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Pain mgmt

LadyBlueLLadyBlue Posts: 1
edited 06/03/2015 - 11:05 PM in Chronic Pain
I've been with the same pain group 4 years, taking oxycodone 30mg 1 x 4 hrs, soma 350mg 3 x day. New young doctor bought practice n tells me I'll only get 4 15mg per day, NO soma....is this even legal? I call malpractice, I would not have been on dosage 4 yrs if I didn't NEED it...HELP please
Terri Gatton


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  • I would recommend talking to your PCP about your dissatisfaction with your new pain doctor, be honest. I can't say for sure another pain doctor would keep your regular regimen, but you might want to get a referral for a new pain doctor; he/she will see your records and let him/her know what has and hasn't worked for you, and take it from there.
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  • You were taking 30 mg instant release oxycodone every 4 hours? That's alot of oxycodone in instant release . Most PM doctors, when they have a patient who needs long term management, convert them to extended release versions of opiates. This offers better overall pain control, frequently at lesser dosages, and doesn't have the ups and downs in your blood levels that you get from immediate release meds . There are other muscle relaxers beside Soma that he may be willing to prescribe instead of Soma. There are many doctors who are uncomfortable using Soma due to some abuse/misuse problems.
    As far as the new doctor reducing your meds goes, yes it is legal and is not malpractice. No doctor is required to continue meds prescribed by another doctor, even one who was in the same practice.
    I know that's not what you would like to hear, but you may be surprised once you,adjust to the new dosage, that you are still getting adequate pain control,once your body adjusts to the change.
    Changing doctors is an idea, but you should know that any new doctor most likely is not going to prescribe the same amount you were getting previously and may also not prescribe the Soma either. It may give the impression that you are only seeking meds in the previous amounts if you do attempt to change. It may be a good idea to just give this new doctor a chance , and the new dosages a chance and see how you do. Given some time, you may find that you do better than you think on the new dose, and if not, perhaps once the doctor gets to know you, he may consider other options.

  • SavageSavage United StatesPosts: 7,385
    My pain management doctor never keeps me on same maintenance pain med for over two years.
    Usually year or year and half he changes it.
    He told me that from the beginning. First I started on fentanyl patch, then to OxyContin , back to fentanyl patch, etc

    He doesn't want me to get to a point where I become resistant to the pain relief they provide.

    For myself, I have, probably have, decades to keep this pain under control. I appreciate my doc for keeping that in mind.

    Continue to let doctor know your symptoms as you are being reduced in your meds.
    It will help doctor access of to proceed.
    Best of luck as you continue to get acquainted with new doctor and he with you.

    Keep us posted on how you are feeling!

    Honorary Spine-Health Moderator
    Please read my medical history at: Medical History

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