Hi Willy, I noticed that no ne had replied and thought I had a few alarms going off when reading your list of meds.
First I dont understand the combinations they have you on as it looks as if your on 2 longterm meds and 2 rescue meds even though the tramadol is nonarcotic in composition. I guess what I am trying to ask here is how much oxy are you on and trying to figure out what the purpose of oxy er and duragesic together and then the codeine and tramadol as rescue meds.
I would think they would have stuck with one longterm and one rescue and adjusted the doses of those before adding two completely new categories of either.
Anyway as such I think I myself would pick one of each and work those to get the best relief and try to not add the other two until which time you have to have them. Using them all at this point if you can get by with adequate relief with only two that is what I would do so you can save the others for another time. We get accomadated to meds some of alot faster then others and if we have used up all of the combo's we then find ourselves with no alternatives for good pain control.
Also alarming is that all narcotics have a tendancy to cause bradycardia or low heart rates and lowering blood pressure so the immitrex as known for rapidly dropping B/P and I would given the facts and early deaths related to the use of immitrex know what my B/P is prior to taking it.
I am NOT a Doc so please use this info as a guide to question your Doc and discuss your concerns.
There is also a website for interactions for meds at drugdigest.com and go to the dropdown box labeled interactions and enter all of the meds you listed here and it will list all of the combos of meds your on that can cause concern and the types of problems you can encounter.
Good luck to you!
I looked at your list of meds again and might have a tip or two for you. The condition you are taking Imuran for I have no clue what it is. I think you said that you started the Imuran in March. I have crohn's disease and have been on 225mg of Imuran for nearly 7 yrs. Usually people are started on 50mg. My gi dr has his patients take the Imuran at bedtime to avoid the nausea that can be associated with the drug. Most people do have lots of nausea if they take it during the day. It should also help with some of your joint pain. Do you have regular blood draws to check your liver, if not you should. Some drs do it every 3 months, my rheumy orders labs every 30 days. The down side to Imuran is it takes about 3 months to get in your system before you can notice any difference. So, don't throw the towel in yet, its too soon.
I don't know how long you have been on Prednison, but taken long term it can cause necrosis of the hip joint. Its an old standard crohns medication and the people that became steroid dependent, many had to have hip replacement surgery. A good drug with nasty side effects.
Lomotil I see you take I think 2 a day, I am assuming for diarhea. If the two does not help, you can have up to 8 a day, not to exceed 8 in 24 hrs. My 1st gi tried the 2 a day crap, of course it did nothing for my chronic diarhea, gi number 3 is the one that changed my doseage for the max doseage. He could not belive what that other one did on the Lomotil. Made a huge difference.
Wow thats alot of aspirin. Watch out for stomach issues, including a stomach bleed. Why such a high dose may I ask?