got some sprains and he was prescribed 5mg hydrocodone
/500mg APAPs by his doctor. Right now, he's not enjoying the pain.
Not surprisingly, it doesn't touch his pain any better than plain acetaminophen
, Tylenol), which is basically, hardly any effect.
He just started taking Naproxen sodium 220mg (OTC in the U.S.) which lowers the pain to annoying, but bearable level. He's new to this stuff, but he likes it. The 8 hour relief is nice and he responds to it better than Vicodin, but... more relief with minimal affect on his state of mind would be nice.
SWIM has had plenty of experience with hydrocodone since a kid(U.S. tradenames Lortab, Vicodin) as he was handed hydrocodone for every kind of post-dental procedure, pain complaints and post-operative pains.
He's aware that some population lacks the enzyme to convert hydrocodone or oxycodone
to their active, -morphone, form, however SWIM doesn't think he's one of them as he feels an annoying buzz from 5mg hydrocodone, nausea from 5mg oxycodone, puking at 10mg oxycodone. It was probably a mistake even getting this prescription filled, because he hasn't had any luck with it, but its been like 2-3 years since he's last had it, so he forgot about it.
hydro is out, b/c of ineffectiveness, oxy is out, b/c of side effects
. What should he ask for? He's thinking about trying tramadol
. Please advise.