I have been on some type of narcotic for about 5 years for neck/shoulder/arm pain. Nearly 2 years ago I had a 4 level fusion (C2-3, C3-4, C4-5, & C5-6)
using 4 of the Medtronic PEEK Prevail disks and BMP. So no donor bone or cages. About 6 months after surgery my ortho dr. sends me back to pain mgmt because I am still in pain, although it is different and I wouldn't call the surgery a failure because I still hurt. Well the PM Dr has had me on Morphine
(I think 20mg) 2xday (but they only worked for about 6 hours) then I had Percocet 10/325 up to 4 a day and Soma. I had to quit the Soma because the knocked me out. So he switched me to Zanaflex generic. They are better but not great.
About 3 months ago he took me off the Morphine and gave me Immediate Release Oxycodone 3 times a day and kept me on the Percocet’s for breakthrough and the Zanaflex for muscle relaxers.
My problems are:
1. I sometimes forget to take the IMM Release Oxy and then the pain starts acting up pretty good and I just have to take whatever I missed and wait for it to work before I can get on with what I need to be doing.
2. Even when I take it on time, the relief is not constant and at least once a day gets to me pretty bad. (I have an alarm on my phone that goes off every 4 hours to remind me to take something. Either the Oxy's or the Percocet’s)
SO...I went to the PM Dr Tuesday and explained to him the situation of forgetting and the unrelieved pain that is still hanging around. He at first asked if I would like to try a patch. I said it was whatever he thought would work. We discussed Fentanyl and another new one that you change every 7 days instead of 3. Then I said ok unless there was another pill that I could just take once a day. So he said to try Morphine again but this time 50mg once a day. But when I went to get that filled at the pharmacy it was going to over $130.00! I ask the pharmacist if he could check the prices of the patches the doctor and I had talked about. He said the new one was going to be expensive because it doesn't have a generic yet but the Fentanyl was like $26. So I left the 50mg Morphine there and went home and called the doctor back. He said he would write me for the Fentanyl so I went today and picked you the prescription for it thinking it would be a low dose since I thought it was strong and I was new to that particular drug. But the script I picked up was for 50mcg. I have slight asthma for which I take Symbicort and Albuterol and my PM Dr also put me on Welbutrin (anti-depressant) about 3-6 months ago. I have read and researched Fentanyl on line and I am scared to take it. Am I being silly and should just try it out over the weekend when I will be with family and they can watch me or should I call my PM Dr and try to make another appointment with him for next week?
Sorry this is so long but I figured more information would help.
Thanks for listening,