Re: New here
From what I understand it is the short acting vs long acting. The Norco drops the acetaminophen down to 325mg per pill and I can live on about 6 pills/day so I'm nowhere near the limit. The book of pain says Pavlov's mice will do much better with long acting pain meds as it keeps the cheese further away and mitigates the salavatory response. OK, that's tongue in cheek, but as I'm sure you guys know, the psychiatric side of the issue dictates that short acting pain meds actually reward your brain for being in pain. Brain senses pain, body pops pill euphoria ensues. This cycle continues and quickly becomes a habit. In my case, the Oxy's make for a longer cycle time, but the adverse side effects will eventually kill me...or lead me to do it myself. The shorter acting milder Hydro's I've been taking for years without adverse effects. Sure, Oxycontin mitigates pain better than Norco, but if it makes you suicidal then who cares. Besides, a little pain is good. I’ve also had two RF nueroblations that have helped with the sympathetic muscle pain in the rhomboid region and shoulder blades. For awhile I could hardly use my left arm.
Anyway, I saw the doc and PA and I said “look, if I can take one Norco every 4 hours I’ll be fine.” She’s said she’s OK with that and we discussed other meds and stuff. It was a good visit and worth the 55-mile drive (each way) to visit. As you guys know, you need a doctor that trusts you and one that you trust. I brought a full ($800) bottle of Opana ER in with me to show her all of my meds. She asked if she wanted me to dispose of it for me and I himmed and hawwwed and said, “No, for $800 I’ll throw it the back of my safe.” I feel like I should have handed it over to prove to her I wasn’t going to be abusing or any mal treatment, but as a chronic pain sufferer I also like to have some meds (to which she agrees) stockpiled up in the back of the safe in case of a natural disaster or something in which I couldn’t get any meds for a period of time and needed to survive. It took almost a year for the Opana ER side effects to become intolerable. It is still a great back up medication and I did pay for it. (me and my insurance company).
She did agree that I am the 190lb guinea pig. They've had Opana ER pushed on them and so they've tried. I'm not the only negative responder.