I'm frustrated with the ongoing ordeal of finding the right mix of medications to keep my pain and in particular my flare ups in check. On a bad day, I won't sleep until 7am when I finally pass out due to exhaustion. Then when I wake back up, the pain will likely keep me up.
However, I'm thankful to have a doctor who cares and values my input. I don't have a pain management doctor, just a regular old family care doctor. But he takes the time to listen to my thoughts on what we've tried on the pain, and then work with me to better the situation. After reading so many horror stories on the internet about uncaring or bad doctors who don't really help as much as they could, I'm thankful for the doctor I have.
Right now I'm trying norco 10/325 with tramadol. I was unhappy with the 10/500 vicodin because of all the apap in the drug. If I had a bad day of pain, I was really limited to how much I could take and not kill my liver. Which forced me to choose a few hours a day of non-pain and suffer the rest of the time.
On a normal day it takes 30mg at once of the hydrocodone to deal with the pain. Unfortunately I have a fairly high tolerance to pain meds. With 10/500 hydrocodone, I'd be capped at 8 in a 24 hour period. And being a little bit paranoid about my organ health, I didn't want to get to the point of 4000 apap in a day.
After discussing it with the doctor, we're trying the norco because it has only 325 apap in a pill. Which gives me a little bit more wiggle room on a bad day. As well as the tramadol, which alone doesn't seem to do much, but works as a helper with the hydrocodone.
We also have discussed the possibility of trying a stronger pain medication. But for the time being I want to stay with the hydrocodone. It works, enough, not perfectly, but also doesn't make me tired or loopy, or any of the myriad of side effects others have with pain meds.
It's frustrating dealing with my body at times. The pain, the worry about damage to other organs, etc. But I'm also thankful for my doctor, and wife who help me deal with it all. I am so grateful to my wife for being hands on with my care. Involved in doctors visits and the like.
I'm glad I found this forum, it works as a wonderful source of information from other people's experiences with medications, and therapies that I may or may not have heard of before. I'm constantly trying to figure out what step to take next. What RX will work well without effecting my day to day life that badly, while still letting me function through pain. etc.
Thanks for reading.