My doctor denied my painkiller refill

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LeilaLee
New Member


Date Joined Jan 2010
Total Posts : 17
   Posted 3/12/2010 5:14 PM (GMT -7)   
I'm pretty upset right now. My doctor denied my vicodin refill. Ugh... He is my rheumatogist, treating me for both my RA and fibro. The RA is pretty well controlled but the fibro is killing me. I did a little calculation and found I've averaged 3.25 vicodin 5/500 daily for the past 3 weeks. I take them 2 at a time, so I guess I take 2 to 4 a day. I already take a max dose of NSAIDs, so it's all I have for breakthrough pain. I didn't think this was an excessive amount.... I don't really understand what the problem would be. According to the perscription I can take up to 8 a day. I've NEVER done that.
I have a call into the office. I'm hoping it will turn out to be a mistake. I exercise, eat right, and try to get enough rest ( haha). I've got young children though... so resting is the hard part. The point is, I stay active. I am not a drug addict and I'm not even asking to be pain free. I just want the pain knocked down to a dull roar. Is that so wrong? Am I really supposed to go without pain relief?
I don't want to change rheumys but I might have to. Has anyone ever had this happen? If so, how did you find another doctor without seeming like a drug seeker?
Thanks you guys.. I'm so upset!
RA, Fibro, Migraines

Enbrel, methotrexate, lodine, sertraline, relpax, nortriptyline, gabapentin, and vicodin


kathydownunder
Regular Member


Date Joined May 2009
Total Posts : 447
   Posted 3/12/2010 5:45 PM (GMT -7)   
You need to talk to your Doctor because you can not just taking meds with out some adverse effects. Iknow even now when I take no perscrition meds for pain I only buy accross the counter pain killers I need to be careful with these as I can get withdrawls if I take too many over even a short time my body gets used to them. I know what it is too be addicted to pain meds as I took MSContin for a nunber of years in very high doses [morphine] and it took me a year to become clean to the point when my body did not want that pain killer but I only did this with the help of a doctor. You may not be addicted but it does not take much for your body to be addicted. Explain to your Doctor that you need the tablets to help you cope with the pain and too funtion as a mother.
I have always been blessed as too have wonderful Doctors who ended up more as friends.

Kathy

FMS, CFS, IRB, Migraine.

Baclofen, Endep, Panadine and I find I cope just as well on just this as I did on the high doeses of everything else

LeilaLee
New Member


Date Joined Jan 2010
Total Posts : 17
   Posted 3/12/2010 7:14 PM (GMT -7)   
Thank you for your reply Kathy. I can have withdrawls from taking 4 vicodin a day? Oh fabulous. My doctors office is closed now and I didn't hear back from them. I've got a weekend of no pain relief AND withdrawls to look forward to? Shoot me now.
RA, Fibro, Migraines

Enbrel, methotrexate, lodine, sertraline, relpax, nortriptyline, gabapentin, and vicodin


crazykitty
Veteran Member


Date Joined Jul 2009
Total Posts : 4796
   Posted 3/12/2010 8:00 PM (GMT -7)   
Hi LeilaLee, I notice you take methotrexate. I also take it. Your rheumy might have denied
you a refill on the vicodin until labwork was done to check your comprehensive metabolic
panel. Methotrexate can be harmful to your liver. My bloodwork is checked routinely for
elevated liver enzymes or other problems. Taking methotrexate and vicodin together may
increase potential problems.

My rheumy has prescribed Savella 50mgs 2x daily and cyclobenzaprine for flares for my
fibro. It has helped take the edge off the pain.

See if you can get in to see your rheumy on Monday to discuss your needs. Hope you
will find the pain relief soon.

Hugs, Robin
Fibromyalgia, MCTD (Lupus, Scleroderma & RA) Raynaud's, Osteoporosis,
Osteoarthritis, Degenerative Disc Disease, Migraines, and Hypertension
Prescription Meds: Savella, Cyclobenzaprine, Methotrexate, Diltiazem, Boniva,
Folic Acid.  OTC Meds: Multi-vitamin. Vit, D, Vitamin B12 & calciim supplements
 
 


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17101
   Posted 3/13/2010 10:23 AM (GMT -7)   
LeilaLee, I know your prescription says you can take up to 8 a day, but perhaps the fact that you are taking so many a day...every day...can be a concern, too.  I'm sure your doctor will let you know why the prescription was denied.  You do need to talk to them about this.  Yes, Vicodin can be addicting.
 
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


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4646
   Posted 3/13/2010 10:54 AM (GMT -7)   
Leilalee
I just found out what I have been blaming on fibro may have been at least in part a severe vitamin D deficiency. I asked for that test when I needed another blood test (it's never ordered unless you ask) and found my level was only 18. The new guidelines call for 50. I started taking a total of 4000 units (adding my regular vitamin and calcium pill to the extra D) and in 1 day I am more awake and have about half the pain I had yesterday.

A lot of women are taking 5000 units in the winter or if they don't tolerate sun (as in lupus). 10000 is the toxic level, so you can take a lot!

My pain is not gone, but maybe this will at least help.
Alcie
 
 


LeilaLee
New Member


Date Joined Jan 2010
Total Posts : 17
   Posted 3/14/2010 4:10 PM (GMT -7)   
Thanks so much for the input ladies.
Well, no withdrawals, thank goodness. The only real side effect from going off vicodin was the headache I gave myself from getting so worked up. :)
I'm not going to change rheumys. He's been good to me so far so I think i'll stick with him. He has expressed concern in the past about me using vicodin instead of getting to the root of my pain. I have persistent neck pain as
the result of fracturing my neck in a horseback riding accident 20 years ago. I haven't had it reevaluated in 10 years. So he probably got tired of waiting for me to do something and cut me off. Ah well... what can I say? I'm a busy procrastinator. Haha

Anyway does anyone know if disk issues can mimic fibro? I experience burning from the back of my head to my upper back and upper arms as
well as pain in my neck and upper back. I have frequently experience burning down one arm over the years, but never the rest of it. For those of you with disk issues as well, how do you know which pain is which? Thanks again!
Leila
RA, Fibro, Migraines

Enbrel, methotrexate, lodine, sertraline, relpax, nortriptyline, gabapentin, and vicodin


Hara
Veteran Member


Date Joined Mar 2009
Total Posts : 900
   Posted 3/14/2010 4:44 PM (GMT -7)   

I don't know how to tell what is disk pain and what is not. All I know is that sometimes I hurt when I eat certain things. I also have neck and head pain. I'm thinking chocolate is my trigger for most of my pain and I love chocolate.

HARA


GSDgirl
Veteran Member


Date Joined Mar 2010
Total Posts : 1286
   Posted 3/14/2010 5:21 PM (GMT -7)   
Leila, You could have described me!!!  I really messed up my neck 30 years ago when my horse went down on the road, then about 20 years ago I took out the passenger window (I was driving). 
 
I am still figuring out where my pain is coming from, sorry I can't help you.
 
BTW, new member here.....will post intro soon
Denise from Pittsburgh, Pa
 
diagnosis: high blood pressure, gastritis, fibromyalgia, hepatitis (SVR), disc problems in neck, depression, anxiety & stress
 
meds: metroplol 25mg, zoloft 150mg, gabapentin 300mg 3x a day, soma, fioronal, tramadol, zoloft.
 
other supps: calcium, vit D 2,000-4,000 per, milk thistle, vit C &E, acidopholos (sp?),
CO-Q 10,  flax or fish oil, ginsing, magnesium, B complex,
 
****We grow most of our veggies and freeze, buy 1/2 of a grass fed cow, buy a 4-H pig at the county fair, raise my own chickens for their eggs and overall eat as well as we possibly can****


LeilaLee
New Member


Date Joined Jan 2010
Total Posts : 17
   Posted 3/14/2010 5:50 PM (GMT -7)   
Hi Denise! Welcome. I'm new here too. Everyone seems very nice.
My horse went down on hard dirt. I was galloping full out and apparently the wreck was spectacular. One moment I'm sailing over her head, and the next I'm on the ground with a friend standing over me and my horse nowhere to be found (she was fine btw...helping herself to our neighbor's roses). She was my event horse and man was she fast. I miss riding :(

So I was told I had "disk issues" 10 years ago. Can't wait to see if I still have 'em.. hehe
RA, Fibro, Migraines

Enbrel, methotrexate, lodine, sertraline, relpax, nortriptyline, gabapentin, and vicodin


GSDgirl
Veteran Member


Date Joined Mar 2010
Total Posts : 1286
   Posted 3/14/2010 6:07 PM (GMT -7)   
Leila, yes everyone seems very nice.  My accident occured when coming off a trail, making a right on a black top road, his feet just went right out from under him.  I sort of remember the ambulance ride.  LOL .  Oh to be that young again, and pain free.  I still have horses but they are pretty field ornaments. 
Denise from Pittsburgh, Pa
 
diagnosis: high blood pressure, gastritis, fibromyalgia, hepatitis (SVR), disc problems in neck, depression, anxiety & stress
 
meds: metroplol 25mg, zoloft 150mg, gabapentin 300mg 3x a day, soma, fioronal, tramadol, zoloft.
 
other supps: calcium, vit D 2,000-4,000 per, milk thistle, vit C &E, acidopholos (sp?),
CO-Q 10,  flax or fish oil, ginsing, magnesium, B complex,
 
****We grow most of our veggies and freeze, buy 1/2 of a grass fed cow, buy a 4-H pig at the county fair, raise my own chickens for their eggs and overall eat as well as we possibly can****

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