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Regular Member

Date Joined Mar 2007
Total Posts : 167
   Posted 11/13/2009 11:40 PM (GMT -6)   
I have finally changed doctors and am happy with the new PM doc.  I have been having bad b/t pain.  I am on methadone and oxyir 5mg.  The oxyir 5mg does not seem to be doing the trick when I have a flare up (usually at work where I am on my feet all day).  What should I do?  I used to take oxyir 15mg for breakthrough when I was on oxycontin and it worked well for breakthrough pain.  Should I maybe ask to increase the b/t med or not because I am taking methadone?  THanks

Veteran Member

Date Joined Dec 2007
Total Posts : 1235
   Posted 11/13/2009 11:56 PM (GMT -6)   
Hello Shaw,
It might take a while with the new PM before he is comfortable with increasing your BT med to anything stronger. Methadone is a great painkiller. Are you taking the BT medication very often? I know that with BT meds, if you are taking them with some regularity that it can be less effective than if you are only taking them when you have severe pain spikes.
I don't know how long you have been seeing this new PM but if it is a recent change, I would hold off a bit on asking him to increase the BT meds.
Are you using ice and heat, to help manage the increased pain levels?
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.

Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 11/14/2009 3:39 AM (GMT -6)   
Hi, Shaw,
I can't recall - is starting methadone new for you, or has the dose recently been adjusted? Because as Sandi said this being a new PM, he may want to see how you're doing first. If you've just started out on methadone, maybe that may need adjusting before the BT med. is changed.

I think the best thing would just be to call your doctor and report that you're having these flares especially while trying to work, and maybe your PM will suggest adjustments.

Good luck!


Veteran Member

Date Joined Aug 2006
Total Posts : 9664
   Posted 11/14/2009 10:37 AM (GMT -6)   
I think it's good that you got a new doctor that you like, maybe give these medicines a little longer time to help...
PAlady and Sandi, had some good advise on calling your doctor to report the flares in pain..and go from there...
Sure hope you get a low pain day soon...
Lots of soft hugz
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc (Lower Lumbar S1-L3 and Cervical C5,C6, C8 and T1), Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's, Ocular Migraines, mild carpel tunnel, ect.... "Would be nice if we could use the edit button in real life"...


Regular Member

Date Joined Mar 2007
Total Posts : 167
   Posted 11/14/2009 1:19 PM (GMT -6)   
I have been on the methadone for a while and am not comfortable with increasing it.  I have read things about methadone that I do not like.  I want to be very carefull with it.  It keeps my pain at bay.  When I have flare ups I use the b/t med.  I only use it when I need it.  That said, I am not going to be in pain and wait until it hurts very bad to use my b/t med.  It is there to be used in instances where I need it so I will.  I will give it a chance and If it still does not do the trick I will let my doc know.  I know we are suppose to titrate our long acting meds so we dont need the short acting ones but I am afraid what happened with my oxycontin will happen with my methadone.  When I took oxycontin my tolerence kept going up and up.  I was at 60mg 3xday and feeling as if it was not working well anymore so I told my doc and we slowly tapered it down and started on the methadone -- 60mg day.  I want to be very carefull.

Mrs. Dani
Veteran Member

Date Joined Jun 2009
Total Posts : 2787
   Posted 11/14/2009 10:10 PM (GMT -6)   
   Dear Shaw,
     Good evening *huggs* I hope you are able to realx a little this evening. I dont know much about mixing medicines, but I wanted to say I am so happy to hear you got a new PM. Hopefully, he will have some new ideas on treating you BT pain.



Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood



Veteran Member

Date Joined Nov 2008
Total Posts : 1037
   Posted 11/14/2009 10:14 PM (GMT -6)   
Shaw, I have been on Methadone for many years...I was on 120 mg. a day along with 30 mg. Oxy IR for BT pain. Recently my Dr. increased the methadone to 150 mg. a day and took away my BT meds. Then I complained and they put me on the 5 mg. Oxy IR...what a joke!! I might as well be eating Pez. My point is that my Dr. never had a problem with giving me the 30 mg. Oxy's so I would talk to your Pm Doc about increasing you to at least the 15 mg. Oxy's... I don't know what mg. of methadone you take, but if it's below the 120 mg. level you shouldn't have any trouble with taking the Oxy's again...

I have been a spectator for so long..Now it's time to participate.......
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 10mg. 2X in the morning
Lantus 35 units at bedtime with Solostar Pen                                                                   


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