I have been in and out of pain mgmnt. for about four years now. At one point this last year, my insurance stopped. I knew I was in trouble because I had developed a dependency and I was in pain. I hace RA, DDD, Fibromyalgia, bursitis, nerve damage and a four-year old boy,lol. Anyway, I decided to go to an outpatient methadone clinic. I've never been to anything like this before. I was never on the streets ect. So, right now it been about 7 months since i started going there. They still don't have my dose right. Apparently I burn it off very fast. I am up to 150 mg every day and go through withdrawls about 3-4 hours later. They do blood tests and have regulations before I can increase my dose. Its a lenghthy, annoying, very expensive treatment and I am still in pain and sick. So now, I have insurance. I've got excepted to a new PM group, thank God. My fear is how to I tell them this? Should I? Can I just switch from methadone to whatever they give me? Usually I start out low at these places (or they start me out low) with darvocet 5 or lortab 5. Ive been on some other heavier things before though.Can someone help me out there and give me some advice? I have anyone to ask?
Methadone is supposedly a long acting pain med, but apparently your body is either in more pain than you think or you may have had a deterioration in your conditions that is causing you to need methadone more often. Just let the pm doctor evaluate you, be sure to provide as much info as you can to him/her, get your records if possible. They won't likely switch you from methadone back to lortabs tho, lortabs are short term options, they might give you some for break thru but they aren't going to just put you back on them if you are in this much pain as they tylenol in them would be too much at the dose you might need.
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