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I think I'm going to ask for a refill on the Pain Medication

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:33 AM in Chronic Pain
Hello everyone! :H

I'm two weeks post microdiscectomy/laminectomy and will be going for my check-up with the doc's nurse tomorrow. The surgeon that performed my surgery never prescribed any meds prior to my surgery. On my pre-surgical visit he asked me what I was taking for pain. I told him my primary doc has prescribed Darvocet and that I took it occasionally as well as Neurontin 3x daily.

The surgeon didn't offer any other pain med and I didn't ask. :?? Some of the pre consultation forms that I had to fill out like the medication agreement (contract) and the bold printed notice regarding the appropriate times to call for med refills (never on a week-end, only between 9a-3p weekdays) were very effective in deterring me from displaying any kind of drug seeking behavior. Geesh!

When I was discharged from the hospital I was given Rx's for forty 5mg-325 Percocet and forty 10mg Baclofen (muscle relaxer). I rarely take the Percocet, have 27 tablets still in the bottle, because it gives me a hang-over like headache. But I guess the pain is catching up with me because at the end of the day I feel like I've been hit on the backside with a baseball bat! :))( As long as I'm lying down the headache is mild so I take it at night.

The Baclofen makes me feel high and unsteady. So I also only take it at night. And I suspect this is the med that is responsible for the tiny blister rash that I have on my chest and shoulders.

When I see the nurse tomorrow I'm planning on discussing these issues and am considering asking for different medications. For sure on the muscle relaxer.

For those of you who are post surgery what was your experience regarding medications? I'm somewhat concerned about the possibility of my pain level becoming more than I can handle and not having any means for relieving it. I'd certainly like to have some kind of tablets on hand if needed. I've already gotten the impression that I have to ASK for anything that I might need.

Thanks for any info ;))



  • I haven't had the same surgery as you, but I have had multiple lumbar spine surgeries. I've never taken Baclofen, though I've seen some members do. Guys-am I wrong in thinking that's a little weird for a first time postop muscle relaxer? You doc knows you best, his advice is better than mine, just seemed like there might be better choices to me.

    I am unclear-are you getting this bad headache unrelated to the hangover feeling of percs? And this rash-make SURE you mention both to the doc.

    I guess if it were me and I was 2 weeks postop from your surgery, I'd make sure I was taking something strong enough that I could start walking/mild exercise if that's what my doc wanted me to do. That's how I'd word it, too. That you want to start being a little more active but can't cuz of headache, whatever. You don't sound like a drug seeker at all to me if you were only on Darvocet preop! I would also want a different muscle relaxer. Robaxin and Skelaxin are both specific to skeletal muscles and might make you a little sleepy or a little dizzy, they are not controlled substances. I love Valium, but maybe you don't want that-you seem to be not wanting anything that could cause altered mental levels(tho I have a tolerance now so it doesn't happen to me.) Zanaflex is a wonder drug for me to sleep at night.

    At the beginning of the Pain Meds forum, one of the mods has posted a sticky with common spiney meds. I don't think it's meant to be a menu to choose from, but it may give you some better ideas on low-medium-heavy hitters and what you think might be appropriate to discuss with your doctor.

    I'd browse through this post, then MAKE sure you tell the doc about the headaches and the rash.

    Good luck to you!
  • Thanks for the input. I saw the neuro doc's RN last week. I mentioned the headaches and that I wasn't taking the percocet regularly. The nurse gave me a refill on the Baclofen and an Rx for Levaquin. Ouch! Those pills are expensive, seven pills cost $165 and some change. Thank God I've got insurance, my out of pocket cost was around $35.00. I should've visited the manufacturer's website before I got the Rx filled, they're offering a $15.00 off co-pay coupon (in case anyone is interested in knowing).

    My incision area appears not to be healing properly. Nurse doesn't think it's infected. But since it's an open wound...

    I still have the headache but the night sweats have subsided. The neuro doc can't see me until late August. I have a visit with my GP scheduled later this week. I'll follow-up with him regarding the headaches and pain around the open incision area.

    I wasn't taking the percocet because I thought that was the cause of the headaches. But the headaches continue without having taken the medication.

    Thanks again. :)))
  • Well, I was on Vicodin and Soma before my first decompression surgery. I suffered complications 1 month post op including reherniating the L4-5 disc. Later on I had a 2 level fusion and I was already on Fentanyl patches, Norco 10/325mg, and Neurontin prior to surgery. Afterwards the Fentanyl was increased, I stayed on Norco for break through pain, and started taking Valium for muscle spasms. My pain was being managed by a pain specialist and he worked alongside my surgeon to take care of my needs.

    You shouldn't have problems refilling your Percocets because it is still very early in your recovery. Every doctor has their policy regarding how long they prescribe narcotics and they should go over this with you before you have surgery. Some surgeons like to refer you to pain clinics to manage post op pain because they don't like prescribing pain meds on a long term basis. You stay on pain meds as long as you need them and then you start to wean off when the pain levels go down. Stopping too early can delay your recovery. Your body needs plenty of time to recover, esp after such a major surgery like an operation on your back. Take care
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