Strongest Available Pain Killer Tablets, Only Available On Prescription

[arjay]

I can usually get back pain relief by taking Solpadiene Plus capsules which contain 500mg of paracetamol,8mg of codeine phosphate hemihydrate
and 30mg of caffeine.

These are readily available without prescription.

At the same time I use a Matrifan patch prescribed by the doctor.

At the moment, however, the Matrifan and the Solpadiene capsulesnd are not having any effect on a severe pain which I am experiencing in my lower back and right leg. This is seriously affecting my ability to sleep and eat.

Can anyone tell me of a really strong, prescription only, pain killing tablet that they have successfully used that I can ask my doctor for, please?

I have a appointment tomorrow.

Perhaps Sqad would make his usual helpful suggestion, please.
Thank you

[fiction-factory]

I think your doctor might know tomorrow. He'll know your requirements better than us I think.

[jno]

co-codamol's not bad. See what your doctor says, though, he/she knows more about your pain than anyone on a website.

[kvalidir]

Tramadol is hefty and really works. Hope you feel better soon x

[Jackdaw33]

Co-codamol 30/500, only available on prescription.

[douglas9401]

I had an agonising couple of months of lower back and left leg pain, initially using Valium to relax for a while, Amitriptyline daily, CoCodamol and Ibuprofen.
The Ibuprofen was discontinued due to interaction with other prescribed drugs and the CoCodamol went because of crippling constipation leaving me on Amitriptyline and paracetamol which worked quite well.
Paracetamol is quite something for a tablet you can buy just about anywhere.
My own GP was quite helpful once he saw the crutch-assisted, ashen-faced shambling wreck make it's way into his room and promptly arranged an MRI scan which identified the problem, two herniated discs which unfortunately just have to sort themselves out unless surgery is opted for.
Sorry, I'm rambling now but in short, Amitriptyline and paracetamol worked well together.

[Buenchico]

It needs to be remembered that there are different types of painkillers. Some work to reduce the inflammation that's often the cause of pain, whereas other block pains signals but do nothing about inflammation. So the former type might be most appropriate if there's inflammation present but the latter type might be better otherwise. Your doctors will know more than anyone here (including Sqad) does about the actual cause of your pain, so he'll be best placed to know which type of pain killer might be best in your situation.

However you're already using one of the strongest painkillers available, Fentanyl, in the form of the Matrifen patch. It's an opioid, which means that it's in the same class of drugs as morphine and therefore extremely strong.

Rather than concentrating on drug treatments, it might be worth talking to your GP about alternative pain management techniques, such as CBT:
http://www.healthtalk.org/peoples-experiences/long-term-conditions/chronic-pain/nhs-pain-management-programmes

[arjay]

Thank you,fiction-factory, jno,kvalidir, jackdaw 33, douglas 9401 and Buenchico.

[andres]

After having abdominal surgery a few years ago my OH was prescribed Temgesic (sub-lingual buprenonorphine tablets) for the severe after pains. They were very effective .

[Sqad]

"on a severe pain which I am experiencing in my lower back and right leg. This is seriously affecting my ability to sleep and eat. "

This sounds very much like root pain, in simple terms sciatica possibly from a wear and tear condition of your lumbo-sacral spine.
You do not say how long you have had your condition or the results of any investigations.

It sounds like sciatica and i shall assume for my post, that is the diagnosis. In my experience it will last 6-8 weeks whatever the treatment, but in answer to your query,I like the suggestion of douglas9401 @2155.
A suitable alternative that you may well put to you GP is Pregabalin which may well help the pain when other analgesics are not working.

You GP will certainly need a description of your pain and will decide on further medication and/or investigation

[Scarlett]

I had a really bad back a short while ago and took Valium to relax the muscles, ibuprofen to reduce inflammation and co-codamol for pain. I normally take nothing, so this was really bad. However, nothing helped as much as going to the physio and getting her to try and sort me out. She this thing called muscle energy technique (painless) which re-aligned the vertebrates which had twisted and were causing me to not be able to even stand up. It was that which actually helped the problem rather than masking it.