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Old 09-20-2007, 06:24 AM   #1
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amyalex67 HB User
Updated Post - need advice on med change

Below is my original post. I'm sorry (first post here), I forgot to add a very important part.... I was on methadone for the last 6 weeks (5 mg 3x per day) and I just couldn't deal with the side effects ~ so darn tired and in a fog!! So I've been titrating down and just took one/day for the last week. (I could take 6 norco per day during the methadone trial).
And now I'm on the 15mg Morphine 3x/day with 4 norco max/day for BT.
I'm just in more pain! The methadone helped, but couldn't hack the se's.

Thanks again for thoughts!!!

Hi. This is my first post. I so understand and feel for everyone here dealing with pain every day! It is so draining to say the least!

I'm looking for thoughts about my current change in meds. I've been taking Norco 10/325 (2 pills 4x/day~max 8 total/day) for probably 8 or 9 years. It just doesn't cut it anymore. She's putting me on Morphine, but wants to go w/ the IR to see how I do before trying SR. So, she started me with 15mg 3x per day and I can take max 4 Norco (for BT) per day now.
I'm hurting!! Does this seem like an appropriate dose/change to morphine to start or I'm just a baby?? It's just a struggle to go 8 hours theoretically (not counting sleep time of course) between morphine doses ~ it just doesn't help that long. And I pretty much need 2 norco at a time to kill the BT pain and I can only take that twice/day. Do I just suffer through this for another 2 weeks until I talk to her again?? and we hopefull change to long acting???

Any thoughts/suggestions would be so appreciated! TIA!

 
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Old 09-20-2007, 08:44 AM   #2
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forginon HB User
Re: Updated Post - need advice on med change

Quote:
Originally Posted by amyalex67 View Post
Below is my original post. I'm sorry (first post here), I forgot to add a very important part.... I was on methadone for the last 6 weeks (5 mg 3x per day) and I just couldn't deal with the side effects ~ so darn tired and in a fog!! So I've been titrating down and just took one/day for the last week. (I could take 6 norco per day during the methadone trial).
And now I'm on the 15mg Morphine 3x/day with 4 norco max/day for BT.
I'm just in more pain! The methadone helped, but couldn't hack the se's.

Thanks again for thoughts!!!

Hi. This is my first post. I so understand and feel for everyone here dealing with pain every day! It is so draining to say the least!

I'm looking for thoughts about my current change in meds. I've been taking Norco 10/325 (2 pills 4x/day~max 8 total/day) for probably 8 or 9 years. It just doesn't cut it anymore. She's putting me on Morphine, but wants to go w/ the IR to see how I do before trying SR. So, she started me with 15mg 3x per day and I can take max 4 Norco (for BT) per day now.
I'm hurting!! Does this seem like an appropriate dose/change to morphine to start or I'm just a baby?? It's just a struggle to go 8 hours theoretically (not counting sleep time of course) between morphine doses ~ it just doesn't help that long. And I pretty much need 2 norco at a time to kill the BT pain and I can only take that twice/day. Do I just suffer through this for another 2 weeks until I talk to her again?? and we hopefull change to long acting???

Any thoughts/suggestions would be so appreciated! TIA!
I would call the dr and let her know that you are suffering. It's clear she wants to work with you and an appropriate response to the suffering is to make it known. Rather than just call, you might ask for an appointment, even if it's earlier than scheduled.

It's good to have a goal. I proposed to my pain dr that we try to get me to a pain level of 5 out of 10, and I would be happy with that. We've done that for years now and it works well. I recently switched from methadone to generic MS Contin and it took a number of months to get the dose to the point I could say my pain was at a 5. This way the focus isn't on the number of pills but on the pain level, which is about as objective as you can get. Doctor's like that, having a plan and using some kind of standard.

Best of luck to you!

steve

 
Old 09-20-2007, 09:57 AM   #3
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amyalex67 HB User
Re: Updated Post - need advice on med change

Thanks so much for responding! I was just concerned that she might think 15 mg morphine IR 15mg is a high dosage to start, so I didn't want to seem difficult. Also, I'm not sure how long this is supposed give pain relief, but it sure feels more like 4 hours - not 8. Is 15mg a low/med/high dose?? I'm obviously brand new to morphine. Thanks again!

 
Old 09-20-2007, 11:33 AM   #4
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Join Date: Dec 2006
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forginon HB User
Re: Updated Post - need advice on med change

Quote:
Originally Posted by amyalex67 View Post
Thanks so much for responding! I was just concerned that she might think 15 mg morphine IR 15mg is a high dosage to start, so I didn't want to seem difficult. Also, I'm not sure how long this is supposed give pain relief, but it sure feels more like 4 hours - not 8. Is 15mg a low/med/high dose?? I'm obviously brand new to morphine. Thanks again!
15mg IR every 8 hours is not a high dose. Morphine IR is not expected to last 8 hours, more like 4 at the most. My prescription is for Morphine continuous release which I take every 8 hours. Sometimes it's prescribed for every 12 hours. 12 hours is too long for me.

The reason I recommended that you offer to come in for an early visit to your dr is because the doctors tend to look on that better than if one just complains on the phone. I think they see you putting out by coming in for an actual appointment and paying for the service..

I hope it all goes well for you. Your dr is just going slow with you, as they always do. They want you on the lowest dose of med that is effective, so they add a little at a time. Also, give some thought to the goal based plan I wrote about, as it has worked well for me - maybe it will for you too.

I wish you the best of luck.

steve

 
Old 09-20-2007, 01:02 PM   #5
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amyalex67 HB User
Re: Updated Post - need advice on med change

Steve ~ I meant to add that I love the goal based plan based on pain level (5 goal)! I will definitely do that! And I will definitely offer to come in early to talk to her in person. Thanks again for your advice.

 
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