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The idea behind more frequent dosing is that when one pill is wearing off you still have the other 2 doses in your system working. The ntire dose taken at one time doesn't wear slam off, hours before your next dose is due. You will also achieve steady serum levels within a couple days if you dose at the same time every day. I can't believe you would critisize your doc and the other PM docs that actually work with the people that use these meds for years and believe their patient when they say a 12 hour med only lasts 8 and a 24 hour med only last 16?
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Shore, I understand why docs are prescribing 8 hrs. as opposed to 24 hrs. I took ms contin way back in 1999 and suffered until the next dose. So I was aware of the possibility that it would not go the full 24 hrs. for me. No critizism toward the doctor for the way he prescribed it last week 120 mgs. q8 hr.
I was just wondering if anyone was taking it that way and explaining where I got the information from.
As far as the cost of the Avinza at $700.00. My Duragesic prescription was a whopping $1,000.41 for one month's supply. So I have gotten cheaper for them by changing.
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Better be careful what you ask for, your next PM doc may not be as knowledgable and only prescribe the way the brand name manufacturer lawyers recomend.
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If my doc had gone the way the manufacturer recommended in switching over to a different opiate, I would have not gone into withdrawal. For 2 years I was at a dose of 449 mgs. When he switched me over he prescribed 120 mgs. a day. If I had not had the extra methadone on hand from a previous prescription I would have had to gone in to the hospital. The manufacturers recommend giving 1/2 of the previous 24 hr. drug with 1/2 of the new dose titrating the new drug up while titrating the old drug down. I am sure you are familiar with this and maybe even lucky enough to have had a good doc do this for you. Maybe you had one like I did and suffered, I don't know. But I am surely critizising him for that. And yes I did have to use Avinza twice a day because the following week he increased the dose to 2 times a day. I pretty much had two weeks of HELL!
I do know how much these drugs cost. I took ms contin 2 months and paid for it out of my pocket. I developed a rash and could not take it or afford it. After being on Medicare since 1998 and having no prescription coverage I have had a lot of research to do to find one I could afford or get on one of the patient assistance programs to be able to get the drug. That was one of the reasons I had to switch from duragesic to methadone a couple of times. My doc's office dropped the ball on getting my assistance reapplication back in on time to Janssen to get the medicine and I had to switch to methadone because I could afford to pay out of my pocket for that one. I can now relax and be where a lot of other people have been because of Medicare Part D kicking in. I now have a choice and very grateful for it.
Much to learn Grasshopper? Not.
Carol
P.S. Don't get me started on lawyers. I worked for several of the &&*$$&&!! for 20 years and learned to dislike them very much.