It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 04-24-2008, 07:26 AM   #1
Inactive
(female)
 
Join Date: May 2007
Location: Ireland
Posts: 716
Round1 HB User
2nd appointment with Pain Management Specialist

Hi there,

Well got it all sorted, oxycontin being on 10 mg isnt going to do much he has plans to bring it to the 30 mg.......... also difene 75 slow release, also introduce the amytriptline but not 25mg that the rheumy prescribed for me as he said starting on 25mg I am tall but very thin and it would have blown me out of it. So I am glad I didnt try and play doctor the other night, and also listen to what you all said. He told me to start at 10mg.... can be hard to get but can be ordered so dont take no for an answer, he said. He said I am only starting out on my meds and will take time and swapping and changing but he said the major factor in all of this will be the rehab physio which I will be doing.

He was not happy with been told I had Fibro, and was concern that he didnt take the HLAB-27 positive more seriously and we had to rule out the Ankoloysing S. out. So I have to get an x-ray done. If all appears normal we put it to bed. If something shows up on it. Welll then that is a whole new set of meds and treatment of managing the pain.

So today I am sore, yesterday I thought I was losing my mind and that there was no no hope at all............... this lasted for about 30 min and I really just paniced......and all I could hear was the rheumy guy saying you will have this for ever unless you move in the pool and dont give in........... not even understanding the pain..............it is not tiredness that brings me to lye down. While today I am sore, but I felt he again listened and understood and has a plan in action and I have to go along with it. He just said aswell okay going up to 30mg....... my body might not able to function on it... he said your body mass is low, and body weight...... so I might not able to tolerate high dosages. So at least hope is there !!!!!

Round 1

 
Sponsors Lightbulb
   
Old 04-24-2008, 08:52 AM   #2
Senior Veteran
(female)
 
Join Date: Feb 2008
Location: NY
Posts: 1,884
cmpgirl HB User
Re: 2nd appointment with Pain Management Specialist

Round1: I am so glad you had a positive visit with your PM. He sounds like he has your best interest at heart. I know the increase is probably going to take a bit of time to get used to, but the side effects (woozie feeling, fatigue, etc) should dissipate with use.

I'm also pleased that he is looking further into your lab results and not agreeing with the rheumy. He is certainly making the effort to find out exactly what is going on.

I do have one question, though. You say he increased your dose to 30mg. Does this mean 10mg 3x/day? Or 30mg. 2x/day? And I'm not sure what difene is. I know you have different names for some meds than we do. I am just assuming this is a breakthrough med.

I knew in my heart, he would do right by you. You so deserve to finally be taken care of properly. Please keep us posted. ((((hugs)))) cmpgirl

 
Old 04-24-2008, 09:52 AM   #3
Inactive
(male)
 
Join Date: Dec 2006
Location: CA
Posts: 1,569
forginon HB User
Re: 2nd appointment with Pain Management Specialist

Round1,

I am so relieved your doc is listening.

And, that he raised your OC dose. How is it prescribed? Twice per day, three times per day? Does he have you working up to it, or just straight to 30mg?

What's difene?

If you rpain level is high enough, then the 30mg OC shouldn't be a problem. Pain is great at lowering the side effects of opioids. Those in no pain, who take these meds recreationally are at risk for nasty side effects. Those in pain tend to do much better because the pain acts against the nausea and dizziness. Just be sure the first time you take it that you have someone with you to observe, and of course don't drive until you know you're OK on it.

steve

 
Old 04-24-2008, 12:46 PM   #4
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: western us
Posts: 7,268
ms_west HB User
Re: 2nd appointment with Pain Management Specialist

Yeah for pain control!! I pray this helps you and brings back down your pain levels. It is no fun suffering.

 
Old 04-24-2008, 01:30 PM   #5
Senior Veteran
(male)
 
Join Date: Aug 2007
Location: COLUMBUS, OHIO
Posts: 2,163
brianpain33 HB Userbrianpain33 HB User
Re: 2nd appointment with Pain Management Specialist

Woohoo yes that is great and I hope you start to get pain relief. I have a suggestion as far as the amitryptiline is concerned. Why couldn't you just get a pill splittler for the 25mg tablet and therefore you would be getting 12mg appx. It would also last you twice as long for one prescription. Just a suggestion. I would definitely take the amitryptiline at night because it will probably make you drowsy.

Now for the Oxycontin, more than likely you will probably get a little energy boost or energizin effect in the beginning but everyone is different. Some people can not take it too soon before going to bed because of this although the amitryptiline should help counteract this effect for you. Let us know how the combo goes.

brian

 
Old 04-24-2008, 02:02 PM   #6
Inactive
(female)
 
Join Date: May 2007
Location: Ireland
Posts: 716
Round1 HB User
Re: 2nd appointment with Pain Management Specialist

Thanks Guys, okay difene is a good anti-inflam. With regard to the oyycontin I am to go up in 5mgs at a time, and for the amytriptline start on 10mg and go to 20 and then 25mg..........

Brain dont even know about the pill splitter as the other night I was going to try them and said I would try half............ then looked at the size of them they are tiny.... so dont think I will try. Here actually I have found them to be the cheapest drug so far I was really surprised. No I think I have learnt my lesson no more messing around if I need a 5mg or a 10mg ring and get a script, He is sending a letter to my GP outlining his plans and what level he wants me at so there wont be a problem getting the prescriptions.

So tonight I have taken my 15mg and tomorrow morning will take the other 15mg. Then tomorrow night will introduce the amytriptline ......... I am glad it is the weekend and I can just Zzzzzzzz away if I have to.

Thanks for all your help.
Round1

 
Old 04-24-2008, 05:11 PM   #7
Facilitator
(female)
 
Moldova's Avatar
 
Join Date: Dec 2006
Location: N.J.
Posts: 3,642
Moldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB UserMoldova HB User
Re: 2nd appointment with Pain Management Specialist

Round1,

I am so happy to hear you finally had a positive app with a lots of hope ahead. I feel like your pain now under control and you have Drs who will take good care of you.
Good luck to you, dear and hope for a better future for you!

 
Old 04-24-2008, 10:42 PM   #8
Senior Veteran
(female)
 
Join Date: Feb 2008
Location: NY
Posts: 1,884
cmpgirl HB User
Re: 2nd appointment with Pain Management Specialist

Round1: Does Oxycontin come in 5mg doseage in Ireland? I'm confused, because here in the states the lowest dose is 10mg. Just curious......I hope you have a better day ahead. I'm keeping my fingers crossed. Take care, my friend and "go slow" for a bit. You deserve it. cmpgirl

 
Old 04-25-2008, 12:33 AM   #9
Inactive
(female)
 
Join Date: May 2007
Location: Ireland
Posts: 716
Round1 HB User
Re: 2nd appointment with Pain Management Specialist

Hi there, yep, thankfully it does, thats what I started on, then went to 10mg and now taking a 10mg and a 5mg. I cant remember who was puzzled by that aswell I think it was in my thread pain management who listened or something, but yep, we can get 5mg here. It is a small blue tablet and then the 10mg is a white one. I took 15mg last night and I was just out of it so sleepy. So I am just after taking 10mg now as I have to drive to physio later today and I know I wouldnt be able to do on the 15mg. So will do 15mg tonight and tomorrow is saturday so I can be abit spaced and it wont matter.

The same withe the amtriptline it is available in 10mg but you just have to get it ordered.

How are you doing? Have been reading your posts, and watching the BP, look after yourself.

Sorry a few asked if that was 15mg x 3. No its just 15mg every 12 hours, which we kind of all know doesnt last the 12.

Round1

 
Old 04-25-2008, 01:22 PM   #10
Senior Veteran
(male)
 
Join Date: Aug 2007
Location: COLUMBUS, OHIO
Posts: 2,163
brianpain33 HB Userbrianpain33 HB User
Re: 2nd appointment with Pain Management Specialist

ROUND:
maybe you should space them out a little better like:

10mg 8am
5mg 2pm
5mg 8pm
10mg 11pm or whenever you go to bed

Just a thought since you know they start giving out around hour 7 or 8. Plus this would be a little steadier than the ups and downs you experience with taking all 15mg at once

brian

p.s. the anti-inflammatory could be making the oxy "stronger" or even making you a little light headed or "woozy". I would definitely make sure you take the amitryptiline an hour or two before bed that way the side effects should be mostly worn off by the time you get up, just my suggestion

Last edited by brianpain33; 04-25-2008 at 01:25 PM.

 
Old 04-25-2008, 02:12 PM   #11
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: western us
Posts: 7,268
ms_west HB User
Re: 2nd appointment with Pain Management Specialist

Round1, since we have evenly split my dosage up like Brian is saying it has helped me so much. I can't speak highly enough about it. I am on the 10mg pills so I can move them around. I am not feeling the roller coaster effect of the medicine peaking then hitting rock bottom, peaking, hitting rock bottom, etc. If you can do it, I would highly recommend giving it a whirl after runnin it past your doctor.

So you are supposed to be working yourself up to 30 mg. twice daily?

 
Old 04-26-2008, 06:03 AM   #12
Inactive
(female)
 
Join Date: May 2007
Location: Ireland
Posts: 716
Round1 HB User
Re: 2nd appointment with Pain Management Specialist

Thanks for your help, yes certainely worth trying. Today is my first day of the 15mg at night and in the morning. I just want to see what a whole 15mg at once can do for me, will it improve what I can do in the morning etc.... I took the difene slow release anti-inflam aswell as so far I am okay. Just comes and goes the sick feeling but certainely nothing worth complaining about. I know aswell I am not kind of fully with it !.

I woke this morning and just felt kind of burning....... I was fine after awhile, I was so delighted I was expecting a miserable day after the rehab physio, to be honest I have been worse after gone swimming. So I am happy with that result.

Thanks for your help and certainely will be trying to break up the times abit. Just for the moment want to see if 15mg can help me get thru a morning without having to go to bed with the pain.

Thanks agan.
Round1

 
Old 04-26-2008, 11:40 AM   #13
Senior Veteran
(male)
 
Join Date: Aug 2007
Location: COLUMBUS, OHIO
Posts: 2,163
brianpain33 HB Userbrianpain33 HB User
Re: 2nd appointment with Pain Management Specialist

round:
I know some people on here will set there alarm an hour or two before they need to get up and take their dose of oxy. That way by the time you get up it will be kicking and you won't feel like hel* when you get up. I think that I may start doing this with my Percocet. I know the levels drop ALOT by the time I get up and I feel a little drug hangover when I get up in the morning, not good.

brian

 
Old 04-26-2008, 06:22 PM   #14
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: western us
Posts: 7,268
ms_west HB User
Re: 2nd appointment with Pain Management Specialist

Yes, I set my alarm at 4:00 and get back up around 7:00. It helps tremendously to not let that medicine get out of my system and it is by far the best thing I have done since being on meds 24/7.

 
Old 04-26-2008, 06:25 PM   #15
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: 2nd appointment with Pain Management Specialist

Quote:
Originally Posted by 123dietdrpepper View Post
Yes, I set my alarm at 4:00 and get back up around 7:00. It helps tremendously to not let that medicine get out of my system and it is by far the best thing I have done since being on meds 24/7.
I know this may be a real pain (no pun intended) to some, but a great idea by you! It's critical to keep your BPL elevated, or you will develop all sorts of issues.

Ex

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
How to deal with the pain Michael G Chronic Pain 7 10-12-2009 11:55 AM
1st Pain Management Appointment in about 1 week myree71 Pain Management 1 09-13-2008 07:31 PM
PM Appointment Next Friday, Looking For Input scooterdude Back Problems 5 07-19-2008 06:42 PM
Pain Management Appointment - felt he listen ! Round1 Pain Management 17 03-31-2008 11:13 AM
need friends and pain med suggestions Michele9885 Pain Management 7 11-11-2007 04:42 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



gmak (155), tortoisegirl (154), Shoreline (148), BB07 (91), backhurtz (84), katlin09 (69), Ilovemycutedog (53), galalena (50), jonnstar (35), Isotope (34)

Site Wide Totals

teteri66 (1165), MSJayhawk (1000), Apollo123 (898), Titchou (833), janewhite1 (823), Gabriel (758), ladybud (747), sammy64 (668), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 06:33 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!