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? about pain meds before taking to my PCP

RwillRRwill Posts: 300
edited 06/11/2012 - 8:44 AM in Pain Medications
I just had surgery in Oct I seemed to be getting better then something went wrong again in Jan. I am currently taking Norco and Gabapentin. My Neuro only prescribes meds till 3 months after surgery so my Primary Care Physician is in charge of my meds. I have set a limit for myself of 4-6 Norco pills per day, my pain has increased over the passed few weeks so I am taking 6 per day. The problem is it doesn't seem to be working as well. I suppose I am building up a tolerence to it. I'm surviving till the end of the day by then I want to croak the pain is so bad. It is affecting my sleep (2 hours the other night). I want to make an appointment with my PCP and discuss it but I am affraid to look like a pain med seeker, which I guess I am. Does anyone have any advice on meds to discuss using? Would the Fentanyl Patch be worth a try? I am currently waiting for an EMG test and a SCS. Thanks for any advice....


  • I can't figure out how to edit my post. It should say question before talking to my PCP.
  • My advice it to be honest w/ your doc. If you have a good relationship w/ them then they should want to help you. I have broke down several times to my PCP because I've been is so much pain and misirable? sp and he knows I'm in a lot of pain. He's seen my scans and tests and knows that I've done everything that my specialist have asked of me. I don't go in asking...hey, let me try so and so but I tell them what I'm taking and how much and what level my pain is and if you are wanting to try getting of pills and try the patch tell them you were wondering if there was something that you could take that is an extended release and then have your meds for breakthrough pain..good luck and I hope this helps.
  • I agree with Kelly. I'd just be very honest about how the medication you are taking now isn't getting the job done (it's quite natural to build up a tolerance after taking this class of medication for a while). It might be best not to ask to try anything specific. If your doctor can see you are genuinely in need of something stronger for your pain, chances are good he'll go up a step and put you on one of the longer-acting meds. Good luck.
  • I talked to my doc's nurse and explained everything. She called me back and said to increase my Norco to 500mg at night to help me sleep. I was kind of busy so it took a few minutes before I checked by bottle, well they come in 325mg tablets so I'm already taking 650mg. I called her back and told the receptionist my problem. Apparently she meant to say increase my Neurontin(Gabapentin) to 300mg at night. She wasn't listening to me when I had told her I was only taking 2 100mg tabs per day because the 300mg knocked me out. I wanted to also tell her that I don't even know yet if the Gabapentin is going to help I've only been on it for a week. The nurse was suppose to call back and hasn't, guess I'll be calling Monday to make an actual appointment with the doc. I just want to be able to go to sleep at night!! I'm so frustrated with doctors, he really is a nice guy so I don't think it will be a problem to get it worked out but in the mean time it's going to be a long weekend!!!
  • If you're awaiting an SCS they should know you're still having ongoing problems with pain management. If you see your Dr. tell them the meds used to cover your pain but now you have extreme pain not covered by the medications. I had to return to my Primary Dr. many times to let them know that the meds wear off after 2 hours and they increased the meds and recently changed them. Especially if you're unable to walk or go to PT and have too much pain. Maybe too when you see your NS for follow up x-rays see what's going on with this new pain and where it's coming from. He may let your Dr. know you need more pain management. Perhaps your PM Dr. could help you more like you say.

    PS-to edit your post go to my account top of this page and click edit on top right hand corner. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Thanks Charry! You had some good ideas.

    So here's a new ? about my Gabapentin. The Dr first prescribed 300mg tabs that was horrible because I slept through 2 alarm clocks. On this second go around we did 100mg tablet for 7 days then I increased to 1 tab in the am and pm for 7 days the 1 tab 3 times per day. In other peoples experience how long did it take before you knew it was helping or not? I'm just curious as to what to expect...
  • Trust me it helps. You won't realize that until you try to come off. My surgeon wanted me to taper off prior to surgery and those were the worst days. It did reinforce my decision to have surgery so I guess it was good.

    It takes a little time to get used to. I can't believe he started you at 300mg. That's alot for someone who has never taken it. I just recently went back on and started over at 100 mg at night. Now I'm up to the 300 at night and starting 100 twice during the day.

    I would caution you about driving right after taking it until you know how it affects you. Usually after you are on it for a while your body adapts. Also do not drink alcohol because this multiplies the side effects.

    As far as recognizing the pain relief unless you have been keeping a pain log you may not reallize how much something is helping. That pain log is so important to getting the right treatment.
  • Yep, coming off Lyrica was the worst. I'm taking Topamax, but I'm really going to have to go to maybe half Topamax and half Neurontin or something.

    Do you all gain weight on Neurontin at all? I just can't gain, my body is falling apart on my right now.
  • I figured I would at least be able to tell a little bit if it was working...guess I'll just keep taking it. Thanks for the advice about not drinking with it. The Pharmacist didn't mention that.
  • That's weird. First conversation I've ever read about Neurontin. My neuro put me on 300 mg four times a day (He said he liked to 'start out' kicking it in the butt ~ well, I guess so!) - then doubled it when PT put me in insane pain. So, I started out with 1200mg and now on 2400 mg. I couldn't function taking 600 mg at once so I take 8 pills throughout the day.

    It makes me feel constantly bone dead tired ...as though the Fibromyalgia isn't enough. Egad. Tired is better than pain though, so I'm dealing.

  • You should taper off this medication Neurontin with the assistance of your Dr. I never had this medication instead I took Lyrica which didn't work as well as Cymbalta which I take now for leg pain and sciatica.

    I also never mentioned any pain med suggestions to my Dr. I only told her it wasn't helping me for so many hours and had unbearable pain after 2 hours or so of taking the meds, I took MS Contin at first one a day but finally was increased to 4x a day and now a different medication. You should have tolerable pain control, you shouldn't be in pain like 5+ all the time. Good luck with your EMG and follow up. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • I've never smoked a joint but I'm seriously considering getting a marijuana medical card. Has anyone had this help with pain? I thought about posting the question directly but then it seems to turn into this big debate on weither it is right or wrong. If it is I think that is up to me I just want to know if anyone has had a positive experience. I know that eating 8 norco can't be that great for my body. What if I could cut down with the help on THC(thinking pill form)?? Just food for thought....
  • I've tried smoking it. It was wonderful how it relaxed me (mentally and physically) but it did such a good job that I moved too much, did too much... what a killer later. (Like being in a warm pool then paying for it later.) Then there were times that it intensified the pain to an insane degree for no reason. I quit using it after 3 weeks because I just couldn't take the bad episodes.

    I guess the pill form is more selective in the type of THC that is prescribed though...so I'd be back on the bandwagon if I had that opportunity, for sure.

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