Here is My Question:
What effect does the Butrans patch have on pain associated with lesions on the cervical and thoracic vertebrae?
The Butrans patch is a long acting narcotic only indicated for severe chronic pain requiring around the clock narcotic pain relief. I would not recommend this treatment for the central or neuropathic pain and abnormal sensations associated with the spinal cord lesions of multiple sclerosis. There are many options other than chronic narcotics to treat the type of pain associated with multiple sclerosis. In my experience those people with MS who start treatment with chronic narcotics rarely get off these medications and often develop many additional problems related to narcotic dependence. I would recommend discussing additional options with an MS expert or a pain expert. Good Luck.
Rip Kinkel, MD
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