18 sprays per day at 30 minute intervals!!!!! Huh?

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Posted by Samantha Smith on November 16, 2001 at 15:45:50:

In Reply to: stadol ns off-labeling posted by David Bergstrom on November 15, 2001 at 11:21:02:

I'm not doubting what you are saying but could you please email me the source of your info? I read a few years back that the FDA approved Stadol NS for migraines. Taking 18 sprays per day at 30 minute intervals would put even opiod tolerant patients in danger of an overdose. I have the 8th edition of the PDR in front of me and in says:

Indications, route, and dosage:
Moderate to severe pain.
Adults: Give 1 mg by nasal spray (1 spray in each nostril). Repeat if pain relief is inadequate after 1 to 1 1/2 hours. Repeat every 3 to 4 hours prn.

I realize that you said that Bristol Myers is guilty of off labeling, but never in my 5 years of using Stadol NS would I ever have been able to tolerate 18 sprays per day. And I've had 4 neuro's in the past 5 years who have prescribed it to me and they never said anything about 18 sprays per day. Even the insert for Stadol NS doesn't say anything about taking that dosage for any ailment in the NS form (unless I overlooked something in the small print.)

Anyway.....Stadol NS basically just "doped me up and made me loopy" but it was not very effective in terms of pain relief. (It was kind of like being drunk while having a CH.) Stadol NS put me at a very high risk for rebound headaches (of any kind) if I used it more than 2 or 3 days in a row (about 5 -6 sprays per day.) Before I could find the right combo of meds I used Stadol out of desperation...something was better than nothing. I no longer use Stadol NS but I have to say that it got me few many rough times. Please email me your source of info. Thanks. Sam

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