Originally Posted by Bvjets
Hi. I have rsd since march of 2012 (actually, still under debate as i need to go for a 3 phase bone scan and also have some doctors saying yes its rsd and others saying no). Anyways, i go through a lot of pain. My question is about medication and what i should ask a pain doctor for in terms of correct dosing since they always seem to be behind the eight ball. To start, i have a very high tolerance to oxycodone products. I am currently on 20 mg oxycontin 2x/day and 30 mg plain oxicodone (roxicodone) 3x/ day for breakthrough. Its not enough, as i still go through a lot of pain, especially on days when there is a change in weather or pressure. I have taken so far a total of 230 mgs a few days ago throughout a 14 hour stretch as i was in sooo much pain. But that is not the case all the time. Can anyone help me in regards to suggestions on how much oxycontin i should be brought up to and for 3times a day (i notice that after 8 hours it just falls off a cliff) and if i should stay at the 30 mg roxi.
For RSD to control the pain correctly you need it in 4 day intervals with your breakthroughs in between that. But, Maybe you should get off the Oxycodone and on to something else if it's not working for you. All narcotics wear off after a few weeks or so and you have to go higher and higher on them. I know I was there myself at the beginning once. I kept having to go higher and higher on Morphine to the point I couldn't even carry a conversation at all and that really sucked and they still didn't work then till I went to a RSD Specialist and into the pain program is when they set me up on the right drugs at the right levels that you don't have to go up on them as fast at all.
Ask your doctor about some nerve pain drugs (like Gabapentin (if you have constipation with your other drugs this one helps with that too besides the pain benefits), lyrica is the new form of that one, (cesamet (pot pill) works great for pain, nausea, and it helps with insomnia) and if you don't like the highs all the meds are giving you (Like I didn't) then ask for methadone (like I did, because I was told about it by a girl worse off then me) because it really is a great nerve pain killer and you can still keep your other drugs you'll just won't need them at those high doses anymore and they will become your breakthroughs... It's not all about treating pain but individual symptoms as well. And you won't be high anymore so you can actually have your mind back and intelligence back too. And like I said if you want to control your pain 24/7 then set up your drugs so you take them 4 times a day and your breakthroughs in between. And it covers you while your sleeping if you take a sleeping pill like I do for my insomnia I have from the pain, then it works till you wake up and you start backup your day. If you want more info on my whole medication list I am on and what they are for you can message me.