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Board: Pain Management 08-06-2014, 02:20 AM
Replies: 7
Views: 2,336
Posted By Daffydolphin
Re: Carrying Meds in Pill Case?

My pharmacy automatically gives everyone two extra copies of the the bottle Rx label easily detachable from the Rx instruction sheet. I keep one copy of each Rx label, controlled and non controlled...
Board: Pain Management 07-19-2014, 06:11 AM
Replies: 2
Views: 814
Posted By Daffydolphin
Re: Pain management for back pain

Sleep Rx's only helped me for a short time and then did not work. My insomnia problems with regular use of high dosages of opioids did go away. It has been several years since then, but I think I...
Board: Pain Management 07-11-2014, 11:40 AM
Replies: 1
Views: 548
Posted By Daffydolphin
Re: oxycontin

All policies can be different, but my Medicare part D took maybe 10 seconds. Strength, dosage schedule, total quantity and other Rx's already being covered might be kicking it out for further...
Board: Pain Management 06-24-2014, 05:36 PM
Replies: 2
Views: 494
Posted By Daffydolphin
Re: Hyperalgesia

I don't understand the Hyperalgesia excuse. If you have other/ additional problems causing depressed respiration, then the regular use or high short term use of opiods can be counter-indicated and...
Board: Pain Management 04-15-2014, 03:48 PM
Replies: 5
Views: 542
Posted By Daffydolphin
Re: Best meds for nerve pain?

I would get a referral to a new neuro/ortho spine specialist practice at a major hospital. If existing PM cannot come up with new ideas, you might consider interviewing a new one also. I hope your...
Board: Pain Management 04-15-2014, 08:01 AM
Replies: 6
Views: 742
Posted By Daffydolphin
Re: If Tramadol was a narcotic, what could it be compared too??

Conversion chart quote is officially accurate. But for close to that maximum relief you need to work up to and maintain 400mg per day. I still only found it only about as effective as 3 naproxen per...
Board: Pain Management 04-11-2014, 07:03 AM
Replies: 3
Views: 506
Posted By Daffydolphin
Re: chiropractor and script question

I would not let Chiro do anything your ortho has not specifically approved.

In this state few doctors other than PM will Rx opioids longterm, for chronic pain. They usually only give small amounts...
Board: Pain Management 03-26-2014, 09:14 AM
Replies: 4
Views: 607
Posted By Daffydolphin
Must disagree

Opioids PRN (30-60 per month) for breakthrough pain while using NSAIDS like naproxen (Aleve) for base level pain is very much an acceptable protocol for chronic pain management here. I did it for...
Board: Pain Management 03-19-2014, 07:42 AM
Replies: 9
Views: 660
Posted By Daffydolphin
Re: Weaning off Oxicodone... advice?

Do not ask or even appear to suggest that your cardio-vas dr. Rx you any narcotics. He will not, and it can only get you in trouble.

If you BP and pulse readings are off, you can tell him it might...
Board: Pain Management 03-06-2014, 04:09 PM
Replies: 14
Views: 976
Posted By Daffydolphin
Re: Pain Meds and Alcohol

More than very light infrequent drinking is dangerous for a significant portion of people. PM rules vary. Some contracts say absolutely none. My PM say one glass of wine or a beer once or twice a...
Board: Pain Management 03-02-2014, 02:46 AM
Replies: 18
Views: 1,052
Posted By Daffydolphin
It is always okay to

Consult and interview as many PMs as you want. Referral by your PCP is best, and sometimes required at least for getting appt in less than 6 months.

You can have EMG results sent to current PM....
Board: Pain Management 03-01-2014, 10:50 AM
Replies: 18
Views: 1,052
Posted By Daffydolphin
Exclamation Better guess again

From my reading of your description of your appt with the prospective PM would make me think he would not continue opioid treatment, at least not beyond a short tapering off period.

hyperalgesia...
Board: Pain Management 02-25-2014, 03:58 AM
Replies: 12
Views: 611
Posted By Daffydolphin
Re: When pharmacy orders Meds for you, make sure they mark your name on them!

Hi Karlee,
Here in small town NC the best ones are located very near the small local hospitals in the mini medical parks usually around the hospital. The small one I use operates in just 3 small...
Board: Pain Management 02-24-2014, 03:57 AM
Replies: 12
Views: 611
Posted By Daffydolphin
Re: When pharmacy orders Meds for you, make sure they mark your name on them!

I totally agree with BB07!
Never regretted leaving the chains for a small 5 years ago.
Never a problem.
Board: Pain Management 02-23-2014, 11:46 AM
Replies: 3
Views: 553
Posted By Daffydolphin
Sorry you got caught

In the Part D trap. I got D Enhanced immediately even though all Rx's currently generic. After reading your post, I went back to check the claimed amt on my meds. In the past 2 years my generic pain...
Board: Pain Management 02-20-2014, 07:35 PM
Replies: 18
Views: 1,052
Posted By Daffydolphin
Just for your protection

You just want to have a written record that you are terminating getting medications from the first PM before you try to fill a prescription from the new PM. Some people even send it registered mail,...
Board: Pain Management 02-20-2014, 02:48 PM
Replies: 18
Views: 1,052
Posted By Daffydolphin
No, go ahead ans see new PM

Do not tell current PM until you have decided to switch, then do it in writing.

Do tell the prospective PM all about current PM. But do not be blatantly critical of old PM. You are just looking...
Board: Pain Management 01-11-2014, 12:16 PM
Replies: 19
Views: 1,846
Posted By Daffydolphin
Just a suggestion...

Hate to say this, but you need to get established with a new PM BEFORE filing any complaint.
Board: Pain Management 01-11-2014, 07:09 AM
Replies: 19
Views: 1,846
Posted By Daffydolphin
Re: Dr keeps my extra hydrocodone

No, it is definitely not legal for him to ask/take them. And technically it is not legal for you to let him take them. The next Rx should just be adjusted. This has a strange smell to it...
Board: Pain Management 01-11-2014, 03:59 AM
Replies: 8
Views: 4,710
Posted By Daffydolphin
Re: Is tramadol a controlled substance in NC?

I have not used it in many years. Some policy making board for pharmacies did recommend that pharmacies treat and monitor it like a Sch 3 controlled substance. My understanding is that it is a policy...
Board: Pain Management 12-20-2013, 03:54 AM
Replies: 10
Views: 683
Posted By Daffydolphin
Each state's pharmacy policies might differ, but

You should not have a problem. I would not here in NC. The key is both Rx's are different drugs from the same Dr. Insurance with BCBS, now Part D Medicare would not be a problem here either. Hope the...
Board: Pain Management 11-21-2013, 07:51 AM
Replies: 28
Views: 1,671
Posted By Daffydolphin
Both S3...for the moment

FDA is going to move all hydrocodone meds to S2. It has been announced and is going through the formal process. Expect it in early 2014. My state's policies and most all Drs here, have been treating...
Board: Pain Management 11-21-2013, 06:25 AM
Replies: 28
Views: 1,671
Posted By Daffydolphin
X Means NO

In my state and with all my Drs, an X on the refill spot means no refills. The Dr. places an X on the line so the patient cannot add a number in the blank space before filling. Some Drs write a big...
Board: Pain Management 11-09-2013, 05:09 AM
Replies: 6
Views: 691
Posted By Daffydolphin
Re: Hello im new to this site

Every state is different. In all you can get a DWI/DUI conviction if it can be proven you were driving poorly. Over half the the states make some official allowances and exemptions for provable legal...
Board: Pain Management 11-08-2013, 05:31 PM
Replies: 9
Views: 1,056
Posted By Daffydolphin
Re: Question re:first visit/baseline urine test at PM clinic

I hope you kept the old Rx bottle, take it with you to your next appt. if not, see if you can get a record of the Rx from either the dentist or pharmacy. Your 10 yr old pill probably had only 0 to...
Board: Pain Management 10-30-2013, 07:30 AM
Replies: 1
Views: 624
Posted By Daffydolphin
Re: norco withdrawl

You are on a low dose for not very long. Chances are high that you are not dependent and will have no to minimal withdrawal symptoms. To be sure and as comfortable as possible while stopping, if you...
Board: Pain Management 09-25-2013, 01:38 PM
Replies: 3
Views: 604
Posted By Daffydolphin
Re: Question about getting my meds from diff pharmacies

In NC it would/could cause you and him real problems. He is going to go into a pharmacy one day and they won't fill it and might confiscate the script. While he is doing nothing wrong, it will look...
Board: Pain Management 08-12-2013, 12:10 PM
Replies: 5
Views: 654
Posted By Daffydolphin
Re: please help, looking for any advice on current situation

Very very few people become physically dependent after just 2 to 3 months. Many are not dependent after a over year. Many people taper quickly: such as decreasing the dosage each day or two, while...
Board: Pain Management 08-12-2013, 11:34 AM
Replies: 5
Views: 435
Posted By Daffydolphin
Re: just moved... questions... questions...

There are federal laws and guidelines plus each state has its own laws and guidelines. In NC it is virtually impossible to find PCP/GP to Rx even the light opioids you are taking for chronic pain....
Board: Pain Management 07-31-2013, 03:16 AM
Replies: 2
Hey
Views: 305
Posted By Daffydolphin
Re: Hey

Every PM's test can be different. The UA test result form my PM sees groups all benzos as one line item. It does show each type of opioid on separate lines.
Board: Pain Management 07-27-2013, 06:13 PM
Replies: 21
Views: 1,206
Posted By Daffydolphin
Re: how are you sleeping?

Every Rx med I tried did not work well. Use nothing now. Can't use most OTC aids because of blood pressure. I sleep in a zero gravity recliner,wear noise canceling headphones with an iPod playing...
Board: Back Problems 06-22-2013, 07:09 PM
Replies: 7
Views: 898
Posted By Daffydolphin
I would guess...highly unlikely

Something else is most likely going on. I would not go above your approved dosage schedule. Get in to see your primary care physician. Even mild withdrawal symptoms should take at least 8 to 12...
Board: Pain Management 06-16-2013, 12:07 PM
Replies: 10
Views: 603
Posted By Daffydolphin
All depends...

Accuracy of diagnosis, type of problem and the skill of doctor. My first series, 2 in 2 weeks, gave very good relief for 3 months and had no problems with the procedure. Three subsequent 2 injection...
Board: Pain Management 05-22-2013, 06:57 AM
Replies: 9
Views: 712
Posted By Daffydolphin
Re: Gabapentin withdrawls

around three years ago, sleepiness faded by half to two thirds of the way through the taper off (if I recall correctly). All vision issues did not totally clear up for two to three months after...
Board: Back Problems 04-22-2013, 07:34 AM
Replies: 5
Views: 1,006
Posted By Daffydolphin
Yes

Some neck/cervical problems can cause problems and pain from the base of the brain to the tip of the toes. Almost all nerves pass through the spinal cord as it starts at the top of the neck. Though...
Board: Spinal Cord Disorders 04-22-2013, 04:25 AM
Replies: 2
Views: 1,101
Posted By Daffydolphin
Re: Tingly numbness waist-down

I don't know what any of us can say from this short description, other than to see/push your doctor to get her/him to start referring you for tests. I hope it is nothing serious and passes quickly,...
Board: Pain Management 04-16-2013, 08:31 PM
Replies: 5
Views: 2,128
Posted By Daffydolphin
tramadol not DEA controlled...yet

It is in some states, but not Massachusetts. Must be an insurance thing or just the drug store policy.
Board: Back Problems 04-10-2013, 04:28 PM
Replies: 2
Views: 510
Posted By Daffydolphin
Re: Switching Narcotics - Cold Turkey?

Normally not a problem to switch from hydrocodone up to Oxycodone. But everybody is a little different in how they process different opioids. I have been back and forth twice in the past 5 years...
Board: Pain Management 04-10-2013, 06:24 AM
Replies: 4
Views: 530
Posted By Daffydolphin
Re: Quick Question

It is Wednesday, I would call whoever is Rxing, surgeon or PM, and ask for help or suggestions. If you are just after surgery, they should be willing to help without a hassel. If you can't physically...
Board: Back Problems 04-09-2013, 02:07 PM
Replies: 1
Views: 356
Posted By Daffydolphin
Re: Do you get ringing ears with neck pain?

I have a lot of ring in both ears. It varies from a 4 to a 7 on a 10 pt. scale. I have not been able to correlate the level with anything on a consistent basis. I attribute it mostly to heavy use of...
Board: Back Problems 04-08-2013, 10:14 AM
Replies: 7
Views: 859
Posted By Daffydolphin
Re: Oxycodone and hydrocodone

Agree with Robaxin. And my PM says to take hydrocodone in advance of doing something I know will significantly increase pain. "Stay ahead of the pain." he says. I alway take it with water, at least...
Board: Back Problems 04-08-2013, 04:05 AM
Replies: 4
Views: 1,062
Posted By Daffydolphin
Good morning from the US

Sorry to read of your difficulties. It could be caused by a lot of things. You are going to need to see specialists and have an MRI and blood testing. Having family in the UK, I know in your NHS this...
Board: Back Problems 04-05-2013, 06:00 PM
Replies: 2
Views: 432
Posted By Daffydolphin
Get copies

Of both the written MRI report and a disc with the images. Get a name of a good spine surgeon, ortho or neuro. Your PT might be a good source. then ask your PCP to refer you. Insist that the new...
Board: Back Problems 04-03-2013, 06:47 PM
Replies: 6
Views: 517
Posted By Daffydolphin
Re: Could someone plz. help me understand MRI?

It started with a compression fracture at C6 25 years ago. That mostly cleared up within a year. The neck started becoming a significant issue again in 2009 and bad by 2011. I'm sorry you are having...
Board: Back Problems 04-03-2013, 02:07 PM
Replies: 6
Views: 517
Posted By Daffydolphin
Swimming

Slow to moderate swimming is okay, it is the breathing motion that is the problem in almost all strokes except backstroke. I tried lap swimming with a snorkel, but it still caused too many pain flare...
Board: Back Problems 04-03-2013, 08:10 AM
Replies: 27
Views: 1,491
Posted By Daffydolphin
Stem cell transplant?

The injections are for pain and inflammation relief. They help give soft tissue, incl discs, a chance to heal themselves.

I can't comment on whether your discs will continue to get worse. There is...
Board: Back Problems 04-03-2013, 07:45 AM
Replies: 6
Views: 517
Posted By Daffydolphin
PT & Surgery

Nothing in your MRI says near term surgery needed. How your condition progresses is a guess. I am delaying surgery with what would appear to be a significantly worse cervical condition, with my...
Board: Back Problems 03-31-2013, 08:43 AM
Replies: 2
Views: 377
Posted By Daffydolphin
No Expert Spine Knowledge

But it could be related to SIJ, could also be a lot of other things. If this has been going on for over 3 months, I would start pushing whichever doctor is appropriate for getting an MRI approved. I...
Board: Pain Management 03-31-2013, 04:14 AM
Replies: 4
Views: 626
Posted By Daffydolphin
Re: Personality Change

Yes, all those things can be possible side effects of longterm use of opioids, especially among the elderly.

They are also some of the manifestations of chronic poorly managed pain. Clinical...
Board: Spinal Cord Disorders 03-29-2013, 12:52 PM
Replies: 7
Views: 553
Posted By Daffydolphin
Wink Physiatrist - Not Psychiatrist

Family physician are all becoming very uncomfortable Rx'ing any narcotics. Even if you don't need any more now, you probably should consider getting started with a Pain Mgmt Dr/Clinic. One that does...
Showing results 1 to 50 of 167

 








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