Hey RJ, I was just wondering how you were doing with the change?
I too have been on methadone for many many years for PM, I have thru the course of those years been put on other meds to see if they worked better,or every now and then a new Doc would be on the not liking methadone band wagon. For whatever reason I never made the change stick. I have not had alot of luck finding anything that works as well as the methadone for me.
Just switching was a nightmare in itself for me as I didnt do well with any of them as far as not suffering w/d's and at times I know due to that I couldnt get a good read on the pain relieving property of said meds. I understand that methadone is a very hard to switch drug as it take far more of something else to equal out to prevent w/d symptoms.
If I wasnt miserable from the w/ds on other meds I simply was sleeping my life away from the higher doses to make me comfortable. I think now after 10 years on the methadone I most likely will never be on anything different. I really have no problems with building tolerance and thru the years have been on very high doses to very low doses depending on whats going in my CP life at that point. Post op of course I always increase but as soon as possible I lower myself down again.
I use only the methadone and currently am not using a rescue med but have used them thru the years if needed. I dont take the methadone on a prn bases and take the entire dose at one time a day and it lasts me for the entire 24 hr period as long as I have not missed a dose for any reason. Dont ever have to run home to make sure I dont get slammed with pain because I didnt have meds with me when I went out that morning.
I dont have to clock watch ever anymore the way I did on hydro and oxy way back when! My Neuro has no problems with writing it and like you said it is cheap cheap cheap. My medicare part D pays for it now but before it kicked in I was paying out of pocket so it was never a hardship to get.
The lethargy at higher doses is the only real problem I have ever had,except of course the bathroom one but thats pretty much a opiate problem no matter what your on. If I have lethargy or the famous nodding out ppl complain about
on methadone I lower my dose some and see if that helps or at times I have taken meds to counteract that.
So I completely see your concerns with not wanting to change and especially the prices of those meds
I couldnt do that not even with my part D as the higher the meds are at the pharm the higher the tier and the more my co-pay and that is after a huge run around between me and the carrier and the pharm and the Dr to make sure he has tried all the cheaper ones and this is a have to case! Then they still most likely will refuse to cover it.
Didnt mean to go into this long post was simply just wondering how you were doing with it.
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Disabled since 1998 on SSD
DX: lft knee TKR. 6 rt knee surgeries for meniscus repair. Pars defect L-5 ,ddd at L3-4 S1. disc collapse at L-3 with nerve impingement. legally deaf,copd,rt shoulder repair 06. Memory deficit post encephalitis/migraines