Re: Had to switch pm and not too happy
I do hope that something positive comes out of this. If your pain is chronic and can't be managed in other ways, a long acting pain med is the way to go...you should get much more stable pain relief this way. There are many other options than Exalgo, so be sure to stress to your doctor what you can afford (what medicaid may cover). A generic med will most likely have no problem being approved (such as the ms contin or oxycontin Kat mentioned).
I'm concerned if you are taking the Fiorinal daily. That is very known to cause rebound headache, as its a combo med of Aspirin, Butalbital, and Caffeine. You're at risk for rebound headache if you take any type of analgesic for headache more than a few days a week. I'd discuss with your doctor to see if you need to come off of that to rule this out. To rule out rebound headache, you'd have to be off meds such as that for about three weeks.
Even Lortab could cause rebound headache, so to be sure you've ruled out rebound, you'd also want eliminate that. A long acting narcotic would have less of a risk as it doesn't have the analgesic. Definitely bring that up with your doctor. If they have already said they won't be prescribing Lortab and Fiorinal, than I hope they have in mind to give you a breakthrough med to go with whatever long acting med is chosen.
It might be rough for awhile switching (as they should underdose you at first as not to risk overdose), but I do hope that in the end your pain is better managed by this. I agree that your old doctor didn't have your best interests in mind by having you on a short acting med daily with that much Acetaminophen, as well as the Fiorinal.
Mind if I ask what type of headaches you have? I read on your other thread you have neck pain. What relation if any do they have? I have a chronic headache condition that causes me neck pain. I've been able to manage my neck symptoms, but the headache has been quite stubborn for over 6 years. Hope you have a helpful appointment on Wednesday. Best wishes.
Side note: If the conversion I looked at is right, 16mg/day of Hydromorphone/Exalgo is over double that of 50mg/day of hydrocodone (in the Lortab). That doesn't sound safe, and I'd worry that this doctor would do a similar conversion with another med. Anyone else want to confirm I looked at that right?
constant headache since 2006