Shoreline

Hey MH, I don't really see the point in askng if you can use apap or IBU. I would give it a try so you have smething to report about the usefulness f OTC meds.

I remeber reaing the post where he increased the base and did away with the BT med. It didn't entirely make sense then and still doesn't. Perhaps decreases the number of doses, but if your now impervious too pain thanks to the last ncease, I have some yard work that needs doing. LOL

I know it's really not somethin to laugh at. The first doc that used LA meds on me didn't believe in BT meds, for whatever reason. She wanted us to use one of the methods like Bio-fedback we learned at her clinic to manage BT pain. She would through everything but more oiates at yu before increasing or using BT meds. I could have stayed zonked n the antipsychotcs and anti siezure meds IF that was my goal, but changing a doc belief on BT meds is tough./ Howver apperently the doc does use BT meds at certain doses? Is that bcause someone on 60mgs TID is lees proone to abuse their BT meds? Did I miss that breaking news from the AMA and APS? Sorry it always sems like a struggle.

For all intensive pruposes, IF you were taking 60 mgs TID, THat sustained 30 mgs in your system. Takng one 15 mg Roxi increased your serum level to that which 45 mgs of IR oxy would sustain if given every 4 hours. The new dose, the 80 mg tabs TID sustain 40 mgs in your system with no BT or increase. You wouldn't think 5 mgs would make a huge difference, obviously it does.

I base increase son how well I handle the higer dose during a bolus perriod. Particularly with the pump. If my flow rate is say .20 mgs in the day and .25 at night and I know I handle .25 easily at night, I will switch that to my day time dose and increase the night dose to say .29 at night. This way I have already tried the higher dose before using it as a base dose during the day,and hopefully the night time increase will be enough of a differnce to actually help and reduce BT med use. I use what I have taken previously as a foundation for my request, hwow I tolerated, how it effected me and how effective the dose was as a basis for my request.

I would simply create a PM chart/journal showing how the higher dose has helped where previously you mayhave used BT meds, but also incude the times of day now where it seems your not getting the same relief you were when using the lower base dose and BT meds.
Take care, Dave