... Should I ask for stronger meds?
four per day is 1 every 6 hours, you should ask your Dr. if you can go to 2 every 4 hours. All you'll get is some help in your own ability to cope with the pain. Pain meds rarely eliminate pain, especially if the back pain is severe. This sounds to me like a starter dose, if you do not finish the script early and keep your Dr. informed he/she will feel more comfortable increasing you or changing the medication.
I believe they were talking about a Fentanyl patch which is VERY different from Butrans patch. Since your pain is chronic, you might do better with any long acting formulation of medication. Fentanyl is one but there is also OxyContin, MSContin and Opana ER. OxyContin is the long acting formulation of oxycodone, the active ingredient in Roxicodone. With long acting drugs, you take them by the clock, not in relation to pain levels so it keeps ahead of the pain. Most docs will allow a "breakthrough" dose of a shortacting drug for acute pain episodes that break through your baseline pain medication. If you are taking 4 15mg Roxies a day you could go to 20-30mg OxyContin every 12 hours with 5mg Roxicodone for breakthrough pain as an example. Your Dr will know best as to what to start you at but that would be a pretty typical starting dose for you. Long acting drugs give you much better, more consistant relief than immediate release or short acting meds. You might ask your Dr if a long acting med would be a reasonable option for you.
Cara, I agree with Dzoo, you need to be on a long acting pain med, with breakthrough meds such as the roxy if you need it. ms contain is a very good well tolerated undoctored (such as oxy, or opana) medication that is still 'pure'. The others have been doctored up so that you don't get the relief that the meds used to give you. I'm sure that once you get on a long acting med, you will deal with the pain much easier. Good luck!
- Roxicodone Information for Consumers
- Roxicodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Roxicodone (detailed)
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