I also have lupus which can be very painful and debilitating at times. I have bet the cancer (woohoo!!! :) ) now my oncologist said that I would have to have my rheumatologist write my pain meds because its no longer caused by the cancer. Well he had no problem doing so but changed it from 10's to 5's which most days is fine. But on some days I find myself having to take 2 to relieve the pain. I am afraid that when I have to see him in a few days that he may want to see my bottle and according to his prescription that I will be short a few due to me having to take more on my bad days. I do not want him to stop writing them because I seriously need them. What should I tell him if he counts my pills?? I had to sign a pain management contract stating I have to bring my bottle in when I come to the office and that he has the right to count my meds. Should I go ahead and say something before he counts them? Or should I explain why I'm short after he does if he counts them?? I'm really worried..
Why in the world would he lower your dose, when 10mg was working? I don't know what kind of cancer you had, but I still, nearly 10 years later, have chronic pain because of the cancer, chemo and radiation. Nonetheless, a rheumy should know how painful lupus can be. Honesty is the best way to go. Just explain to him what you have told us. Perhaps he can prescribe 10mg and you can cut them in half if you don't need the full amount. In the whole scheme of opioid pain relievers, hydrocodone is like a BB gun --- it is definitely not one of the big guns! I'm sure he is concerned about dependence or addiction, but sometimes we have no choice when we have chronic pain. If you have been on hydrocodone for 2 years, you have probably already developed a physical dependence, but not necessarily an addiction. Some of these doctors are soooo scared of DEA and their patients are suffering for it. I wish you the best!
If it were me, I would call my doctor today and tell the nurse that the Vicodin 5mg tabs are not relieving my pain and that I want permission to take 10mgs starting today (since that is the dose you were taking before and you know that works for you). That way, you could account for at least some of the ones that are missing now.
Good luck with this!
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