The pain management doctor I have keep experimenting on different type of drugs that don't work for me at all I've been feeling hydrocodone 5 milligrams to gabapentin 300 gm and now he's put me 5 MG porcert and it's still not working in told him I was on 15mg oxycodone when I was living in Philadelphia but since I moved down here to Florida and it's gotten worse it located in C4C56C6 and C7 area wat can I do
The problem is that Doctors have been given a bad rap for prescribing narcotics for non-terminal illness, and they're leaning more towards trying to find other avenues of treatment - or trying to keep the opiates as low as possible. I am not certain, but I think there is even something unique to Florida about pain management that's in contrast to all the other States. It might be worth looking into.
You are in legitimate pain, and nothing is working. I know how to help you, but you have to get over the stigma of what it is. There is a medication called "buprenorphine" that is like methadone in that it helps people on heroin get off the drug. It is STRONG like heroin - in other words - it's amazing for pain management, and for those people who are trying to detox, they gradually move down in dosage until the person is clean. In pain management, however, the dose never changes, as it's prescribed for pain, not for detox. And to help with the stigma issue, many doctors will put "for pain" on the prescription label.
I was taking a LOT of opiates. Year after year, my body became more and more tolerant. That didn't make me an addict. Your body simply adjusts and you grow tolerant. And all you ever do is ratchet up the ladder. When I first started out, I started with Norco, then Percocet, then Oxycontin, then Oxycontin + Fentanyl. It is ABSOLUTELY TRUE what they say about a person becoming hypersensitive to pain the more they ratchet up the ladder.
There are 3 forms of buprenorphine. The first is the one they use for heroin detox - it's called suboxone. You have to go to a pain management doctor who has taken training to be able to dispense suboxone. Doctors feel MUCH better prescribing this than they do opiates. In my experience, they start you out at a high level, then you say "too much" and you move down until you're at a therapeutic dose. However, it's possible that you might start at a low level (i.e. 2mg) and work your way up to 24mg until you find you're comfortable. If you're at 24mg, you are in a LOT of pain, let me tell you. I had been on 60mg oxycontin and a fentanyl patch, and 24mg was WAY too strong. I had to cut it in half to 12mg. So see, it's good medication.
Back to the 3 forms. The Suboxone is an orange film that you place under your tongue that dissolves. It contains the medication buprenorphine plus Narcan, which is the drug ambulance drivers give to people in overdose. Obviously, Suboxone is the one they prescribe to people in detox because, if they were to inject, the heroin would be completely ineffective due to the Narcan. DO NOT be afraid or upset if that is the form you are given. I started out on that form, too.
Then I made a mistake. I thought I wanted 24/7 coverage, instead of having a film twice a day. There is a form of Buprenorphine in a patch that only contains buprenorphine (no Narcan) that adheres to the skin. I believe it only comes in 10mg and 20mg, so it's a little more difficult to figure out. I was in TERRIBLE pain. I kept telling the pain management doctor "it's not working, it's not working, I'm in pain, something's wrong." And they kept telling me that everything was fine, I was on an equivalent dose to the 60mg oxycontin + fentanyl patch, so I should be at a therapeutic dose. Then this happened...
I decided to fire my pain management doctor. I truly felt that we were cattle being herded in and out of their office. Whenever I stepped into the lobby of the office, there were 15-20 people, taking all the chairs. It was unbelievable. You go in, you get your medicine, you leave. Where was the quality of care? So I asked my GP to recommend someone else, and off I went.
I spoke with my new pain management doctor about how much difficulty I had with the Butrans patch, and you know what he told me? He told me that the patch is only about 50% as effective as the Suboxone film and essentially, my pain was completely legitimate, despite what they were telling me, and over the 6 months I was using it, I detoxed myself down from the opiates.
I left his office that day scared out of my wits. He prescribed a pure form of buprenorphine in a tablet that melts under the tongue. It doesn't have a special name - just buprenorphine. And it was (just using myself as an example) 2mg, twice a day. Now, the patch had been a 10mg patch, so I was FREAKED OUT. I didn't want to leave his office because I was CERTAIN I was going to be in horrible pain, but he said "trust me... this is more than you've been taking... you're going to be okay." And you know what? 4mg per day has managed my pain like a DREAM.
I suffered endlessly, constantly in pain that was only slightly dulled by opiates. Now, I don't even think about my illness because I don't feel the pain (unless I am late or forget to take it). It also has a half-life of something like 36 hours, so if you take one every 12 hours, you get this constant rotation of coverage going.
I honestly think you should look into it. You are dealing with legitimate pain and you deserve a good quality of life. Let me know if you have any questions. I truly hope this helps you. Meggie
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