I have severe chronic pain. I have been seeing a pain management dr. for 12 years. I have been on the duregesic patch 100 mc for 4 years. The patch works great and has given great results. The past year it is not working that much. I asked my dr could he up my dosage maybe to 125mc of duregesic patch. He told me no that the dea does not allow. I know this is wrong and now have been scared to complain anymore about my chronic pain levels, they at an 8 now of scale 1-10. What can I do, he drug test everyone after your visit so he knows i am not a drug seeker. I am just stuck and the pain levels creep up every month.
I have severe chronic pain?
Added 26 Feb 2011:
Thanks to all for the answers. I have poly fibromyalgia rheumatica, severe arthritis in all my joints; I have had over 24 surgeries on different joints of my body. I also see a Rheumatologist. My Pain doctor gives me one oxycodone a day for breakthrough pain. My rheumatologist has me on lyrica and Cymbalta. My pain doctor sent me to a rheumatologist 3 years ago. You are right I am scared to push my pain doctor and he get ticked off. If I could get my pain level back down to 5-6 I would be happy. The pain log is a good idea. I will start a log and take it when I see my pain doctor. I go every 3 months to my pain doctor he writes all my scripts for 3 months.
May I ask what kind of pain you are having ? Where? What? Sometimes doctors will use a combination of medicines for pain relief. I just stopped Methadone, & am starting Embeda, a slow released Morphine. Once my doctor finds the right level for me, she is going to try Cymbalta also, as I have so many differant pains from so many differnt conditions. I tried Lyrica which really calms nerve pain, but alas I was one of the unlucky ones with side effects. There are so many. Gabapentin is another one. Talk to you doctor again, & ask about this approach without asking for an increase. I saw my Pain Center doc 2 days ago, & she told me the FEDs are really cracking down because so many drugs are showing up on the street. Can't blame the docs. They want to help, but have to protect their lisence' too. Hope helps a little bit. Good luck too you.
I have had doctors who it seems no matter how hard we try the have their minds made up, they give so much and you end up with a feeling you better not say anymore, I feel so fortunate to have the pain management doctor that I have she made it clear from the start (five years ago) I expect total honesty, I keep a log about what I've taken over the last visit, I keep a record of my pain, and every time I go in I take every bottle of medicine with me, if anything unusual happens during the time between office visits I call and inform her nurse, she does not request that I bring medications in but I look at it this way if I have nothing to hide then why not take the medicine in and allow her to see for herself, last month I caught a fall on ice where I live we had an Ice storm, I notified her office nurse this month when I went in she has had x-rays blood work, and she has increased my medication my pain levels are much worse, I think if you are honest with your doctor and then he disregards your voice that tells him that you need help then this doctor is not listening, I hate changing doctors but once you've done all you can and the doctor does not pay attention and then as you said you are afraid to complain further this doctor is apparently not the right doctor for you, Once pain gets out of control the longer you wait the harder it is for you to regain pain control, it sounds like you need to have a talk with this doctor, just an open, honest conversation, if he isn't treating your problem then he is no longer doing the job you /insurance pay him to do, I wish you only the very best, please let us know how you are doing
You need to have an honest, open conversation with this doctor. If you have been with him/her for 12 years then they know you are not a drug seeker. Please, tell the doctor what you have shared with us.
When is your next appointment? I like what caringsonbj had to say about keeping a record of your pain level through out the day over the time until your next appt. Share it with the doc which will put the ball in his court so to speak.
Good luck, and wish you the best,
I know docs are leery when you get up to the really high doses of meds. Does yours prescribe anything for breakthrough pain? Perhaps adding hydrocodone or Oxycodone that you could use at really high pain times would be enough to make the difference. I like the idea too of suggesting adding Cymbalta or Lyrica - these meds help a lot with pain, and although they have their own side effects, they are not narcotics, so aren't controversial. I know it's hard to change docs, there are no guarantees the next one will be any better in the long run, and they sure aren't needing us, we're needing them! Best wishes to you. EJ
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