I'm sorry to hear that the transition was not as easy as you had hoped. But it does sound like this guy knows what he is doing, so I am glad that you are thinking about
taking his suggestion. I do know that sometimes being on massive amounts of opioids can actually increase
our pain! I think it might be called opioid induced hyper-analgesia? You certainly are on a lot of oxycodone. But then again, everyone's body is so different. When I was taking oxycodone, I got up to 90 mg/day, and then called it quits, as I was only getting some slight relief from it. My doc was willing to continue going a little higher (maybe another 20 mg), but 90 mg was already much higher than he usually prescribes (I have a ridiculously high tolerance to any & all opioids, it seems, & we are about
to give up & proclaim my body as completely resistant to opioid pain medication, as I get NO pain relief, nor any side effects, with the exception of constipation). My doc is a pcp (internal medicine specialist), but he has been treating CP patients for years & stays up to date on the latest in pain management, and isn't afraid to admit it when he doesn't know & seek the help of a certified PMS (as he is currently doing in my case).
It definitely won't be an easy road, getting down to just 30 mg/day, but it might be worth a try. Although, do remember, that decreasing the oxy is likely to increase your pain, not only because your pain is increased, but also as a part of the withdrawal process- it can cause you to feel more pain than you actually have. My doc always tells me that I won't know what I truly feel like at such & such decreased level, or when I come off an opioid completely, until about
2 wks after holding that dosage steady. I hope that either your new PM or your old one is guiding you through this process. Best of luck! It sounds like this new guy might be able to help, if you decide to give him a chance. It also helps that 3 other PM's told you the same or a similar story, so you know that this guy isn't just some under-medicating quack, but perhaps, on the cutting edge of pain management. Best of luck to you! Of course we'll be here for you throughout this whole process!
Post Edited (skeye) : 6/18/2009 9:00:15 PM (GMT-6)