I have Piriformis Syndrome and Crohn's Disease. I've been on Neurontin 1200mg Daily and Norco 10/325mg 6 per day for the last 4 months. Ever since I started on the Norco it has never been enough. But I have had long history of going to doctors and having them dismiss my pain as being either all in my head or they just outright label me as a drug-seeker. I finally after about 16 years of constant pain that has only gotten worse with time found a Doctor that diagnosed the problem and has been really good about helping with the pain. But, after all the years of being dismiss or mislabeled I have developed an intense amount of fear and anxiety over approaching my Doctor about the fact that the meds that have been taking aren't really helping. My doctor has tried to get me referred to a pain clinic, but my insurance doesn't cover anything close to me and about 2 months ago I had my car stolen and I couldn't even drive to an appointment with a pain doc. Since I started on my meds I haven't been able to take any less than 4 Norcos in one dose to notice any relief at all. I have dealt with this pain since I was 14 and in many ways I have gotten use to it so I am not in anyway expecting total relief. I would be happy it my pain was at 5 on a scale of 10 and I can't seem to achieve even that at a normal dose of Norco. I have been to the ER several times over the years, so I have had experience with different pain meds. I never saw any relief with Oxycodone, they only seemed to make me feel high, but didn't help with the pain much. I've only seen real improvement with morphine or dilaudid. But even those don't help much unless I take a dose that's higher than "normal". It usually takes around 8mg or so of Dilaudid or 90mg of morphine. I am just at a complete loss as to how I approach my Doc about this without him defaulting to the same BS opinion that other doctors have had before. If I had my way I wouldn't be on any medication at all, but as it stands right now I have to be on something to give me some sort of quality of life, but what I'm taking isn't helping. So, if anyone has any clue as to how I can approach this with my doctor I would greatly appreciate it.
Where exactly in your body are you experiencing your pain? Is your pain from a previous surgery or something else? I have chronic pain myself and I take Norco 10mg. For the most part it is working. I have intense back and shoulder pain from a spine condition called lordosis. I am also using a device from a company called Empi. The device is called a Tens device. It helps relaxes the muscles that cause pain. Also I recommend just being open and honest with your doctor. There are always new medications coming out in the market that may work for you. I have never tried oxycodone but Norco is working for me. I wish you the best with your next doctor visit.
One way might to keep a daily pain log - perhaps you can find one online, but I've always made my own using an Excel Spreadsheet, or a Calendar. Just write down the date, time of day you're using a pain med, what level (1-10) is your pain, then a notes: area when you could put anything that is going on at the time: such as exercising, laying down, working, stressful situation, etc. You could also indicate what you did to try to bring the pain down in addition to taking a breakthrough med, also, you could put what you weren't able to do because of the pain. It may take a few months of doing thus to show your doctor a pattern but it might help he/she to see that you are really trying. I wish you could see a pain specialist, mine helps a lot with my piriformis syndrome by doing a procedure to zap the nerves involved and it relieves the pain for 4 - 12 months until the nerves regenerate, then I have it done again.
Unfortunately doctors don't like to jump up very far in dose at one time, they like to do it very gradually (and in all fairness it helps with documenting things for the DEA to keep themselves out of trouble). I know it's hard for you to complain to your Dr. about the meds not being strong enough, but until you do, you don't have a shot at having effective pain relief. I wouldn't mention taking 4 Norco's at a time (that's not how it's prescribed) but would rather focus on how much pain you are still in.
I hope you can get some help for your pain soon -
Keeping a daily journal about your medication and activities is an excellent idea. Maybe you can let your doc know you joined an online support group for chronic pain sufferers and print out this question. It clearly explains the problems you have and alsso shows the doc you are being pro active in your care. Personally, I think your taking way too many Norcos. You really need to get your pain under control. Along with this page (full of information) please ask your doc about bringing your pain control to the next level. Good luck to you. Please keep us posted. chris
Fentanyl patches work great for crohn's, since they work on hollow organs. They will not work as well for back pain or lacerations.
Fentanyl is 100 times stronger than morphine. The benefit of wearing a patch is that it is a constant 24x7 approach to pain management. Norco will work well but since it is oral and lasts for a few hours, you have an up and down effect and when you are feeling better and don't take the oral norco, you will spiral into what feels like a flare. So, you need more norco and it will continue on this cycle.
One drawback to fentanyl is that when you have a bad flare, it most likely will require additional pain medication to help manage your pain. This has additional consequences to your pain receptors - requiring more medication to block out less pain.
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