassium Packing:8Bou/Tin
Procaine Penicillin G Packing:5Bou/Tin
Fortified Procaine Penicillin G Packing:5Bou/Tin
Benzathine Penicillin G Packing:5Bou/Tin
Penicillin G Potassium for injection (Containing 4.0-5.0% Sodium Citrate) Packing:8Bou/Tin
Penicillin V Potassium Packing:40Bou/Barrel
Penicillin G Mixture Packing:5Bou/Tin
Penicillin G Mixture(6:3:3) with streptomycin Packing:10Bou/Bag
Fortified Procaine Penicillin G with streptomycin Packing:10Kg/Bag
Penicillin G Sulfoxide Packing:25Kg/Barrel
Penicillin G Potassium crude Packing:40Bou/Barrel
1)Amikacin sulphate BP93/USP23
2)Ciprofloxacin Hcl USP23
5)Chlortetracycline Hydrochloride BP93
6)Oxytetracycline Hydrochloride BP93
7)Clindamycin Hydrochloride BP93
8)Penicillin G Benzathin microfine BP93
Benzathin 1.0% lec.BP93
Benzathin Fortified buffered sterile mixture
(Penicillin G Benzathin/Procaine/Potassium 6:3:3)
9)Doxycycline Hydrochloride BP93/USP23
10)Dihydrostreptomycin Sulphate BP93
11)Penicillin G Potassium sterile BP93
12)Erythromycin Base BP93
13)Penicillin G Procaine microfine sterile
Procaine 1%lec.Microfine sterile
Procaine Fortified, sterile mixture
(Penicillin G Procaine/Potassium;3:1)
14)Gentamycin Sulphate BP93 sterile
16)Kanamycin Acid Sulphate BP93
17)Penicillin G Sodium sterile BP93
19)Kitasmycin Base BP93
20)Streptomycin Sulphate oral BP93
21)Lincomycin Hydrochloride BP93
22)Streptomycin Sulphate sterile BP93
23)Neomycin Sulphate BP80/USP23
24)Tetracycline Hydrochloride BP93
2) Sulphadiazine Sodium (SDNa)BP93
3)Sulphadimidine Base (SM2)BP93
4) Sulphadimidine Sodium (SM2Na)BP93
6) Sulphadimethoxine BP88
9)Sulphamethoxypyridazine Sodium BP88
12)Sulphamerazine Sodium (SM1Na)USP15
14)Sulphaquiinoxalline Sodium BPV77
15)Sulphathiazole Sodium NF11
Antipyretics & Analgesics
6)Diclofenac Sodium BP93/JP12
9)Naproxen Sodium BP93/USP23
14)Sodium Salicylate BP93/USP23
4)Bromhexine Hcl BP93
5)Calcium Gluconate BP93/USP23
7)Chlorpromazine Hcl BP93
8)Chloroquin Phosphate BP93
9)Cimetidine Polymorph A USP23/JP12
17)Liodcaine Hcl BP93
20)Phenytoin Base BP93
21)Phenytoin Sodium BP93
23)Procaine Hydrochloride BP93/USP23
24)Promethazine Hcl BP93
26)Pyrantel Pamoate USP23
29)Theophylline mono/anhy. BP93
30)Timalol Maleate USP23
3)Chlortetracycline 15% feed grade
5)Daveridine Base BP93
9)Levamisol Hcl BP93
12)Riboflavine feed grade
13)Saccharin Sodium BP93/USP23/DAB10
14)Xanthan Gum FCCIII
15)P-Aminobenzoic Acid BP93/USP23
18)Acesulfam K FCCIII
1)Vitamin B1 mono BP93/USP23
2)Vitamin B1 Hcl BP93/USP23
3)Vitamin B6 BP93/USP23
4)Vitamin B2 USP23/BP93
5)Vitmin D BP93/USP23
6)Vitamin E BP93/USP23
7)Vitamin K1 BP93/USP23
8)Vitamin U 99%
9)Vitmain B12 USP23
10)Folic Acid BP93/USP23
13)Nicotinic Acid BP93/USP23
2)L-Asparagine mono AJI88
3)L-Aspartic Acid AJI92
4)L-Cysteine Hcl mono/anhy. AJI88
9)L-Glutamic Acid AJI90
9)Yeast ribonucleic acid
1)Ginkgo biloba 24/6%(27/10%)
2)Creatine monohydrate 99.5% min.
3)Chrysin 99% min.
5)D-Glucosamine Hcl 99% min.
6)D-Glucosamine sulphate , sodium/Kcl
7)Silymarin 80% DAB8
8)St. John’s Wort 0.3%
9)5-HTP 98.5% min.
10)N-Acetyl-d-Glucosamine 99% min.
11)Alpha lipoic acid
12)Artemisinin 99% min.
13)Androstenedione 99% min
14)Bamboo leaves ext.
18)Chondroitin sulphate 90%
20)Citrus aurantium extract
26)Grape seed extract 95% min.
27)Packli Taxel 99%
28)Siberian ginseng 0.8% min.
Citric Acid Anhy
Citric Acid Mono
Acetyl L-Carnitine HCL
Alpha Lipoic Acid
Creatine Phosphate Disodium
Triamcinolone (Base, Acetonide, Acetonide Acetate)
· Chloroquine Phophate
· Metocloapramide Mono HCL
· Mono Ammonium Glycrrhizinate
· Closantel Base
· Glutamine Base
· Zinc Gluconate
· Acrifiavine Hydrocloride
· Folic Acid
· Sodium Diacetate
· Apartic Acid
· Sodium Acetate
· Doxycycline HCL
· Lincmycin HCL
· Thiamine Mono
· Tralomethrin · Diflubenzuron
· Gentamycine Sulphate
· Neomycin Sulphate
· Imidacloprid · Triflumuron
· Calcium Gluconate
· Ketamine HCL
· Weeping Forsythla & Flower Extract
· Panax Notoginsenosides
· Notoginseng Folium Saponins
· Tripterygium Hypoglaucum
· Citrus Auramtium Extract
· Scherian Ginseng Extract
· Schisandrin · Cierus
· Soybean Extract
· Stevia P.E. · Aerantium Extract
· Pueraria Lovate
· Ginseng P.E.
· St.Jhon's Wort
· Hutch Extract
· Milk Thistle P.E.
· Hawthorn Berry P.E.
· Garic Clover P.E.
· Ginger Root Extract
· 19-Norandrostenedione · Stanozolol
· 4-Androstenedione · 5-Androstenediol
· Sodium Metabisulfite
· Gallic Acid
· Phenylacetyl Amide
· Sodium Thiosulfate
（P-Adotamido phenyl）acetic acid
2-CHDLDR P-PHENYLENE DIAMINE
2-Chloro-2-hgdroxyphenyl acetic acid
2-Hydroxy Benzyl Alcohol
3,3-Dimethyl-2-hrdroxy butanic acid
4-Hydroxy phenylacetic acid
4 or 5-androstenediol
4 or 5-androstenedione
4,4'-DIAMINO DIPHENYLAMINE-2-SULFONIC ACID
4-Diphenyl Phenyl Retone
4-Pyridyi thio acid chi-oride hydrochloride
5-Fluorooratic acid hydrate
Products ----III (A)
Alkaline Phosphatas, Calf Intestinal
Alpha lipoic acid
Alpha- lipoic acid
Armillaria Mellea Extract(Powder)
Betamethasone sodium phosphat
CITRUS AURANTILLM EXTRACT
Calcium Folinate Leucovorin Calcium
Calcium Hydrophosp Hate
Calcium hypoho sphite
Cattle & Sheep chdic acid
Cattle & Sheep cholic acid
Cattle goll powder
Cupric Carbonate basic
Diethylamino ethylchoride hydrochloride
Dimethyl aminoethylchloride hydrichloride
Ganoderma Lucidum extract(Powder)
Ginkgo Biloba Extract
HPG Dane Salt
Heavy Magnesium Carbonate
Irinotecan HCL Trihydrate
METHYL SULFONYL METHNE
Magnesium Salicy late137
Medicated Acticaed Calcium Powder
Metamizole Magnesium salt
Mycellia of cephalosporium Sinensis(piece)
Mycellia of cephalosporium Sinensis(powder)
Natural Vitamin E oil
1,4-Didydroxy anthraquinone 96%,99% 40kg/drum
1-chloromethyl naphthalene ≥99 200kg/drum
1-Naphthal dehyde ≥98 200kg/drum
Other Pharmaceuticals and Chemicals
2-(2-Methoxy phenox）ethylamine ≥99%
2-(2-Methoxy phenox）ethylamine HCL ＞98%
2,2-dimethyl butyric acid ≥98
2,4,5,6-tetroaminopyrimidine sulfate ＞99%
2,4,6-Trichloro phenylhydrazine Q.B. 25kg/drum
2,6-Dichloropurine 99% 25kg/drum
2-Ethyl phenylhydrazine HCL Q.B. 25kg/drum
2-Propyl-Isonicotinamide Q.B. 25kg/barrel
2-thiopheneethanol ≥99 200kg/drum
3,4-methylenedioxy-phenylacetone ≥98 200kg/drum
3,5-Difluorol aniline ≥98.5 25kg/drum
3,5-Difluorol phenol ≥98.5 200kg/drum
3-Heteroauxing 98%/99% 25kg/drum
3-Indole butyric acid 98% 25kg/drum
3-Indole Crylic acid 98% 25kg/drum
3-Indole formaldehyde 98%/99% 25kg/drum
3-Indole Formic acid 99% 25kg/drum
3-Indole Methanol 98% 25kg/drum
3-Indole propionic acid 98%/99% 25kg/drum
3-Mino-4-chloro benzoic acid ≥99% 25kg/barrel
3-Phenoxypropionic acid Q.B. 25kg/barrel
4-Chloro-3-nitro benzoic acid ≥99% 25kg/barrel
4-Chloro-3-nitro benzophenone ≥95% 25kg/barrel
4-Chloro-3-nitro-4-fluorobenzophenone Q.B. 25kg/bag
4-Hydroxypropiophenone ≥99 25kg/bag
4-Pyridinylthio acethyl ≥99.5% 20kg/drum
4-Pyridylthioacetic acid ≥99% 20kg/drum
4-Toluene sulfonurea Q.B. 20kg/bag
5-Chloro-2-benzoxazolinone 99% 20kg/drum
5-Indole bromide 98% 25kg/drum
5-Methoxyindole 99% 25kg/drum
6-Aminopurine 98%/99% 25kg/drum
6-Benzyl Aminopurine 98%/99% 25kg/drum
6-Chloropurine 98%/99% 25kg/drum
6-Knetin 99% 25kg/drum
6-Oxypurine 98%/99% 25kg/drum
9-Fluorenylmethanol 98% 25kg/drum
Acetyl-L-Carnitine HCL 98% 25kg/drum
Aica 99% 10kg/drum
Aica HCL 99% 10kg/drum
Benzylazole CP2000 25kg/drum
Diludine 98% 25kg/drum
DL-Carnitine HCL 98% 20kg/drum
Ethyl bromopyruvate 80-85%
Ethyl p-aminobenzoate BP98 25kg/drum
Hydroxyethyl iperazine 97% 25kg/drum
L-Carnitine USP/EP/Feed 25kg/drum
L-Carnitine Fumarate 98% 25kg/drum
L-Carnitine HCL 98% 25kg/drum
L-Carnitine L-Tartrate 98% 25kg/drum
Methanesulfonic acid 90%
Methotrexate Disodium ≥98%
Methyl phenylacetate ＞98%
P-aminobenzene acetophenone 99% 25kg/drum
Phenyl acetone 99% 200kg/drum
P-N-Methylaminobenzoylgltamic acid zinc salt ＞95%
Ramifenazone 99% 25kg/drum
Trityl chloride Q.B. 25kg/drum
β thymidine 99%
β-NaphthylOxyacetic acid 95% 25kg/drum
à-Naphthalene acetamide 98% 25kg/drum
à-Naphthylacetic acid 95%/98% 25kg/drum
1-Chloromethyl Naphthalene ≥94% ≥99%
1-Naphthoic Acid ≥99%
2-Naphthoic Acid ≥99%
2,4-dinitrotoluen ≥98.5% 20Kg/Ctn
Azelaic acid ≥98%
Cholesterol USP23 25kg/drum
Cysteamine HCL Q.B.
Diatrizoic acid USP24 50kg/drum
Dinitrotoluene set point(dry estate) 200/Kg/Drum
Lodic acid AR
Meglumine BP98/USP24 25kg/drum
Meta-nitrotoluene ≥98.5% 200/Kg/Drum
Methyl bromide ≥99.5%
Para-nitrotoluene ≥99% 200/Kg/Drum
Sulfamide Q.B. 25kg/drum
Thioctic acid 99.50% 25kg/drum
Hormones & Endocine System Drugs
Diuretic & Dehydrate Drugs
Circulatory System Drugs
Digestive System Drugs
Nervous Centralis Drugs
Blood & Hemopoietic System Drugs
For Essence & Spice
For Synthetic Material
Other Organic Intermediates
Organic Raw Material
Activator & Auxiliary
Food & Feed Additive
AE-Actived fat ≥99.5% 20kg/drum
Aluminium glycinate USP24 25kg/drum
Benzalkonium chloride 0.97
Benzalkonium bromide CP95
D-glucosamine sulfate 2kcl 0.99
Lycine HCL Q.B.
Triclosan 0.99 25kg/drum
Triazinale ≥99.5% 25kg/drum
Vaporpac ≥98% 25kg/drum
Name Specification Synonyms CAS NO.
Acetazolamide BP98/JP12,JP13 acetazoleamide,atenezol,Diamox 59-66-5
Amiloride amipramidin,amipramizide,guanamprazine 2609-46-3
Bumetanide Bumex,Burinex,Fontego,Lixil,Lunetoron 28395-03-1
Chlortalidone Chlorthalidone,Higroton 77-36-1
Furosemide BP93 Frusemide,Lasix,Finuret 54-31-9
Hydrochlorothiazide USP24/BP98 Dichlothiazide,Dihydrochlorothiazide 58-93-5
Mannitol BP98/USP24 D-mannitol 69-65-8
Spironolactone BP98 Aldactone,Spiroctan,Spiroderm,Spirolone 52-01-7
Terazosin HCl 99% Hytrinex,Hytrin 63590-64-7
Triamterene Ademin,Ademine,Dyazide,Triamthiazid 396-01-0
Amiodarone HCl BP98/EPIII Cordarone,Trangorex,Tranquerone 1951-25-3
Amrinone USP23/USP24 Cartonic,Inocor Vesistol,Wincoram 60719-84-8
Atenolol USP24/BP98 Tenormin,Atenol,Ibinolo,Tenoblock, 29122-68-7
Captopril USP24/BP98/EPIII Capoten,Acepress,Acepril,Captoril,Lopirin 62571-86-2
Carvedilol ≥99% 72956-09-3
Chondroitin sulfate USP23 Chonsurid,Cromoist CS 9007-28-7
Cinnarzine BP98 Stutgeron 637-07-0
Clonidine HCl BP93/98/USP23 Catapres TTS,ST-155-BS 4205-90-7
Dibazole 2-Benzyl Benzimidazole HCl
Dipyridamole USP24/BP98 Persantin 58-32-2
Dobutamine HCl USP24/EPIII Dobutrex,Inotrex 49745-95-1
Dopamine HCl BP98/USP24 Cardiosteril,Dopastat,Dynatra,Inotropin 62-31-7
Doxazosin USP24 Carduran,UK-33274 74191-85-8
Doxazosin Mesylate 99% Alfadil,Cardran,Cardura,Diblocin,Normothen 77883-43-3
Enalapril Maleate USP24/EPIII Enaloc,Enapren,Glioten,Hipoartel,Bitensil 76095-16-4
Fenofibrate Lipanthyl,Fenobrate,Ankebin,Elasterin 49562-28-9
Gemfibrozil USP23 Lopid 25812-30-0
Inositol hexanicotinate BP98 Hexopal,Dilcit,Dilexpal,Esantene,Mesotal 6556-11-2
Lidocaine HCl BP98 lignocaine,Rucaina,Solarcaine,Xylotox 137-58-6
Lovastatin USP24 Mevacor,Mevinacor,Lovalip,Mevlor,Sivlor 75330-75-5
Methyldopa Aldomet,Aldomine,AMD,L-Tyrosine,Medopa 555-30-6
Milrinone 98.0-102.0% Corotrope,Win-47203 78415-72-2
Minoxidil USP24 Minoximen,Normoxidil,Rogaine,U-10858 38304-91-5
Mexiletine HCl CP2000 Mexitil,ritalmex,Katen 5370-01-4
Nicorandil 99% Perisalol,SG-75,Sigmart 65141-46-0
Nifedipine BP98/USP24 Adalat,Introcar,Kordafen,Nifedicor,Nifedin 21829-25-4
Nitrendipine USP23 Bayotensin,Baypress,Deiten,Nidrel 39562-70-4
Pantethine JP Panthecin,Pantomin,Pantosin,Lipodel 16816-67-4
Prazosin HCl USP24 Minipress 19216-56-9
Propafenone HCl USP24 Rythmonorm,Arythmol,Pronon,Rythmol 34183-22-7
Propranolol HCl BP98/USP23 Avlocardyl, Euprovasin 3506-09-0
Simvastatin USP24 Zocor 79902-63-9
Terazosin HCl 99% Hytrin,Hytrinex 63590-64-7
Troxerutin 95-102% Venoruton 7085-55-4
Vitamin E Nicotinate Pocopheryl nicotinate,Renascin,Hijuven 43119-47-7
AICA HCl 98.5%
Atropine Sulfate BP2000/USP24 5908-99-6
Bifendate CP2000 Biphenyldicarboxylate
Carbenoxolone sodium BP98 Biogastrone,Bioplex,Bioral,Sanodin 7421-40-1
Chlorpheniranine Maleate BP98/USP24 Chlorphenamine 113-92-8
Cimetidine A JP13/USP24 Tagamet,Cimetum 51481-61-9
Cimetidine AB USP23/USP24 Acibilin,Acinil,Cimal 51481-61-9
Cimetidine HCl USP/EP Aciloc,Brumetidina,Notul 70059-30-2
Dimenhydrinate BP98/USP24 Dommanate,Dramyl,Gravol,Menhydrinate 523-87-5
Diphenidol HCl BP93/CP2000 Maniol,Tenesdol 915-30-0
Diphenoxylate HCl 98%,BP98 Diarsed,Lomotil 3810-80-8
Domperidone Euciton,Evoxin,Motilium,Peridon 57808-66-9
Famotidine USP23/USP24 Famodil,Famodine,Famoxal,Gaster 76824-35-6
Febuprol USP23 Valbil,Valbilan 3102-00-9
Glucurolactone CP95,99-101% Glucurone,D-glucuric lactone 90-80-2
Methazolamide USP23 Neptazane 554-57-4
Metoclopramide JP11/CP95 Metoclopramide diHCl,Maxolon 364-62-5
Metoclopramide HCl BP98/DAB10 Maxolon,Metoclol,Metoclopramide 54143-57-6
Omeprazole BP98 Antra,Losec,Omepral,Omeprazen 73590-58-6
Omeprazole Sodium Losec Sodium 95510-70-6
Ondansetron USP24 Zofran 116002-70-1
Pantoprazole 98% BY-1023,BY1023 102625-70-7
Phenylpropanolamine HCL BP98/USP24 Propadrine,Benzenemethanol 154-41-6
Ranitidine USP24/EP97,BP98 66357-35-5
Ranitidine HCl USP23 Noctone,Raniben,Ranidil,Sostril 66357-59-3
Scopolamine HBr BP98 Hyoscine HBr,Barbidonna,Benacine 6533-68-2
Scopolamine Butylbromide BP98 149-64-4
Sodium Bicarbonate Food Grade(Feed) Baking soda,Bufferight,saleratus 144-55-8
Sucralfate USP24 Ularmin,Sucrate,Sulcrate,Ulcogant 54182-58-0
Thioctic acid 98.5% Lipoic acid 1077-28-5
Trepibutone CP2000 AA-149,Supacal 41826-92-0
Trimebutine ≥98.5% 39133-31-8
Trimebutine maleate JPC or ≥98.5% Foldox,Debridat,Spabucol,Trimedat 34140-59-5
Aclarubicin USP23 Aclacinomycin A 57576-44-0
Altretamine Hexamethylmelamine;HMM 645-05-6
Anastrozole Arimidex,D-1033,ICI-D1033,ZD-1033 120511-73-1
Azasetron nazasetron 123040-69-7
Azathioprine USP23/BP93 Azamune,Azanin,Azoran,Imuran,Imurel 446-86-6
Carboplatin USP24 Paraplatin,CBDCA 41575-94-4
Calcium Folinate USP24 CF,Folaren,Leucovorin-Calcium 6035-45-6
Camptothecin 98% CPT,(+)-Camptothecin, (S)-(+)-Camptothecin 7689-03-4
Cisplatin USP24 Cis-Platinum,DDP,PDD 15663-27-1
Cyclophosphamide Cytoxan,Endoxan,CPA,CTX 6055-19-2
Cyclosporin A USP23/24,BP98 Cy-A,Cyclosporine,Neoral 29865-13-3
Cytarabine Hcl USP24/BP98 Aracytin,Cytosar,Arabinoside 147-94-4
Dacarbazine BP93 DTIC,DIC 4342-03-4
Docetaxel 99% taxotere 114977-28-5
Estramustine disodium phosfate Estramustin sodium phosphate 52205-73-9
Etoposide USP24 Vepeside,VP16,Toposar 33419-42-0
Fenoprofen Calcium USP24 Fenoprofen,Feprona,Fenopron 53746-45-5
Floxuridine USP23 2'FUDR,NSC-26740 50-91-9
Flurouracil BP98/USP23 Adrucil,Arumel,Fluracil,5-FU,Fluril 51-21-8
Hydroxycamptothecin 99% 10-Hydroxycamptothecin,Ampule, 64439-81-2
Hydroxyurea USP23 Hydroxycarbamide,Hydrea,Litalir 127-07-1
Ifosfamide USP23/24 Isophosphamide,Iphosfamid,Mitoxana 3778-73-2
Isotretinoin USP23/USP24 Isotrex,Retinoic acid,Vitamin A acid 4759-48-2
Lomustine CP2000/BP2000 Belustine,CCNU 13010-47-4
Mercaptopurine USP23 6-MP,6-mercaptopurine,Mercapurin 50-44-2
Mesna USP24 Mucofluid,Mesnom,Mesnex,Mistabron 19767-45-4
Methotrexate USP24 Amethopterin,MTX,Ledertrexate 59-05-2
Mitomycin BP98/USP23 Mytomycin 50-07-7
Mitoxantrone BP98/USP23 Novantrone,DHAQ 65271-80-9
Ondansetron USP24 Zofran 116002-70-1
Penfluridol 99%min R-16341,Semap 26864-56-2
Tamoxifen citrate USP24/BP98 Nolvadex 13002-65-8
Thioguanine 6-T.G.,Lanvis,Tabloid,Tioguanine 154-42-7
Topotecan USP23 123948-87-8
Topotecan HCl 99% 119413-54-6
Tretinoin USP23 Aberel,Airol,Aknoten,VA acid 302-79-4
Vinblastine Sulfate BP98,USP23/24 Belvan,Exal,Velban,Velbe,Velsar 143-67-9
Vincristine Sulfate BP98,USP23/24 Kyocristine,Oncovin,Vincrisul 2068-78-2
Vinorelbine 99% Navelbine 71486-22-1
Calcium Pantothenate USP24/BP98 Calpan
Calcium D-pantothenate USP23/24 D-Calpan
Calcium DL-Pantothenate 45% DL-Calpan
Folic Acid BP98/USP24 Vitamin M,Vitamin BC,VB11
Thiamine Tetrahydrofurfuryl Disulfide
Isonicotinic acid 99% r-Pivcolinic acid
Nicotinamide 99% Vitamin PP,Niacinamide,VB3
Nicotinic acid 99% Pyridine-3-Carboxylic acid
Orotic acid 99% VB13
Riboflavin Sodium Phosphosphate USP24/BP98
Rutin NF11 Rutoside,Vitamin P
Troxerutin 95.0-105.0% Venoruton,Vitamin P4
Thiamine Nitrate Thiamine Mononitrate
Vitamin A Oil: 1-2.8MIU/G Vitamin A Acetate
Vitamin B1 USP24/BP98 Thiamine Hcl
Vitamin B1(Mono) BP98/USP24 Thiamine Mononitrate
Vitamin B2 80%,96%,USP24/BP98 Riboflavin
Vitamin B4 USP23 Adenine Phosphate,Adenine
Vitamin B6 BP98/USP24 Pyridoxine Hcl
Vitamin B12 0.1%,1%,USP24/BP98 Cyanocobalamin
Vitamin D2 Oil: 20MIU/G Ergocalciferol,Calciferol Viosterol
Vitamin D3 Oil: 0.5MIU/G,1MIU/G,10MIU/G Cholecalciferol
Vitamin E Oil: 96%,98% à-Tocopherol Acetate
Vitamin E Nicotinate Tocopheryl Nicotinate
Vitamin H 2%, 98% Biotin
Vitamin K1 USP24(Oil) Phytomenadione
Vitamin K3 60%,USP20/USP23 Menadione
Vitamin K4 CP2000 Menadiol
Vitamin U(Cl) Methylmethionine Sulfonium Chloride
Vitamin U(I) Iodomethyl Methionine
Aminophylline BP98/USP24 Phyllocontin,Somophyllin 317-34-0
Benproperine phosphate BP98/USP24 Blascorid, Pirexyl 19428-14-9
Bromhexine HCl BP93 Auxit,Bisolvon,Broncokin 611-75-6
Carbocisteine S-carbomethylcysteine 638-23-3
Clorprenal DiHCl CP2000
Clenbuterol HCl CP2000,98.5% Spiropent,Ventipulmin 21898-19-1
Cromolyn Sodium CP2000 Natrii Cromoglycas,Sodium cromoglycate 15826-37-6
Decloxizine HCl CP2000 Rescupal
Dextromethorphan HBr Benylin DM,Canfodion,Cosylan,Methorate 6700-34-1
Dioxopromethazine CP2000 Prothanon,9,9-dioxopromethazine
Ephedrine HCl BP98/USP24/EP97 Ephetonin,racephedrine HCl 134-71-4
Guaifenesin USP23/24 Guaiacol glyceryl ether,Guaiphenesine 532-03-6
Ketotifen BP93/98,EP3 Zaditen 34580-13-7
Ketotifen fumarate JPC98 Allerkif,Totifen,Zaditen,Zasten 34580-14-8
Methylephedrine JP10 Benzenemethanol,N-Methylephedrine 552-79-4
Pentoxyverine citrate Toclase 77-23-6
Pseudoephedrine HCl BP98/USP24/EP97 d-Isoephedrine 345-78-8
Salbutamol sulfate BP98 51022-70-9
Sulfogaiacol USP23 Potassium guaiacolsulfonate
Theophylline-7-acetic acid 652-37-9
Theophylline BP98/USP24 Theophyl 58-55-9
Albendazole USP23/24 Zentel 54965-21-8
Albendazole sulfoxide 98%min Rycobendazole
Arteannuin CP95/2000,99% Artemisinin,artemisine,huanghuahaosu 63968-64-9
Artemether Dihydroartemisinin methyl ether 71963-77-4
Chloroquine Phosphate BP98 50-63-5
Chloroquine Sulphate BP93 132-73-0
Dimitridazole 99% 1,2-Dimethyl-5-nitroimidazole 551-92-8
Flubendazole Flubenol,Flumoxal,Flumoxane,Fluvermal 31430-15-6
Ivermectin FDA Ivomec,Mectizan,MK-933,Zimecterin 70288-86-7
Hydroxychloroquine sulphate BP93/USP23 Oxichloroquine,Oxychloroquine 118-42-3
Levamisole HCl BP98 L-tetramisole,Meglum,Nemicide,Nilverm 16595-80-5
Mebendazole USP24 Antenol,Lomper,Mebatreat,Mebenvet, 31431-39-7
Metronidazole BP98/USP24,EPIII Metrolag,Metrolyl,Metrotop,Trichazol 443-48-1
Niclosamide BP93/BP98 Cestocide,Niclocide,Ruby,Yomesan 50-65-7
Niclosamide Ethanolamine WHO/SMF/1.R3
Ornidazole Madelen,Ornidal,o-7-0207,Tiberal 16773-42-5
Piperazine Citrate Helmezine,Oxucide,Patazine,Piperazine 144-29-6
Piperazine phosphate 14538-56-8
Praziquantel BP98/USP24 Biltricide, Cesol, Droncit 55268-74-1
Primaquine phosphate CP2000/BP88 63-45-6
Pyrantel pamoate Helmex,Helmintox,Piranver 22204-24-6
Pyrimethamine BP98/USP23 hloridin,Daraprim,Fansidar,Malocide 58-14-0
Sodium antimony gluconate Stibbii natrii gluconas
Tinidazole JP12 Fasigyn,Pletil,Tricolam,Trimonase 19387-91-8
Trimethoprim BP98/USP24 Ipral,Instalac,Proloprim,Syraprim,TMP 738-70-5
Adenine USP23 Vitamin B4,6-aminopurine 73-24-5
Aspirin BP2000/USP24 Acetylsalicylic acid,ASA 530-75-6
Calciparine Calcium heparinate,Ecasolv,Heparin HCl 37270-89-6
Calcium folinate USP24 CF,Leucovorin-Calcium,Leucosar 6035-45-6
Calcium Gluconate USP24 299-28-5
Cyanocobalamin 0.1%,1%,USP24/BP98 Vitamin B12,Cytamen,Cytobion,Vibalt 68-19-9
Dextran 40-70 Dextraven,Eudextran,Gentran 9004-66-4
Dextrose Oral/Inj. Glucose,D-glucose,Dextrose monohydrate 77029-61-9
Etamsylate BP98 Aglumin,Altodor,Dicynene,Cyclonamine 2624-44-4
Folic acid BP98/USP24 Vitamin M 59-30-3
Heparin Arteven,Leparan,Liquemin 9005-49-6
Heparin sodium Heparinin,Ardeparin Sodium, Clexane 9041-08-1
Leueovorin calcium CP2000/USP24/BP98
Leucogen 99% Leikogen,Abisol 7631-90-5
Menadione 60%,USP20/USP23 Vitamin K3,Kayklot,Kaynone,Kolklot 58-27-5
Nandrolone Phenpropionate BP98/USP24 Nandrolone Phenylpropionate 62-90-8
Phytomenadione USP24(Oil) Vitamin K1,Konakion,Mephyton 84-80-0
Sodium carboxymethyl CP2000/BP98 Carboxymethylamylum natricum
Ticlopidine HCl Ticlid,Ticlosin,Tiklid,Ticlodone 53885-35-1
Testosterone BP98/USP24 Mertestate,Oreton,Testoderm,Testolin 58-22-0
Tranesamic acid BP98 Tranexamic acid 1197-18-8
Ubenimex Bestatin,NK-421 58970-76-6
Alprazolam CP2000 Alplax,D-65MT,Tafil,Tranquinal,Xanax 28981-97-7
Amobarbital BP98 Amal,Amytal,Isoamyl barbitone 57-43-2
Benzoyl phenobarbitone RP XI Benzobarbitone,Benzoyl phenobarbital
Chlordiazepoxide BP98 Librium 58-25-3
Clonazepam USP23/24 Rivotril 1622--61-3
Diazepam BP98 Valium 439-14-5
Estazolam Fenarol,Lobak,Rexan,Rilansyl,Rilaquil 29975-16-4
Flurazepam HCl Benozil,Dormodor,Felson,Insumin 1172-18-5
Lorazepam USP23 Lora,Ativan,Lorax,Tavor,Temesta 846-49-1
Meprobamate BP98/USP24 Appetrol,Meprospan,Meptran,Urbilat 57-53-4
Nitrazepam BP98 Calsmin,Megadon 146-22-5
Oxazepam Durazepam,Lederpam 604-75-1
Phenprobamate JP Spantol,Gamaquil,Palmita,Extacol 673-31-4
Phenobarbital USP22/23 Phenobarbitone sodium,Luminal 50-06-6
Urethane BP73 Ethyl carbamate,Ethylurethane 51-79-6
Fentanyl Citrate Fentanil,Fentanest,Leptanol,Pentanyl 990-73-8
Lithium Carbonate USP24 Camcolit,Carbolith,Lithobid,Lithonate 554-13-2
Meclofenoxate HCl JSP1989 Brenal,Clocete,Lucidril,Methocynal 3685-84-5
Methadone Adanon HCl 76-99-3
Nefopam(HCl) CP2000 Fenazoxine 23327-57-3
Rotundine CP2000 L-tetrahydropalmatine,Rotundinum
Tramadol HCl DAC86 Tramal,Crispin,Melanate,Ultram,Zydol 22204-88-2
Amantadine Mantadine 768-94-5
Carbamazepine BP88,BP98,USP24 Biston,Calepsin,Carbazepine,Tegretol 298-46-4
Carbidopa HMD,Lodosin,Lodosyn 28860-95-9
Levodopa BP93/BP98,USP22 L-dopa 59-92-7
Molsidomine 98% Corvasal,Molsidolat,Morial,Motazomin 25717-80-0
Phenytoin Sodium BP98 Dilantin,Minetoin,Solantyl,Tacosal 630-93-3
Sodium Valproate CP2000 Depakene,Leptilan 1069-66-5
Flunarizine CP2000 Sibelium 52468-60-7
Flunarizine HCl CP Flugeral,Flunarl,Issium,Mondus 30484-77-6
Methocarbamol USP24 Delaxin,Etroflex,Miolaxene,Robaxin 532-03-6
Nicardipine HCl Perdipine,Bioncard,Cardene,Dacarel,Loxen 54527-84-3
Nimodipine HCl USP23 Nimotop,Periplum 66085-59-4
Oryzanol r-Oryzanol 469-36-3
Piracetam FrP91 Encetrop,Normabrain,Norzetam,Pirroxil 7491-74-9
Pyritinol HCl Pyrithioxine HCl 1098-97-1
Sodium Valproate CP2000 Depakene,Leptilan 1069-66-5
Vincamine Cetal,Vincadar,Vincafor,Vincagil 1617-90-9
5-Epiandroster-17-one acetate 1239-31-2
1,6-Didehydro-17à-hydroxy progesterone Acetylglutamide Acetylglutamine,Aceglutamide
Cinnarizine Artate,Stutgeron,Cinazyn,Denapol,Dimitron 298-57-7
Pharm Chemical---Your reliable manufacturer (factory) of nutrition supplement, pharmaceutical, intermediate and chemicals.
Main contact: Hero Zhou
E-mail: email@example.com or firstname.lastname@example.org
Result number: 155
Posted by Ed Davis, DPM on 5/06/02 at 18:27
Sharon's information is rather complete concerning Ultram (tramadol). It is probably less addicitve than codeine or vicodin (hydrocodone) and may cause less drowsiness. Synthetic narcotics or narcotic analogues, while designed to have advantages occasionally have unusual reactions with specific patients.
The manufacturer, Orth-McNeil, has more recently introduced Ultracet which is Ultam plus acetominophen. It has a reduced tramadol dose and seems to work better for musculoskeletal pain.
Result number: 156
Posted by Ed Davis, DPM on 2/21/02 at 18:25
Neurontin can be effective. I beleive you are referring to Oxycodone---it is addictive and something to avoid for long term pain. Ultram (tramadol) is an option for nerve pain. Another option would be use of a TENs unit.
Result number: 157
Posted by John h on 11/29/01 at 17:00
Tammie: The first doctor to prescribe the Ultram was a Pain Specialist and he prescribed two tablets 4 times a day. I never took more than two in the morning which would carry me to mid afternoon with very little pain so i did not need any more than that. Sometimes i take one tablet, sometimes none and if i am really hurting I would take two. My family doctor of 20 years has no problem giving me a 6 month prescription because he knows me well enough to know i would not abuse drugs and rarely take as much as prescribed. It is not classified as a narcotic but in rare cases produces a narcotic like effect. I personally have never noticed any effect other than pain reduction. I have re-read the Physician's Desk Reference on this drug and it states it is not recommended for patients who have had a previous drug addiction problem or a tendency towards drug addiction. This probably explains why some doctors are reluctant to prescribe it to patients they are not seeing on a regular basis. It is sold under the brand name Tramadol. Max recommed dosage is 400mg day for those under 75. I rarely take more than 100mg if I am having some sort of set back. There are many other reasons as with any drug to know what not to take this drug with so discuss your personal situation with your doctor.
Result number: 158
Posted by Jennifer D. on 11/29/01 at 07:18
I saw last night(because the pain became unbearable.) I actually could not place any wieght on the arch of my foot last night. HE said it was useless to do an x-ray if it were
a stress fracture that happened about 5 weeks ago. He said it would have healed by now.
He did however change around my meds.
He stopped me from taking motrin.
I am on now Naproxen 500mgs which i am to take exactly 2wice a day
and he said within 72 hours i should notice a difference with the swelling and pain.
Then he put me on Tramadol (ultram)??? This seemed to help almost immediately. I woke up this morning hardly swollen at all anywhere.
My foot did not hurt at all when i woke.
Now of course it does a little now that i am up and walking around.
ps. I didn't have to wait more than 15 minutes at the ER. It was sooo slow. I got right in and he changed my meds. I did however have to hobble to the Pharmacy in the hospital. Took me 30 minutes to walk up there.
Result number: 159
Posted by Jennifer D. on 11/29/01 at 07:15
Just wanted to update the Dr. On the stress fracture thing.
The Dr. I saw last night said it was useless to do an x-ray if it were
a stress fracture that happened about 5 weeks ago. He said it would have healed by now.
He did however change around my meds.
He stopped me from taking motrin.
I am on now Naproxen 500mgs which i am to take exactly 2wice a day
and he said within 72 hours i should notice a difference with the swelling and pain.
Then he put me on Tramadol (ultram)??? This seemed to help almost immediately. I woke up this morning hardly swollen at all anywhere.
My foot did not hurt at all when i woke.
Now of course it does a little now that i am up and walking around.
Result number: 160
Posted by Ed Davis, DPM on 10/31/01 at 21:17
It is "sort of" a new drug. It is a combination of two old drugs, Ultram and Tylenol. Ultram or tramadol is a pain medication that seems to work better on "nerve" pain than many others. The manufacturer of Ultram recently combined it with Tylenol to create Ultracet.
Result number: 161
Posted by john h on 4/04/01 at 11:39
Ultram (chemical name: Tramadol) is a synthetic analgesic to treat pain. It IS NOT a narcotic or it is not a non sterodial anti inflamatory. There have been reported cases of dependance but this is not the norm. It is used to treat moderate to severe pain and can be very effective for some people while some may experience some side effects as with any medication. I think i read there are over 1 million prescriptions written a year in the U.S. It basically blocks the pain signals from reaching the brain. I have been taking it for about a month and it may be the most effective pain med for my back i have ever taken (25 years) and that includes medrol which is a narcotic. I will stop taking it for a week and see if there is anything to report to you in the way of withdrawal or if my pain returns when i stop. i really do not expect any withdrawal as i am only taking 2 50mg tabs a day which is 1/3 the recommend dose.
Result number: 162
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