... take things for breakthrough pain and tells me to just put up with the pain which I can't seem to do.
You have quite a bit of options. I'm sorry you even have breakthrough pain. Usually what I do with my patients is start on something "mild" like Norco 10/325 and then assess the situation in a week or two to see if it's working and if not then we can go up to percocet 5 or 10mg which usually does the trick. If you're that miserable then you could do a low dose 5mg of Oxycodone. Try going into the office and tell him to either up your dose of the Contin or give you a BTM. If you are still having to deal with this issue then you may want to get a second opinion but be prepared with your medical records for the new doctor to see.
There are many options for you, as someone stated above. Non-narcotics, such as prescription 'Aleve'... which actually works really well at times, or narcotics, such as Vicodin/Lortab's. Are you in chronic pain for whatever reasons? Do you see a Primary Care Dr for your Oxycodone? If so, I would ask him for a referral to a Pain Management Dr, as they are trained in, well, managing pain. You'll have to be very honest with them, and walk the straight and narrow, but it's worth it, in order to get full pain relief. Just make sure that you've tried all the non-narcotic solutions you can, before asking for more. When I saw my Pain Management dr the 1st time (after he had already done a 'background check' to take me on), I had tried all that I could. Heat, yoga, weight-loss, Aleve, stretching, cold, electrical stimulators, plus a million more.
I had found a few things that helped, and stuck with them, but knew I needed help. My doc was impressed with the fact that I had tried everything I could, and actually said, "I wish that 1/2 my patients were as motivated as you are". If they know that, (honestly) you have tried all you can, they will be more open to finding a solution that may include more meds.
Ok finally an answer after 6 years. If your dose of OC is low, you can request a higher dose. I have CRPS in my arms and take OC ( OP ) 60mg 2x daily. Even though it's designed to work 12 hrs, it only works about 7-9. So for periods when I have BT pain the doc started me on 5 mg oxycodone IR and titrated me up to 20mg. It sounds like a lot of opioids but the dose we start with doesn't work forever. I've been on 60's for 2 yrs and just started the 20mg for BT pain.
I don't like the high feeling at all so those 20's are strong. Just be careful and use the lowest dose that works for you. Do Not take extra. My doc calls me in randomly to count my pills. I better not be off by one day or she will stop them immediately. Thank goodness I always end up with a pill extra. So, I'm always ahead of the game. I filled my RX today. I got 60 pills. In my reserve bottle I have 20, because I'm always 1/2 day ahead. Oh yeah if you have kids. Lock them up or hide them well. Mine are in a hidden safe. Apparently they're worth a lot. So I lock em up somewhere only I know. God forbid my kids get hold of one.
- OxyContin Information for Consumers
- OxyContin Information for Healthcare Professionals (includes dosage details)
- Side Effects of OxyContin (detailed)
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