Sorta Nervous...advice please

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Hopegirl
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Date Joined May 2008
Total Posts : 704
   Posted 2/22/2010 10:19 AM (GMT -7)   
Okay,
 
So here is the deal, I've been doing pretty good, I was put on prestique and between that and the tramadol and percocet's I've been functioning. But my rhumy gives me 2 percocets a day and they are 10/325's. I've had this for about 6 months, but the problem is, I have been using 2 of the percocet's at a time when the pain is really bothering me, usually at night. So my monthly supply is up and I"m not happy and of course in pain, I'm stressed, a cousin's son passed away, not looking forward to the funeral at all, but I will pay my respects, so that plus some physical activity over the weekend, (cleaning) has me not feeling good at all. I'm taking the tramadol's but its really not cutting it. I will have to get thru these days until my next prescription which is for 2.28. But I"m afraid my doctor is going to think bad, but I'm hurting more. I'm lucky that I can still hold down a 40 hr work week, but it takes its toll on me, by the time I come home, I'm beat. So my question is.......
 
 
What do I say to my rhuemy so she doesn't think I'm just trying to scam for me meds?
 
(Hurting rather bad right about now)
 
 
Monica
 
Lyme, Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,Sleep Apnea
Current Meds: Tramadol, Percocet for break thru pain, & Adavan
Taking it one day at a time.... 


getting by
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Date Joined Sep 2007
Total Posts : 40579
   Posted 2/22/2010 10:49 AM (GMT -7)   
I would simply let her know that the meds aren't enough to cover the pain. If she gives you more that is great, but if she doesn't, then I wouldn't push it. Maybe she could put you on a time release form such as oxycontin.

When I needed more adderall, I was honest and told my doc that I was taking more than the prescribed dose and that it helped me. But because I don't know your doc, I don't know how she will react. But I would definately let her know that you need more meds.

I think honesty is the best policy.

Best wishes, and good luck. Let us know what happens on the 28th. I am sorry that you are going to have to go so long without pain meds.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


Sherrine
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Date Joined Apr 2005
Total Posts : 17097
   Posted 2/22/2010 11:35 AM (GMT -7)   
I would think that you should always take prescribed medication just as your doctor prescribed it.  There is a reason why you should only take a certain amount.  It could affect you very negatively.  And, if the prescribed amount doesn't cut the pain, then talk to your doctor about that and let THEM decide if you should take more of the same drug or take a different medication.  I do know that narcotics stop working as efficientlyl and you need more and more of them.  So, let your doctor know that the prescribed amount isn't working now.  This is my opinion.
 
Sherrine


Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


Hopegirl
Veteran Member


Date Joined May 2008
Total Posts : 704
   Posted 2/22/2010 12:30 PM (GMT -7)   
 
Thanks Karen & Sherrine,
 
Honesty is the best policy. I think because I had to sign that contract last year with her saying I agreed not to get narcotic pain medication from any other doctors (primary) it made me nervous about the whole pain medication thing. Truth is, before I was ever diagnosed with fibro, I had terrible neck pain which of course lead to headaches, this went off and on for 10 years. So thru my primary doctor I was taking tylenol with codine, then vicodine, then the percocets. It feels like I have been taking pain medication in one form or another for so long. But the percocet 10/325 is just not cutting it, it does sometimes for pain that is about a 5-7 but when its a major flare, its doesn't I guess I can tell her what I just said. I remember asking her once about the path and she said "I don't think you have that kind of pain at this point" and I really didn't like it because I thought....How does she know exactly where I am on the pain scale???
 
 
 
Monica
 
Lyme, Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,Sleep Apnea
Current Meds: Tramadol, Percocet for break thru pain, & Adavan
Taking it one day at a time.... 


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17097
   Posted 2/22/2010 12:40 PM (GMT -7)   
Monica, I posted these in Fibro 101 but I think it's good to review this and make sure you are being accurate about your pain.  What may seem like a 9 or 10 might not be.  You have to be so careful with these narcotics.
 
 
 
Sherrine
Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 2/22/2010 12:47 PM (GMT -7)   
Monica, your body may be at a point where it needs more narcotics to do the same job in controlling the pain. I agree that honesty is the best policy when talking to your doc.
 
Good luck.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium, Osteoarthritis and Celiac
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches, Carafate and Prilosec
 
Vit D/calcium


Maleman
New Member


Date Joined Mar 2010
Total Posts : 1
   Posted 3/2/2010 8:04 PM (GMT -7)   
one of the problems many CP patients do understand, there's more to the meds than just the narcotic elements. That 325 number stands for 325 mg of acetominophen in every tablet. Add to that the other meds like Tramadol, in excess, you can potentially damage your liver. There's a reason why your Dr has put you on the doses he has, perhaps as part of a long term plan where he/she will eventually put you on SR meds. It's not likely you can develope a good relationship when your not holding up to the fundamentals of trust. Take your own pills as prescribed, dont share. Your friend would not be the first to OD having obtained meds from her friends, the potential heightened if she drinks alcohol with them. By the way Acetominophen and alcohol are the perfect recipe to damage your liver. Dont mean to sound like your mother, but if something goes wrong by you "playing around" with your meds, you only  add to the mountain of diificulty legitimate patients already have to face when they need their med doses adjusted, or worse yet for new patients. If your running out before, let me suggest you tell your dr the pain is not being controlled, and keep telling him even if you have to call him every week. Eventually he probably have you come in,before your next scheduled appointment count your pills and adjust to either a higher dose or a different drug ( or delivery system) altogether. Do whats right Monica, and it wont come back to bite you on the butt later.

Hopegirl
Veteran Member


Date Joined May 2008
Total Posts : 704
   Posted 3/4/2010 12:50 PM (GMT -7)   
 
I think you are right Marlee. I did make it until the 28th and I had my prescription filled. I've been haning in there. I do see my rhuemy I think at the end of this month. So I will talk to her. Maleman- I do understand that the 325 number is acetominophen. I was on a SR type opiate one time prior to this and it really didn't do much for my pain. I actually do have a pretty good relationship with my Rhuemy, however, I really don't think she understands the amount of pain that I have.
I do not share my medication with others, and would not expect others to share theirs with me. Could you of been reading another post? What friend are you talking about? I was talking about the additional stress of a cousin passing away causing additional stress.
I am a ligitame patient that has been diagnosed with Fibromyaligia. I will be talking to my doctor and getting my medication adjusted accordingly.
 
 
Monica
 
Lyme, Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,Sleep Apnea
Current Meds: Tramadol, Percocet for break thru pain, & Adavan
Taking it one day at a time.... 


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17097
   Posted 3/4/2010 1:42 PM (GMT -7)   
Monica, earlier in this thread, I put links to how to describe your pain and also to a journal.  This would really help your doctor understand the kind of pain you are in. 
 
Sherrine
Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


Hopegirl
Veteran Member


Date Joined May 2008
Total Posts : 704
   Posted 3/4/2010 1:59 PM (GMT -7)   

I did see that Sherrine,

Thank You-It will be most helpful when I see my rhuemy. And I did realize that my pain level is not the number I thougt it was.


 
 
Monica
 
Lyme, Fibromyalgia, Anxiety, IBS, Reflux, Insomnia,Sleep Apnea
Current Meds: Tramadol, Percocet for break thru pain, & Adavan
Taking it one day at a time.... 

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