Suggest an alternative to Oxycontin for right-sided palate pain while EBV and B-Cell disorder
Patient: I have EBV& B-CELL LYMPHOPROLIFERATIVE DISORDER on the right palate in my mouth that is very painful. I have stage 4 Lymphoma and am undergoing tests before starting the chemo. The biopsy reveals significant numbers of EBV& cells which have a similar distribution as the PAX5 cells. Of course there is more- but although I have OxyContin 5mg to take 1 to 2 every 4 to 6 hours as needed- it s not really helping. Is there anything else that I can do for pain while I wait for the chemo to start? Ny gums are swollen and there is necrotic tissue and it seems to be worse every day! What about an antiviral medication? Doctor: Hello,I hope you are feeling better now.You may ask your doctor regarding tapentadol PR for replacement of Oxycontin.Since you are already on high dose medication , I would suggest you to do saline rinses.Also apply a local anesthetic gel over the ulcers so that you get some immediate temporary relief.Maintain the oral hygiene. Drink more water. Vitamin B complex and Vit C would help in healing as well.Hope you get well real soon.