Re: continue Roxicodone but something much stronger at night - help
Hi Justin, Aqtiq is FDA aproved for break through cancer pain only. However docs use all kinds of meds for all kinds of off label purposes. There are some folks that use Aqtiq, but it is the most potent opiate available. It's measured in micrograms, "1/milionth of a gram" Comparing mgs to micro grams is hardly apple to apple and it measured this way because it so potent. It would scare me to be at the point where the only thing that would satisfy me is the most potent med available. What happens if you do get cancer, what happens if that disc slips further and crushes nervews even more, what happens if you have more surgery.
The bottom line is your talking about going from 15 mgs of roxicodone to the most potent med available. It's like going from point C to Z without trying anything else. I don't know what you have tried but short acting meds aren't the way to manage long term pain, there are so many reasons to use LA it's a whole new topic. Trust me, your doc knows what meds are available, you don't need or even want to suggest Aqtiq at this point. I'm allowed up to 2 30 mg roxis at a time and I rarely use that but there are times when it would be nice to have a bottle of anesthesia sitting next to my bed, I doubt their going to give me aresol affentanyl for those reallyy bad times. It would be nice for when nothing touches the pain. Many of us have those days when even a couple roxicodone feel like tic tacs and nothing helps, that's why it's good to have a few other tricks up your sleeve when it comes to managing your pain or just coping with a really bad day.
PM is trial and error and they don't start with the most potent med on the market. If you haven't even given LA meds a try, you still have the whole alphabet before you set yourself up for nothing else working except more fentanyl. Even with a pump and 30 mg oxy to use as needed it would still scare the crap out of me knowing there is abosolutely nothing stronger any doc could ever give me. I know things aren't going to get better, so there is a little comfort knowing I haven't maxed out every med at the age of 40.
Good luck, Dave