Re: Pain Management Problems
i am just a wee bit confused here(nothing new trust me) about how you stated that OC dosage as '2 'plus' oxycontin 40s?? what is your exacting daily dosage right now, or what they want to implement?? its just the way its stated there that makes it kind of unclear when i KNOW with OC, everything generally has to be a very exacting dosage amount per day? will they still be utilizing the percs for break thru pain or only the OC in whatever dose this actualy is?
are you actually IN a good pain management clinic or is this thru like your primary or some other type of doc?? i personally had to go into PM in 2004 after some really devistating crap ocured following a surgery that had to be done in my spinal cord. i also take OC myself and this has been a truely wonderful and amazing pain med for me too. being on any long acting pain med like any of the contins for instance in general just really gives you a much more even type of pain coverage/tolerability only because yoyu do not go thru the ups and downs of having to redose using only the shorter acting things like the percs alone with a much more limited range of coverage of maybe if your lucky like four hours then you have to redose again? that kind of goes away with the LA narcotics.
the ONLY real issue that i personally have had and MANY many others who also take OC is there is just no freaking way that this med actually could even come close to realistically lasting the 'stated full 12 hours" that its manufacturer(perdue pharma) actually has kept on insisting for years it actually does?? it will usually for the majority of patients only last somwhere between like 8-10? on a good day? the good thing here is that the majority of actual PM docs and clinics are also very very much aware of this too and will usually eventually try and get you onto a three times per day type of dosing schedule. when mine did that, i immediately finally had some good solid coverage, much much more than with the only two times per day was?
if you could very clearly just explain exactly what they want to do with the OC here as far as dosing(how much and how many times a day) and any other possible like BT meds such as the percs they want to use too, it would seriously help me to really help you in all the best ways hon.
from what I got from what you stated up there? they are placing you on not only the percs here but also sticking with the MS 30mg AND want to add some level of 40 mg OC as well? is that right? if that is indeed correct, just what is the dose plan like on any given day they want to implement? that part is what i really need to know here before i can give you any real advice hon, K? if this IS the actual plan, honestly? once they actually add that OC to the mix, at least ONE of the other two narcotic preps really should be taken out of the picture here, being on three different 'types' of actual C II narcotics, esp when they are going to be adding the OC really just is not a good idea for you, for many real solid reasons, esp since in a more general sense here, what that added OC will be doing is actually replacing at least 'some' of that overall need for even needing two other types of C II narcotics at all, ya know what i mean?
generally in almost every PM type of situation,you will have your long acting 'underlying' base narcotic and then only ONE shorter acting only to help with the BT type pain. not usually more than one form of narcotic BT? **
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.