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I need a change in medication

BelycBBelyc Posts: 49
edited 06/11/2012 - 8:55 AM in Pain Medications
I've been putting off talking to my PM doc about possibly changing my medications. I have a neurostimulator (SCS) which helps, but alone is insufficient. Pain medication alone is also insufficient. The two therapies together can be helpful, but not with the medication I'm currently prescribed. As of now, the PM doc prescribes 10mg Percocet 4X/day. I also take 400mg/Neurontin 4X/day. I hate to admit this, but I'm tolerant to the Percocet. #o It's also short-acting, so it wears off during the night and I awaken in pain at 5 AM or so.

What I'd like is an extended release medication for overnight, and something that better controls the pain during the day. My doc is a good listener and so far has responded well to my needs. I was hoping the SCS would work well enough that I could continue with the same medication regime, but it's not turning out that way. I moved up my appointment so I could talk to him about this (appt is 8/18).

What I'd like to know is:
a. are there stronger medications people have had bad reactions to, and why...
b. what good experiences have people had stepping up their medications...
c. What can I reasonably expect the next step up in medication to be?

I have Medicare, which does not cover oxycontin or it's generic. It does cover Fentanyl, but I know that is a pretty strong medication. I also covers oramorph, and I know nothing about that med other than it's morphine. Beyond that, I'm blind.

I'm just really nervous. :S I get nervous about change and I like to be fully prepared, or as much as possible. Not only about what to expect from medications, but what my insurance will cover.

Thanks for any suggestions! :)))


  • and he has tried everything to help my pain but the only thing that works is Oxycontin{slow acting} and for BT oxynorm {fast acting} you can take up to 400mg{BNF recommendations 2011} of Oxycontin /oxynorm a day {more if necessary} so you have a long way to go before you hit the top end .Oxycontin/oxynorm are very good pain killers but they are expensive {not a problem to me in the uk} and they are VERY addictive .even though i never take .just for the hell of it .i know when i am running low as i start to withdraw ..i have even run out over a back Holiday and was so bad i needed to see an emergency doctor to get a script .so you have been warned !!
    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
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