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How do I tell PM that my meds are not working

jlrfryejjlrfrye ohioPosts: 1,136
edited 06/11/2012 - 8:51 AM in Chronic Pain
I see my pain doctor Friday after calling and telling them my meds are not working. I was recently switched to Opana 5 mgs every 12 hours. That was not working at all, so after a phone call they told me to up it to 10mg every 12 hours. This still is not working. I dont want to sound like a drug seeker when speaking to my doc so how do I get this across to him without sounding as so. I have a good relationship with my doctor and do not want to do anything to damage this relationship. I think these meds would work with 2 break through pills allowed per day. At the time I am allowed one. I do fine for the first 12 hours taking a breakthrough med about the 6th hour. Its the next 12 hours that I struggle. I cant just walk in there and say I need more meds, so how do I approach this matter.
Thanks
Susan
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Comments

  • I would print what you wrote and bring it to the appt. You just very clearly explained what you are experiencing which is what your doctor needs to hear. Then let him decide what to do next. THe only thing you might want to add is some specific examples of what you are feeling when the meds stop working.

    Hope all goes well.
  • dilaurodilauro ConnecticutPosts: 9,587
    is to yo explain to him/her essentially what you explained to us.

    I am going to assume you are on the ER (extended release) type of Opana. 5 or 10 mg is really not a large dose. From my own personal experiences with Opana ER, I know that after the 8 hour mark, its time for some breakthrough medications. My doctor set it up for me so that I would have 5 or 10mg breakthrough Opana (Regular) between the ER intake.

    Whenever I had problems with my medications not doing something , I just told me doctor what was happening.
    Having a two way trust between doctor and patient goes a long way in discussing situations like this.

    I guess the only other piece I would add is if you are currently on any other medications to help control your pain. For example, Neurontin if you are having nerve pain, some Muscle Relaxer (ie Soma, Baclofen) for muscle spasms. I know that in many situations I had to increase the doses of those to help. Since those are non narcotic, most doctors would have an easy time making adjustments there.

    Best bet, just be truthful and open. The rest should come naturally.


    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • we do things a little different over here .yes we have pain management clinics but they are more clinical than medical .{i have been to see a medical pain consultant and ended up rowing with him as he was a prize pillock .he told me that i did not need pain killers and that i was essentially a fake .2 weeks later i am in the operating theatre having major surgery {at the time i told my family doctor and he apologized for sending me there ..i have since learnt that the consultant has been STRUCK OFF for similar events .but that another story .so in short my family doctor looks after my CD pain killers and if things aren't working i tell him and he adjust or changes the drugs .he is very accommodating and knowledgeable and compassionate .unlike some so called pain management consultants ..my advice be honest and tell them that the medication dose not work
    t
    1997 laminectomy
    2007 repeat laminectomy and discectomy L4/L5
    2011 ALIF {L4/L5/S1}
    2012 ? bowel problems .still under investigation
    2014 bladder operation may 19th 2014
  • we do things a little different over here .yes we have pain management clinics but they are more clinical than medical .{i have been to see a medical pain consultant and ended up rowing with him as he was a prize pillock .he told me that i did not need pain killers and that i was essentially a fake .2 weeks later i am in the operating theatre having major surgery {at the time i told my family doctor and he apologized for sending me there ..i have since learnt that the consultant has been STRUCK OFF for similar events .but that another story .so in short my family doctor looks after my CD pain killers and if things aren't working i tell him and he adjust or changes the drugs .he is very accommodating and knowledgeable and compassionate .unlike some so called pain management consultants ..my advice be honest and tell them that the medication dose not work
    t
    1997 laminectomy
    2007 repeat laminectomy and discectomy L4/L5
    2011 ALIF {L4/L5/S1}
    2012 ? bowel problems .still under investigation
    2014 bladder operation may 19th 2014
  • As with everyone else Sue, I say just be honest and tell the doc exactly what you told us. They aren't helping. Maybe, if it would make you feel more comfortable, make a "pain diary", hour by hour even, to give to the doc. Then, he would see what you go through daily, all throughout the day, on the meds that you're taking. Good luck!!!
    Kelly
    APROUD CANADIANveteranButNOTa doctor, my thoughts are my own
  • Susan,

    Like was said already, either print your post to us, and let him read it, or just explain to him what you just posted. Then see how it goes. He may up your medications, change the mix etc. I hope it goes well.

    Brenda
    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • jlrfryejjlrfrye ohioPosts: 1,136
    I do keep at a pain diary, It is required at my pain clinic. Although they have only asked to see it once I guess now would be a good time to bring it with me. Im not sure which doc I am seeing due to them squeezing me in early, if I get the Nurse practioner I can speak very freely with her and would not a have a problem speaking to her but if I get the doctor, well he kind of intimidates me. Why I dont know because he is the only person that does. Ill let everyone know how it goes tomorrow. Thanks for the advice
    Susan
  • I have been following your post and pretty much agree with what others have said. Hope it works out well for you! M
  • Good luck! Let us know how your appointment turned out.
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