I currently have been taking 3 30 mg ms contin tablets every 8 hours for pain from a ruputured cervical disc but I am so sedated and really have very litttle pain so I asked my doctor if I could reduce my dosage. He has really been cold and indifferent to me lately (never looks me in the eye) and he said "sure" and he gava me a prescribtion for ms contin 15 mg talbets with no step down plan on how to reduce my dosage. I have been on my current dosage for almost two years . Last night was my first night to reduce the dosage. I took a 15 mg tablet at bedtime instead of the normal 30 mg tablet. I woke up with some pain, not too much, and some withdrawal, but not too bad. I do fear stepping it down anymore for a week and maybe each week step it down by 15 mg if my plan. Not sure if I will be able to handle the pain if I eventually reduce by half but I have to try something. I lost my job of 20 years due to the effects of the ms contin. I am in the process of trying to find a new doctor who cares. Would appreciate any advice/experience anyone has regarding withdrawal from this drug. I read one post that it is rough. Thanks to all.
First off! Good for you!!! You would think your doc. would be happy for you that you want to be lowered on your meds.! I can say this! It will be really really easy for you to find a doctor who will help you get off of your meds. Its hard to find an understanding doc. I'm wondering,would the doc. you have now,put you back on your reg. dose,if you think you made the decision to get lowered was prematurely?
Hey Jounny, Like MH said, good for you. There is nothing wrong with checking to see where you are pan wise from time to time and if you do it slow enough and gradually enough, you willeither find you can step down to a certain point and the no more or continue to step down. Once you reach 15 mgs 3 times a day and there is no rush to get there, 3-4 weeks is great, you can probably switch to something as simple as a short acting med like Norco 10 or 5 mg percs and continue on in small increments. It's normal for pain to increase, to expereince depression, but if you can control the nausea and shakes you have half the battle won. Very few docs really spend a lot of time discontinueing meds or working closely with patients, they have all their owther ones screaming how they can't live without an increase which puts you desire to decrease on the back burner as far as his help goes.
The one chang I would make is to try to use your nightime dose as the last dose you decrease, you need to sleep and the more you get the better off you would be. I would start with the mid day dose, wait a week then the morning and then the evening, but that's just my opinion and my pain patterns through the day.