HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Taking Nucyenta And Lyrica For Chronic Pain. Started Feeling Sleepy And Confused. Worrisome

default
Posted on Mon, 1 Apr 2013
Question: My mother is 85 years old and has chronic pain. She was recently prescribed Nucyenta 50 mg. She has shown only
slight signs of dimentia before the medication. After taking the meds, she sleeps constantly, has unusual dreams,
and is confused. She does have a pain management physician but he rarely is available for such questions. The answer is always "she needs to come in XXXXXXX She was just there two weeks ago and they added Lyrica, one 50 mg tablet per day. I am very worried about her. Would dropping the dose on Nucyenta to 25mg help? I have no idea that this amount would address her pain or is the combination of the Lyrica and Nucyenta??
doctor
Answered by Dr. Nsah Bernard (44 minutes later)
Hello XXXXXXX

Thanks for posting,

It is nice to know that you are very worried about your mother's health situation up to the point where you even decided to seek a second opinion online.
The possible psychiatric side effects of nucyenta (considered serious and requires doctor's attntion) are insomnia/somnolence, confusional state, abnormal dreams, anxiety, irritability, drug withdrawal syndrome, feeling drunk, euphoric mood, disorientation, restlessness, agitation, nervousness, and abnormal thinking. Postmarketing reports have included hallucinations. (these are amongst the many others). I decided to present these side effects so that you may see that your mother is effectively suffering from a side effect of Nucyenta 50mg (as indicated by the manufacturers) and she definitely will require that you call her doctor(since they are considered serious). The lyrica 50mg added is to additionally manage the pain and not the side effect she is experiencing.
Usually the side effects will ware off after taking the Nucyenta 50mg for some time and there is no need to bring down the dose to 25mg as the pain killer effect it will bring fort will not be achieved. So my suggestion is to let her continue taking the medication till you can reach her doctor for an alternative medication.

Hope this info will be useful
Dr Bernard
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Nsah Bernard

General & Family Physician

Practicing since :2012

Answered : 1704 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Taking Nucyenta And Lyrica For Chronic Pain. Started Feeling Sleepy And Confused. Worrisome

Hello XXXXXXX

Thanks for posting,

It is nice to know that you are very worried about your mother's health situation up to the point where you even decided to seek a second opinion online.
The possible psychiatric side effects of nucyenta (considered serious and requires doctor's attntion) are insomnia/somnolence, confusional state, abnormal dreams, anxiety, irritability, drug withdrawal syndrome, feeling drunk, euphoric mood, disorientation, restlessness, agitation, nervousness, and abnormal thinking. Postmarketing reports have included hallucinations. (these are amongst the many others). I decided to present these side effects so that you may see that your mother is effectively suffering from a side effect of Nucyenta 50mg (as indicated by the manufacturers) and she definitely will require that you call her doctor(since they are considered serious). The lyrica 50mg added is to additionally manage the pain and not the side effect she is experiencing.
Usually the side effects will ware off after taking the Nucyenta 50mg for some time and there is no need to bring down the dose to 25mg as the pain killer effect it will bring fort will not be achieved. So my suggestion is to let her continue taking the medication till you can reach her doctor for an alternative medication.

Hope this info will be useful
Dr Bernard