Good Evening All!
I hope everyone is as pain free as possible today!
After the financial meltdown starting in 2007, I've had to periodically change to lower cost solutions for analgesics, sans Feb. 1st 2009 until 16 months later via my wife's employer... until she was permanently laid off. I lost in insurance after a ruptured appendix and resectioning of intestines due to gangrene a month before my 17th birthday in 1987. A myriad of health issues, including 3 bouts with cancer, left me uninsurable privately without being extremely wealthy, which is FAR from the case lol
Up until last summer I was on a good regimen that kept pain tolerable at a 6 or 7, except for flare-ups. I had to switch to 200mg once daily and 90mg bid of extended release morphine, with 15mg oxycodone for breakthroughs. Economic pressures dictated that I drop the oxycodone. I use a two store mom and pop pharmacy that is absolutely wonderful! I have been going there since birth (44 years). They received a discount card of some sort and let me use a GoodRX coupon if I paid part of the processing fee. The total cost was $140 per month, while a very good deal, is still tough for me as I am now a tad over 24 months since being able to work (multiple spine and hip procedures have seen me only spending my time recouping.)
I have since redone my SSDI claim and my Senator has had it kicked into high gear, if nothing else.
Sorry for the long back story
Last summer my pain doc and I filled out Johnson and Johnson Duragesic patient assistance forms...that evidently got lost
My father turned gravely ill and passed soon after, so the assistance was put on the back burner while we all got dad's things in order.
During my December pain doc visit we filled out the forms again. They were initially approved on Jan 27th, but had a hold for some manager at J&J to rectify. My pharmacist called them yesterday and I get them, absolutely free! I cried like a baby! My pharmacy had to order the Duragesic brand name, which will be here Monday just in time for my new Rx to start! I am elated to say the least, PLUS a after a delay with the ACA my subsidized insurance went through on Thursday!
My question is what should I expect in general as far as any drowsiness, lethargy, sleep disruption, etc. vs the extended release morphine? I have no issues or have never had any issues with itchiness, drowsiness, or lethargy with any of my meds (with the exception if In have to take my tid prn Xanax and Soma - and it still isn't too bad). The initial dose of Duragesic will be 100mcg, titrating later on as needed. I am 6' 3" and about 280 pounds, not too fat at all as in a past life decades ago I was an athlete; considering head to toe arthritis, 7 herniated discs, fractured hip socket and myriad other issues I am in "relatively" good shape.