I had forgotten that your doctor told you he wanted you to start tapering down on the meds. I was on oxycontin for a long time and I can tell you that it never lasted 12 hours. Not in the beginning and certainly not at the end. I know it is supposed to but most people that I have known on it have not had 12 hour relief and wound up being dosed every 8 hours. The biggest problem that I had with oxycontin was the unevenness of the pain relief. It was great during hours 2-4 post dose, then it went downhill from there. Sound familiar? Even after we went to 8 hour dosing, the return of the unevenness of the pain relief came back, several months later. I finally decided it was time for a change in pain meds period. That unevenness of the pain relief seems to be a common problem with oxycodone based meds after you have been on them for some time. You are still at a pretty low dose as far as oxycontin goes- 30 mg twice a day is not a huge amount . I was on far more of it.
I only asked about what may be causing your withdrawal symptoms because I completely forgot about you mentioning once before that you had to taper. I hope that I didn't upset you.?
As far as for not asking any questions you may have, I'm not sure that I understand why you wouldn't? I am a pretty by the book person , but I hope that something that I may say would not cause you to not ask a question you may have?
I think sometimes that our bodies become so adjusted to the ER levels of the pain meds in the blood plasma, that when they decide to give us "breakthrough" pain meds of the same class, that they tend not to help as much as they are supposed to. I know now that the fentanyl patches offer me much better pain relief in the long term, and if I have days that I have to take my breakthrough meds, they seem to work much better than they did before. I know the strength was increased but that was a long time ago now, and I don't think it has so much to do with the strength as it does that it is a different pain med/different type of medication than the fentanyl. Does that make sense?
I know that tapering can be difficult and unpleasant, I've done it myself. Your doctor truly should be giving you a written out plan for cutting back on the meds if that is what he wants done prior to surgery. Is this your PCP doctor or the surgeon? I have heard of having a patient cut back on meds previous to surgery but my surgeons ( both of them) told me that it was completely unnecessary to make someone do that. All they had to do was make sure that the patient's base meds were met, and then use a pca pump with fentanyl or dilaudid to manage post op pain which is entirely different than chronic pain. In fact, he said that patients who were lowered on their meds prior to surgery unless it was a really high dose was a terrible thing to do and caused more problems for the patient and the staff post op.
Anyway, I hope that you won't not ask questions or discuss something on your mind because you are afraid of the reactions you may get. Read those that matter and ignore the rest....
Sandi thanks for posting. I think you struck on some real viable points for SE to consider. It was real interesting to read your drs approach and thoughts on tapering meds. I for one have not ever understood why they would taper a patient prior to surgery unless the patient was on some really high doses. I could see tapering the dose a little but not totally taking that person off the meds. You are so right CP and post op pain are two totally different animals. I think it would be a lot better to taper a person after the surgery and let the person get a little post op time under their belt. But you know some drs just go around half cocked most of the time.
I hope SE will ask his questions, sometimes that is how all of us learn.