Here is one problem that I have never seen posted here. First a little background. I am going to a new pain management doctor due to a recent move. My old PM had me on a regimen of lyrica 150mg 1 tab 2x’s a day, zanaflex 4mg 4x’s a day and Roxicet 15mg 1 tab 5x’s a day. This did not get rid of my pain but I was functional. Well the new PM last month decided he wanted to cut my roxicet back to 1 tab 4x’s a day to see what would happen (nice guy right). Well like I told him my pain would increase and my quality of life would go down. When I went back to see him 2 weeks ago he said that since I was right i what was going to happen he wanted to make a change in my pain med only. It would be a lateral move and he put me on long acting Oxycontin 40mg 2x’s a day. Well that day seemed to go ok but that night I had a horrible spinal headache. Called his office the next day and he told me to increase Oxycontin to 3x’s a day as he thought I was getting a rebound headache and the pain was returning after 3 hours. That afternoon I became VERY nausea and at times vomiting. Called again he put me on an anti nausea medication. That one didn’t work so he called me in something that they use on chemo patients. I wanted to give it a fair chance so I stuck it out for 3 more days. I was still nauseous so I called him back. Went in to see PM the next day. He told me couldn’t figure it out as I was on this dose before just it was short acting. Well the way I figure it I was on roxicet 15 mg 5x’s a day =75mg total a day Oxycontin 40mg 3x’s a day = 120mg total 120-75=45 extra mg a day that I was on. Do you think it is possible that the new guy gave my system more than it could handle? I’m starting to think it is time to start looking again for another PM doctor. Let me know what you all think please.