Thank you for explaining that! Yes, the effect, of my dilaudid, (& it IS very effective at first) does "wear off" in about 4-5 hrs, but until this dumb hip crest started to hurt, they were doing the job nicely for my hardware site discomfort, which was more dull and less acute. Which IS what I told him (two weeks ago) & I WAS honest: "Yes, I take them about every 6 hrs, but some days I only need 2 of them" Wrong thing to say, huh! The truth, tho, back then, a few weeks ago. YIKES! So when my hip crest started to hurt more, I looked on the bottle & read it again: "Take 1 tablet by mouth every 6 hours AS NEEDED" So I took MORE b/c that's what he had RX'd....even tho I didn't need that much when he RX'd it.....!!
Well, I just got the new script from him in today's mail & from what I can decode (Latin & poor handwriting) I think it now reads" Take 1 tablet by mouth efery 12 AS NEEDED." Still the "AS NEEDED" part....but here's where I might be misinterpreting it...does that mean ONLY every 12 hrs, as needed (only 2 in 24 hrs) or every 12 hrs AS NEEDED, as in MORE than 2 within a 24-hr period??
He gave me 60 pills & I see him May 21. I still have a weeks' worth left, so I'll just about be out of them when I see him in May. Truly, I WANT to stop them, as they do have some odd effects when you decrease the dose: hot flashes, muscle cramps, some sweating. But it's not bad & the most I ever took was 3 a day. So yes, I will sub the Advil for my AM dose & only use them around Noon and then bedtime, as by the end of the day, I hurt more. And that would comply w/ his "new" RX to take them only 2'xs a day, staying about 12 hrs apart, as I usually go to bed about 11:30PM.
WHY does no one ever really explain all this to us? And oh, I almost forgot: my original RX, when I came home right after my fusion & the pain was soooo bad, he'd written "Take 1-2 tablets every 4-6 hours, as needed." I never ever took that many! I am only 115# and that much would have knocked me into next Tuesday! I think I wrote down in my pain journal that I dd take 6 TOTAL tabs those first few weeks home, but then I titrated myself down b/c they were making me nauseated. But going by what you'r saying, then, originally I would have had the "permission" to take (this would be the max) 12 a day!! Holy cow!!
Thanks again Gramps & everyone else! I will now take a "legal" dilaudid, watch my dumb soap ("Days" is getting really depressing! Yuk!) and head for my afternoon nap, enjoying a brief, effective respite from the jack-hammering in my hip bone! Geeze Louise, what we endure!
Nov. 06-- Lammy @ L4, removal of spinal cystic tumor @ L4/5(benign)
Dec. 06--Re-operation for post-surgical spinal fluid leak. 2nd surgery caused sciatic nerve damage & radiculopathy in R leg/foot, increased spinal instability (grade 1 spondy, 17%), epidural scar tissue binding nerve roots, damaged facet joints & worsened DDD @ L4/5
Jan. 08--PLIF fusion/discetomy surgery w/pedicle screw instrumentation @ L4/L5, another lammy (@ L/5 this time) & bone marrow harvest from left iliac crest for packing bone around disc cages after total discectomy @ L4/5. Good relief from sciatica & leg/nerve pain, tho some residual CP--hope to be "Healing Well"...