I go to a pain management dr, I've been on hydro for 4 years. The last 8 months dr added oxycontin, got up to 60mgs total a day, then switched me to 90mgs. Avinza 1 x a day with 10mgs. Lortab 3 x a day. I have self medicated by increasing the Lortab, I take them till they run out. I'm up to 10-12 a day now from 3 a day for about 3 months. When I run out I bust up the Avinza and that helps me get thru till the next refill, but it's tough. The whole thing has gotten totally out of control. I do have numerous medical problems with chronic pain and was told I would have to stay on pain meds all my life just to function. Can someone tell me how can I get back to my original dosing, and then maybe try to get off completely. But I don't know if I can get off completely, the pain is unbearable. I'm just so confused. But first I would like to get back to the correct dosing. It was just so easy to keep taking more Lortab. I guess going back to 10mgs 3 x a day probably won't do me any good anymore, right? Any advice you can give me will be extremely appreciated. I've really got myself in a mess..
You probably don't want to hear this but I think you need to be honest w/your doctor. As much as I don't want to say this, it sounds like you are an official addict now and your pain management will probably need to be changed entirely. Maybe not, but if you don't do something now, you are only going to get worse. At least you are recognizing this now, while you can do something about it. If you can't decrease back down to three a day, which I imagine you would have done so already if you could, then by all means... try to do that. But it sounds like you are past that point and that's why I'm recommending that you talk to your doctor. The only thing that helped me was being honest and getting help.
Keep us posted as to what you decide to do. I feel for you terribly with that you have pain to deal with on top of this.
I am so sorry to hear that you have to deal with this incredible amount of pain on a daily basis. I too was treated for years in pain management treatments of different types. It is easy to spiral out of control, especially when you have all of those meds at your disposal. I have to agree with the previous post, the only real (and safe) way to handle this is to be honest with your doctor. I know you will be embarrassed or possibly ashamed, but you would be surprised and relieved to know how often doctors encounter this. It's a big risk to be on so many pain meds of this magnitude, and I'm sure the doctors can't be sure who is at risk for addiction problems. I used to work for a group of doctors and I can tell you that when you are up front and honest with them, they will respect you for that, and will try to help you. Please consider getting a grip on this before it gets worse....oxycontin is hell to get off of. I really believe that your doc will appreciate your honesty, in addition to understanding how things like this happen. Your future pain management can be worked out between you and your doctor, because when you are honest, things tend to work out for the best. I wish you the best, let us know how things work out for you.
Bluej, what are you being treated for? Back or spine? You do realize, I hope, that Avinza is pure morphine, and is designed to be a 24 hour delayed release capsule. When you "bust" the capsule, are you taking only a portion of it, or are you actually crushing or chewing it? This, combined with Lortab is highly dangerous, I would think. Please clarify, if you don't mind, so that I can understand the condition, and may have some ideas for you.
Thanks so much to all of you for your advice. The reason I'm not being honest with the doctor is they will terminate me for being non-compliant, and that means no more meds, it would kill me. I'd love to, but I can't tell him. I have one herniated disc, 2 bulging (all lumbar), spinal stenosis, spondyloisis(sp?), bone spurs on all discs, 4 cervical surgeries with a hip bone and titanium plate fusion, 4 carpel tunnel surgeries on my right wrist with the last one leaving me with permanent nerve damage and RSD(very painful), osteoarthritis everwhere but my elbows, diabetic neuropathy in both feet with swelling and pitting edema, HBP, diabetes, chronic bursitis is my right shoulder, circulation problems from the diabetes, and depression. The pain is excruciating at times, that is why I started taking more Lortab than prescribed and now I don't know what to do. What do you mean that Avinza is pure morphine, I always thought nothing was pure morphine. I don't take it all at once though, I divide it. I am on ALOT of different meds. I just need to try and get this under control again, for years I did fine, followed orders, then BAM, I took it into my own hands. I'm so stupid!!! So, if anyone has any ideas, it sure will help, I don't know where to begin, I can't tell my doc...
I usually say what one poster said, that honesty is the best way to go as it usually works out for the best. But, I found out differently when I was honest with my last Dr. Not only was I not given a 2nd chance, but even what I did was twisted, as I had heard what he had told my insurance company.
So, sometimes, I do fear being honest. I think maybe you should try and talk to an addictionologist who has a better understanding of addiction altho pain management specialists are not in the dark about addiction; and should at least understand how you became non-compliant which is such a slippery slope.
Sometimes you have to be honest for your own good in the long run. I don't think they'd leave you in pain as a result of becoming addicted to pain meds and going overboard.
I hope it works out for you and your honesty is respected rather than punished.
Thanks Murphy, what is an addictionologist? I've never known what that is, is it a doctor or a group? I'm much too afraid to tell my pm doc, so I'm going to have to come up with something else. When I signed the contract they came right out and said, if you're non-compliant there are no 2nd chances or excuses. There will be no acceptable reasons, you will be terminated, with no more meds. So even if I go off the pain meds I couldn't do it without tapering off, but I really don't think I could go off completely, I wouldn't be able to handle the pain. But I don't want to have to take this much, so I'm willing to stand as much pain as I can and still halfway function as long as I can get out of bed. I do use a wheelchair, but if I have to lay in bed I know I'll just waste away.
Wow, that's a burden, for sure. I have the same spinal condition you do, and I struggle with the pain on a daily basis. Have you discussed a morphine pump for your back? Have they discussed steriod injections? I hate to say this, but you will likely have to take narcotics, in increasing doses. As far as your doctor is concerned, with what they are prescribing, they will know that the effectiveness of these drugs will diminish over time, and require additional, stronger medications. I think you either must be honest with them, or find another doctor. Good luck to you, as you have a huge burden with that much pain, and I feel for you.
Thanks X User. No one has ever mentioned a pump. I've had just about every kind of injection and blocks you can think of and they never help, in fact, some of them made it seem worse. I'm due for another steroid injection on the 21st, but I think I'll bring up the pump thing. As long as I can stop taking so much Lortab and busting up the Avinza. If I don't have it and they can replace it with something that will work better, that would be ideal, but it's not a perfect world, is it?