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Would somebody happen to know....under what circumstances will a physician pain specialist "normally" prescribe OxyC? I've used Vicodin ES for chronic neck/back pain conditions but the pain continues to get worse, has spread to other parts of my body, and VES does not seem to work like it has in the past.
They may prescribe it for you but I doubt right away. They will try other meds first, then probally a controlled relase pain killer, Oxycontin would probally be their last resort. You may want to ask your doctor about Lidoderm patches. You put them on the area that hurts and it numbs it. It is usually very effective but you still made need pain killers also since the patch can only be used for 12 hours. hope this helps
She is exactly right. I took just about every med there was until my doctor put me on Oxycontin. I am up to 80 mg 3 times a day and my pain is still really bad.
Sounds like you are getting central-sensitization to pain. This is unfortunate as that kind of pain is a lot harder to control well.
In some people the pain takes on a life of it's own to where things start hurting without any actual tissue damage occuring.
I wish you luck, that type of pain seldom responds completely to the typical opioid drugs alone. I've been through it, and tried a ton of things - had more failures than success.
Some avenues to discuss with your doctor: Neurontin, Dextrmethorphan (weak NMDA antagonist as well as a cold med), Methadone (strong opioid pain killer with NMDA antagonist properties), Effexor XR (antidepressant with serotonin and norepinephrin effects, useful for blocking certain types of pain signals), or simple switching to Oxycodone formulations (Percocet 5/10, Oxycodone-IR..), Norco (Same thing as the vicodin ES you are taking, but contains more hydrocodone and less tylenol, allows a higher ceiling allowing you to take more of it.)
Oxycontin has two major drawbacks. #1 it's really expensive #2 Doctors are leery of using it because of regulatory hassles.
Are you numb yet? No. AARRGGGGGHH! I told you I wasn't numb! Sorry, I didn't believe you.
My past physician had tried just about everything there was to try, with no real relief from pain due to chronic back problems. I just went to a new doctor on friday, and in addition to the codiene that I currently take 4 times a day, she has prescribed OxyC twice a day, and Skelexin T.I.D, so maybe it just depends on who you go to?? Anyway, hopefully this will work, at least until I go to the neurologist and get his opinion on what can be done. [?]
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I agree with shadoefire, it depends on who you go to, because my doc prescribed Oxycontin 20mg CR on my first visit, for pain from TMJ disorder.