1st Med Check with PM Doc - Pain Management Message Board

lifeaftr40 · 08-05-2008, 10:52 AM

I have my 1st Med check with my PM Doc next week and I have been using 7.5 Mg Percs with the 12 mcg patch and that is NOT working. I am concerned about the Tylenol and she had mentioned other LA meds such as Methadone. I am concerned about the Tylenol as well as the other meds I take for Blood Pressure and Cholesterol so I am worried about the Liver issue. Would it be out of line to voice my concern and hint about getting plain oxycodone instead of the Percs I am prescribed now ? I had been on the Percs from my PCP before I started PM so that was not a med they had prescribed. If I get the proper LA med will I need a strong BT med ?

Mod08 · 08-05-2008, 12:57 PM

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cmpgirl · 08-05-2008, 01:30 PM

Hi Life, I think it would be fine to at least let your doc know about your tylenol/liver concerns. Have you ever had labs done to check your liver enzymes? I can't guarantee that he/she would change anything, especially if your levels are within normal ranges, but at least it would be documented for future visits. Many PM's order liver enzymes to be tested every 6 months to a year.

As far as a stronger LA med being better, it would depend on how your doc sees it. Some docs see it that way and others feel that lower doses of LA meds and more BT is the way to go. I don't think it would hurt to ask the doc if he/she feels strongly one way or the other. If you just pose it as a general question, I can't imagine that the doc would think anything suspicious was going on. My doc brought this up without me even mentioning it. He is the type who feels that higher LA and less BT meds is best. I've had a recent increase in my LA meds and have gone from 5 or 6 BT a day to 3. So, I agree that it works.

Either way, best of luck at your appointment. I hope all goes well. Please keep us posted. Take care, CMP/MM

Executor · 08-05-2008, 08:38 PM

Quote:

Originally Posted by lifeaftr40

Would it be out of line to voice my concern and hint about getting plain oxycodone instead of the Percs I am prescribed now? I had been on the Percs from my PCP before I started PM so that was not a med they had prescribed.

I don't think it would be out of line @ all. I think I would bring it up in a subtle way by simply asking the question, not requesting a change per se. I'm a firm believer that CP patients need to be their own biggest advocate.

Quote:

If I get the proper LA med will I need a strong BT med ?

Not necessarily. Normally, if you get the right LA med, at least in the short run, you should need less BT meds. However, at some point, it's plausible that your "set point" changes, and your pain won't respond as well over time. This is fairly typical and shouldn't be something you should worry about.

Best of luck.

Ex