Can you help me please?

[Fabrashamx]

Hi Prince,

While I would never presume to speak for another person, I think what shore was doing was honestly reacting to your statements.
You yourself said that you sometimes take 8 per day of the percocet, even though that is more than is prescibed, and that 'you panicked and didnt mention it'.
One subject that is discussed here on an almost daily basis is the role of LA or long acting meds. Their whole purpose is to take us out of that up and down cycle that short acting meds cause. The doctor put you on the patch, with a break through med. If you are not only taking the breakthrough med daily, but occasionally exceeding your prescibed doseage. It is an obvious statement that your LA med is not sufficient for you.
Instead of communicating with your doctor, and raising your LA med, you chose to use your breakthrough meds.
No where on this board will you see one of us tell you thats a great thing, because its not. it is counter productive to your successful pain management.
I am not going to say anything about methadone, because to me, the bigger problem here seems to be that your communication with your doctor has completely broken down.
I would urge you to be honest with your doctor, and try going to a higher dosage of the patch, really, percocet or roxicet, if you need your breakthrough meds more than 3-5 times a week, they are no longer breakthrough meds, they are part of your regimine.
I wish you much luck and I hope to read more of your posts.
Your Friend, Fabby

[mudbone]

Prince, Sounds to like your doc should up your dosage on the patch so you will not need so much percocet or roxicodone. If your baseline med is doing its job then most people only use 1 or 2 BT meds per day. If its the patch that isnt cutting it then try somthing like oxycontin as a long acting med. Hope it works out for you..

[Prince31]

Originally Posted by Fabrashamx

Hi Prince,

While I would never presume to speak for another person, I think what shore was doing was honestly reacting to your statements.
You yourself said that you sometimes take 8 per day of the percocet, even though that is more than is prescibed, and that 'you panicked and didnt mention it'.
One subject that is discussed here on an almost daily basis is the role of LA or long acting meds. Their whole purpose is to take us out of that up and down cycle that short acting meds cause. The doctor put you on the patch, with a break through med. If you are not only taking the breakthrough med daily, but occasionally exceeding your prescibed doseage. It is an obvious statement that your LA med is not sufficient for you.
Instead of communicating with your doctor, and raising your LA med, you chose to use your breakthrough meds.
No where on this board will you see one of us tell you thats a great thing, because its not. it is counter productive to your successful pain management.
I am not going to say anything about methadone, because to me, the bigger problem here seems to be that your communication with your doctor has completely broken down.
I would urge you to be honest with your doctor, and try going to a higher dosage of the patch, really, percocet or roxicet, if you need your breakthrough meds more than 3-5 times a week, they are no longer breakthrough meds, they are part of your regimine.
I wish you much luck and I hope to read more of your posts.
Your Friend, Fabby

Hi,
Thanks for replying back to me. About what you said....NO...I think I either didn't explain myself correctly or you misunderstood. Ok, the doctor wrote my percocet script like this....(10/325mg) Take 1-2 tablets by mouth 4x's a day as needed. In other words, he left me the leeway to take only 4 on "s0-s0" days and up to 8 on really bad days. He was allowing me 8 a day if needed but I had to "back it down" on better days. This is where the problem came in. I was having trouble getting it back down to even 6 on “good days” because I wasn’t having many with the 3rd chronic issue that came about just this year. When I explained that to him, that’s when he mentioned Methadone. I panicked at the thought of methadone. I did not panic with telling him how many percocet I was taking. I obviously told him and he was aware because he would have to fill me early when I would take 8 a day for weeks at a time. That’s when he said “when you are ready, we will discuss switching your medication to something like Methadone which is very effective” I am afraid of that particular drug (as I am sure there are those out there who are afraid to take what I take now) so I didn’t mention to him for a few months that I was “struggling” and tolerant to the percocet. But I finally did because the stress at the end of each month was just too much. So he put me on Roxicodone and now I am having an even harder time. The pain is even more out of control. I am not even taking the 4 that he allows me to take of those because it just makes me so darn tired. It doesn’t do much for the pain other than make me very sleepy. Which, as a diabetic, I am already tired all the time anyway! Don’t need medication to do that for me!

[Prince31]

Originally Posted by mudbone

Prince, Sounds to like your doc should up your dosage on the patch so you will not need so much percocet or roxicodone. If your baseline med is doing its job then most people only use 1 or 2 BT meds per day. If its the patch that isnt cutting it then try somthing like oxycontin as a long acting med. Hope it works out for you..

Hi,

I think he thought of that because he did up my patch to (50) when the 3rd chronic issue came about and I didn't notice much of a difference. Then he asked me to "remind him" about that at our last meeting..."doubling the patch didn't do much for you did it??" And I said "Nope" So, I don't know, maybe he should change the patch to something else all together instead of the BT medicine??

[Fabrashamx]

Hi again Prince,
Okay , I see it now, sorry for the misunderstanding. Is your doctor saying if you need to go up on the patch again, he would rather you switch to the methadone? Otherwise, 50 mg is only the 3rd step up on the patch, Maybe you need 100 mgs, or there are other long acting drugs you can try like Oxycontin. sounds to me like the doctor just wants you to need less of the breakthrough, since he basically made a lateral switch.
May I ask why you are so dead set against the methadone? My doctor offered it to me also, but left it up to me if I would rather stay with what I was already on, and thats what I chose, but only because I think the meds I am on now are working for me, so why change.

Hope everyone is having as pain free a holiday weekend as possible,
Fabby