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Board: Pain Management 07-25-2016, 12:38 PM
Replies: 5
Views: 181
Posted By tortoisegirl
Re: Will insurance deny me Suboxone for Valium on drug screen?

Also, don't abruptly stop any benzo. They typically need to be tapered down, so work with the prescribing doctor if you have to go that route.
Board: Pain Management 07-25-2016, 12:37 PM
Replies: 5
Views: 181
Posted By tortoisegirl
Re: Will insurance deny me Suboxone for Valium on drug screen?

You may be able to find your insurance policy document on Suboxone online. I can never find them in the website menus, but a web search of "insurancename policy policyname" without quotes works for...
Board: Pain Management 07-22-2016, 05:12 AM
Replies: 2
Views: 250
Posted By tortoisegirl
Re: Nucynta 75 vs Oxycodone

Pain meds are very patient-specific. Some aren't very effective for some people, or even seem to do nothing, despite being at an equivalent or higher dose to their previous medication. On the...
Board: Pain Management 07-19-2016, 05:08 AM
Replies: 4
Views: 329
Posted By tortoisegirl
Re: I'm sure I'll be released.

Sorry you are going through so much. In your shoes I would take in the unfilled scripts into your appointment and tell them the chain of events.

Also, beforehand, review the wording of your...
Board: Pain Management 07-16-2016, 09:39 PM
Replies: 2
Views: 271
Posted By tortoisegirl
Re: Scared of Pain Pump Surgery

Welcome! What specifically about this has you scared? Also, I'm curious why your doctor is suggesting this? Typically you hear of patients being tried on pumps when their opioid dosage has got...
Board: Reflex Sympathetic Dystrophy (RSD) (CRPS) 07-16-2016, 09:33 AM
Replies: 2
Views: 233
Posted By tortoisegirl
Re: Crps from hell

So sorry you are struggling. Yes, it definitely at least semi common for the first pain med and dose not to be helpful. Often it takes some trial & error with meds and dosages to find something...
Board: Pain Management 07-14-2016, 08:22 PM
Replies: 1
Views: 234
Posted By tortoisegirl
Re: Severe back pain.

Sorry you are dealing with so much pain. It sounds like you need another opinion. Keep searching until you find a doctor willing to keep trying treatments until something is significantly helpful. ...
Board: Pain Management 07-10-2016, 01:13 PM
Replies: 10
Views: 601
Posted By tortoisegirl
Re: What To Do for Pain When You Can No Longer Take Any Medications

If I was in your shoes, I'd ask for a liver enzymes re-test, to ensure it wasn't due to you being sick. Hopefully your GP can be helpful too. What about asking your pharmacist about your prior meds...
Board: Pain Management 07-09-2016, 02:38 PM
Replies: 10
Views: 601
Posted By tortoisegirl
Re: What To Do for Pain When You Can No Longer Take Any Medications

So sorry you are going through this. Its unfortunate your doctor had you stop all the meds you were taking for pain, without really considering which (if any) may have contributed to the liver...
Board: Pain Management 07-04-2016, 10:47 AM
Replies: 3
Views: 507
Posted By tortoisegirl
re: any suggestions for how to find good pain mgt dr ?

Welcome! Sorry you are struggling so much. You may want to search your insurance website, chronic pain society websites, and the internet for websites for pain clinics and get an idea of the...
Board: Pain Management 07-03-2016, 07:55 PM
Replies: 3
Views: 366
Posted By tortoisegirl
Re: Obtaining Medical Records

Ideally you'd contact the doctor/office who had inaccuracies in their records and ask them to correct them, then get new copies after the corrections. If that isn't possible / reasonable (ie. if its...
Board: Pain Management 06-30-2016, 07:31 PM
Replies: 3
Views: 366
Posted By tortoisegirl
Re: Obtaining Medical Records

Ideally we should always get medical records on a regular basis from our doctors, especially when we discontinue care. Its important to ensure they are accurate. However, I'm the first to admit...
Board: Pain Management 06-30-2016, 08:23 AM
Replies: 4
Views: 349
Posted By tortoisegirl
Re: Fentanyl and pregablin

How long the side effects may last is a question for your pharmacist and/or doctor. Assuming you are already on the final dose of everything, some side effects subside over a period of weeks, and...
Board: Pain Management 06-29-2016, 04:32 PM
Replies: 8
Views: 1,012
Posted By tortoisegirl
Re: Dr limiting my medication (need new Dr!)

streetsk8er794 - I've been told that Suboxone isn't FDA approved for chronic pain, so typically to get insurance to cover it, the doctor needs to state it is for opioid dependency (which it is...
Board: Pain Management 06-29-2016, 04:20 PM
Replies: 4
Views: 349
Posted By tortoisegirl
Re: Fentanyl and pregablin

Welcome! 400mg/day of Lyrica (Pregabalin) is under the 600mg/day recommended max dose, although for many conditions studies showed there was no increase in effectiveness over 300mg/day. I assume by...
Board: Pain Management 06-21-2016, 08:07 PM
Replies: 8
Views: 1,012
Posted By tortoisegirl
Re: Dr limiting my medication (need new Dr!)

I just wanted to give you a heads up that this is a process that can take months. Often you'll have to try more than one doctor to find a good fit too. Its all worth it in the end though. Its...
Board: Pain Management 06-21-2016, 05:09 AM
Replies: 8
Views: 1,012
Posted By tortoisegirl
Re: Dr limiting my medication (need new Dr!)

Typically you go to one or more initial consults and find a doctor that is a good fit before leaving your old doctor. As long as you don't sign a contract or accept any prescriptions from the new...
Board: Pain Management 06-20-2016, 05:22 PM
Replies: 6
Views: 667
Posted By tortoisegirl
Re: Help in Bama!

Welcome! Keep looking for a doctor who is a good fit. Read patient reviews online, the clinic's website info, etc. You may want to make more than one initial consult (with different doctors) to...
Board: Pain Management 06-20-2016, 04:53 PM
Replies: 23
Views: 2,080
Posted By tortoisegirl
Re: Tapering off oxycodone after 16 years?

Sorry you are having to go through this. In a way, yes, you are lucky to get anything. You have three options as I see it: endure, look for a new pain doc, or both. What does your doctor say in...
Board: Chronic Pain 06-13-2016, 05:22 PM
Replies: 2
Views: 586
Posted By tortoisegirl
Re: Pain management says there is nothing more?

Welcome! Sorry you are suffering from pain. Unfortunately some folks aren't able to get their conditions diagnosed; that doesn't mean that they can't be treated though. Doctors are probably less...
Board: Pain Management 06-13-2016, 05:17 PM
Replies: 19
Views: 2,300
Posted By tortoisegirl
Re: New FDA/CDC guidelines

movielover40 - Sorry you had that happen. I assume as the doctor is also prescribing you opioids? Be sure to work with your doctor to taper off of the Xanax if you decide not to try to continue it...
Board: Chronic Pain 06-12-2016, 07:34 PM
Replies: 2
Views: 399
Posted By tortoisegirl
Re: Muscle Spasm

Sorry you are dealing with this. I'd keep pushing to get evaluated by a specialist and try to get to the root of the problem. I don't see why they would be opposed to prescribing muscle relaxers...
Board: Pain Management 06-11-2016, 07:45 PM
Replies: 4
Views: 510
Posted By tortoisegirl
Re: oxycodon 5-325 withdrawal

Especially if you were taking it around the clock its possible to have some mild withdrawal symptoms. Restlessness is an early common one. However, I would have guessed it would start sooner after...
Board: Pain Management 06-10-2016, 07:17 PM
Replies: 2
Views: 434
Posted By tortoisegirl
Re: Hydrocodone 5-325

Don't take this as medical advice, but its a short acting medication with a half life of 4 hours, and would be expected to be well out of your system by now. If I was in your shoes I wouldn't have...
Board: Pain Management 06-09-2016, 07:36 PM
Replies: 4
Views: 713
Posted By tortoisegirl
Re: Chronic pain and opiods

Sorry you are suffering. I'd look for a pain management doctor that manages "medical pain management", not just "interventional pain management", meaning they use pills and other treatments not just...
Board: Pain Management 06-05-2016, 02:53 PM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

BB07 is accurate in that my primary pain diagnosis is a headache condition and Methadone is a good pain med for me. None of the others helped my pain (morphine, fentanyl, hydromorphone, oxymorphone,...
Board: Pain Management 06-05-2016, 08:35 AM
Replies: 2
Views: 474
Posted By tortoisegirl
Re: Pain Doc/Insurance Issues

I assume you put a call into your doctor about the Avinza being declined, and that you need a different script ASAP? I wouldn't say you have enough meds to get you through, as its a no-no (although...
Board: Pain Management 06-01-2016, 08:11 PM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

It may not hurt to get the opinion of another pain doc...they may have some treatment ideas which your doctor doesn't use. You may also discuss with your doctor whether they may be willing to let...
Board: Pain Management 06-01-2016, 12:59 PM
Replies: 13
Views: 1,035
Posted By tortoisegirl
re: pharmacy is refusing to fill my prescription. I'm so upset

You can try other non-CVS pharmacies (don't bother calling as they will say out of stock to protect against theft - and tell your dr where you fill so they know its different), but I'd be surprised...
Board: Pain Management 05-30-2016, 08:22 PM
Replies: 2
Views: 330
Posted By tortoisegirl
Re: Fentanyl Patch and Dry Mouth?

As I understand it, dry mouth would be one of the less likely side effects to go away with time (vs. for example nausea or drowsiness). It can be combated with certain products (mouth rinse, mints,...
Board: Pain Management 05-29-2016, 09:02 AM
Replies: 4
Views: 588
Posted By tortoisegirl
Re: Multiple Problems re: Pain Management

You aren't alone. I've heard of a lot of folks having issues getting their meds lately. Pharmacies are being bullied and their corporate offices have added rules. Some actually require the...
Board: Pain Management 05-29-2016, 08:38 AM
Replies: 2
Views: 382
Posted By tortoisegirl
Re: Multiple Long-Acting Pain Meds?

From my reading, the norm (despite of the type of doctor) for chronic pain when using opioids is one long acting med with one short acting med. Plus in some rare cases a "rescue" med. I've heard of...
Board: Pain Management 05-29-2016, 08:22 AM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

The use of Suboxone for chronic pain without previous addiction issues is increasing, especially with the current climate with them reducing patient's dosages, as they are getting pressure from all...
Board: Chronic Pain 05-28-2016, 10:26 AM
Replies: 3
Views: 316
Posted By tortoisegirl
Re: Excessive Sleeping & Chronic Nerve Pain

It has got easier over time for me to cope. It took trial and error to find some treatments that help me. Everyone is different though, so often it isn't really helpful to list what we take (and my...
Board: Pain Management 05-28-2016, 09:33 AM
Replies: 5
Views: 334
Posted By tortoisegirl
Re: need some advice

amygrl - So sorry you are dealing with this. You aren't the first one. It sounds like your doctor may have been looking for an excuse to get rid of you (typically they only do pill counts when they...
Board: Pain Management 05-28-2016, 09:15 AM
Replies: 1
Views: 511
Posted By tortoisegirl
Re: What doctors don't tell us

Yes there typically isn't enough education about opioids before we are started on them. I literally wasn't even told I would become physically dependent on them. Good thing I'm into research and...
Board: Pain Management 05-28-2016, 09:12 AM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

Methadone for chronic pain is given as a monthly prescription from a pharmacy, like any other pain med or Suboxone (not daily from a clinic like it is for addiction). For chronic pain patients its...
Board: Pain Management 05-26-2016, 05:04 AM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

Suboxone has some long term benefits such as not building a tolerance to it, but like any med, there are downsides, such as typically not being able to use opioids for breakthrough pain. Typical...
Board: Pain Management 05-25-2016, 05:55 PM
Replies: 23
Views: 1,253
Posted By tortoisegirl
Re: Should I switch from Suboxone to Methadone for Chronic Pain?

My vote would be you might as well give it a try, under the right circumstances. In my opinion 12mg Suboxone would typically be considered stronger than 30mg Methadone, but if the Methadone is a...
Board: Pain Management 05-22-2016, 05:02 PM
Replies: 3
Views: 433
Posted By tortoisegirl
Re: Getting off Fentanyl patch

I have heard that the matrix patches not the gel patches can be cut (as the medication is in the adhesive, not a gel reservoir), and most people get the matrix patches now (the small sticker-like...
Board: Pain Management 05-15-2016, 09:11 AM
Replies: 1
Views: 313
Posted By tortoisegirl
Re: Pain/swelling after gallbladder removal

Welcome! Sorry you are having to go through that. This is something to follow up with your surgeon's office about. If you are concerned and/or they don't get back to you quickly, I wouldn't...
Board: Pain Management 05-14-2016, 03:06 PM
Replies: 2
Views: 331
Posted By tortoisegirl
Re: Butran patch

I haven't tried it (my tolerance is way too high; it is a VERY low dose), but I have tried the active medication (Buprenorphine) in a film strip you dissolve on your tongue, Suboxone. It wasn't good...
Board: Chronic Pain 05-14-2016, 02:45 PM
Replies: 13
Views: 804
Posted By tortoisegirl
Re: New diagnosed CRPS (CRAP) Patient

Welcome! Sorry you are struggling. That sounds miserable (I've heard it is the most pain anyone can be in). Have you got in with a pain management specialist yet? Ideally someone with a lot of...
Board: Pain Management 05-13-2016, 12:47 PM
Replies: 5
Views: 569
Posted By tortoisegirl
Re: Pain is keeping me awake and ruining my vacation -- need Orlando Dr. suggestions

Sorry you are dealing with this. It would probably be quite tough to get in with a doctor and get them to prescribe for you the first visit, especially not being local. Urgent care could be a...
Board: Pain Management 05-13-2016, 06:39 AM
Replies: 5
Views: 774
Posted By tortoisegirl
Re: Failed a urine test at doctors appointment can I still receive my normal meds?

From what you said it sounds like your doctor is offering to continue to see you as a patient, but won't prescribe any pain meds (such as the Norco), ever again. You will likely have a very tough...
Board: Chronic Pain 05-11-2016, 06:28 PM
Replies: 1
Views: 284
Posted By tortoisegirl
Re: Stem cell therapy for pain

Interesting. Is this actually being used in a general pain practice, or is it part of a clinical trial? My general advice for when any patient hits a wall treatment wise is to get another opinion;...
Board: Pain Management 05-10-2016, 05:09 AM
Replies: 23
Views: 2,080
Posted By tortoisegirl
Re: Tapering off oxycodone after 16 years?

Yes, it may make sense to reduce the dose not the pills, but there may be a reason they did that (such as having the prescription go from around the clock to as needed, which may put you in a...
Board: Chronic Pain 05-05-2016, 12:18 PM
Replies: 4
Views: 466
Posted By tortoisegirl
Re: Need Help: Withdrawing Methadone & Oxycodone

I've always heard the last bit is the hardest. I'd work with your doctor to figure out what medication is best to taper off that last bit with. They can also give you meds for the withdrawal symptoms...
Board: Pain Management 05-05-2016, 06:29 AM
Replies: 19
Views: 2,300
Posted By tortoisegirl
Re: New FDA/CDC guidelines

Mine reduced my dose about a year and a half ago, saying they could no longer prescribe that dose. I think they are getting pressure from all sides, and see that having patients on high doses open...
Board: Pain Management 05-03-2016, 08:21 PM
Replies: 10
Views: 564
Posted By tortoisegirl
Re: Urine screen showing Nucynta

Even if there was something besides Novocaine/etc in the shot, I don't see how it would last a week. I'm surprised the Oxycodone even showed up if it was for 3 days starting 7 days ago (ie. 4 days...
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