mnmama
08-02-2008, 01:57 AM
I was on Oxycontin 20mg every 12 hours with Oxycodone (2-5mg tablets) every 4 hours for breakthrough pain. For the last few weeks I have developed pain on my right side -which is a new symptom for me-and was prescribed MS Contin 100MG every 8 hours with nothing for breakthrough pain. Does that make sense? I have not heard of this new med before and was wondering if anyone has had sucess with it. Also I had gastric bypass surgery a year ago to try and help with my back pain (it hasn't helped) and I am wondering how timed release meds work with me.
I am taking it for cronic back problems/pain. I have severe DDD at the L5-S1 level, Compression of the left S1 nerve root, and an Annular tear at L4-5 with diffuse bulging disk.
I am going to go see a neurosurgeon next Wednesday because I have been having intense pain in my right side which is a new symptom for me, I am also having a new MRI done on Monday to see what if anything is happening.
Thanks
I am taking it for cronic back problems/pain. I have severe DDD at the L5-S1 level, Compression of the left S1 nerve root, and an Annular tear at L4-5 with diffuse bulging disk.
I am going to go see a neurosurgeon next Wednesday because I have been having intense pain in my right side which is a new symptom for me, I am also having a new MRI done on Monday to see what if anything is happening.
Thanks
Sponsor
Executor
08-02-2008, 02:40 AM
Sorry to hear about your troubles....I'm surprised that your Doc didn't give you anything for BT pain. Perhaps he forgot? I would call the office and ask to speak to a nurse and tell them that you aren't doing well.....Could you come pick up something for. To be honest, I don't think I've heard of this scenario eore.....Doesn't mean it hasn't happened though. Maybe the Doc is letting your body get stabilized or something. Regardless, I would communicate something to him ASAP. If you gut it out and wait till your next appt, your Doc may think you can get by without.
Hope you start to feel better.....
Ex
Hope you start to feel better.....
Ex
cmpgirl
08-02-2008, 03:50 PM
mnmama,
I have to agree with Ex. I wouldn't wait til your next appointment to ask why you were not given a BT med. MSContin is a long-acting med, just like Oxycontin, but it is actual Morphine Sulfate as opposed to a synthetic. And for most people I know who take it, there is usually a BT med Rx'd as well, even with an increased dose in LA meds.
I don't know if it is your GP or a PM doc who is prescribing your meds, but either way, I always ask my doc as many questions as I can when he wants to make any changes in my regimine. It really makes a huge difference to have an open dialog with your doc.
I hope you are feeling better soon and can get this straightened out. Please let us know how it's going. Best of luck, CMP/MM
I have to agree with Ex. I wouldn't wait til your next appointment to ask why you were not given a BT med. MSContin is a long-acting med, just like Oxycontin, but it is actual Morphine Sulfate as opposed to a synthetic. And for most people I know who take it, there is usually a BT med Rx'd as well, even with an increased dose in LA meds.
I don't know if it is your GP or a PM doc who is prescribing your meds, but either way, I always ask my doc as many questions as I can when he wants to make any changes in my regimine. It really makes a huge difference to have an open dialog with your doc.
I hope you are feeling better soon and can get this straightened out. Please let us know how it's going. Best of luck, CMP/MM
forginon
08-02-2008, 05:32 PM
mnmama,
I also take MSC, every eight hours.
Your prior dose of oxy (both LA and BT) converts to morphine at about 150mg daily. So your doc has essentially doubled your dose. That's one heck of an increase, and I imagine that he wants to be very careful with short acting meds until he sees how you are doing.
You mention the lack of a BT med, but you did not mention how well the MSC is working. If it is delivering adequate pain relief then you probably don't require BT meds. What is your average daily pain using the 0-10 scale, where 0=no pain, and 10=the worst pain imaginable? If you are experiencing BT pain episodes, what level does your pain reach during a breakthrough pain episode?
I don't believe your bypass will have any meaningful effect on your absorbtion of meds, since the opioids are taken in while passing through the small bowel for the most part. If there is any reduction in absorbtion, and your doc knew about the bypass, that may be one reason for the large increase in dose.
Best of luck to you.:)
steve
I also take MSC, every eight hours.
Your prior dose of oxy (both LA and BT) converts to morphine at about 150mg daily. So your doc has essentially doubled your dose. That's one heck of an increase, and I imagine that he wants to be very careful with short acting meds until he sees how you are doing.
You mention the lack of a BT med, but you did not mention how well the MSC is working. If it is delivering adequate pain relief then you probably don't require BT meds. What is your average daily pain using the 0-10 scale, where 0=no pain, and 10=the worst pain imaginable? If you are experiencing BT pain episodes, what level does your pain reach during a breakthrough pain episode?
I don't believe your bypass will have any meaningful effect on your absorbtion of meds, since the opioids are taken in while passing through the small bowel for the most part. If there is any reduction in absorbtion, and your doc knew about the bypass, that may be one reason for the large increase in dose.
Best of luck to you.:)
steve
mnmama
08-03-2008, 10:58 AM
Thanks for everyones replies. REMOVED By the way it is my PCP who is doing my pain managment right now.
Thanks
Thanks