As you can tell from my name, I have fibromylgia, plus ankylosing spondylitis. I have been seeing a rheumatologist for about 6 months. He has given me every NSAID know to man, sulfathalazine, and wanted to try methotrexate-which I absolutely refused. He finally put me on methadone with ultram for breakthrough. IT is not enought. I am not opiate naieve, I have had TMD problems for years and was on hydrocodone for a couple of years before this, so I have a tolerance. I have mentioned that I need either a better breakthrough med or more methadone. He responded by sending me back to my PCP. She said she will continue to give me the methadone, but won't increase the dose either. I also go through the OP's to get the Hydrocodone, since what I have is'nt working and no one will beleive me or do anything about it. I know its probably illegal, double dipping, and my docs would ban me forever if they found out, but I don't know what else to do. I want to go to a pain clinc and see what they say. Can I just ask for a referral? Will my doctor think Im going over her head? I see my rheum for my last visit tommorrow. I run out of methadone that day too. I hope he'll at least give me enough until my PCP can take over. Im scared to say the least. But for those of you who take methadone, and are pretty tolerant of opiates, what is your normal dosage. I have taken 20mgs and that worked. I dare not tell the doc I took more than prescribed, but how do I tell them I need more. I have asked time and again for a better breakthorough med, and all I get is Ultram and antidepressants.
I really can't afford internet medicine anymore, and I'd rather get it from my doc. What should I do and how should I go about asking them for something better?
I take 10mg in am and 10mg in pm. I am on a very low dose. I think it varies from person to person and illness to illness. There is no set answer. It is important for you to work together with your dr. and make them see this dose isn't working for you. Good luck!
I take methadone as well. I'm currently on 30mgs in the morning 10mgs at lunch and 30mgs in the evening. I know that it is a high dose. But My pain is quite severe. I also take OxyIR for BT pain. I was titrated up to this dose tho over a long period of time. I really don't think that there is a normal dose per se. It just varies from person to person and doctor to doctor. My advise would be to be honest with your PM doc. It is not good to double dip as you would say. Doctors and Pharmacys can catch on to that pretty quickly. Just be vigilant with your PM doc. Keep a Pain diary and breing it with you. Such as when the pain is worse, when you take your meds and so on.. I hope this helps. Never give up on yourself. And by all means keep trying to get the best pain relief possible. We all deserve it.
Methadone is one of the most potent opiates you can get.It just sounds,like you said,the doc ain,t givin you enough.I been on the same dose for 18 months and never felt a need to go any higher.One reason is that Meth has such a long half-lfe that it stays in your body and keeps building up so you can take 20mg one day ,20 the next day,and 20 the third day,but you,d still have about 20 still left in you from the previuos 2 days worth,so it would be like 40mg.That,s one big reason a bunch of docs are afraid to Rx this drug cause of the uncertainties that exist in the blood serum levels of the drug.A lot of folks have got messed up from doc,s giving them too much,too quick.I started on 30-40mg,4 times a day.Within 3-4 days,I could,nt even function,I was so dopey.I cut back to 20mgx4,and been there since.Talk to the doc and tell him how it is.They know when people are just wanting to get more for a "Buzz".Methadone don,t really give you a buzz,the doc,s know that.Good-Luck,FS!Jack B.
Well, I visited my rheumatologist last week, and he gave me my last script for methadone from him. He says that since my pain is getting better, that I should stop taking the methadone! Well he must be a moron, because the methadone is the reason the pain is going away! While I am not completley pain free, it helps. I just feel that I am more tolerant than my docs realize, and I can handle more. I also need a better breakthrough med.
He has me tapering off this month. Im supposed to go from 4 pills a day to 2, then after two weeks 1 pill, then use them PRN. That is the stupidest thing I have ever heard of, and even the pharmacist who filled it said so. If it is working, and not causing bad side effects, then why stop? He is turning me over to my PCP, and she said she would continue the methadone. I am going to see her next week. I want to tell her why I don't want to stop. I have started cuttting down, and surprise! The pain is coming back! He said to take Tylenol in between. Please! If my PCP won't continue the meth, then I don't know what to do. Find another doctor I guess, but what do I do in the meantime. And although my rheum said that I wouldnt feel withdrawl symptoms, I am. Runny nose, diarrhea, chills and goose bumps. I know withdrawl. Im not going through this. Do you think a PCP will overrule a specialists suggestion? I am following his orders, and I am going right back to where I started when I was not on the methadone. I don't know what to do.
What is the standard dose for methadone? 
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