... osteoarthritis among a few but I feel like a criminal any time I need to have that "this isn't getting it" talk at the doctor s visit. Ps : I've never abused them, never been one to ask for much but I have to now- I take 10mg Oxy 3 x day and still hurting, is this unusual?
No, it isn't, however, RAologists don't like to dispense narcotics at all. If you are relatively young, they will treat you like a junkie until you prove otherwise. I wish I could say my experiences were better than yours but it is not the case. My dad and I have the same disease and he is 77 and his RAologist will not give him pain meds. He has to go to his GP for them and they are the lowest form of narcotic available. He is 77 years old, what do they think he is going to do??? He still has to pee in the cup to prove he is taking them, my father served this country with honor and this is how he is treated in his retirement.
Forgive me, but it gets old. Find a Dr who knows you, if you can. I was lucky, my GP has known me years before I got sick!
I am surprised you were started out with the OxyContin stuff, I couldn't get that if I were officially crippled!!! But then my treatments are working so my need is way less! I also don't have the Neuropathy issues, I am so sorry. If I had a magic wand we would all meet for a BBQ and dance all night long!!
Forgive me for ranting.
You did not mention how long you have been on the dosage you are taking now. But if you have been on this dosage for a few years it is Very common that you build up a tolerance for the dosage you are on.
I am not sure what type of Dr. prescribed this to you.
But I would recommend if you are not seeing a
Pain Management Specialist as they will be able to monitor your pain with higher doses & other methods.
So off you are not seeing a Pain specialist you might mention to your Dr. that your pain has become worse & you are having problems managing your pain & see if they can refer you to a specialist.
That way you are not out right asking for more medication.. Just that you need help because the pain is too much.
If this is a dr. you have been seeing for awhile you can just mention that you are having problems managing your pain & ask what options might be available to help you.
Best of luck, Kathy
OxyContin may provide some relief for R.A but it is not great for neuropathic pain except in higher doses. Neuropathic pain is difficult to treat, the pain signals don't follow the normal pathway that nociceptors that respond to opioids work for. Has anyone suggested Endep (amitriptyline hydrochloride) which has been shown to work, as well as SNRI's, both are types of anti-depressants. You could point out to your GP you are willing to try the other forms of pain relief, which take a while to start working, but could you increase your OxyContin from ten to 15mg x 3 in the mean time. I know what you mean about feeling like a criminal asking for them. Mention that to the doctor. The widespread abuse of them has made it hard on pain sufferers, and the authorities have made it hard on doctors to prescribe them.
Perhaps if you sympathise with the doctor, and let him know the predicament he or she is in (studies show female doctors are less likely to prescribe narcotics than male doctors; interesting, huh?) but your quality of life is really going down hill. It would be wonderful if the non-narcotic meds worked, wouldn't it? Another med for RA is methotrexate; very powerful, but has a side effect profile that means it's not for everyone. Good luck; my Aunt has RA, and I wouldn't wish it on anyone.
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