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> > > > > ----- Original Message ----- > > From: Robert A. Fink, M. > D. > > To: [log in to unmask] > > Sent: 1/26/02 4:06:11 PM > > Subject: Re: ultram > > > > From the Physicians Desk Reference, 1999 Edition, Page > 2257: > > > > "Ultram has a potential to cause psychic and > physical dependence of > > the morphine type. The drug has been > associated with craving, drug- > > seeking behavior and tolerance > development. Cases of abuse and > > dependence on Ultram have been > reported. > > > > Dr. Fink ,,,,,,,,I now have osteoporosis as well as pd and > osteoarthritis......my doctor retired and a new doctor > (internist/rheumatologist) has put me on vioxx for the pain...didn't > work...when it works motrin does a better job but I have to take more > than the recommended dose.....when I called her to say vioxx didn't > work she called in a prescription for vicodin (generic > hydrocodone/apap)...does this present the same problem as Ultram and > which is safer ???? Medication doesn't seem to work on > me...aspirin/Tylenol and even Darvocet didn't work when I was in the > hospital several years ago.....Also what type medical specialty > physician would someone like me go to for the > osteoporosis/arthritis...I guess my questions are am I seeing that > right type of doctor and which is the better/safer pain medication???? > Thanks for all your input on the list...you provide invaluable > information to us...Joan Hartman > > > > Vicodin and Ultram are in approximately the same category when it comes to addiction potential. Osteoporosis is generally not associated with a great deal of pain (unless fractures occur), but the arthritis can be painful. You reported that Vioxx did not work, but other drugs are available which might help. Celebrex? Others? A rheumatologist is the proper specialist to manage this problem. You may need a "second opinion". Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.rafink.com/ mailto:[log in to unmask] "Ex Tristitia Virtus" ********************************************* ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn