I know u guys aren't Drs but I would love ur suggestion or opinion. I'm currently taking 100mg of mscontin 3xday & 10mg of oxycodone 4xday. It's time for a increase but I was wondering if anybody could tell me what it should be or if I should try a different medication? Just looking for suggestions. Thank u!
Hi there. I'm new here, but still hope that I can help :0)
(Of course, this is my opinion, and I'm not a professional, so keep this in mind..)
If you aren't getting adequate relief from yoru current regimen, start an open discussion with your doctor. (A lot of doc's don't like to be "told" what to precribe you, let them be the ultimate judge of what's best for you.)
If it were me, (and I was a doc and of course knew all details of your file/case history) I would probally start by saying that pain medication is not meant to cure every bit of your pain, that most likely you will always have some degree of pain, no matter what medication you take,etc.
Then I'd probally increase your long-acting medication (MS Contin) a bit and see how that goes for a month..if its still not adequate, then I would increase your "short-acting" (oxycodone) to 15mg. Of course, all this would depend on why you are asking for the increase/change in meds..is it that you aren't getting relief for as long as a period as you were before? Or is it more that you are having more "breakthrough" pain? Or is it that you don't have enough tablets to get through a 24 hour period? Or is it that you are having "new" pain or more "severe" pain, and is it sudden, etc.
Anyway... I have found that long-acting meds have given me my life back, and so have the short-acting in conjunction..finding what works best for you with minimal side effects is not an easy road or a short one, but hopefully you will get there and be able to function and live the best quality of life that you can! Wishing you the best! (Hope I didn't bore you to tears! lol!) Have a great day!
i will try and help you out,
i was on the same meds as you about a yr ago for a very long time. here's the thing that is the allowed maximum does a dr can give you without getting into trouble. so if you think its not helping you anymore then talk to your dr., he will tell you what i just told you and he also may look at you and say i know you bulid a tolerance,( i don't know how long you have been on these cause you haven't said, but i was on mine over 3 yrs, same does.)but are you abusing them, he will more hten likely test your levels to see if you are taking them, i don't know if he ever has. this is a blood test, if you don't know. you may cause yourself aggervation or he may just not do anything and keep you at the dose.
you didn't give much info as to how long you been on them, how long you been with this dr, what you take them for. nothing except what to do to get highered on your dose.
so my suggestion is then go talk t your dr see what happens explain its not helping you. good luck in gretting anywhere though. they may change it to somehting else.the onlky other thing htey can do is change the ms cotin to opana and its no differnent now but you can try it if he wants you too. i don't suggest it. but its your body. you have to deal with if you ever detox and neither is fun but opana is worse and in my opinion doesn't last long once your used to it sameas everything else. also if its not working are you waiting too long to take your dose? when i was on it it worked great for me and i have alot wrong with me and a 2 very painful diseases. yo9u just can't skip a dose or allow yourself to get in to much pain before you take it again. i'm sure its prescribed take as needed. you have alot so you definilely can make it through a day without overtaking.
just my opionion. i don't know what your going through like i said .
My experiences with Dr's says it is best not to ask for an increase, rather report the meds aren't helping as much and allow the Dr. to make the decision to increase, what to increase and how much. Many Docs are turned off when their patient comes in with their own ideas/requests. This may not be the case with your Dr, if so, you are very lucky. Hope this helps.
Hi vampgirl & welcome to the site. You have asked a question, & gotten a lot of opinions, but after reading your comments about all your illnesses, I think you have a right to talk to your doctor about what is helping & what is not. If you are not getting suffcient pain relief from your current dose, of course you have the right to talk to your doctor, but the other are right too about pain doctors not liking there patients coming in & requesting other drugs by name. You have a lot going on that is causing you pain, & already know how you react to certain drugs & that would be in your records too. If you have a good relationship with this current doctor I don't see anything wrong with talking to him/her about what THEY may think would help you better. Everyone reacts differently to different drugs.
It would be pointless of us to say which would be stronger or help you more. Have you ever tried fentanyl patches? They are fairly strong opiad pain reliever. You could mention it to your doctor, but if it were me I would let the doctor take the lead on this. I don't think with all the problems you have that any pain doctor is going to see you as a drug seeker. I think by not giving more info in your original question it may have appeared that way to many of the members. We do occasionly get a question like that believe it or not. Sometimes chrontic pain patients are helped by switching to differents drugs too because of the tolerance problem, & then later can go back to what they were on before. It's a very individulaized situation is why so many are also telling you that you should let your doctor take the lead on this. I wish you the best, & hope you & your doctor can work this out. I know you are scared of getting a new doctor, but with your list of problems, I can't see why this would worry you. You aren't changing clinics so all of your records are still in your file. If it were me I would tell your current doctor your concerns of getting a new pain doc. Let them know you are afraid they may not be as pliable as this one is. Good luck, & let us know how you come out on this...
Hello vampgirl. I understand you have quite a load of illness to deal with. Autoimmune diseases are tough.
I too have polymyositis with interstitial disease. Is it under control? Which type do you have? Are you on the Myositis site? There is a conference coming up and they may be very helpful for you if you are in the US. I would talk with your privately, if you wish. I will send a request to make you my friend. If you select the same we can speak privately on this site. Thought you should know of this option.
I have a number of the same problems/diagnoses similar to yours. Thyroid, GI, etc. Am on high dose prednisone, hence my name here. We keep it under control but I have frequent flareups. Others can address the pain meds. Am happy to talk further or share. Karen
- Oxycodone Information for Consumers
- Oxycodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Oxycodone (detailed)
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