I've been on pain meds for years andalready take a decent amount.
I've had some "issues" & was still able to get my meds upped by being honest & letting her know that they're not working well enough & not that I expect to be completely pain free but just controlled enough that my quality of life is good. That would be my suggestion or that you'd like to try something different but still have the option to go back to what you were on. Hope it works out.
Buddy and Anonymous gave you great advice.
It’s good that you are going to the same doctor and have established a relationship.
As mentioned, it is expected to develop a tolerance.
Probably the best way to present your case is to start a journal and bring it to your appointment.
Write down the times you are taking the meds and the time when the pain is taking control.
Write down how it’s affecting your life and how your lifestyle is being affected.
An example would be that you no longer go out walking because it increases your pain.
Write down your pain numbers throughout the day so he sees how many hours you are in pain.
They need to see how your life is changed in regards to basic functions.
Do NOT say you cannot go out on Friday nights. Lol... I’m being extreme.
DO say you are only sleeping 5 hours a night. You are eating only half meals twice a day because of the pain.
You are not active anymore for fear of it becoming out of control.
They use your pain scale and these words to justify increasing the meds for your chart. You are spoonfeeding him the info he needs for his documentation.
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