How much/often to take pain meds?

How much pain meds is too much in a 24hour period?
0
1/day - 0.0%
0
2/day - 0.0%
1
3/day - 14.3%
1
4/day - 14.3%
2
5/day - 28.6%
3
Take the whole freakin bottle haha - 42.9%

 
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jdryan
Regular Member


Date Joined Apr 2007
Total Posts : 22
   Posted 8/20/2009 3:57 AM (GMT -7)   
Hi! I haven't been on in a while but I'm hoping some of you more experienced ones can help me... Right now I'm in pain 20 out of 24 hours/day and obviously cannot take pain meds continually so I'm wondering at what point do I break down and take something and what is too much in a day-2-3 pills a day? One a day? I askedy husband who happens to be an MD and he was no help! He's more worried I won't make it to work today even though I assured him if I was hurting I'd still come! Anyway, maybe some of you have talked to your dr about this and might know?? Thanks so much for any advice!! JDR
thirty-something y/o female
dx crohn's 1987 dx UC 1999
Rx: colazal 9/day,
imuran 150mg/day,
prednisone 20mg/day,
cymbalta 60mg 120/day,
Lialda 1.2mg/day,
vytorin 1/day, nexium as needed, xanax & percocet as needed
bentyl 3-4xday,
 


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 8/20/2009 7:39 AM (GMT -7)   
I'm wondering at what point do I break down and take something and what is too much in a day-2-3 pills a day?
 
All pain meds are differ greatly. Do not exceed the maximum dose allow by your doctor. If you do not know maximum allowed dose.. just call your doctors assistant or doctor him/her self and ask what you cap is. If you are taking the maximum allowed dose and not finding Lowered Pain contact your doctor or urgent care asap.
 
Alot of us are on multiple meds, treating many specific types of pain.  
 
*huggs*
  dani
 
 
TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood


BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 8/20/2009 8:39 AM (GMT -7)   
Whatever is written on your bottle/box label wink

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 8/20/2009 1:14 PM (GMT -7)   
This is something you need to discuss with the prescribing physician if you are talking about prescription pain medication.

Barring that, do not take any more than is on the label of an OTC med or as prescribed by your doctor.

There are too many factors for any of us laymen to offer any sound advice beyond this.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 8/20/2009 1:30 PM (GMT -7)   
Just remember that the label on your bottle is not a suggestion, they're directions. But if your not sure, then thats what the prescribing doctor is there for, but if your just scared of taking too many, then talk to your prescribing doctor about it, maybe you need something diffrent or a diffrent dose. I know with me, I absoutly hate taking pills, i advoid them, and I'm suppose to be taking them twice a day, but I try to get away with taking it once a day. But if your bottle says you can take the whole bottle in one day, then go for it, you wouldnt be doing anything wrong, as long as you dont take more then it says. But it really sounds to me like you need to have a talk with your prescribing doctor about this, and no question is too stupid when it comes to your medication.

-carmen

Chronic Pain Moderator

-Stress is when you wake up screaming....and realize you haven't fallen asleep yet.

-What if the Hokey Pokey really IS what it's all about.

-Is it time for your medication or mine?

-Underneath it all....I'm pretty much naked.


Centurion45
Regular Member


Date Joined Jul 2009
Total Posts : 23
   Posted 8/20/2009 1:48 PM (GMT -7)   
Call your pharmacist - they put the instructions on it! Call your Dr if it is not doing what it is suppose to do.

I am in pain everyday too, and it is within my normal range. From 3 to 7 or 8. It varies and depends on activity and what I am willing to handle myself. I normally will handle 9's and realize the next day, that it was a 10 and I should have been at the ER to get stablized again. But that is me and my way of fixing this myself attitude, no matter what.
25+ Years, Sciatica, Lumbar back pain, Severe Stenosis L3-L4, DDD, Chronic pain - because the acute pain was never treated, Duh!


jdryan
Regular Member


Date Joined Apr 2007
Total Posts : 22
   Posted 8/20/2009 9:06 PM (GMT -7)   
hi, thanks for all the replies, i really appreciate everyone trying to help. i guess i wasn't clear on the question... i know the bottle says 1 every 6 hours for pain but obviously i don't want to take one that often for several reasons... 1. getting hooked on them, 2. having a hard time getting a refill because of running out of them sooner than the dr office expects, 3. don't want to be under the influence all of the time, etc. so i guess the real question is what is a reasonable amount to take without all of the previously mentioned pitfalls? There is no way i can or will take one every  6 hours...
thanks so much,
thirty-something y/o female
dx crohn's 1987 dx UC 1999
Rx: colazal 9/day,
imuran 150mg/day,
prednisone 20mg/day,
cymbalta 60mg 120/day,
Lialda 1.2mg/day,
vytorin 1/day, nexium as needed, xanax & percocet as needed
bentyl 3-4xday,
 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 8/20/2009 9:15 PM (GMT -7)   
How many is your doctor prescribing you per month? If it says one every six hours, but you only get 90 per month, then obviously you wouldn't want to take more than 3 per day. Short of that, if your doc is prescribing you a certain number per month & you are not exceeding that amount, then that's fine. If you feel your pain is not being adequately managed, you need to take that up with your PM.
As for developing a dependency on the medication, from my experience it is better to deal with dependency than to have to be in crippling pain every day. But there is a point where it is better to be in some pain. Pain meds are not to completely eliminate all your pain, just to make it more manageable. If your pain is to the point where it is not affecting you physically, is not keeping you from basic activities (self-care, work, a bit of a social life) & is not making doing those activities so beyond belief miserable that you are nearly to the point of not being able to do them & are getting progressively worse, then I'd lean towards trying non-pharmaceutical treatments for pain (but jmho & it's really for you & your doctor to decide). If your pain is affecting you in those ways, you need to let your PM know so that s/he can try to come up with a better program for you that will help you be in less pain.

Hope you get to feeling better. :)

Frances
Moderator -- Depression Forum


bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 8/21/2009 3:58 AM (GMT -7)   
Maybe you could talk to your doctor about taking something that is extended release. I take a low dose morphine (avinza) once per day with oxycodone 2Xday for break thru pain as needed along with neurontin 2Xday for nerve pain. The low dose morphine does not cause me any side effects other than some constipation but of course everyone is different. This would be something to discuss with your physician.
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 8/21/2009 7:43 AM (GMT -7)   
Yea seems like if your taking 3 a day and every 6 hours, then its a smaller dosage narcotic like 5mg or maybe a 7.5mg vicodin or percocet. But that doesnt seem like that much actually. And most doctors actually tell their patients to take the medication BEFORE the pain sets in to much, its much easier to get control of your pain before then to wait for it to be horrible and try to get it under control then. I think thats universal to every doctors thinking. as long as you dont run out of your medication, as long as you dont take the more then 3 that your doctor says you can take a day, and he wants it to last a month then that should be 90 pills.

You know if you need more then 3 one day you can always call your doctor and say today is worse then usual may I take more and they will usually work with you and let you know how much more they'll allow and for how many days before you either have to call them back go in for an appointment or go back to the original number you were taking prior to calling him.

Also I noticed you said you didnt want to be 'under the influence', I assume that means you dont want to feel a little tipsy or anything, well if you DO feel this way then thats when you need to tell your doctor because the dosage is probably to strong for you if your have a euphoric effect. You shouldnt have trouble getting a refill at all if you dont go over what your doctor allows, remember you can always call and ask if you need more for a few days if you think, they'll have no problem, but you need to ask ahead of time. Also, and this is a major thing that everyone on this site needs to learn or realize, one or the other. Everyone is consumed and pre-occupied with getting 'addicted' that they dont get adequite pain releif and belief it or not this is very common now-a-days, mostly because of the fear-mongering out their, literally people trying to scare others, some people do this in-advertantly but either way, theres no need in this, people need to learn on their own, experience on their own, what others feel and think about a medication doesnt have bearing on another persons feeling or acceptance or a medication nor does it affect how well it works for someone. If this were the case not a single mediation would be approved by the FDA, becuase at least one person hates every medication on the market, even aspirin and tylenol. people have a problem with everything, so you need to go through this on your own, and your own feelings not others. AND THIS IS WHAT I WOULD WANT YOU TO LEARN OUT OF THIS ENTIRE POST, OUT OF WHAT EVERY SINGLE PERSON HAS WRITTEN, I HAVE NOTICED THAT NOT A SINGLE PERSON HAS MENTIONED THAT THEIR ARE NUMEROUS STUDIES INDICATING THAT PEOPLE THAT ARE ACTUALLY SEEING A PAIN MANAGEMENT DOCTOR OR CLINIC OR ANYONE TAKING NARCOTIC PAIN MEDICATION PERIOD ARE VERY UNLIKELY TO BECOME ADDICTED AND BECOME ADDICTS IF THEY ARE IN REAL, LITERAL PAIN. ITS PEOPLE THAT ARENT IN PAIN, OR ARE FAKING THAT GET ADDICTED, BECAUSE IT HAS TO DO WITH BRAIN CHEMISTRY WHEN IN PAIN, WHEN YOUR NOT IN PAIN THE MEDICATION WORKS ON YOU DIFFERENT, PARTICULAR YOUR BRAIN CELLS. ALSO WHAT MAYBE HAPPEN BUT DOESNT HAVE TO IS PEOPLE IN PAIN MAY BECOME DEPENDENT ON A MEDICATION, THIS DOES NOT MEAN YOUR ADDICTED AT ALL, IT MEANS THAT THE MEDICATION WORKS FOR YOU, AND YOU'VE FOUND THAT IT HAS BASED ON EXPERIENCE AND THAT YOU NEED THIS MEDICATION OR SOMETHING SIMILAR TO HAVE A LIFE REMOTELY CLOSE AS POSSIBLE TO YOUR LIFE PRIOR TO PAIN. WHICH IF YOU DDINT KNOW IS THE GOAL OF PAIN MANAGEMENT, NOT TO TAKE YOUR PAIN AWAY, BUT TO GET YOU AS CLOSE TO YOUR LIFE PRIOR TO PAIN ON AS LITTLE MEDICATION AS POSSIBLE. THERES NOTHING WRONG WITH BEING DEPENDANT, PEOPLE ARE DEPENDENT ON HEART MEDICATION AND DIABETIC MEDICATION ALSO, THAT DOESNT MEAN THEIR ADDICTS....THIS WORD ADDICT IS ONLY ASSOCIATED BECAUSE OF BAD PUBLICITY OF PAIN MEDICATIONS, WHICH IS FROM PEOPLE TAKING THEM INCORRECTLY. THE BOTTOM LINE IS THERES NOTHING WRONG WITH TAKING NARCOTIC PAIN MEDICATION, YOU NEED IT, YOU CANT HELP IT, YOU DIDNT ASK FOR THIS PAIN, AND EVERYONE OF US WOULD STOP TAKING EVERYTHING WE HAVE IF WE COULD GET RID OF THE ILLNESS WE WERE TREATING, THERES NOT A SINGLE PERSON THAT WOULD KEEP THEIR PAIN OR ILLNESS/DISEASE IN -LOU OF KEEPING OUT PAIN MEDICATION. sorry guys, I just realized I was in caps, just wanted people to really pay attention to that section and just trust yourself, dont rely o others OPINION on a medication or entire class of medication as fact...odds are thats all it is , opinion, nothing remotetly resembling fact.

So take the medication you need, dont be ashamed, and dont be afraid. This is something we all need, and Im not ashamed that Ive found a medication that gets me out of the house again, gets me doing chores around the house and yard again, even got me enrolled in college courses again, why should I be ashamed or not like it? Im proud and glad Ive found this combination of medications that works for me, notice I said works for me, goes back agian to listening to what OTHERS have to say about narcotics, people dont like them or are scared, they talk bad about them, if i would have listend, Id still be sitting inside, wilting away(lol), not getting things done, still out of school, and just be a body, and person not a contributing member of society.

Dont be afraid to take the pain away, thats what the doctor gave you the medication for, he didnt meant to scare you, but truely many studies from around the world, at some of the best and most prestigous universities and hospitals in the world have concluded that in all honestly the largest majority of people that go to some form of doctor for pain and get a narcotic pain medication...whether using it alone or in combination with another treatment, do not become addicted and in fact just continue taking their medication per doctors instructions. (if I remember correctly it was something around or even a little over 90%, dont hold me to this but I think it was very high very high up there, 9 out of 10 people is not bad.
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