Welcome to the CP forum!
I will share with you what I have have experienced in the past as far as a new dosage and refills. I recently had my dosage of Oxycontin increased, and when my Dr orders this, he expects the dosage to take effect on that day, even if you are early on your refill date. What he does is calculates how many pills I will need to reach the refill date, with the new dose, and writes a script
for that, and then will write another script
for a full refill on my normal refill date. My Insurance CO. seems to recognize that the new dose is to be effective now, and not when the normal refill date comes around, and will allow the fill.
However, if you have been taking more than you should have been, then you are still going to be short, because he is calculating from how many you should have left. I want to be clear, that the strength is the same, but he added an extra daily count. What bothers me in your case is that with Crohns, you probably should have been on a around the clock pain med, instead of a 4 to 6hr med, unless it has been script
ed as needed, since Crohns can flair up. In a flair, there is no way you can get adequate care every 12hrs with the 6hr max oxycodone.
One other thing I do different than I think most patients do, is I have my med's refilled on the same date every month, and do not count out 30 days as most do. I did not want to recalculate what day of the month 30 days was going to fall on. What this does is, change my dose requirements depending on how many days there are in the month. Since I take #20 X3 Oxycontin daily, there are some months with 31 days in them, so I get 93 pills for those months. Of course, 30 day months…then require 90 pills…and so on. I'm not actually getting more med's this way, it's just that I refill on the 28th of each month.
Hope this helps, and again Welcome to our forum! Stop by anytime!
Moderator Chronic Pain Forum
"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"
Post Edited (Screaming Eagle) : 9/26/2011 1:17:57 AM (GMT-6)