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Board: Chronic Pain 04-28-2015, 06:27 PM
Replies: 1
Views: 209
Posted By tortoisegirl
Re: pain

The first thing I would do is work with your stimulator representative to see if any adjustments can be made with your stim programs to get you some/more relief. Did you ever get relief with the...
Board: Pain Management 04-28-2015, 06:12 PM
Replies: 2
Views: 220
Posted By tortoisegirl
Re: Zyhydro shortage?!?

Sorry you are having this issue. Definitely get in touch with your doctor ASAP. Let them know when you will be out of meds (or if this has happened already, as most of us refill on the last day of...
Board: Pain Management 04-25-2015, 07:48 PM
Replies: 4
Views: 323
Posted By tortoisegirl
Re: How early can I refiil Tramadol my prescription?

Welcome! Typically in this situation it should be coordinated with the doctor ahead of time to be allowed an early refill due to travel. However, it seems it is too late to do anything before you...
Board: Chronic Pain 04-22-2015, 07:22 PM
Replies: 2
Views: 168
Posted By tortoisegirl
Re: back and hip pain

Welcome! Sorry you are dealing with this. It can be quite tough to get medical care when you don't have the means to. Can you look into any local programs which provide free medical care which are...
Board: Chronic Pain 04-21-2015, 08:15 PM
Replies: 2
Views: 179
Posted By tortoisegirl
Re: Teen with Chronic Pain

Welcome! I can relate some to what your daughter is going through as I have had a constant headache for 9 years that started in college (they are calling it New Daily Persistent Headache). ...
Board: Pain Management 04-21-2015, 07:54 PM
Replies: 5
Views: 345
Posted By tortoisegirl
Re: Actavis Percocet

Welcome! There is actually very little little allowable dose variation in generics, but some folks do find a difference, especially when switching between two different generics. It is more likely...
Board: Pain Management 04-20-2015, 06:38 PM
Replies: 30
Views: 1,497
Posted By tortoisegirl
Re: When to fill your pain med; how often do you visit your prescribing doc?

Its unacceptable for a doctor to not address your concerns / ignore what you say. They don't necessarily have to submit to your request, but they should have some suggestion on how to address any...
Board: Pain Management 04-19-2015, 08:14 PM
Replies: 30
Views: 1,497
Posted By tortoisegirl
Re: When to fill your pain med; how often do you visit your prescribing doc?

Withdrawal from stopping a daily pain med is just as likely with Hydrocodone as it is with Oxycodone or any other opiate. It is all about how much of the day it is in your system...if it is an as...
Board: Pain Management 04-17-2015, 05:01 PM
Replies: 30
Views: 1,497
Posted By tortoisegirl
Re: When to fill your pain med; how often do you visit your prescribing doc?

freks1988: For me, having my pain managed means an average of 50% relief. When I get a spike, my breakthrough meds can bring it back to that relief level. Its important to discuss pain relief...
Board: Pain Management 04-17-2015, 04:43 PM
Replies: 5
Views: 404
Posted By tortoisegirl
Re: why is Vicodin not acceptable for long-term pain relief?

From what you said it sounds like the issue more is the use of opiates for fibromyalgia pain, not the use of short acting opiates long term. If it was long vs. short acting, then they would have...
Board: Pain Management 04-14-2015, 06:32 PM
Replies: 3
Views: 304
Posted By tortoisegirl
Re: Fentanyl side effects (need advice)

Welcome! Sorry your family is dealing with this. I would consult with his doctor ASAP or even take him to the ER (although it sounds like he may at least have home health care as you described...
Board: Pain Management 04-13-2015, 07:52 PM
Replies: 2
Views: 296
Posted By tortoisegirl
Re: Chronic abdominal pain ... help with pain management

Welcome! Sorry you are dealing with so much. Especially in some areas, getting opiate meds long term for chronic non-cancer pain is very tough. My best advice would be to keep trying different...
Board: Pain Management 04-13-2015, 07:45 PM
Replies: 2
Views: 274
Posted By tortoisegirl
Re: What brand of Fentanyl Patch delivers best results and last longer than 48hrs?

Welcome! Many many folks end up needing to change the patches every 2 days instead of 3. So much so that the manufacturer's prescribing instructions even mention this and insurance typically covers...
Board: Pain Management 04-13-2015, 07:25 PM
Replies: 2
Views: 402
Posted By tortoisegirl
Re: I don't know what to do

Welcome! I wanted to say hello and sorry you are dealing with this. I don't have experience in this area to give you specific advice. However, keep trying...if you hit a dead end with one doctor,...
Board: Pain Management 04-10-2015, 05:56 PM
Replies: 3
Views: 358
Posted By tortoisegirl
Re: Pain Meds with Stage 3 CKD

Sorry you are dealing with all this. Agreed to try to get your doctors to work together to better manage your pain in a safe way. Especially in your case it would be beneficial to try any...
Board: Pain Management 04-08-2015, 07:36 PM
Replies: 2
Views: 271
Posted By tortoisegirl
Re: Pain in fingers and feet

Welcome! I'm a bit confused as your title talks about finger & foot pain, but the post asks about medications. Oxyneo is a Canadian form of Oxycontin (ie. both are long acting Oxycodone). Morphine...
Board: Chronic Pain 04-05-2015, 09:01 AM
Replies: 9
Views: 530
Posted By tortoisegirl
Re: First post, need advice.

+1 on the other posts. Ideally you would pursue a diagnosis by seeing numerous specialists and get in to see a pain management specialist to manage the pain (or continue with the MMJ on your own). ...
Board: Pain Management 04-03-2015, 06:01 PM
Replies: 4
Views: 323
Posted By tortoisegirl
Re: Back to back UDTs?

If they are truly random tests, it is possible they just happened to be two months in a row. I have figured out mine appear to be every 6 months. My advice depends on how your Hydrocodone is...
Board: Chronic Pain 04-01-2015, 07:22 PM
Replies: 3
Views: 281
Posted By tortoisegirl
Re: Neck Pain

There are also prescription topical solutions, such as made at a compounding pharmacy. Often a combination of treatments is what is takes, so if something takes the edge off, you can look at adding...
Board: Pain Management 03-31-2015, 07:28 PM
Replies: 5
Views: 460
Posted By tortoisegirl
Re: Really need advice

Sorry you are dealing with this. There are some great replies, but I have a couple things to add. Having continuing constant chronic pain is typical even when an opiate is part of our treatment...
Board: Chronic Pain 03-30-2015, 07:32 PM
Replies: 3
Views: 281
Posted By tortoisegirl
Re: Neck Pain

Have you tried ice/heat and topical pain relief creams (available both otc and by prescription)? What about physical & massage therapy, acupuncture, or a TENs unit (typically covered by insurance...
Board: Pain Management 03-29-2015, 02:53 PM
Replies: 3
Views: 385
Posted By tortoisegirl
Re: Pain Med Question

Agreed to let your doctor know where your pain levels are and the decreased effectiveness. They may decide to switch you to something else. Its really up to them as to what they think is the best...
Board: Pain Management 03-27-2015, 06:34 PM
Replies: 14
Views: 836
Posted By tortoisegirl
Re: Prescription was stolen, now I'm screwed.

Agreed. Better to suffer for a week or few (not sure how long until your next fill) and continue to get pain management long term, then to not. I definitely was only suggesting urgent care for...
Board: Chronic Pain 03-27-2015, 04:19 PM
Replies: 11
Views: 316
Posted By tortoisegirl
Re: 1st post pain pump complications

To get them to give you an emergency appointment, you will likely need to speak to the medical assistant or nurse and give them some specifics, such as the popping event, increased pain, requiring...
Board: Pain Management 03-27-2015, 04:12 PM
Replies: 14
Views: 836
Posted By tortoisegirl
Re: Prescription was stolen, now I'm screwed.

Sorry you are dealing with this...definitely a tough lesson to learn. Although your doctor may not be willing to provide a replacement, they (or some other doctor you see) may be willing to provide...
Board: Pain Management 03-20-2015, 05:28 PM
Replies: 8
Views: 651
Posted By tortoisegirl
Re: opana - side effects and coverage

Hi there. Sorry you are going through this. If you didn't have nausea with Avinza, its most likely a side effect from Opana. It could subside over time, or not. Am I correct in assuming you are...
Board: Pain Management 03-17-2015, 07:20 PM
Replies: 3
Views: 283
Posted By tortoisegirl
Re: RSD pain

Welcome! Sorry you are going through this. Do you still have the prescription container of the cream? Typically that would be all that is needed to verify a legal prescription for employment...
Board: Pain Management 03-09-2015, 07:29 PM
Replies: 3
Views: 403
Posted By tortoisegirl
Re: never went to stabilization, so still dosing

I don't understand your post title (stabilization & dosing?). However, whenever you pain is not under control or you are otherwise having problems, I'd simply start a discussion with your doctor by...
Board: Pain Management 03-09-2015, 07:01 PM
Replies: 18
Views: 1,382
Posted By tortoisegirl
Re: Lost my prescription

ttwarrior1: Glad everything worked out ok.

BB07: I don't think being on opiates would prevent benzo withdrawal. However, I think taking a lower dose and/or only taking it once a day would. ...
Board: Pain Management 03-07-2015, 07:17 PM
Replies: 11
Views: 623
Posted By tortoisegirl
Re: Not sure if this is the right place to ask

Tearsnfears: I'd call on Wed so you can pick up a script Fri. They could put a fill on Sun date if they desired. To dissuade your fears, I would say when you call that you are due Sun but since they...
Board: Pain Management 03-04-2015, 07:17 PM
Replies: 5
Views: 365
Posted By tortoisegirl
Re: suboxone for chronic pain

Lilly66: With the Methadone, for breakthrough pain, I typically take Oxycodone, although I also have Diclofenac (an NSAID, which hasn't been working as well as it had been) and Amerge (a Triptan /...
Board: Pain Management 03-04-2015, 07:12 PM
Replies: 18
Views: 1,382
Posted By tortoisegirl
Re: Lost my prescription

Glad you were able to get in touch with someone. I hope you at least get a few pills to taper with. Typically them cancelling your contract would mean they would no longer prescribe that type of...
Board: Pain Management 03-03-2015, 07:52 PM
Replies: 4
Views: 420
Posted By tortoisegirl
Re: Do PM Clinics Do Pill Counts on Lyrica?

Welcome! I would read your contract to see if it specifies their pill count rules. Although it could potentially be subject to a pill count, I think it would be unusual...typically they just care...
Board: Pain Management 03-03-2015, 07:41 PM
Replies: 5
Views: 365
Posted By tortoisegirl
Re: suboxone for chronic pain

Awesome! I'm glad it has been helpful, and I hope it continues. Keep us posted. I'm curious; do you have breakthrough pain with it, and if so, what do you take? That always seems to be a...
Board: Pain Management 03-02-2015, 06:46 PM
Replies: 18
Views: 1,382
Posted By tortoisegirl
Re: Lost my prescription

Sorry you are having to go through this. If I were in this situation I would put a call into the medical assistant at your doctor's office and ask if there is anything you need to do medically to...
Board: Pain Management 03-02-2015, 06:28 PM
Replies: 2
Views: 348
Posted By tortoisegirl
Re: Think its time for me to switch meds

Welcome back! It definitely sounds possible your tolerance has increased over time, especially from the hospital stay with a higher Fentanyl dose plus IV meds. I can answer you specific question...
Board: Pain Management 03-01-2015, 10:03 AM
Replies: 30
Views: 1,497
Posted By tortoisegirl
Re: When to fill your pain med; how often do you visit your prescribing doc?

BigBlock21: We are discussing Schedule II pain medications here (like Oxycodone, Morphine, and Fentanyl), which you are required to get a new script for each month, no refills, and no filling before...
Board: Pain Management 03-01-2015, 09:22 AM
Replies: 5
Views: 366
Posted By tortoisegirl
Re: fentanyl patch rash

As far as new, I believe the most recent long acting meds to come to market are Exalgo (hydromorphone/dilaudid) and Zohydro ER (hydrocodone). What makes you nervous about Methadone? It seems to...
Board: Pain Management 02-28-2015, 05:12 PM
Replies: 5
Views: 366
Posted By tortoisegirl
Re: fentanyl patch rash

Has this been going on since you started using the patches, or is it new? Usually it would appear right away, so I'm a bit confused, unless you are using a new brand of patches you are reacting to...
Board: Pain Management 02-28-2015, 08:44 AM
Replies: 1
Views: 323
Posted By tortoisegirl
Re: Interesting information

Sounds good! I also had this done, and we've had a couple discussions here about it. For me however, I didn't get any information from it that changed the route of my treatment (my pain doctor said...
Board: Chronic Pain 02-24-2015, 07:46 PM
Replies: 3
Views: 382
Posted By tortoisegirl
Re: persistent facial pain sinus and forehead region

Welcome! Do you have a pain management specialist willing to work with you and try treatments? If so, I agree that Methadone could be a good med to trial. It has been the only thing to...
Board: Pain Management 02-13-2015, 08:18 PM
Replies: 11
Views: 879
Posted By tortoisegirl
Re: New confused and not sure what to do...

Glad things worked ok getting the pain meds. I hope your recovery goes smoothly and you can be pain free. I can't believe how the surgeon treated you post op. Honestly I've never had surgery, but...
Board: Pain Management 02-13-2015, 08:15 PM
Replies: 6
Views: 568
Posted By tortoisegirl
Re: Question about refill day? URGENT

Welcome! It will depend on the doctor's office. Drug testing can either be at random or on a schedule. Some test every appointment, some only once a year. I seem to have figured out my clinic...
Board: Pain Management 02-12-2015, 08:19 PM
Replies: 7
Views: 719
Posted By tortoisegirl
Re: Struggling with Chronic Pain

Welcome! Five years is quite good for staying on the same opiate dose. Also, if I understand you correctly, 4,200 mg/month is only 140mg/day (typically we quote dosages as per day), which is...
Board: Pain Management 02-12-2015, 07:46 PM
Replies: 11
Views: 879
Posted By tortoisegirl
Re: New confused and not sure what to do...

Agreed. The doctor should have asked how you were doing managing the post-op pain. Its often tough for them to guess how many pain pills a patient will need, as there can be so much variation. ...
Board: Chronic Pain 02-01-2015, 11:00 AM
Replies: 3
Views: 361
Posted By tortoisegirl
Re: Life after chronic pain

Welcome! I'm sorry you are going through this. Have you tried to find a local counselor who is trained in working with chronic pain patients? They can be tough to find, but do exist. Having...
Board: Pain Management 02-01-2015, 10:57 AM
Replies: 5
Views: 533
Posted By tortoisegirl
Re: Pain meds

Welcome! Are you requiring opiates for a chronic pain condition, or acute pain? I agree that it may be a good idea to have your doctor prescribe a good anti nausea med (like Phenergen). I'd...
Board: Pain Management 01-31-2015, 07:18 PM
Replies: 8
Views: 551
Posted By tortoisegirl
Re: False negative

The rescheduling appointments for later without regard for your fill date is ridiculous. What does the doctor say when you question this issue? A pain management office especially should take care...
Board: Pain Management 01-30-2015, 08:48 PM
Replies: 8
Views: 551
Posted By tortoisegirl
Re: False negative

Sorry you are going through this. I'd definitely try to clear it up. Also, its unacceptable that they let you run out. I also don't get how you would have enough long acting meds but not short...
Board: Pain Management 01-27-2015, 05:15 PM
Replies: 4
Views: 713
Posted By tortoisegirl
Re: Red Flagged

Welcome to the group! Agreed that it is usually in reference to opiate pain meds, and could be for any number of reasons. Your friend should try to figure out what doctor put the note in his file,...
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