I don’t know about the Avinza but I was curious about the hydrocodone. Is there acetaminophen or other nsaids? I would hope that since you are concerned about your liver and kidneys, that your doctor takes this into consideration. You should be taking hydrocodone without any nsaids. For example. If your prescription has 5/325? Then it is 5 mgs. Hydrocodone and 325 mgs. of acetaminophen/Tylenol. Long term and high doses of nsaids and especially acetaminophen are hard on the liver and kidneys. People with long term chronic pain, should not be prescribed opiates with nsaids already in their formulation. I’m not saying that an occasional ibuprofen or Tylenol will kill you. In fact, I feel like the occasional nsaid can help with the minor aches and pains, not associated with your chronic condition. Things like sore muscles, minor headaches etc. I hope this helps and I wish for everyone to have a pain free day, hour or minute. Y’all know what I’m talking about! Every second being pain free is a blessing, even though most of us never get that second.

have you tried botox for migraines I go to a botox dr in chapel hill and botox is used especially for botox lasts about 3 months. does not seem to help me nerve pain so I take hydrocodone with tyneol, skelain a muscle relaxer for my throat and klonopin and few other otc ester c vitamin e with sellium etc

This feed seems to refer to American medicine the names of which I don’t recognise. Is Tynelol what we call paracetamol??
I take Gabapentin for nerve pain. It works but I’m on the maximum dose so sometimes have to top up with Oromorph. I also take slow release Tramadol which is supposed to get me through the night as it stays in the system.
I also have Osteoarthritis and take Naproxen 500mg twice a day. Because this can cause stomach ulcers I have to take Omeprazole to prevent this. Common practice here in the UK. TBH the only thing that rids me of pain IS the Oromorph but I take it cautiously because of side effects. I once had a collapse and it was blamed on Oromorph. I take liquid 10mg per 5ml. Usually 2.5ml does the trick.

I use self injected Aming for severe migraine multiple times a month. What a relief! Generic excederin works for less intense ones.

I get migraines and only generic Excedrin help them. That's the only other pill for pain, other than the hydrocodone but I have to sometimes weigh between head or back being worse for which I should take. I never take both close to each other for liver and kidneys. Thanks for msg.