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New to Forums and have an issue, maybe you can help me

I have been a chronic pain survivor for over 20 years. I take Cymbalta 2 times a day, a Norco 10/325, 4 times a day. I told my PCP that January has been a terrible month and he has referred me to PM Clinic. I told him I had taken more than my normal dose and what to do..? He called in Mobic, which is not a narcotic. I will be out of "my pills". I am not sure what to do when I run out???? This has never happened to me and I have to admit I am scared. The nurse said to come in for a shot of something if it is too horrible...yikes
I am on vacation from my full time job, now I wish I had suffered thru but this is nuts.
Any help is appreciated...

BTW, 65 year old female, who is very active.


  • Is there any way you could spare the pain pills and instead of taking 4 a day maybe take 1 in a half or 2. So you won't run out completely and you will have something and save those for when you really aren't doing well with the pain. If I take to many pain pills it's basically my fault and I have to sparely take them until my next refill. I totally understand that these winter months are Brutal and the pain is awful and you sometimes need to take more. How many days will you be out before you can get a refill or go so your PM doctor? Like weeks? Or just a few dys. If it's just a few days I would try your best to just space those pain pills out as best as possible and take it really easy. I have run out of meds before my next refill and it's awful, but basically I think to myself I have no one to blame but myself.. Because I should be following doctos orders. I try and take more Advil too. Hope you find down releif. Beleive me, chronic pain is awful. I'm 28 with a 3 year old and I pretty much suffer all day. My body is more like a 98 year old so I know how bad winter is on the body!
    28 F. Chicago. Fusion from t-12 l-4 from scoli in June 2013. Torn bilateral hip labrums. Arthroscopy to fix labrums January 2013 and march 2013. SI pain from hip surgery Lupus, RA, antiphosphidlipid antibody- hypermobility syndrome ( Marfan syndrome)
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  • Thanks, Danigirl123, I did follow your advise, and only a few days before refill, I called CVS to confirm....bad night but I will survive. I am so sorry, you are to young to have to deal with this and with a little one....Many blessings
    Thanks, Liz. I did read and will do my best. This is just a reminder of what is happening in my body.
  • Just so that you know, anyone taking opiates for pain , needs to understand that in no way is it ever okay to just take more of the medications you are provided, unless you clear it with your doctor first and he tells you that you can.
    Each prescription is given for a set time frame, which means that is usually a 30 day period. No matter what, those meds are supposed to last exactly that long. If you have a flare up of pain, then the doctors want you to try lesser methods of treating the pain, ice, heat, patches available over the counter at pharmacies, topical creams and ointments, all before reaching for the bottle of pills.
    Since the doctor referred you to pain management, he may not order any new opiates for you at this point, so I would confirm with him that he is going to give you a new prescription, and then find out what PM center he is referring you to and make that appointment.
    Here is a link to the Step by Step Guide to getting treatment for chronic back pain. It explains the steps involved and the proper use of medications.

  • Thanks, my Dr did refill my meds but have to wait until Fri to get them. This is day 2 with half of what I am used to getting. I waited 10 hours between doses. Went to yoga class in the am but it is almost 8pm and I feel lousy. I have 2 more days and am pushing myself to get things done but find it difficult. Anyone have advise? I am going to tough it out.
    I am waiting for PM to call me with an appointment.
    I spoke with my Dr about the extra pills this month but he was not comfortable adding and referred me on....we had talked about this for almost a year.
  • mcjimjammmcjimjam Posts: 307
    edited 02/18/2014 - 6:12 PM
    I imagine you can still visit your PCP to get refills of your current meds while waiting to be seen by the pain clinic. I'm almost sure of it actually.
  • sandisandi Posts: 6,343
    edited 02/19/2014 - 8:58 AM
    I would ask him directly how long he will continue to fill the medications. Some GP's once they make the referral will no longer fill the medications. Some will, while you wait for the first appointment but once you are seen, will not. So , it is in the best interest of Meg to talk to her primary care doctor and ask him so that she knows for sure.
    Meg, once you do see the PM doctor and he takes over your care for your pain, you can not under any circumstances get meds from another doctor for the conditions he is treating you for, so make sure that you read any contract and discuss your questions with him before you leave the office.
  • Thank you. I am second guessing my agreement to go to PM. I don't usually take extra pain meds. I guess it is again someone else in control of my pain. I will go for the first apt and see how I feel about this.
  • I think that most of us had some reservations about having to see someone to treat our pain issues, however, with the right doctor, it can be one of the most beneficial relationships for us to have. PM doctors become those particular type of doctors because they want to help people get back on their feet. My PM doctor is a physiatrist with a specialty in spinal cord injury, as well as physical medicine and rehab, so for me, I get the best of all worlds when it comes to having that one doctor to oversee all things related to my spine condition , order tests, make referrals, offer options for treating pain that my regular doctors have never heard of.....so keep an open mind, and see how you feel after a few visits......as long as you follow the directions and guidelines, there shouldn't be a problem.
  • Meg it is better to go to pain managment doctor because they can do more for you. Your PCP can only prescribe so much. My PCP wouldn't prescribe meds that would help my pain. Now I am on two and it controls it great.
    Female 44 survivor of thyroid cancer...just had two surgeries for breast cancer and chronic back pain. Live in upstate ny. On 8mg dilaudid 6 a day and 60mg morphine sulf er 2x day
  • I can't believe it has been this long since I have been on this site. I thank you all for the helpful advise. I am at the PM and have had my ups and downs but good in the long run. I did try the injections but did not help at all. I am on my original Norco and they added MS Contin 15 mg 2 times a day. I am finding that I am having side effects with the MS Contin....I see my nurse tomorrow. I did notice that it is generic MS Contin, maybe this is the issue....didn't have problems until about 6 weeks ago. It hurts to pee and after I have taken the med it hurts more. Not sure anyone has had the same issue?
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