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NEED HELP WITH PAIN MANAGEMENTHi im 22 years old and like in pittsburgh pa. I was in a serious car sccident back in may this year and as a result i had to have a major surgury. Mu femur bone actually went through the back of my pelvis. They had to do a bone graph and put a plate snd screws in my pelvis. The doctors prescribed 5/500 vicodin 3x a day. This did not relieve my pain so they sent me to the pain clinic and they precribed 2 percocet 5/325 3x a day. This still is not taking my pain away and i dont know what to do. I am not a substance abuser and everytime i talk to my doctor they do not want to up my meds or even try somthing different. Please If there is someone out there that can give me advice or the name of someone i can see PLEASE HELLP!!! thank you and god bless. ( categories: Chronic Pain and Pain Management )
 Perhaps they do not want to
Perhaps they do not want to up your dosage because they feel that your condition is not going to be chronic. If the Percocet is not helping, and telling them does not make a difference, I would ask the doctor why he/she will not switch the meds to something else. There's really nothing we can tell you other than to make sure your doctor knows that the meds are not working. We can all tell you how bad of a deal you are getting, or that you should switch clinics, etc, etc, but, we are not all doctors. Only you know how painful your symptoms are. If the pain is not being treated adequately, ask your family physician to refer you to a different pain specialist. gtrplayer  ---chuck---two 5/325mg
---chuck---two 5/325mg percocet at one time for pain is very strong and effective,from my experience this dose is more than enough,but just maybe you should be prescribed one 7.5mg perc every two hours for a broken femur it sounds painful but 10mil.is strong. (edited by admin) heres the answer
go to a pain management doctor and tell him in the past you were taking whatever you have been getting on the side just don't tell him you were taking it illegally.This is very very bad. If you use to take it he will feel more comfortable prescribing it to you. You need to stop getting your meds on the side that is very bad and you cn get in a lot of trouble!!!! 2- 5/325 mg Percocet 3x's daily
Okay, if you are taking 2- 5/325mg Percocets 3x's daily, I don't understand why your doctor still has you on the (IM) Imediate Release Tablets. I think Oxycontin 10mg or 15mg every eight hours. (Oxycontin is oxycodone, (percocet), but in an extended release form and without the ibpro. or tylenol, i'm not sure which is in percocet). That would give a steady release of the med. try this...
Hi- I just read your post. Talk about deja vu! After posting on this forum, I realized that I needed to talk to a pain specialist. I was honest with him. Before I saw him, I was taking close to 4000mg of tylenol/day. That is insanely high, I know, but that was the only way I felt ANY relief at all. I told my pain doc that I needed something to relieve the pain, but I was concerned about my tylenol intake and that I was already taking wayyy too much and didnt want to damage my liver or stomach or whatever anymore. He asked my if I had any suggestions (which was a first). I told him that I wanted something that is a low dose, but strong and would act quickly, and also that didn't have any tylenol. He prescribed me Roxicodone 15mg 3x/day. IT DID WONDERS!! I thought I had finally discovered the miracle drug! It acts quickly, doesnt upset my stomach, and is strong enough where I dont have to nor do I want to take more than prescribed. I finally have the relief Ive been looking for, and I feel that I am doing it in a safe and effective manner. And make sure to tell your doc that you are looking for relief and that you would like to discuss your options and agree with him/her on a way that will be both safe and effective for YOU.  I may be wrong but IMO it
I may be wrong but IMO it seems that physcians other than pain mng.are careful about rx'ing any sch 2 pain releivers to younger patients. I never understood that but I have heard and seen it many times. It might be that a doctor is concerned about addiction's, it may be that he thinks that being young might get over the pain much quicker than middle aged or older patients. I wish I knew the answer.  I totally understand what
I totally understand what you are going through. I have hepatitis so tylenol is a definate no no for me, plus, when I tell the docs that I have hep c, they immediately think, iv drug abuser, (NOT) plus I have tattoos! No one will give me narcs!! I am a stereotype of a drug abuser I guess. I got hep c either from my tattoos or more likely from one of the 2 needle sticks that I got while working as a nurse. I cant take ibu now cause i've taken so much of it I've developed an ulcer from it. So what now???? I dont really think that the doc cares about my pain. I feel like they all think I am lying to them just looking to get high or something. They have seen all my ultrasounds, x rays and mri's etc... what more proof do they need? And if you are brave enough to actually suggest a narcotic, watch out!! Now you have drug seeking behaviors!!! Its totally ridiculous. And not very fair. I deserve to get the same treatment that anyone else does. My pain management doctor has a sign posted up on his wall in the waiting room that says, "oxycontin will not be prescribed for new patients". This I can definately understand, because then any addict can go in and try to get the oxy, but Ive been going to him religiously for about 8 months, had facet injections, epidural steroid injections and a Rhizotomy. Now I am still in pain!! Do you think I should still be considered a new patient? I wonder how long I will have to suffer before he will put me on something that may actually work? Like what? 5,6 years??? Are all pain management doctors like that? I went to one other a few years back and all he did was put me on 300mg of Neurontin, 3x's per day and thats it. Oh, and he tried cymbalta, which is actually an antidepressant, which did nothing as I expected. He gave me 2 epidurals and then that was it!! He said there was nothing more he could do for me!! I must have "that look" or something, cause I dont know why I am being treated this way. Now, if I change to a different pain managment dr., the new doctor will just think that I am doctor shopping for narcotics, why else would I be changing doctors? I guess I can tell him its because the other one isnt helping me but I dont think that will be good enough. Doctors are just so suspicious these days, and cautious of course, but the people that really need the meds have to pay the price for the fakers looking to get high! What do ya'll think? (edited by admin) That really sux bro. In my
That really sux bro. In my opinion, after recieving all the prior treatments like the injections and the Rhizotomy he should have put you on some oral narcotics. No, from my understanding all PM doctors are not like that. Is your PM an anesthesiologist? It is probably in your best interest to stay with your current PM for a little while longer and suggest narcotics to him. Have you tried that? Youve been with him for 8 months so you should be golden but just ask him. believe it or not cymbalta
believe it or not cymbalta is actually commonly prescribed as an adjunct pain med. It probably didnt work because you didnt expect it to like you said and when you dont expect something to work chances are your not going to even give it a chance. Also i dont think there are any docs that are going to jump from ultram to oxycontin without trying other meds that are in between. Going in and asking specifically for oxycontin is definitely gonna get you labelled as a pill seeker. If you did all those adjunct therapy and it isnt working and he still isnt prescribing you something just switch to a different doctor. The new doc wont think you are doctor shopping if you were never prescribed any controlled opiate in the first place. Just explain to the new doc all the injections and everything you have done and say it still isnt working and the doc wont do anything else to help. Believe it or not there actually is a small percent of compassionate docs out there....you just need to actually find them. I am not sure why they would
I am not sure why they would not be increasing your medications. I can see waiting 5-7 days in between increases in dosages to find out the minimum dosage that gives you adequate relief. Try telling them what activities you can and cannot do because of the pain. If you say "I cannot mow the grass because it hurts to much, or if I stand up to make dinner, I have to lay down for the rest of the night", or "I am waking up at least three times a night because of pain to take a percocet" it gives your doctor a better idea of how significant an effect pain is having on your daily life. If you say "I can't do competative Motocross biking because the pain is so bad" your doctor will talk to you about more reasonable expectations for pain relief. I don't think age should be a factor. I also don't think that the expected duration of pain should be a factor. I will sometimes underdose people because I don't want them going skiing a week after they injure their knee, but I usually say "sometimes if we give you too much pain relief you think you can do more than you should and right now I don't want you to do anything more strenuous than slow walking." I dont remember if I
I dont remember if I mentioned that my PM Doc said that he has tried me on "every medication under the sun" !! The only meds he put me on were Darvocet N-100's then the Ultram. Im not asking him to jump from Ultram to Oxy, what can I try that is in between the two. I have been a RN for 15 years, and I am not aware of anything in between. I didnt tell the doc that I am a nurse because I dont like them to know. But I know that I have not been on "every medication under the sun" I hate being treated like an idiot ! Maybe vicodin or percs but they are not for chronic pain. Im on 200mg of Ultram ER, 50 mg's of tramadol qid prn, which I use every day, 300 of neurontin tid, 800 Ibu tid, (which I should NOT be taking because it gave me a duodenal ulcer, and now he is trying me on 10 mg of baclofen in the AM and 4mg of Tizinadine in the PM. I think I like the baclofen better than the tiz, but 10 mg's just isnt cutting it. If I take 2 of them a couple times a day it helps the spasms, but I dont think he will want me on that much. What do you suggest I ask him for that is stronger than ultram and can be used for chronic pain? (ps, he also knows that I won my disability case and knows that I cant stand or sit for very long, and walking, OMG! Im so frustrated! Oh, and as for the cymbalta, I believe they give that for pain because depression does in fact cause some physical pain, but I was already on Prozac! Why is percocet not for
Why is percocet not for chronic pain yet darvocet or ultram is? they are all immediate release meds. Just because you are having pain daily doesnt necessarily mean you need an extended release med. My mother has fibromyalgia and rheumatoid arthritis and is in pain daily and takes her 5mg percocet 4 times per dayas needed(sometimes she only takes 2 or 3 per day). Judging by what you are saying i(s that all immediate release meds are no good for chronic pain so if anything MScontin or Oxycontin would be a logical choice. But a doctor is still going to want to try some stronger immediate release meds before putting you on the potent longer acting ones. Like i said to you in a different post try hydrocodone (norco, lortab, vicodin). It will do more than ultram or darvocet and i would try everything possible before getting on the more potent extended release meds because once you start with the more potent ones your tolerance is just gonna keep going up and up untill eventually a doc will not want to increase your meds and then you are out of luck and in pain while dependent on opiates. Just for a rough estimate 50mg ultram is equal to 5mg hydrocodone supposively but I know from personal experience that 10mg hydrocodone feels and works more like 150mg ultram not 100 like it should.  MRS, You said that you are
MRS, You said that you are tattooed and have Hep C, and in your own opinion look like what a seeker looks like. How could you possibly go into a doctors office looking to get adequate pain relief knowing you look like a drug abuser!? Cover up your tats, take a shower, brush your hair and teeth, and buy a cheap presentable outfit preferably with long sleeves for your next appointment and see if they treat you any better. If the doctor or staff says anything about your "new" look, tell him/her that you thought it was time to grow up or for a change and leave it at that. Also people without comprimised livers can safely use Vicodin or Percocets for chronic pain. There are reports that the liver will get used to the apap as long as it is given time to slowly adjust and you dont add alcohol to the mix. But I am assuming since you have Hep C you cant have the amount of tylenol that comes along with both these meds. There are Codeine Sulfate tablets that doesnt have any apap in them that come in 15, 30 and 60mg made by Roxane Labratories. But with a comprimised liver you probably wont be able to metabolise it properly. You could also get meds custom compounded to not contain any apap, down side is the cost and finding a pharmacy now a days that can do it but if you have insurance I would ask about that. If you are looking for a med that is inbetween Oxy and Ultram without APAP those would be your only options other than using an equipotent dose of a different CII that doesnt have tylenol in it. Good Luck Oh yea, and as far as
Oh yea, and as far as Cymbalta goes if I were you I would try it! Its one of only two meds that are approved for fibromyalgia pain. Its a pretty new med and Ive heard some really good things about it actually helping. It isnt a miracle drug that is going to make you all better. Its suppose to help people not have to take as many of the narcotic meds. If I had insurance I would try it. You could also ask your doc about Lyrica instead of Neurontin if you have insurance. Its basically Neurontins little, more kick butt sister. Not sure if you know this or not, PM doctors get really upset when they hear "that doesnt work" or " Ive tried that before". You basically gotta go with the flow until the doctor is comfortable with you. Yeah, I know. Its kinda
Yeah, I know. Its kinda hard to cover up a tat on my shoulder blade when Im getting a cervical or lumbar injection! But when I go to my pcp, its always after work, Im dressed in a skirt or a dress, (Im a Legal Assistant), I shower every day, brush my hair and my teeth, dont know why you said that, lol. I didnt mean to imply that I looked like a sleeze bag. And I have a degree as a RN for gods sake. Its hard for me to wear long sleeves because for some reason I am extremely hot all of the time & get dizzy, sweaty and passed out one time from it! (something else my doc just blew off! ) Didnt even take blood to see if im in peri-menopause. Anyhow, when they take my BP, I have to pull my sleeve up, and I have a tat on the inside of my right wrist and another on the inside of my left forearm. Its kinda hard to hide them. Im not a druggie, I just like tattoo's. It just sucks, I know. I speak very educated, I know my medications, I know my anatomy and physiology, Im so sick of this! Oh, and I did try the cymbalta. He had me on it for some length of time, and when it didnt work, he d/c'd it. And is lyrica really stronger / better than neurontin? I didnt know that or I would have asked to try that. I did look it up in the PDR and saw that they both have the same mechanism of action so I figured it didnt make a difference which one I took. As far as the ultram goes, Im an on 200 mg, od, extended release, plus another 50mg's qid for breakthrough pain. I dont see how in the world it is comparable to hydro or oxy. No way, Jose! Maybe if I stopped taking it I would be able to tell if it was working or not, but as of right now, I honestly dont think it is working. The way you described ur
The way you described ur self I just assumed you were some crazy tatted out old biker chick. At this point Im going to go with the opposite and assume that you just have a crummy PM doc. Theres no point in going to a specialist and paying a higher office visit if hes just going to give you what a D.O. would. You see, Im young and when I first started needing pain meds and anxiety meds I was even younger (19-20) and have tattoos on my arms and have never had a problem with getting proper care even with wearing tore up jeans and band t-shirts. I didnt think about having to roll the sleeve up so they could take ur BP, they never ask me to when I wear long sleeves, I am pretty under weight though. I guess you shouldve told the doc that you are a legal asst. who is also a RN, maybe he wouldve treated you with a little more compassion from the begining since you have experience in the field. Some doctors try blowing smoke up peoples ... if they dont show that they are atleast a little informed. I personally would be scouting other PM doctors, its not like your going to lose much if the current one doesnt want to keep seeing you if you are looking around. Lyrica is suppose to be better than Neurontin for treating pain, and I dont think you have to take as many pills like you do with neurontin. I personally cant say its better or worse, havent tried it yet. I can tell you that it is a schedule V controlled and Neurontin isnt a controlled substance.
Thats okay, no, im not a
Thats okay, no, im not a crazy biker chick, lol. And you are absolutely right. My PM doc. is bad! When he does my steroid injections under ultrasound, in my lumbar spine, he refuses to give me 1 freakin med, like a perc or vic for the pain and tenderness I experience afterwards. I had the rhizotomy done from a different doc., but in the same practice, and when I woke up he let me have 1 vicodin cause I was really sore. The other PM Doc. lied to me i guess. He told me that they dont keep any medication there, where the procedures are done. What a jerk !! Maybe I will stay with the other guy that did my rhizo. This way he will already have my records n' stuff. Plus he had a much better personality, explained everything fully and made sure I understood what was going to happen during the procedure, he seemed very concerned. I liked that. If you are taking 400mg of
If you are taking 400mg of ultram per day (half extended and half immediate release) then i dont see how you say it isnt comparable to hydro or oxy. That dose would be equivalent to taking 40mg of hydrocodone per day which is a reasonable dose (10mg QID). For some people ultram just doesnt work as well as it is supposed to. I have taken it for pain before and it worked fine while i know other people who have said that it doesnt work at all. Perhaps you are one of those people who it doesnt work so good on. Also how long have you been on it for? Is it possible to have built up such a high tolerance that it is no longer working? |
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