Hello, I am new to this site but have seen a lot of good advice so far and have decided to seek some for myself. I hurt my back, knees, and wrist in an accident at work about 2 1/2 years ago. I started out seeing a doctor who did nothing to help with my pain. So I finally found a doctor I heard was good and he started me out on Percocet 10/325, but they did hardly anything for me so he switched me to opana 10 ir... which seemed to work wonderfully at first. But my tolerance quickly grew and now I have been on opana er 20mg every 12 hrs, and opana ir 10 mg for breakthrough pain every 4 hrs. But I told him about 3 months ago that I thought we might need to go up a little on my dosage but he tried to tell me we could go no higher. But I have seen that there are still higher doses of opana er that he could put me on, but he won't? I am wondering why this may be and what I should do about it because I no longer get the relief I used to get and I seem to need to take my meds just to feel somewhat close to normal but I am still in crazy pain. Also it seems like he doesn't want to address all my needs as he is only focused on my back, but I told him my knees hurt like crazy and my wrist hurts making it almost useless to me. I know I have some bulging disks, and bone spurs? If I remember correctly, but I still think there may be other issues that I am not being told about due to the doctor not wanting to have to do more work. He just comes in and tries to rush out at every 4 week visit... I'm a little confused at this and just not sure where I should go from here? Oh and one last thing... since my docs office usually dispenses my meds to me I have never had to go to a pharmacy, but this last visit they said they ran out of the opana 10mg ir and wrote me a script to be filled. I have had so much difficulty getting the script filled due to major shortages at many of the pharmacies. I told the doc and he told me to just try and get what I could filled and to come back and he would write another script for the remaining. So I got 60 filled the first time, went back and it took them like a week to approve a new script for which I only could get 100 filled. I get 180 per month so this still leaves me 20 short and I was told to come back when I get close to needing the remaining, but this will be close to my next visit also where they will be giving me my monthly refills. So when I am due to go back and get the script written for 20, I will also be having to get a script of my er and ir for about a 7 day supply since my next visit was somehow wrongly scheduled for 5 weeks instead of the usual 4 weeks. Do you think this doctor is jerking me around at all? Because I did not like the way he treated me on my last visit and had asked to be seen by another doctor instead but the office manager said to stick with my doctor as she would address my concerns to him and to bare with him as he was just having a bad day due to being overly busy. But I feel that was b.s. and that they purposely did the things they did and are playing games with me. But I just don't know what I should do? Should I switch doctors? And if so what about my medication, should I try and switch to something else that would be in better supply so I would not have difficulty getting my script filled. And if so what meds ar as good or if not better than opana in your opinions? I know your not medical professionals and to not follow the advice 100%, but I'm really just in need of advice! I will make my own decisions after careful consideration of all information I gather from here and other sources along with talking to my doctor. I just really respect advice from other people who are in or have been in similar situations to mine. Thank you for any advice that can be of any kind of help!
Right now there is an opana shortage. Everyone seems to be having trouble getting it. Telling you he can't raise the dose isn't true as far as you're concerned, however the government is giving them more and more hoops to jump through and are watching them for the amount of opiates they order and the dose. My own doctor lost his license because the state felt he ordered too many opiates, the man was a pain specialist with a large practice. Tolerance builds up fast and the dose needs to be increased to have the same effect. I think his practice is busy and the office screwed up a bit with the appts. Do not ask for a drug or dose, doctors get the impression you are a drug seeker if you do that. Just tell him the facts. I would go to the appointment and see what happens, armed with some knowledge about opana and pain management. If he understands your concerns and you understand where he's coming from, things could be much better for you.
Hi, if you are unhappy and have a bad relationship with your pain doctor, you are perfectly within your rights to change. I can't say whether he is right or wrong, but i know how stressful it is when you aren't sure you are getting the correct care and advise. I changed my doctor recently, and luckily i have someone now that is much more compassionate and actually listens to me. If it isn't going to be a huge deal, see if you can switch to someone else. Then you can compare the advise given to you... Explain you concerns and confusions. I hope you can end up with a doctor that you are happy with!
Bigboi, welcome to the site. I agree with my friend who said you are perfectly within your rights to find a different doctor. I remind people often that You are the only one who is going to advocate on your own behalf. You have to be proactive and make the decisions that are best for you; don't just let these guys walk all over you.
I have a regular doctor plus a very good pain management specialist who listens to me when I'm having a problem with my meds. There are many options out there for pain meds. I was on a combination of Percocet, Norco and Fentanyl Patches until I began experiencing headaches. So we discussed it and now I'm on time release MS Contin (a morphine drug) plus Percocet. My advice to you is to dump this guy who is giving you the run around and seek out a better, more professional pain management specialist. Opana is not the only thing out there for you, and he is not the only doctor either. Good luck to you!
It's a lot to think about at once so I'm gonna start with the Opana increase.. first off age is a factor to a doctor and moving too fast puts you over tolerant and nothing helping. You should always take your meds as prescribed even if its just not cutting it. Also if you are young say 30, where will you be on pain meds say 10 years from now when you have took the highest, possibly strongest meds on the market an no longer work. Even in a surgery setting where u would need quick urgent care.. nothing would help. See what I'm saying. It is believed you should help yourself some with pool therapy, massage etc. and medication to a point where your life is better. These medications are notorious for the face numbing euphoria which I hate and all that remains is pain relief. Now the shortage forced me to Oxycontin.. bear in mind you need to take these with a large glass of water 8-10 oz. Do not eat with or near when you take them. 2 hours before or after.
In my switch to Oxy Op.. it does not move down the body like Opana. Pound for Pound Opana was better. Period. But if all this switching around is driving you nuts its a close relative... The Oxy. You are taking about what I was on Opana and switched to Oxy ER Op..3x a day 20mg. Plus my breakthrough 2x a day oxycodone. I have days where it doesn't work but I did with Opana too. That in mind I am not pushing for increasing I'm trying to just manage to have more good days than bad. Pain is intolerable for me and I will die in pain.. reality. If you are very sure this situation with the doctor has become bad then look for another, agree to disagree and look or ask for a PM SPECIALIST. They tend to give more than say your PCP but in some circumstances they don't. A lot of people are suffering in here due to the fact that DEA is changing what the doctors can write and not allowing people to be unsafely overmedicated although that probably was or wasn't their intent it was perceived that the doctors needed help controlling their compassion due to the massive drug abuse epidemic. Hope this helps you understand and the fact you are on Opana tells me the doctor does care enough to manage to 24/7 with breakthrough. So staying calm, keeping up with your schedule, picking meds up as they are due and earn his respect and trust and maybe in a few months you will get a bit more. I caution anyone moving too quickly.. I could probably double what I'm on and feel better but I'm not ready for it... my tolerance of my meds are where I want them so keep some control... Try some extra therapy and manage your stress. Keep in mind he could say you aren't doing well managing because of frequent increases and stop everything so stay calm as possible. Wish you luck with this and you will see over time with your doctor that not advancing you too fast is a good approach sometimes.
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