My mother is in end stages of cancer and hospice just became involved. She has been on 100 mg Methadone for a few weeks with Hydrocodone 10/325 for frequent breakthrough pain., which has been working well. Hospice wants to switch her to 60 mg MS Contin daily, with the hydrocodone still for breakthrough pain PRN. She has been on Methadone for about two years for fibromyalgia, but on low doses. Doses only began increasing a few months ago due to the cancer pain. Will the new regimen control her pain and will she experience any withdrawal symptoms? The only promise I could make to her when this started was that we would control her pain, and I hope to keep it.
I just wanted to assure u that hospice are usually awesome to work with, just let your nurse know of ur concerns and they will make sure that ur mom is as comfortable as possible,so dont worry u will be able to keep ur promise..I am sorry to hear about ur mom..You are in my prayers..Good Luck! sorry i couldnt answer everything, but i wanted to assure that with hospice ur in good hands..
I'm sorry to hear about your mother "Bless her", and bless you for being there to care for her and make sure she has adequate pain control.
The amount of Oxycontin she will be getting sounds right, however remember each person metabolizes medications differently, and you need to just keep an eye on her, and more importantly "LISTEN", she will let you know if she is not getting relief, Sometimes they will also use a Fentynal Patch for continued pain control, and add the breakthrough medication. So she would wear the patch and use Oxycontin instead of Percocet for the breakthough, if it's too strong, use could also use the Percocets too in place of the Oxycontin. Hospice is a wonderful organization and are always more than willing to work with you on requests for med changes either upping the dose or decreasing, or switching to a new one. Hang tough, it's trial and error at first.
She may become Lightheaded, or nauseated at first, it's just so hard to say, because the Methadone unlike onxycontin does not give the person a feeling of euphoria, it blocks that sensation while still controling pain. That is why they use it for "drug addicts", they are looking for a high versus the real pain control, So she will notice a huge difference.
When I cared for my Father- in -law whom also had hospice involved we had to try many different drugs to get him balanced.
We used the Fentynal patch, oxycontin and also percocet 10mg /325 because some days he didn't need as much breakthrough pains meds, so I used the percocet, if he needed more we used the oxycontin.
Hospice also added some Valium so he would not feel so restless, although is wasn't until a few day prior to giving his soul to heaven, that he became restless.
One more thing, we did alternate between demerol injections sometimes for the breakthough pain near the end stages, I almost forgot about that.
I wish you well come back as often as you need to, a lot of folks are more seasoned at this than I am, I pretty new at this advice part of the forum.
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