Someone mentioned to me regarding my recent pain increase and unability to control it with my oxycontin 60mgX 3 day plus 20mg IR oxycondone X 4 a day, that perhaps I had hit opoid resistence. I did a little research on it and I get it...I can see that it could be the issue. I also found where many people on narcotics for long periods change their regimens around every 6-12 months to keep this from happening. My doctor is on an extended vacation of 10 days and while he's been gone (get's back on the 20th) I've been taking one extra oxycontin at night when I'm woken with horrible pain and have to wait about an hour and a half for it to really kick in to go back to sleep...then a couple hours later it's time to get up with the family. I don't know about all of you, but without enough sleep, it's much harder for me to deal with the pain and it's harder for the pain meds to work. So, I've been doing some thinking about what I want to do when my doctor gets back...I will be calling him when he's been back a couple days....
He has mentioned a pain pump, but that is far out, b/c I haven't been worked up for that and all.
I've been on fentanyl patches before, but hubby didn't want me to ever use those again due to overdose potential with defective patches. Someone mentioned they no longer make the ones with the resevoir of med and the med is in the adhesive, so that problem has been elimenated? So, I think I can throw the patches back into the pot.
I was on Kadian before my current regimen of oxy...but if I went back to it, I believe I'd need the highest dose of 200mg twice a day...I was only on 100mg twice a day before.
So, I feel these are my only two options. I don't think my doctor will go for me being on oxycontin 4 times per day. The Patch is starting to sound more appealing to me. I don't know what I'm trying to get at...I know you guys can't tell me what to do. But, is there anyone who rotates regimens due to opoid resestence???
Also, of those of you on the patches...do you like them? Do you get good relief? Do you change them every 2 days or 3 days? Last time I was put on the patches, I was yanked off percocet for suspected headaches and put on the patches...well being different types of meds...I went thru a pretty hard withdrawl period! So if I go to the patch, I will insist to keep my oxycondone IR for breakthru pain and probably take it on a semi scheduled basis for a while. I don't ever want to withdraw again like that!!
Well, thanks for helping me brainstorm!
oh, one last question...how many of you on oxycontin takes it 4 times a day? I know that isn't as common as 2-3 times a day...but my 3 times a day is not covering me.