midwestma... longer has the same effect. How do I go about asking my doctor to increase it, without sounding like I am "drug seeking". So many times I hear about peoples drs. dropping them for just that reason. I am fearful she will think badly of me. I take percocet 7.5/325 for breakthrough. I take Kadian 50mg three times a day, and the Kadian does not last as long as it used too either. I am feeling so lost here. Any help on how to go about approaching this with my Dr. will be so much appreciated. Thanks!
Breakthrough Pain - I've been taking the same breakthrough meds for almost five yrs. now, and it no?
- Posted:
- 13 Jan 2010 by midwestma
- Topics:
- pain, breakthrough pain
Details:
Responses (8)
13 Jan 2010
I found if you talk to your doctor with all the education you know medically that can help. For example you could say that you personally believe that you have become tolerant to the drugs you are taking and was wondering if an increase in dose would be acceptable in your situation. Most doctors will agree and often prescribe you a higher dose especially if it's been a long time since you've upped the last dose. Just be honest and your doctor will understand. I hope this helps. Good luck to you.
ryw105
1 Aug 2010
i was going thru the same situation at one point. my Dr. had me on a narcotic pain med for 2 yrs. i found that the med was not working as well adn it was not lasting as long. i never said anything to my Dr. because i thought he woud just think was trying to get "high" or something, which was DEFINETELY not the case. Dr. at pain clinics are so intimidating. i just wish they could take a walk in our shoes for one day so they could feel the pain we feel every single day of our lives!
fussy_2011
14 Jan 2011
ive been there! i have medicaid and i swear when i was going to the pain mangement center,every time for my refill visit, she made me feel like i was lying when she asked me how was my pain management going. it was the same, and i knew i needed a higher dosage. she went from lortab 7.5 to norco ten to roxycodone 5. they worked but i found myself taking 6-2 times a day than2 -3 times a day.i mentioned 30 mg oc and she didn't like that idea, an told me to find another pain center.people i knew got 40 to80 mg oxycontin,but they had private insurance an wasn't half as messed up as i was!
harleyhon...
barbles241317 Jan 2010
I have been taking percocet for 5 years. I also tried kadian but it made me sick. I just got switched to a long acting morphine called Avinza. It seems to work ok I do get break through pain and for that I take Morphine sulphate 15 mg As long as so have been following the rules and follow up with him I do random drug screens and have a contract for narcotics. If you have legitimate pain and your doctor is aware of your injury there is no reason to have to be reluctant. I wanted off the percocet totally because of the tylenol causing other problems. You can also let him know that you are concerned about the long term use of tylenol and the Kadian just doesn't help as much as it had when you were first prescribed the medication. The Avinza is one every 24 hours and my doctor liked the idea of using morphine instead of percocet. I wish you Good Luck I know the anticipation of how to explain your pain relief needs. Unfortunately this is the way drug users have made our real need a hard on to treat Hope this helps god Bless
midwestma
18 Jan 2010
I have had five spinal fusions, due to spondylosis/ sp ?, plus arthritis of my spine, plus my SLE, I just recently lost all feeling from the waist down, and could not walk at all, I was taken to the hospital, as a result of all my prior surgery I had adhesions that were winding around my spine, and nerve paths. Making me almost parylized. sp>? I had yet another surgery to remove the adhesions, and I am able to walk with a cane, have severe drop foot on the right foot, so I use a brace also. I am always in pain, and the fibro doesn't help either. I do have something I signed a paper with my Dr. quite some time ago, I think it was to insure I only received narcotics from her, however, not sure. Although, I've been with her over five yrs. She is really a dominant person, making it hard to bring up the subject.
barbles2413
18 Jan 2010
Is your doctor a pain management/anestheseologist? If not try to find a pain center located in a large hospital. I found I had to go into the city (PHILADELPHIA) but it was worth it because all they deal with is pain and I guess are more savy as far as knowing the best combination of meds for you. I now go to my family Doc and I signed a contract with him have drug test done and my meds are okay I know i will never be pain free. But you know some docs have control issues. Make her feel like the change in meds is her idea Tell her you are concerned about the tylenol in percocet because of all of your other medical problems an ask her what she thinks about it and start a conversation like what would you consider to be comparable to what you are taking now. Tell her you hate to even bring this up and you have been trying to deal with the pain as best you can but also realize that the higher your pain level gets the harder it is to get it under control.
31 Mar 2010
Hi Midwestma, I have to ask my pain doctor on the sixth. I am freaking myself. I have to just go for it, because he can't read my mind. For the last two months he has given two stupid drugs, I say stupid because my records show I can not take anti-inflammatories ( I had a great deal of my lower intestines removed some years ago due to an incarcerated hernia) That was clled Diflonac.The second med was Lyrica which is primarilay for nerve pain. I suppose I could have him up my dose of methadone. This seems a little dumb on my behalf because I already take two hundred mgs. a day! Now my ex hubby sent me five 30mg. oxycodone. It worked well for the breakthrough,I was not trying to get high. I just do not know how to ask him. The ironic thing is he used to be my ex's. doc.! He ( the doctor) moved to the west coast of Fl. which is how I ended up choosing him. Just in case I was too vague I only took one of those a day and only when I needed them.Thanks Fall Queen, I wish you the best!
midwestma
14 Jan 2011
Hi fall queen,
caringsonbj14 Jan 2011
I have chronic pain and I had the same feelings that you do I took the chance I take my medications with me to the office (on my own/not by doctor request) I count them prior to going I have always been open and honest with the doctor, I think once they see a pattern then they just know that you are not seeking anything but help! I went through many physicians who did not make me feel as comfortable but with this doctor I feel that I can and even as many problems as I have had tolerating meds I never feel that the doctor questions me take good care
butterfly...31 Dec 2011
I am not sure if you are getting your pain meds through a pain management dr or not. If you are not seeing one you might ask to be referred to one. Anytime you have been on the same pain meds for 5+ years you build up a tolerance & they are not as effective. your dr. should be aware of this & not question it. they should change your primary pain drug to an amount were you don't even need a break through drug. Just be honest with the dr. & you should be fine. & if you do not have a pain management dr. you may want to see one. Good luck.
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