My wife utilizes the following Naturopathic Doctor prescribed drugs and has done so for the past two
- 16 Jul 2011 by rssarch1
- oxycontin, prometrium, provigil, liothyronine, doctor
... + years:
oxycod/apap 325 mg, 150 per month
oxycontin 10 mg 60 per month
provigil 200 mg 30 per month
liothyronine 25 mcg 136 per month
prometrium 200 mg 53 per month
levothyroxin 0.1 mg 30 per month
clonazepam 1 mg 45 per month
Reason: fybromyalgia and chronic fatigue.
I have many, many thoughts, concerns, and conflicting conclusions about all this. What do I have on my hands? Reasonable treatment? Unreasonable treatment? Drug dependency? Drug addiction? Treatement? Maintenance?
There is plenty more that could be written; I am looking for logical and rationale comments that would help me gain clarity and reduce self-doubt about what conclusions I should reach (if any) about this
16 Jul 2011
I see your concern and understand you want the best for your wife. Three of these medications are hormonal in nature so I'm assuming your wife has a diagnosed thyroid problem? The oxycodone/oxycontin are definitely addictive but if she is taking as prescribed and it is helping with the pain from the fibro then so be it. The provigil is to help with the fatigue and the clonazepam is for anxiety. As long as her symptoms are being controlled then I wouldn't be too concerned.
Really the only meds I would be cautious about is the opiate pain med. She might benefit from something like Lyrica or Cymbalta for the fibro and be able to get off some of the oxycodone/oxycontin. Just a thought.
16 Jul 2011
Well, looking at her meds, she is on some more potent opioids but I wouldnt say they were necessarily unreasonable for someone with fibromyalgia. The OxyContin 10mg is a very low starting dose for this medicine and looking at the quantity I assume she takes regularly twice a day. The oxycodone/APAP is for the breakthrough pain. The Provigil is often given to deal with the side effect of drowsiness that opioid medications can have for some people. It helps keep a person more alert so they can have pain relief and still function without being in a stupor from the pain meds. She has two thyroid drugs there:the liothyronine and levothyroxin, a hormone replacement-prometrium and the clonazepam is used for a few different things-anxiety, sleep, muscle relaxant etc.
If she has been on these opioid pain meds for awhile she is probably dependent on them meaning that if she stops taking them cold turkey she will have withdrawals but that doesnt necessarily equate with addiction. Addiction is a behavioral disorder which is characterized by loss of control over a drug (by escalating doses without the Drs recommendation, taking too many or taking for non pain reasons-for a high or to cope with unwanted feelings), taking a drug in spite of harm, lying about their drug use and a few other symptoms but this should give you the gist of the difference between addiction and dependence. Fibomyalgia is a painful disorder and if she is not showing signs of addiction then I would say this is a reasonable maintenance therapy. Do you know if she has tried any drugs like Lyrica or gabapentin (Neurontin)? These have been shown to help fibromyalgia without the opioids but not everyone gets relief or is able to tolerate them, but if she has not tried them, they certainly could be worth a try. Is there a reason why you ask about these drugs or is there a reason that makes you feel uncomfortable about her taking these medications? You say more could be written and perhaps that "more" would give insight into your question and to help us understand your misgivings. I do find it interesting that a Naturopathic Dr prescribes all of this. This is not a usual approach for a Naturopath but it is not an illegal or unethical approach, just unusual. They tend to approach more avenues of natural therapies like herbs, vitamins, dietary approaches and other "alternative" therapies like massage, accupuncture and not as much Western medicines. If I have not answered you or if there is more you should add please write back and I'll be glad to try to help you more in any way I can. Dzoo
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