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Board: Chronic Pain 02-09-2016, 06:16 AM
Replies: 2
Views: 210
Posted By tortoisegirl
Re: How to Find New Pain Doctor?

Sorry you are going through this. Unfortunately many areas are like yours, with a limited selection of pain doctors. Since you likely only have less than a month, I'd recommend going with the best...
Board: Pain Management 02-08-2016, 01:53 PM
Replies: 5
Views: 222
Posted By tortoisegirl
Re: New Norco Brand?

Yes. One person understood it as that, it got repeated, and so on. The FDA even has info out to try to dispel that misinformation (including that study I mentioned).

There is some slight dose...
Board: Pain Management 02-07-2016, 07:43 PM
Replies: 5
Views: 222
Posted By tortoisegirl
Re: New Norco Brand?

Its a common misconception that generic dosages vary vastly from brand name (or from each other). The active ingredients of brand vs. generic are said to be bioequivalent if the 90% confidence...
Board: Pain Management 02-07-2016, 03:25 PM
Replies: 1
Views: 147
Posted By tortoisegirl
Re: Advice please.

Please elaborate what your question is. There are legitimate online pharmacies that take your valid prescription, fill it, and mail you the medication. There are also illegal pharmacies that may...
Board: Pain Management 02-05-2016, 02:13 PM
Replies: 6
Views: 334
Posted By tortoisegirl
Re: Dismissed from program...help.

You can definitely try. However, its typical for them to require medical records from the last prescribing doctor, which would show the dismissal. It depends on the doctor as far as whether they'd...
Board: Pain Management 01-29-2016, 01:46 PM
Replies: 1
Views: 322
Posted By tortoisegirl
Re: Norco pain medication

Could you please clarify your actual question? Everyone is different, so either Norco (Vicodin/Hydrocodone) or Oxycodone may work better for their pain and have less side effects. Its also dose...
Board: Pain Management 01-28-2016, 07:22 PM
Replies: 1
Views: 248
Posted By tortoisegirl
Re: New to the board ... I have a screw loose (spine)

Welcome, and congrats on being pain free (at least until now). I hope you figure out the new pain. I have a question--did you have any pain while on the pain meds? I've always been told that...
Board: Chronic Pain 01-19-2016, 08:23 PM
Replies: 2
Views: 389
Posted By tortoisegirl
Re: Morphine Sulphate ER Dosing

I was previously on well over 400mg/day morphine, and have heard of folks over 1,000mg/day. It is very individual as far as if there is a dose where side effects become intolerable. There is...
Board: Chronic Pain 01-16-2016, 11:16 AM
Replies: 4
Views: 513
Posted By tortoisegirl
Re: 11yrs on methadone switching to opana ... omg

Adding 3x 5mg Opana to the 2x 7.5mg Opana ER doubled your daily dose, so no wonder its working better. Thats quite a big jump all at once, but is likely justified if you were still having...
Board: Pain Management 01-15-2016, 01:26 PM
Replies: 4
Views: 473
Posted By tortoisegirl
Re: I don't want suboxone anymore!!!

Have you checked with your pharmacy on the status (make sure it doesn't fall through the cracks)? Check if your insurance will reimburse you for paying cash while waiting for the prior auth, your...
Board: Pain Management 01-13-2016, 09:12 PM
Replies: 2
Views: 341
Posted By tortoisegirl
Re: non narcotic & not Tramadol

There are lots, especially when you think beyond the basics like otc & rx NSAIDs. Muscle relaxers can help treat pain, as can many adjunct (mostly off label) medications like Amitriptyline and...
Board: Pain Management 01-13-2016, 02:22 PM
Replies: 4
Views: 473
Posted By tortoisegirl
Re: I don't want suboxone anymore!!!

It would be truthful to say your current pain doctor is prescribing Suboxone and it hadn't significantly decreased your pain. The new doctor may not ask why it was chosen. If asked if you had any...
Board: Pain Management 01-09-2016, 03:30 PM
Replies: 6
Views: 492
Posted By tortoisegirl
Re: Methadone & Oxycontin

I agree with backhurtz. However, doctors need to explain what they are thinking so patients understand, and patients need to ask questions when their doctor doesn't offer up information. ...
Board: Pain Management 01-08-2016, 02:03 PM
Replies: 6
Views: 492
Posted By tortoisegirl
Re: Methadone & Oxycontin

Methadone is commonly used for chronic pain, and can be a great med for some folks like me who find it provides more relief than equivalent doses of other long acting opioids.

When taking it for...
Board: Chronic Pain 01-06-2016, 04:22 PM
Replies: 4
Views: 513
Posted By tortoisegirl
Re: 11yrs on methadone switching to opana ... omg

I too have been on Methadone long term. Just over a year ago at my doctor's insistence I tried Suboxone, and even after having spent a couple weeks on Oxycodone (so I only needed to go a day without...
Board: Chronic Pain 01-05-2016, 08:52 PM
Replies: 3
Views: 384
Posted By tortoisegirl
Re: How to not think about the pain I have?

I agree about staying occupied..I get really into watching tv series on Netflix for example. I work full time (somehow) so when I'm at home I do a lot of vegging out. Staying active is also very...
Board: Pain Management 01-03-2016, 10:12 AM
Replies: 7
Views: 489
Posted By tortoisegirl
Re: Methadone - Liquid vs. Tablets

You probably won't find too many folks here with MMT experience as its a chronic pain forum, and MMT is intended for addiction (although some folks end up on it for pain). I can't answer your...
Board: Pain Management 01-03-2016, 10:05 AM
Replies: 7
Views: 890
Posted By tortoisegirl
Re: Pain Meds

Agreed that most doctors fear combining opioids and benzos as it can be quite risky. The intake form at my pain clinic even asks me each visit if I am getting benzos from another doctor. Its much...
Board: Pain Management 01-02-2016, 10:47 AM
Replies: 6
Views: 640
Posted By tortoisegirl
Re: Serious question to all about actual pain levels

To me level 10 pain would be a limb amputation or some other sort of tragic accident, and would have the patient screaming, passing out, etc. So, as I've never experienced that, I've never claimed...
Board: Pain Management 12-28-2015, 02:08 PM
Replies: 7
Views: 751
Posted By tortoisegirl
Re: What to do ...

I too had a dose reduction (now on 1/3 of my max Methadone dose daily and 1/2 my max Oxycodone dose as needed), although it was following a forced Suboxone trial, and things turned out well. My pain...
Board: Pain Management 12-19-2015, 10:08 AM
Replies: 4
Views: 689
Posted By tortoisegirl
Re: How to not be sad about being in pain though.

For me there was a grieving period of sorts after developing chronic pain, about what might have been. Its taken quite awhile, but I've made peace with my situation. Depression is very common. ...
Board: Chronic Pain 12-17-2015, 07:14 PM
Replies: 2
Views: 427
Posted By tortoisegirl
Re: newbie looking for support

Welcome! I have some similarities to you. I've had a constant headache for almost 10 years. Mine is more tension-like than migraine though, although a few years ago I also started getting actual...
Board: Pain Management 12-13-2015, 06:00 PM
Replies: 14
Views: 798
Posted By tortoisegirl
Re: Suboxone film starting dose for pain?

I agree. It would be reckless of us to give you any medical advise, despite this being significantly less than the dose your doctor prescribed. Best wishes.
Board: Chronic Pain 12-12-2015, 10:20 AM
Replies: 1
Views: 442
Posted By tortoisegirl
Re: Severe pain

Hi there! Please follow up with your doctor if you have concerns. I hope you feel better soon. Best wishes.
Board: Pain Management 12-10-2015, 07:47 AM
Replies: 14
Views: 798
Posted By tortoisegirl
Re: Suboxone film starting dose for pain?

It definitely varies. Usually smaller independant pharmacies are better. For example, most of them know me by name at my pharmacy and I've only dealt with two pharmacists. Yes there will be multiple...
Board: Pain Management 12-08-2015, 05:02 PM
Replies: 14
Views: 798
Posted By tortoisegirl
Re: Suboxone film starting dose for pain?

You should be able to call your doctor, asking to speak to their medical assistant (or leave them a message). They can then talk to your doctor and ideally someone gets back to you. Or, you can ask...
Board: Pain Management 12-08-2015, 06:10 AM
Replies: 6
Views: 654
Posted By tortoisegirl
Re: pain meds required at first consult?

Note that they may hand you an opioid contract as part of the new patient paperwork at reception, but don't sign it if you have an existing one already as that could cause issues. If you decide to...
Board: Pain Management 12-07-2015, 06:33 PM
Replies: 6
Views: 654
Posted By tortoisegirl
Re: pain meds required at first consult?

This is likely to verify any substances which may show up in the UA they are likely to ask you to give. They may also check you haven't used the pills up quicker than the prescription says is...
Board: Pain Management 12-07-2015, 01:42 PM
Replies: 14
Views: 798
Posted By tortoisegirl
Re: Suboxone film starting dose for pain?

To clarify, I have no opinion on that dose for addiction vs. pain, only agree with the original poster that it may be too high for someone who is opioid naive. High doses can be used for pain...
Board: Pain Management 12-07-2015, 07:31 AM
Replies: 14
Views: 798
Posted By tortoisegirl
Re: Suboxone film starting dose for pain?

I think its a red flag your doctor prescribed a highish dose and didn't give you starting instructions. There is not technically a starting dose for opioid naive patients as it isn't indicated for...
Board: Pain Management 12-03-2015, 07:12 AM
Replies: 2
Views: 554
Posted By tortoisegirl
Re: Has Tramadol caused loss of appetite for anyone?

This would be something to discuss with her doctor and/or pharmacist, but appetite loss is a known potential side effect. Best wishes.
Board: Pain Management 11-18-2015, 07:28 AM
Replies: 5
Views: 613
Posted By tortoisegirl
Re: pain relief

Tommy, Thanks for sharing. So glad you have found relief. However, I thought it prudent to point out that your response is not typical. No one medication will work for everyone. It is more typical to...
Board: Pain Management 11-13-2015, 09:00 PM
Replies: 5
Views: 613
Posted By tortoisegirl
Re: pain relief

Some folks get pain relief from Suboxone. It is quite individual though, and seems to be more hit & miss than opioids. I didn't get any pain relief from Suboxone, it caused a constant migraine (for...
Board: Pain Management 11-11-2015, 07:36 PM
Replies: 4
Views: 753
Posted By tortoisegirl
Re: PM and Hospital visits for a different Med

Read any contract you signed for the answer. They all vary. Mine for example is more liberal and allows any meds (including opioids) on a short term basis (and doesn't even define that), and I am...
Board: Pain Management 10-19-2015, 08:02 PM
Replies: 33
Views: 4,093
Posted By tortoisegirl
Re: When to fill your pain med; how often do you visit your prescribing doc?

bekka429: Welcome! Sorry you are dealing with that. I'm not sure about the legal side of it, but I know my pain management physician assistant in WA said they need to see me every month (they do...
Board: Pain Management 10-14-2015, 07:03 PM
Replies: 2
Views: 639
Posted By tortoisegirl
Re: Amitriptyline vs Nortriptyline

I found Nortriptyline to be less sedating than Amitriptyline. I tried both only once a day though, as far before bedtime as I could tolerate, to minimize grogginess the following morning. However,...
Board: Pain Management 09-16-2015, 07:46 PM
Replies: 3
Views: 1,051
Posted By tortoisegirl
Re: Dismissed from PM - No mercy

Sorry you are going through this. This is a good story to remind people that a simple decision like that to take an old medication (even from the same doctor but from a prior month) can have...
Board: Pain Management 09-14-2015, 08:23 PM
Replies: 5
Views: 1,086
Posted By tortoisegirl
Re: Pain scale & reporting to the doctor

What is the question specifically asking for--a pain level then and there at the appointment, or does it not specify? The forms at my pain doctor ask for average in the past month, and I also circle...
Board: Pain Management 09-14-2015, 08:19 PM
Replies: 7
Views: 648
Posted By tortoisegirl
Re: How effective can pain meds be? - what % reduction can be achieved?

I think the key is activities of daily living. We should discuss with our doctors what reasonable pain levels are, as well as reasonable activity levels. Its likely that even with treatment it may...
Board: Pain Management 09-14-2015, 08:00 PM
Replies: 5
Views: 932
Posted By tortoisegirl
Re: Increase in dosage after 7-8 years on same dose - too soon??

I think the first step is to see your doctor/PA/NP/whatever and explain the increased pain, how long it has been going on, how much relief you are getting now from your untreated pain levels vs. what...
Board: Pain Management 09-12-2015, 10:28 AM
Replies: 10
Views: 1,226
Posted By tortoisegirl
Re: in pain & hate my life

Hang in there! It sounds like you need to try another pain specialist. It can take a lot of trial and error to find a doctor who is a good fit (4 tries for me), then more to find effective...
Board: Pain Management 09-12-2015, 10:21 AM
Replies: 5
Views: 1,086
Posted By tortoisegirl
Re: Pain scale & reporting to the doctor

I agree. My levels vary widely, and its so subjective (I assume I've never had a 10, and 9 is incapacitated). I think the average pain level before and after pain management treatments is just one of...
Board: Pain Management 09-12-2015, 08:51 AM
Replies: 7
Views: 648
Posted By tortoisegirl
Re: How effective can pain meds be? - what % reduction can be achieved?

I've always heard 50%. Definitely not 90-100%. Were you having this conversation with your doctor as your tolerance has increased over the years and your dose hasn't, so your pain has increased, but...
Board: Pain Management 09-01-2015, 07:31 PM
Replies: 2
Views: 627
Posted By tortoisegirl
Re: New to pain management.

Welcome! This is a great question for your doctor. I think its important for us to be on the same page with our doctors, ask about treatment goals, etc. Its good you are doing pt in addition to...
Board: Pain Management 08-29-2015, 04:12 PM
Replies: 5
Views: 596
Posted By tortoisegirl
Re: How does one determine what brands of fentanyl patches a Walgreens or CVS stocks

Its just a silly automatic name here based on how many posts I've made. (Like for you it says newbie)
Board: Pain Management 08-29-2015, 01:28 PM
Replies: 5
Views: 596
Posted By tortoisegirl
Re: How does one determine what brands of fentanyl patches a Walgreens or CVS stocks

Will your doctor not prescribe it to swap the patches every 2 days? Many many folks need to do this, and most insurance companies will now cover even that. Another generic may feel slightly...
Board: Pain Management 08-28-2015, 10:34 PM
Replies: 5
Views: 596
Posted By tortoisegirl
Re: How does one determine what brands of fentanyl patches a Walgreens or CVS stocks

I don't know of any way besides asking them directly. You may even need to walk in with your prescription when you ask as some pharmacies are hesitant to give any information on Schedule II meds...
Board: Pain Management 08-25-2015, 09:23 PM
Replies: 3
Views: 623
Posted By tortoisegirl
Re: Baclofen Vs. Soma

Any chance you can pay out of pocket for the Soma (if your doctor is willing to keep you on it)? You might as well ask your pharmacy (as well as call around to check on prices) if you haven't...
Board: Chronic Pain 08-25-2015, 09:16 PM
Replies: 5
Views: 773
Posted By tortoisegirl
Re: Am I crazy!

Its because this mess makes us stronger!
Board: Pain Management 08-24-2015, 12:39 PM
Replies: 4
Views: 695
Posted By tortoisegirl
Re: Methadone Orange Disk watered down

My guess is that this is take homes from a Methadone clinic (which doesn't automatically mean they are using them for addiction, as some folks do end up going to a Methadone clinic for their pain as...
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