kim46
05-06-2009, 09:44 AM
Hi, I hope you can give me some ideas. 2 months ago my medication was changed from Percocet 10/325 to Oxycodone IR 15 mg. I had been at the Percocet 10mg for 2 years. When I get the script, I take 1 pill every 4 hours (sometimes I extend it to 6 if I am having a good day).
From last Monday until this past Monday, I only needed 1.5 or 2 pills a day. Some days I took only 1. Yesterday was not a good day (I have Chronic Myofascial Pain and painful scoliosis). I took my allotted 3 pills - 1 every 3 hours. I got so sick last night............full on nausea.
I took some Pepto Bismal and it helped somewhat. I didn't sleep well. Last month I had similar symptoms.
I have read about Phenergan here (sp). Should I ask my doctor for a prescription - will it help? The percocets never made me nauseous.
Thanks for any advice.
Tara
From last Monday until this past Monday, I only needed 1.5 or 2 pills a day. Some days I took only 1. Yesterday was not a good day (I have Chronic Myofascial Pain and painful scoliosis). I took my allotted 3 pills - 1 every 3 hours. I got so sick last night............full on nausea.
I took some Pepto Bismal and it helped somewhat. I didn't sleep well. Last month I had similar symptoms.
I have read about Phenergan here (sp). Should I ask my doctor for a prescription - will it help? The percocets never made me nauseous.
Thanks for any advice.
Tara
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lifeaftr40
05-06-2009, 10:04 AM
I occasionally get nauesa from my percocets and or my morphine. It is funny because sometimes NOTHING and then wham.. I get that feeling. I did mention to my Dr. and she did suggest taking meds with food. But I never know WHEN I am going to get sick. She did mention that Phenegran was an option but was hestiate to give as it can be sedating ( I am also on MS Contin 2x a day )So I do keep Dramamine on hand when I need it.
kim46
05-06-2009, 10:40 AM
Thank you - I will pick some Dramamine up today. I have been hopeful that the Oxy IR would work as the percs 10/325 (3 a day) weren't doing the job toward the end of the 2 year mark. I'ld like to give it another month or two but getting that "wham" sick, oh boy, I wasn't expecting this.
Thank you.
Thank you.
Executor
05-06-2009, 11:06 AM
Sorry to hear about your nausea. Hang in there...Your body will adjust. Are you getting brand or generic in the IR? Were you getting brand or generic in the Percs?
Also, if you take with food, it should help a lot.
Regards,
Ex
Also, if you take with food, it should help a lot.
Regards,
Ex
ThreeBadDiscs
05-06-2009, 01:00 PM
It also could be that you just got too much medicine in your system all at once. You said that on your bad day you took 1 pill every 3 hours. One pill COULD theoretically last 4-6 hours, so when you took another there is a good chance there was still some of the old one in your blood, and then you took another 3 hours later on top of THAT, so there was even MORE in your blood. So if you had been stable on 1-2 day, and then took 3 close together, you were getting a lot more medicine than your body was used to. See if you can analyze when you get sick and see if it is when you are taking more than you had been before getting sick. If so, try to space them out a little more, to 4, 5, or 6 hours - though I know that sucks when you're in pain. It might even be better to take 1.5 at a time, then wait 6 hours and take 1.5 again. This still keeps you at 3/day. Of course, talk to your doctor before doing this and get it approved by him/her. Those are just my thoughts on the issue. I hope you start feeling better soon! But ex is right too, your body *should* adjust and you'll stop feeling sick. But do pay attention to when it is you're feeling sick, and if you had done things differently that day then in the previous days. You might find a pattern and from there be able to change things slightly to reduce the sick feeling. Take care!
Executor
05-06-2009, 04:59 PM
It also could be that you just got too much medicine in your system all at once. You said that on your bad day you took 1 pill every 3 hours. One pill COULD theoretically last 4-6 hours, so when you took another there is a good chance there was still some of the old one in your blood, and then you took another 3 hours later on top of THAT, so there was even MORE in your blood. So if you had been stable on 1-2 day, and then took 3 close together, you were getting a lot more medicine than your body was used to.
Absolutely. If this did happen, then your BPL was probably very high....Great for fighting pain, but if you weren't used to it, nausea would be a reasonable side effect.
You have to also remember that when you increased from Perc 10s to Oxy IR 15, that's a 50% increase. Coupled with taking them more often, your BPL was probably twice, if not 3 x what it had been.
Hope you feel better.
Regards,
Ex
Absolutely. If this did happen, then your BPL was probably very high....Great for fighting pain, but if you weren't used to it, nausea would be a reasonable side effect.
You have to also remember that when you increased from Perc 10s to Oxy IR 15, that's a 50% increase. Coupled with taking them more often, your BPL was probably twice, if not 3 x what it had been.
Hope you feel better.
Regards,
Ex
kim46
05-06-2009, 10:04 PM
Thank you. I didn't get a chance to buy Dram. today. But I feel sick today as well. Ex, I just happened to read that BPL thread someone addressed to you and I think that means Blood Pressure Level?
To everyone who replied, thanks. I did realize I was getting a 50% bump - when it's cold and rainy, my days are a good deal worse. Last week it was nice and sunny and I'm trying to keep my intake down because I am nervous of going up and then not getting a script anymore as my doctor is quite old - some of you may remember. It's taken me a long time to find someone who believes in Chronic Myofascial Pain. I don't hoard any pills - I use them all before the script renews - I may have 4-6 left over. I guess you are all right - taking them every 3 hours was too much for my system so today, I took 1/2 when I woke up, 1 full pill 5 hours later, another full pill 5 hours after that and I got sick again.
Now I have an awful headache to go with the nausea. I'm obviously not taking them correctly. I'll try one in the am, one in the pm and if needed, another before bed. But, I feel absolutely lousy, sick. The back and muscle pain went away but then today, it's been a dull headache all day.
Also, I read once that the tylenol helps the medicine work better so I was thinking that I should take some anti-inflamatory with the Oxy IR? Do you think that would help with pain fighting versus this sick feeling I am experiencing?
I appreciate the feedback. My spelling is off because of the headache - please excuse this.
Thanks in advance.
Tara
To everyone who replied, thanks. I did realize I was getting a 50% bump - when it's cold and rainy, my days are a good deal worse. Last week it was nice and sunny and I'm trying to keep my intake down because I am nervous of going up and then not getting a script anymore as my doctor is quite old - some of you may remember. It's taken me a long time to find someone who believes in Chronic Myofascial Pain. I don't hoard any pills - I use them all before the script renews - I may have 4-6 left over. I guess you are all right - taking them every 3 hours was too much for my system so today, I took 1/2 when I woke up, 1 full pill 5 hours later, another full pill 5 hours after that and I got sick again.
Now I have an awful headache to go with the nausea. I'm obviously not taking them correctly. I'll try one in the am, one in the pm and if needed, another before bed. But, I feel absolutely lousy, sick. The back and muscle pain went away but then today, it's been a dull headache all day.
Also, I read once that the tylenol helps the medicine work better so I was thinking that I should take some anti-inflamatory with the Oxy IR? Do you think that would help with pain fighting versus this sick feeling I am experiencing?
I appreciate the feedback. My spelling is off because of the headache - please excuse this.
Thanks in advance.
Tara
kim46
05-06-2009, 10:09 PM
Oh, I wanted to also mention that my script is "take 1 pill as needed 3 times daily". My doctor would not mind if I split them, took 1.5, took 4 in 1 day - whatever I need to get through the days as long as I don't run out early and of course, I can't get pain meds from any other doctor - I signed a handwritten contract agreeing that. I have a good relationship with the PM place - they're not as stringent as some of you have posted about. But, I learned my lesson a year or so back and learned that I must use 1 pharmacy, etc. from lurking here - there is so much helpful information here - it is appreciated.
Has Cmpgrrll been around? I often think about her because she also suffered from CMP if I recall correctly.
Tara.
Has Cmpgrrll been around? I often think about her because she also suffered from CMP if I recall correctly.
Tara.
kim46
05-06-2009, 10:13 PM
Sorry Ex, the headache, I am getting generic Oxy IR and I was also taking generic Watson percocet prior. It was the "brand" that made my insurance company go crazy because of the expense so I agreed to take the generic only. My doctor said that was fine and I do realize there can be a 20% difference brand/generic, I'm just happy to have something!
TBD, that you for your feedback - I will pay closer attention. And that you for your good wishes too.
Tara.
TBD, that you for your feedback - I will pay closer attention. And that you for your good wishes too.
Tara.
Executor
05-07-2009, 12:38 AM
Ex, I just happened to read that BPL thread someone addressed to you and I think that means Blood Pressure Level?
BPL is "blood plasma level"....It's the amt of med in your blood....The higher the BPL, the higher the pain fighting. Also, some meds have longer "half lives" which means the med stays in your system longer.
I guess you are all right - taking them every 3 hours was too much for my system so today, I took 1/2 when I woke up, 1 full pill 5 hours later, another full pill 5 hours after that and I got sick again.
Meds in pill form (IR version) will hit your system about 30-40 minutes after consumption....Longer if you take it on a full stomach. Peak plasma concentration is about 1.5 to 2 hours after consumption. So, at the 3 hour mark, your BPL is still quite high....When you take another pill, your BPL probably skyrockets 30-45 minutes later when it hits your system. If you research your med, you can find the BPL chart that shows the exact mechanism, by strength of the med. I can help you with this if needed....PM me.
It's also possible that the active ingredient, Oxycodone, may not be a good med for you....i.e your body may not react to it well. Give it a bit of time and you'll find out for sure. You may also experiencing some itching and a small rash....Two very common side effects. If you get any excess sedation, then back off a bit. Sedation is a warning sign of too much med. There is a difference between being tired / not feeling well, and sedation. Sedation is sleeping for excessive periods of time.
Now I have an awful headache to go with the nausea. I'm obviously not taking them correctly. Also, I read once that the tylenol helps the medicine work better so I was thinking that I should take some anti-inflamatory with the Oxy IR?
Headache is the #1 side effect of pain meds and the most common side effect when one goes through a dose increase. Your body will adjust. I think the best thing you can do is take this med on a full stomach, or with food.
Yes, taking Tylenol or Motrin will boost the overall pain fighting level, and not your BPL. This is exactly why meds like Percs, Lortab, Lorcet, and etc, are packaged with Tylenol....Gives them more pain fighting punch without taking more narcotic.
Ironically, the Tylenol and / or Motrin would also help with the headache. It will have no effect on your BPL and will only help the situation.
I inquired about the brand vs generic because as you replied, there is the 20% issue and it could have been in play. It appears as if not due to the fact that both are generics.
Hope this helps and hope you start to feel better.
Regards,
Ex
BPL is "blood plasma level"....It's the amt of med in your blood....The higher the BPL, the higher the pain fighting. Also, some meds have longer "half lives" which means the med stays in your system longer.
I guess you are all right - taking them every 3 hours was too much for my system so today, I took 1/2 when I woke up, 1 full pill 5 hours later, another full pill 5 hours after that and I got sick again.
Meds in pill form (IR version) will hit your system about 30-40 minutes after consumption....Longer if you take it on a full stomach. Peak plasma concentration is about 1.5 to 2 hours after consumption. So, at the 3 hour mark, your BPL is still quite high....When you take another pill, your BPL probably skyrockets 30-45 minutes later when it hits your system. If you research your med, you can find the BPL chart that shows the exact mechanism, by strength of the med. I can help you with this if needed....PM me.
It's also possible that the active ingredient, Oxycodone, may not be a good med for you....i.e your body may not react to it well. Give it a bit of time and you'll find out for sure. You may also experiencing some itching and a small rash....Two very common side effects. If you get any excess sedation, then back off a bit. Sedation is a warning sign of too much med. There is a difference between being tired / not feeling well, and sedation. Sedation is sleeping for excessive periods of time.
Now I have an awful headache to go with the nausea. I'm obviously not taking them correctly. Also, I read once that the tylenol helps the medicine work better so I was thinking that I should take some anti-inflamatory with the Oxy IR?
Headache is the #1 side effect of pain meds and the most common side effect when one goes through a dose increase. Your body will adjust. I think the best thing you can do is take this med on a full stomach, or with food.
Yes, taking Tylenol or Motrin will boost the overall pain fighting level, and not your BPL. This is exactly why meds like Percs, Lortab, Lorcet, and etc, are packaged with Tylenol....Gives them more pain fighting punch without taking more narcotic.
Ironically, the Tylenol and / or Motrin would also help with the headache. It will have no effect on your BPL and will only help the situation.
I inquired about the brand vs generic because as you replied, there is the 20% issue and it could have been in play. It appears as if not due to the fact that both are generics.
Hope this helps and hope you start to feel better.
Regards,
Ex
tbreeze27
05-07-2009, 07:22 PM
I had posted in the past what I believe to be the exact same nausea effect that happens to me. Some days are great, other days within 2 hours after taking my Oxycontin 20mg I get sick as a dog. Sometimes I vomit and get dizzy, accompanied by a pounding headache, cold sweats. This will last for a couple of hours. I have never found the cause of this though. It has nothing to do with liver or kidney problems, as mine are functioning great, and or if I have a full or empty stomach. I have tried everything to figure out why and when Im going to get this nausea reaction. My lasts months fill of Oxycontin, April, did this to me once per week. The prior month, March, it happened one time. This month, May, it hasn’t happened yet. For some odd reason, I think it has something to do with the making of the pill its self. I only take brand name. I question the quality and if some ingredient shifts a little in the batch or making of it, causing all my pills to be effected by this. I have had a complete month go by where I never got sick. My last fill, April, I noticed a ton of varying colors of pink. Some were lighter then others. Not by a lot. I guess, most people wouldn’t have noticed it. But being that I have been getting this nausea, I went on a quest to find the source. I know they have not been messed with and have come from a legit pharmacy. This same nausea has happened when I had to get my medication filled from a different pharmacy once, so I know they’ve not been tampered with. To be honest, I have no clue why this happens, but if you are experiencing what I am, I feel for you. Its crappy when your pain is taken care of, but then you get this sickness to deal with suddenly.
Tbreeze
Tbreeze
kim46
05-09-2009, 01:26 AM
Thanks Ex and Tbreeze, like you I cannot find a pattern. The nausea is not as intense - I took the pills as needed and averaged every 4 hours but was still sick the night after the headache, though today was better. It doesn't matter if I ate/didn't eat - in fact, it was more intense when I ate - but the headache is gone today - I just feel very tired.
Thank you. I would much prefer brand but my insurance balks at brand.
Tara
Thank you. I would much prefer brand but my insurance balks at brand.
Tara
Executor
05-09-2009, 02:23 AM
I've read recent research periodicals where they have found that taking Oxycodone with a fatty meal can increase the potency about 20%.
Taking the med right before or while eating can cause it to hit your system quicker. Try taking the med on a full stomach, or after you eat. It should help.
Best of luck to you.
Regards,
Ex
Taking the med right before or while eating can cause it to hit your system quicker. Try taking the med on a full stomach, or after you eat. It should help.
Best of luck to you.
Regards,
Ex
patti678
05-10-2009, 01:46 AM
Hi ;
I take MS Contin and MSIR. iT HAS ALWAYS CAUSED NAUSEA. i HAVE TO TAKE PHENEGRAN 25 mg or I will lose my lunch. If you keep getting nausea you might ask your doc for phengren or try some other pain med that does not bother your tummy. Beware as all pain meds cause constipation. I have to take lactulose syrup just to have bowel movements.
I hope this helps
Patti
I take MS Contin and MSIR. iT HAS ALWAYS CAUSED NAUSEA. i HAVE TO TAKE PHENEGRAN 25 mg or I will lose my lunch. If you keep getting nausea you might ask your doc for phengren or try some other pain med that does not bother your tummy. Beware as all pain meds cause constipation. I have to take lactulose syrup just to have bowel movements.
I hope this helps
Patti
kim46
05-11-2009, 12:34 AM
Thanks again Ex - if I take a pill just after eating, I've was sick 3 times last week so I'll take it before I eat and see how that goes - the good thing is I'm eating a bit less fat/junk (still hungrier than pre-Oxy IR though) but that's good because my diet left a lot to be desired last year.
Thanks Patti - if I have a couple of more late evenings or nights like this, I may ask for a script from my regular doctor (who coordinates my pain medications with my other scripts and who is the doctor of record for my insurance company - I see only my regular doctor and my PM doctor when it comes to my back - hard lesson learned 2 years ago when my doctor of years dropped me though we (well I) always provided full disclosure - luckily his former partner took my call, listened to my saga, told me to sue him for patient abandonment and has been a real advocate for me/my condition(s) since last year - he'll have no problem prescribing and I'll update PM doctor - he prescribes only the Oxy IR and flexeril. Long-winded way of sharing a bit more info (that good doctors are out there) and to say that constipation has been much more of an issue than it was with Percocet 10/325 - I've been taking Senna almost every night/every other night and it has been helping.
If I don't take pain medication, I have to be in bed by 7:30 pm (when I am not working late) and sometimes have severe spams driving home from work. Things have improved with the managed care and the trigger shots I get monthly.
Thanks again.
Tara
Thanks Patti - if I have a couple of more late evenings or nights like this, I may ask for a script from my regular doctor (who coordinates my pain medications with my other scripts and who is the doctor of record for my insurance company - I see only my regular doctor and my PM doctor when it comes to my back - hard lesson learned 2 years ago when my doctor of years dropped me though we (well I) always provided full disclosure - luckily his former partner took my call, listened to my saga, told me to sue him for patient abandonment and has been a real advocate for me/my condition(s) since last year - he'll have no problem prescribing and I'll update PM doctor - he prescribes only the Oxy IR and flexeril. Long-winded way of sharing a bit more info (that good doctors are out there) and to say that constipation has been much more of an issue than it was with Percocet 10/325 - I've been taking Senna almost every night/every other night and it has been helping.
If I don't take pain medication, I have to be in bed by 7:30 pm (when I am not working late) and sometimes have severe spams driving home from work. Things have improved with the managed care and the trigger shots I get monthly.
Thanks again.
Tara
Executor
05-11-2009, 01:59 AM
Thanks again Ex - if I take a pill just after eating, I've was sick 3 times last week so I'll take it before I eat and see how that goes - the good thing is I'm eating a bit less fat/junk (still hungrier than pre-Oxy IR though) but that's good because my diet left a lot to be desired last year.
I think if you take it before you eat, it's only going to be worse....it will hit you harder and faster. Think of the example of drinking alcohol on an empty stomach vs a full one.
I wonder if you could break it in half and take it in two separate doses, about 30-45 minutes apart? Many pills are "scored" for that very reason, so people can cut them.
Take care, and I hope things improve for you.:)
Regards,
Ex
I think if you take it before you eat, it's only going to be worse....it will hit you harder and faster. Think of the example of drinking alcohol on an empty stomach vs a full one.
I wonder if you could break it in half and take it in two separate doses, about 30-45 minutes apart? Many pills are "scored" for that very reason, so people can cut them.
Take care, and I hope things improve for you.:)
Regards,
Ex
brianpain33
05-11-2009, 02:47 AM
It could also be that you are so constipated that when you take the medication it causes bad nausea. I know this happens to me and I have to make sure that I take my Miralax every night. I would definitley suggest getting Miralax(cheapest at Walmart) instead of the Senna. That stuff is a harsh laxative and is not good for your digestive system. On the other hand Miralax can be taken every day indefinitely without doing harm. Keep in mind that it can take up to 3 days to have a BM (only when you first start taking it). Once you are regular you might not have the nausea.
brian
brian
kim46
05-11-2009, 12:32 PM
Thanks Ex, I read that wrong - will try that. Yesterday I was find except for a small annoying headache late night last night.
Thanks Brian, I had no idea that Senna was not good for you -I'll be sure to pick up the Miralax tomorrow when I do my grocery shopping because the Senna is just not cutting it and the stomach pain is now more annoying than the nausea.
I did not have any of these problems with the Percocet but I would like to find a happy medium here because I would prefer the pain relief from the Oxy IR's - it is taking me time to find a happy balance but agian, thanks because I thought Senna was ok to use.
Tara
Thanks Brian, I had no idea that Senna was not good for you -I'll be sure to pick up the Miralax tomorrow when I do my grocery shopping because the Senna is just not cutting it and the stomach pain is now more annoying than the nausea.
I did not have any of these problems with the Percocet but I would like to find a happy medium here because I would prefer the pain relief from the Oxy IR's - it is taking me time to find a happy balance but agian, thanks because I thought Senna was ok to use.
Tara
Executor
05-11-2009, 02:55 PM
I'll be sure to pick up the Miralax tomorrow when I do my grocery shopping because the Senna is just not cutting it and the stomach pain is now more annoying than the nausea.
Tara-
Before you take Miralax, you might want to do a little research first. It's not something I want to put in my body on a regular (or even irregular) basis. Not only does it disrupt the balance and absorption of minerals in your body, but its primary ingredient, "PEG," is a close cousin to anti-freeze.
Research has shown that the amount of PEG excreted is less than the amount taken in constipated adults (ironically, if you're not constipated, all of the PEG passes through), which means that you absorb some PEG everytime you take Miralax. Search for PEG to see if it's something you want to store in your body. In lab tests, it has produced some disturbing results.
For constipation, fiber is the best. It's natural and moves everything right on through. Either natural fiber or Metamucil, which is pure husk fiber...Just like eating real fiber, apples & etc. 1-2 tablespoons mixed in a 6 oz glass of water is perfect....Drink it quick before it thickens up. After a couple of days, you'll be very regular. If you get too much gas, back off a bit until you find the right balance.
Regards, Ex
Tara-
Before you take Miralax, you might want to do a little research first. It's not something I want to put in my body on a regular (or even irregular) basis. Not only does it disrupt the balance and absorption of minerals in your body, but its primary ingredient, "PEG," is a close cousin to anti-freeze.
Research has shown that the amount of PEG excreted is less than the amount taken in constipated adults (ironically, if you're not constipated, all of the PEG passes through), which means that you absorb some PEG everytime you take Miralax. Search for PEG to see if it's something you want to store in your body. In lab tests, it has produced some disturbing results.
For constipation, fiber is the best. It's natural and moves everything right on through. Either natural fiber or Metamucil, which is pure husk fiber...Just like eating real fiber, apples & etc. 1-2 tablespoons mixed in a 6 oz glass of water is perfect....Drink it quick before it thickens up. After a couple of days, you'll be very regular. If you get too much gas, back off a bit until you find the right balance.
Regards, Ex
kim46
05-11-2009, 06:56 PM
Thank you again :) I feel like the little kid in the park. I really appreciate everyone sharing their experience with various remedies for nausea and constipation. Thank you Brian for telling me about it and your experience and also Ex, thank you too for suggesting I research it a bit more. I pass Metamucil all the time and I know I should buy it because I am sure I don't get enough fiber in my diet so I'll give it a try - I drink a protein shake daily so I'll try it with the shake. I'll let you know how it goes.
Everyone knows their own body - this month has been bumpy - I've never had a problem with constipation so this is all great info - I read the other thread as well that was posted recently which referred to yet another thread on constipation but havent' had the time to read it. I gain so much information and everyone's time and replies and experiences is, again, much appreciated.
Tara
Everyone knows their own body - this month has been bumpy - I've never had a problem with constipation so this is all great info - I read the other thread as well that was posted recently which referred to yet another thread on constipation but havent' had the time to read it. I gain so much information and everyone's time and replies and experiences is, again, much appreciated.
Tara
kim46
05-11-2009, 06:58 PM
And I take extra Zinc and that too is hard on the stomach as is so the constipation and nausea - I feel like my days are geared around timing of dosing of OTC and prescribed meds lol. My 20's were a breeze to almost 50 - boy does the body change at the half-mark!
patti678
05-13-2009, 12:50 AM
Hi:
I know it is a stronger med. but Ms Contin has alot less side effects than oxy or percocet does. People tend to get mean and angry on oxy contin, percocet. I have talked to a lot of people about it. Most have the anger issues with oxy and the nausea. A low dose of Ms Contin would let you function better but you will still have issues with nausea and constipation. If your pain is chronic and long term than percocet or oxycontin or oxycodone is the worst choice to take long term. I know as it almost cost me my life and marrage. If your pain is a short term then you may be okay with percocet or oxy codone or oxy contin.
I hope you feel better. Also the phenagren 25mg, that I mentioned in a earlier post will help the sedation effect of your pain medicine. It will help a little with your pain
major pain in Jacksonville,
Patti
I know it is a stronger med. but Ms Contin has alot less side effects than oxy or percocet does. People tend to get mean and angry on oxy contin, percocet. I have talked to a lot of people about it. Most have the anger issues with oxy and the nausea. A low dose of Ms Contin would let you function better but you will still have issues with nausea and constipation. If your pain is chronic and long term than percocet or oxycontin or oxycodone is the worst choice to take long term. I know as it almost cost me my life and marrage. If your pain is a short term then you may be okay with percocet or oxy codone or oxy contin.
I hope you feel better. Also the phenagren 25mg, that I mentioned in a earlier post will help the sedation effect of your pain medicine. It will help a little with your pain
major pain in Jacksonville,
Patti
kim46
05-14-2009, 12:01 PM
Thank you Patti - my PM doctor has never suggested any other medicine (I finally had the nerve to ask about Oxy IR due to the tylenol in percocet). About 1 year into treatment with this PM doctor (my only PM doctor ever), I did bring up LA meds on the advice received here and I was knocked down - 'no'. He asked me how I learned about LA meds, seemed suspicious so I let it go.
I did ask my PCP if he would prescribe for me but he prefers that I use PM for narcotic meds. He just opened his office and has other things to worry about than whether he will get flagged or the like. I may raise it with my PCP and see what he says.
Thank you for the info on phenagen.
I did ask my PCP if he would prescribe for me but he prefers that I use PM for narcotic meds. He just opened his office and has other things to worry about than whether he will get flagged or the like. I may raise it with my PCP and see what he says.
Thank you for the info on phenagen.
Executor
05-14-2009, 12:56 PM
About 1 year into treatment with this PM doctor (my only PM doctor ever), I did bring up LA meds on the advice received here and I was knocked down - 'no'. He asked me how I learned about LA meds, seemed suspicious so I let it go.
Is this Doc an actual PM Doc, or is he a regular Doc who has shown an interest in PM and thus, sees a lot of PM patients? The reason I ask is because this is unusual. Usually, it's the opposite....PM Docs will prescribe LA meds and are very stingy on the BT meds, or short acting. It's well documented that SA meds are far more abused.
In addition, the SA meds cause "ups and downs" because the blood plasma level (BPL) is either going up or down....Think of a sine wave....One big continuous up and down curve. When you take a SA med, the BPL spikes and then comes down fast....Then you take it again at some point in the day, and the BPL goes back up again. Conversely, LA meds are slowly released in your system, which keeps one's BPL steady.
The reason your GP is probably shying away from treating you for pain is because PM today requires a whole different approach in terms of risk management, and he probably doesn't want to go down that road. GPs will often treat patients for acute pain....A script here or there....But, if the pain is chronic, they will refer one to a PM Doc....Makes life easier for them.
What you may want to do is talk to your GP openly about your issues....Explain that you've done some research and the normal approach to PM is LA meds coupled with BT meds and see what his thoughts are. In this conversation, I would ask about maybe seeking the services of another PM Doc and see what he thinks. However, I would explain that confidentiality is of the utmost importance because you don't want to be dropped by this other PM Doc and left without meds.
However, you may be perfectly fine with the current approach, and if so, then I'd leave the sleeping bear lay.
Just curious....How did you respond when he asked you how you learned about LA meds?
Take care,
Ex
Is this Doc an actual PM Doc, or is he a regular Doc who has shown an interest in PM and thus, sees a lot of PM patients? The reason I ask is because this is unusual. Usually, it's the opposite....PM Docs will prescribe LA meds and are very stingy on the BT meds, or short acting. It's well documented that SA meds are far more abused.
In addition, the SA meds cause "ups and downs" because the blood plasma level (BPL) is either going up or down....Think of a sine wave....One big continuous up and down curve. When you take a SA med, the BPL spikes and then comes down fast....Then you take it again at some point in the day, and the BPL goes back up again. Conversely, LA meds are slowly released in your system, which keeps one's BPL steady.
The reason your GP is probably shying away from treating you for pain is because PM today requires a whole different approach in terms of risk management, and he probably doesn't want to go down that road. GPs will often treat patients for acute pain....A script here or there....But, if the pain is chronic, they will refer one to a PM Doc....Makes life easier for them.
What you may want to do is talk to your GP openly about your issues....Explain that you've done some research and the normal approach to PM is LA meds coupled with BT meds and see what his thoughts are. In this conversation, I would ask about maybe seeking the services of another PM Doc and see what he thinks. However, I would explain that confidentiality is of the utmost importance because you don't want to be dropped by this other PM Doc and left without meds.
However, you may be perfectly fine with the current approach, and if so, then I'd leave the sleeping bear lay.
Just curious....How did you respond when he asked you how you learned about LA meds?
Take care,
Ex
kim46
05-16-2009, 02:08 AM
Hi Ex, I posted about it back then, about 2.08?, almost a year after I had been in is treatment or a little after a year. He is a certified Anestiologist; he has credentials from 4 different, big, well-known institutions/hospitals and uses all 4 in his signature! My GP said "he's full of himself" lol when he read a letter to the GP from PM doc updating him on EMG results and my general improvement from the Trigger shots. They personally do not know each other. The second opinion PM doctor whom I saw in July 08 was a referral from my GP and he agreed that I am in chronic pain and require, amongst other modalities, he thinks what will work is nerve ablations. My husband is now almost of the view that I should try them, if I get even 3 months he thinks it's worth it. I have received varying opinions from friends who have had back surgeries - of the 4 I know, 3 have failed. So I get a good deal of "don't do it; don't touch a thing". When my PM doctor said "No" and "how do you know of these LA meds" (he is European), I said I have a friend who is a nurse and she mentioned it to me (which is 100% true as her brother is in PM). He was fine with that. There are problems in the area I live with Oxycontin. In fact, per my friend and our Dentist (per my husband), I would be better suited to travel to another State (I live on the border of two States) for quality PM facilities. After reading for so long about so many who can't get anything, I figured I am lucky to get what I do. And what I do receive is adequate - I would love an LA med to avoid the ups and downs but with the OXY IR, the downs aren't coming as quickly, I don't get any type of high (I get sick lol). Plus, as you know, he increased by monthly RX by 50% and I'm no longer taking all that Tylenol day in and day out. I have been taking Alleve with the Oxy IR 50% of the time and it makes a difference for me - I get longer and better pain relief with the combo when I take the Alleve.
I suspect that I could raise it again with him but since I just switched over to the OXY IR and the pain relief is good, I'm ok for now. Ah, I just remembered that the Chiro in practice told me that they had a problem with 1/2 dozen patients and I think records were reviewed so things were a bit strange during that period. I was happy it wasn't closed down as they really do care - the Chiro and the assistant chart everything, which I love.
Thank you for all of your help (I got the metamucil today but interestingly, that was not an issue today so I believe I'm leveling out and my body is reacting better than it has been (I hope!).
T
I suspect that I could raise it again with him but since I just switched over to the OXY IR and the pain relief is good, I'm ok for now. Ah, I just remembered that the Chiro in practice told me that they had a problem with 1/2 dozen patients and I think records were reviewed so things were a bit strange during that period. I was happy it wasn't closed down as they really do care - the Chiro and the assistant chart everything, which I love.
Thank you for all of your help (I got the metamucil today but interestingly, that was not an issue today so I believe I'm leveling out and my body is reacting better than it has been (I hope!).
T