liver funtion up w/change in b/t med

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shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 167
   Posted 10/28/2011 3:52 PM (GMT -6)   
Many of you know that my meds have been changed due to changes in Florida rules.  Docs here in FL are getting scared because of the pill mills.  I have told you all that my meds were changed due to legislators and doctors not me the patient.  I was forced to stop taking methadone and oxycodone 15mg.  It worked great for me. It was the best combo for my pain with the least side effects.  For about two years now my docs have changed my meds because of all thats going on here in FL.  I am now on morphine er and was on percocet.  I was originally on oxycodone 15mg for b/t because I did not want any tylenol.  I have always had normal blood tests and have been fine.  I was taken off of the oxycodone 15 mg and put on percocet with apap because the docs are afraid to presribe the oxy by itself and the law has pushed pushed pushed.  I told my docs I did not want the tylenol but they said 325 is a small amount dont worry.  I just had blood work and quess what.......... my liver enzymes are up!!!!!.  I have never had this before.  My doc said oh we have to take you off the pers and start you on vicoprofen.  This has ibuprofen instead of tylenol but does not work as well.  He (doc) said it is just as effective as percs.  Not for me.  Does not work as well but he would not even entertain the idea of putting my back on the oxy 15mg without the tylenol.   This shows me that no one cares about me any more!!!! I am thinking of getting a Lawyer!!!!

shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 167
   Posted 10/29/2011 9:43 AM (GMT -6)   
Just wanted to follow up on my post.  I am going to have another blood test in a few months to see if my liver is back to normal.  I just have a question.  Do you all think taking tylenol can cause liver abnormalties?  I know it can but I really did not take that much.  At the most 2,000 mg a day.  I was a little harsh in my earlier post about getting a lawyer.  I am sure I will not do that but I was just so disgusted.  I told my doc I did not want to go from oxy ir to percocet for the single reason I did not want to add tylenol cause it hurts the liver.  He said this is not alot.  Me as a patient had what I believe to be legitimate input and concerns about my health and treatment plan but my doc would rather cover his butt.  Many of you say find a new PM doc and be done with it!  Much easier said than done.  What few PM docs that are left in my area are afraid to take on new cases because the DEA is breathing down their necks.  Also,  new docs are not going into PM or Pysiatry because they do not want to deal with the headaches.  Anyway I really hope you all are doing great.  I will let you know if my liver numbers go down.  Thanks for all your support!

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16804
   Posted 10/29/2011 10:30 AM (GMT -6)   
Shaw, absolutely, too much Tylenol and any of those with acetomenophen (I know I spelled that wrong) will or can cause liver problems, usually it is temporary unless the person continues taking the medication and once taken off of the medication your enzymes should return to normal.. I am thinking the cut off is 3,000mg a day, do not quote me on this either, I could be wrong. You can go to Drugs.com and verify the exact daily amount that is safe to take.

Many years ago my daughter was undergoing extensive dental work and she could not take the pain medications and work so she was taking Tylenol and I believe Aleve, she was taking a lot and her liver enzymes went sky high, After being off of the stuff for a while they returned to normal.

I know you have had nothing but grief trying to get pain medication there in Florida. It must be worse in certain areas of Florida because we have members here that live in Florida and they have not experienced any of the problems you have ran into. That is why I wonder if certain areas are being targeted more.

Short of moving out of Florida, this has shaped up to being what you will be dealing with as long as you are needing pain medication and living where you are. Its a shame that you cannot move some where else. Is seeing another PM dr in a different state out of question? I have a friend that has to do this because her current dr does not prescribe a particular drug. She gets the medication filled in that state and has no problem with anyone including her ins.

I hear ya on getting so mad & disgusted. I can assure you getting a lawyer is not the answer, that would be throwing good money after bad. A lawyer cannot make a dr rx something he is not willing to rx.

Take care.
Moderator Chronic Pain Forum

shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 167
   Posted 10/31/2011 11:21 AM (GMT -6)   
straydog,
 
I was not talking about getting a lawyer because the doc would not prescribe a certain med.  I was talking about a lawyer because I was on a perfectly good med with no tylenol and because of the crazy things going on here in FL I was put on a med with tylenol.  I was against it but gave it a try.  I thought the fact that I told the doc I did not want my liver to be messed up and she said oh they wont its a small amount and the test showed increase in liver is unprofessional at the very least.  What if something major had happened to me knowing I did not want to take the tylenol but was told by the doc it was ok.  What would happen then?  Nothing I am sure.  It just seems to me the docs are not the same anymore.  My doc used to see me the patient .. now I believe I am a number.  I am not being listened to and its sad.  YOu said find a new doc.  Its so hard to do here cause all the docs are closing up shop or not taking new patients or are just pill pushers.  I really wish I could be under the care of my first pain doc.  He was in GA and was the best darn doctor I have ever met.  He cared.  He was not a pill pusher.  He listened.  Great bedside manner.  I wish .. I wish...  A prime example of my doc not listening to me would be the fact that I was swithed from percocet 10/325 to vicoprofen 7.5/200 because of the tylenol in the first.  I asked the doc If I could have the vic 10/200 and the doc said there was no such thing.  I know there is because I was given it one time before in PM years ago.  I told the doc it is called Reprexain and comes in generic which would be good for my insurance.  The doc said they never heard of it.  I was like....wow this doc thinks I am lying.  I know alot of you say dont go in asking for meds.  I was not doing that.  I was simply trying to get a better conversion from a stronger b/t med to a weaker one without many side effects.  I am at the point in my PM (10 years now) where I am trusted by the staff and I can basically give any input I want without all the redflags that some get.  My problem is as of late the docs are not listening.  I dont want to be rude but maybe I should bring a print off of the net showing there is such a thing and I am not making it up.  I just wish they would listen to me the patient.  all of my meds have been titrated down which is ok cause I want to eventually get as low as my body will allow but I know I will always require some sort of medication management.  I do not want surgery.  Absoulute last resort.  I hear horror stories about surgery.  I have been riding my bike about 10 miles a day 6 days a week and that seems to be helping.  I do notice however that when I take my vicoprofen when the pain levels go up that it does not work as well as the percocet 10/325 I was on.  I quess I am forced to stay on the vicoprofen even though my pain levels indicate the need for a stronger dose or med.  I will try to meditate or something.  I wish I did not have to take these meds.  Also my new mri (taken a few months ago)  shows new issues from the last one.  It shows a new disc prob spondylol.  Have a great day.  I will not rant about this anymore.  I think I have gotten it off my chest.  Hopefully Florida will calm down once all the addicts, pill mills and bad docs leave or get arrested.  I wish you all the best in Pain managment.
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