I have another post here that kind of explains what's going on with the whole PM issue for me (Had a rough appt today, I think). I think the main reason he suggested this, and he is a PM specialist, his designation behind his name is D.O. (not sure what that means) but anyway...that I'm a recovering alcoholic with close to 18 years sobriety but that apparently puts me in the category of one that "indicates a very high possibility of breaking her narcotic agreement".
I've been on Fentanyl for a relatively short period - 5 weeks or so now and prior to that I've been on Hydrocodone - 1st starting with 5/500 mg and then most recently, the past 3 0r 4 months on 10/325, up to 100 mgs a day. Since I started on the Fentanyl I've been alloted 2 10/325 twice daily for break through. I've not had to take them everyday but do notice that when the 48 hr mark or so that I start to have more pain, I change my patch at 60 hrs as of last week. And the Fentanyl could probably be a little stronger but I'll be having the medial branch blocks next week so I'm hoping that I get relief from that and will just stay put for now. In the 2 years since my pain all started with a herniated disc and subsequently led to an ACDF C-5-6 I have never abused by meds. So needless to say, I'm a little irritated by the whole thing.
In all my readings here and on another board I visit I've never heard of Methadone for BT, that's why I'm questioning it.