So I am 20 yo and i have been diagnosed with osteoarthritis in my knees hips and lower back after several years of pain it got to the point that I would tear up from random daily activities. My doctor prescribed me HYDROCO/APAP 5/325MG. So my problem is that when I take 2 it dulls the pain for 1 or 2 hours and then the pain is back like clockwork everytime I take my dose. Then I have to wait 4 more hours to take another dose. I have been taking them for a couple weeks now. So my question is; is this how they work for everyone? If not what are the desired results? Could it be to small of a dose? I am 6 ft 2 in tall 285lb fully clothed and in my work boots. I am going to talk with my doctor but would like to be able to supply some input or thoughts without sounding dumb. I have never really had experience with this type of medication or medications in general. Is there some other things I should suggest? I'm just trying to figure out my situation. Thank you for taking the time to read this and thank you for any input.
Honestly, the first thing I worry about is a possible misdiagnosis. Osteoarthritis is a type of arthritis resulting from life's wear-and-tear on the body, especially if someone makes repetitive motions for a long period of time. It's something people tend not even to worry about until closer to retirement age - and you're so young! If you don't in fact have osteoarthritis, then taking a narcotic could be bad either because it masks the true problem so you don't get proper treatment or just because there are many risks (like addiction and also pain can be induced by the narcotic if someone tries stopping after taking it long-term - it actually can be a bigger pain cause than the condition it's supposed to help!)
If you do have osteoarthritis, then it's best to try as many alternative pain relief methods as possible and are safe, but if you also need a narcotic then the lowest effective dose is always best, and that can sometimes mean starting at too low a dose and slowly titrating up until you feel the pain is manageable. Since you are young and osteoarthritis is a degenerative condition, you certainly don't want to build a tolerance early in life to pain medications that are helpful for you. If you are able to use them sporadically versus daily, then your likelihood of getting relief from the medication will be better in the present as well as further down the road.
Your doctor should be very helpful in explaining your options and how they differ if you ask - if they aren't willing to answer your questions the. It's probably time for a new doctor. Everyone metabolizes medicine differently so until you have experience with a medication it's tough to know how your body will react. The good thing about narcotics is they don't stay in your system nearly as long as some other types of pain medication (not necessarily kinds you would ever need) and that means that although the withdrawal process isn't known to be pleasant, it at least is over much sooner.
Best wishes in finding pain relief.
Your Dr will normally start you off with the lowest dose he can and then start working up. The medication you're taking is an immediate release med. You might do better with an extended release medication alone, or combined with your current medication. It sounds as if you don't take the meds on a consistent basis, but more on an "as needed" basis. Pain is much better controlled if you get on top of it before it gets bad. So you need to bear that in mind. Talk to your Dr about your problems and follow his suggestions. Remember that as much as it may hurt, arthritis actually is helped by moving around. You might ask about some short term physical therapy. A therapist can show you some exercises that can help you stretch out your muscles and keep loose. I wish you the best of luck!
I'm so sorry you are going through this at such a young age.
It's why I'm also questioning the diagnosis. Osteoarthritis should not be so widespread and severe in a 20 year old.
The second thing I'm questioning is the medication .
Is you get a diagnosis ending in "itis" the treatment will usually be a med specifically for inflammation.
NSAIDS... Aleve, ibuprofen or a prescription that is not a med that covers up the pain but one that treats the disease.
As far as what you are taking now, it's a classic example of when pain meds are not high enough of a dose. You didn't mention how long you have been on this med.
It is also an example of when a person has been on them for awhile and becoming tolerant therefore, a higher dose.
You are going to run into a big problem going on this road. The pain meds go higher and higher because the body becomes used to them.
Doctors are very much against pain meds on a long term basis. You are going to become addicted and have to go through withdrawal on top of your pain.
You mentioned work boots. If you are doing work that is exertional, a change in your type of work may be the best thing you can do for yourself.
Please see a rheumatologist if it's in your joints.
Physical therapy may also be helpful to you.
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