ago a neurosurgeon removed approximately 90% of a fragmented disc. Shortly afterwards, my pain management physician began prescribing OxyContin 10 mg tablets, twice a day. The medication provided almost instantaneous relief; however, over time, I've noticed the benefits are decreasing. Each time I suggest an increase in either the dosage or frequency of consumption to my pain management physician, he'll mention that it isn't "good" to remain on OxyContin "too long." My sense is that he fears I either have, or may become dependent on the drug, despite random, unannounced urine screens that have never shown an unacceptable level of the drug in my system. How do I overcome his apparent resistance? Two different neurologists have examined MRI's of my spine and remarked that, at 55 years of age, I have the spine of a man more than twenty years my senior. Thank you!
What happens when a person becomes used to opiates is that the neurotransmitters in the brain stop sending a signal over to the receptor sites since the body is already receiving opiate. The neurotransmitters take a vacation and will have to be rebooted in order to function again. Your doctor doesn't want this to happen to you so he is not upping your dose. Even though you have damage to the bones in your back, there are alternatives available that can help, ask you doctor about those alternatives. Some include, massage, tens units, physical therapy, accupuncture, other meds such as antidepressants and physical activity. I am NOT judging you, just trying to explain why the doctor isn't wanting to up your dose of OxyContin and what might help.
Even people with legitimate pain issues sometimes get dependent on the opiate based pain relievers ( both the brain and body love opiates and their effect) and notice that they have to take more. Even though I am sure you groaned when you read this, it may help to discuss your pain with your doctor and ask for alternatives, if he/she sees you are serious enough to do alternatives, he may up the dose or change the medication. Love your screen name, hope you get some relief soon. Patti
Hey Fender Strat,
Just wanted to add to what has already been posted. You may want to consider non narcotic medications for nerve pain such as Lyrica, Neurontin, Savella or Cymbalta. I have a neurostimulator in my back for pain control. It is a little electronic device that sends electrical impulses to certain nerves to interrupt the pain message getting to the brain. You can google "neurostimulator" and read about it. It is made by medtronic so go to their site if you want.
Just some thoughts,
Dear Fender Strat
I agree with Pattishan I like your site name, I too suffer from chronic pain some of which is located in the areas from which you speak and the other is neuromuscular because of onset of polio, I did not have the exact same thing to happen to me as you, my pain management doctor is willing to increase if and when it is necessary last winter I caught a fall on the Ice and further caused problems with my neck and back area's, I am prescribed Opana Extended release for my chronic pain, after this I was in so much pain that I couldn't sleep and barely function it seemed like the more medicine I had the more I needed, I used precription Ibuprofen along with my other pain meds which seemed to help but towards the end of winter things did start to improve, when I fell I ended up taking (3) tablets of Opana every 8 hours, Now I have managed to work myself down to 1-40mg tablet every 8 hours, it seems that if you have a healthy liver than the more opiates you take the more your body requires, it may be that your doctor is either trying to hold you at that dose as long as is possible or he may be saying that you need to change to a different drug, You could always ask him if he is willing to try something that might prove more effective or perhaps allow (as Patti said) you to do a combination of things which might prove helpful, I don't recall you mentioning that you were on a breakthrough pain medication (medicine that is taken inbetween your other medicine so when you have pain it sometimes helps hold you over) if you are not on breakthrough medicine that might be another thing to ask your doctor about, It is my sincere hope that I have at least been of some help, your always welcome here, a lot of caring compassionate people who may even give you better suggestions than I have, feel free to stick around or ask questions at any time. I wish you the very best
- OxyContin Information for Consumers
- OxyContin Information for Healthcare Professionals (includes dosage details)
- Side Effects of OxyContin (detailed)
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