Hi everyone, here is my dilemma one month in to PM:
I suffer CRUSHING depression if I stretch the time between doses of the Oxycontin. The problem is the pain is much more severe in the afternoon and evening, it's unbearable so I try and take the Oxycontin later in the day and closer together. While more effective for the pain it's making mornings and early afternoons a mental and physical wreck for me.
Here is what my PM doctor put me on: 3x30mg Oxycontin, 75mg Amitriptyline (anti-depressant) and 2 to 3 10mg Cyclobenzaprine (muscle relaxer).
I cannot tolerate the muscle relaxer, it simply knocks me out, even taking just one, I cannot function on it so I only take one every other evening when I start losing sleep.
I tried a low dose of the Elavil a few months ago from another doctor, a 10mg dose to help with the nerve pain. I had a bad reaction.....very bad "thoughts" and terrible nightmares coupled with anxiety. I had to discontinue. Because of that experience and the fact my mother committed suicide while taking anti-depressants, I am terrified of taking a 75mg dose though I know I am depressed.
So here I am today. I still suffer from severe pain but the Oxycontin has allowed me to at least get back to work and provide for my family until I can find a way to get insured and have some much needed surgeries. I was on the verge of losing everything unless I got back to work...since doing so I may have saved my house but now I'm worried about my sanity.
I see my PM doctor on the 5th of January, I'll fill him in on whats going on but I would really appreciate any advice. This PM thing is brand new to me, I love what it has done and am incredibly thankful but I'm in great fear of what may become of me if I continue.
Many many thanks!