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Pls tell me what the highest hydrocodone dosage is and # of tabs per month for chronic severe pain...MS & FMS

Posted by Chris

I have low-thyroid, COPD, arhtritis, Fibromyalgia and Multiple Sclerosis.  My nurse said I cannot have more than 75 tabs of hydrocodone 5-500 per each 4 weeks.  Do you know if there are other people on higher does or is that the magic number for a limit?

I pain is usually between an 8 and a 10 at any given time.  Ihave many other modalities I employ to try to manage my pain.  It's gotten so bad, though, I'm considering taking more per ea 4 weeks.  Thank you,   Chris

Answers (7)
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So much depends on your weight, age, and height.

 The worry is "500" is the amount of

The worry is with the "500" which is the amount of Acetaminophen in each pill.

Acetaminophen overdose is one of the most common poisonings worldwide. People often think that acetaminophen, a pain-relieving medicine, is extremely safe. However, it may be deadly if taken in large doses.

If treatment is received within 8 hours of the overdose, there is a very good chance of recovery.

However, without rapid treatment, a very large overdose of acetaminophen can lead to liver failure and death in a few days

The best advice I, or anyone else can give is to seak treatment with a Pain specialist.

Pain specialists, or pain medicine doctors, are experts at diagnosing the cause of pain and then treating the pain. Anesthesiologists, neurologists, and neurosurgeons most frequently specialize in pain management. Some physiatrists also specialize in pain management. Here's more about these specialists: 

  • Anesthesiologists: These doctors are often the leaders of a team of other specialists and doctors who work together to help manage pain. The team may include orthopedists (doctors who deal with the prevention or correction of injuries or disorders of the skeletal system), nurse practitioners, physician assistants, physical or rehabilitation therapists, and others.
  • Neurologists: Doctors who diagnose and treat diseases of the nervous system.
  • Neurosurgeons: Doctors who perform surgery on the nervous system.
  • Physiatrists: Doctors who specialize in physical medicine, which is a branch of medicine that deals with the treatment, prevention and diagnosis of disease by physical means including manipulation, massage, and exercise

I hope you are feeling better soon *Best of Luck*


Multiple Sclerosis, Rheumatoid Arthritis, Heart Murmur, Simple Partial Seizures, Basilar Artery Migraine

I agree with the above post, however the max amount acetaminophen is 4g/day (4000mg/day)! Any more than that is harmful as mentioned above. If that is not cutting it I suggest you speak to your doctor about other alternatives!!
Thank you all for responding with all the info.  It is truly appreciated.  I have cut back on the amount I take daily and I think that has helped.  Thank you again for your caring.  God bless.  chris
I take blood thinners so I have to be careful about the tylenol content.  I take 10mg of hydrocodone a day and they have 325mg of tylenol.  My doc tried to write a presciption without the tylenol at all, but we could not find it, even at compounding pharmacies.
Look up cold water extraction method. It will filter out the Tylenol and keeps the good stuff.

I have the same problems you have plus a few others  and I used to be un cinstist pain.My Dr pur me on Durigestic patches and Norco for break through pain. I take Norco which is same as Vicodine but insteand of 5/500 I take 10/325 and take it 4 times a day. Even my hubby is on it 2 times a day for having maajpr hearata surgery a coupale of months ago. THe Norco is 10 mg of codine and 325 of aamplacelion9sp0 but I can take up to 4000 mg of ampl a day counting the Norco which is 3 time stronger that you are taking. Also Soma and Xanxa will help with the calming of your nerves and Lexipro will help you sleep which is 1 of the main things you need for the fibro.I have had it for over 10 years now and this is the only way to help control it.The other 2 meds are for anixiety and that has a lot to do with fibro also. But the Norco helps for break thru paian when the patchs are on the day before I need them chaaaaaaaaaged/I am on 125mg of the Durgestic patch which is actually poppy pain likkers and is not for short turn pain.Iti s for cronic pain that you will live with the rest of your life. I am 61 and sometimes brforeI got on the right meds I wa  in a wheel chain now I just uset a walker  and do not even have to ust it all the time now. Go to your RA Dr and a Nurogest and get the blood work they have out now for the fibro and fins out how bas yours is.Thaat will help determind what kind of meds will help you. But as far as your Vicodon at 5/500 a day then if yiu can have a=enough to last you a month then if you are in real pain taking more tha 3 a day or even 3 at a time will not hurt you BUT  BUILD YOURSelF UP TO THIs  And not just take to start out with.You have to build your system up 1st.


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