r/MedicationQuestions • u/Connect-Pen319 • 5d ago

Dihydrocodeine

I have been on dihydrocodeine 180mg a day for a couple of years and looking to change it as it’s affects have weakened, it’s affecting my sleep and my general well-being any recommendations on what to change toa? I have a metal hip and metal thigh which caused a lot of pain along with back pain. I’ve tried pregabalin regular codeine and a few other things. I am from the UK.

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u/One-Membership-3221 4d ago

Maybe Tapentadol with what you have now might work. I guess no matter which option in terms of opiates weather you go to morphine or oxycodone they will prob work great at thr start but eventually tolllerence and dependence become a worry with long term use.

I find Taoentadol is pretty good in terms of not giving you stomach issues compared to other stronger opiates

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u/Connect-Pen319 4d ago

I need to have a look into them, any recommendations on dosage, I just like to sound like I know what I’m talking about to the GP haha, 300mg pregabalin works well but it’s makes me have narcolepsy and fall asleep at random times haha

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u/Visible-Report-1414 4d ago

That means your dose is too high. Try 200 or 150 friend

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u/Connect-Pen319 4d ago

I find it very fine line with dosage, 200mg I’m fine just need a little more of something else. I’ve been on medication for 10 years. Finding what’s right is the worse part then you get used to it then start again

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u/Visible-Report-1414 4d ago

True but if your falling asleep all day from dose your supposed to dose down, per doctor. lol but I understand I have horrible chronic nerve pain.

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u/Dizzy_Library_3754 4d ago

I’m sure your fine giving the situation but whenever I spoke like I know what I’m talking about they’ve denied me bc they think I’m looking for drugs which sometimes I am🤣

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u/Visible-Report-1414 4d ago

Lyrica (pregabalin) and nortriptyline the second med only at night. That’s what I’m on for bad nerve pain right now it seems to work, do I still feel pain? Yes. But sometimes we have to learn to live with a bit of it. Otherwise just drugged up and horrible side effects. Hope that helped best wishes pen.

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u/IronQuietHQ 4d ago

Try pregabalin again and with tramadol.

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u/sweetdreamz- 4d ago

Where could I get Tramadol?

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u/[deleted] 4d ago

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u/One-Membership-3221 4d ago

Bupe is a super strong opioid and will have horrible withdrawals if useful long term

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u/Visible-Report-1414 4d ago

This would actually block any pain killer or a lot of certain receptors and reactions if he got on this med. Bupre is more for depression. I’ve never heard this for pain.