For nearly three years now, I've kept a one-page calendar beside my BT meds. Whenever I take one, I mark it off. That way, I can keep track of how many and how often. I entered the data into a spreadsheet before my recent appointment. As you might imagine, I'm somewhat fastidious with other things too.
I am finding it hard to get my mind around the idea of taking BT meds more often, when I've been so fixated on cutting down my use. I was hoping to find some time-release meds effective enough that I would only need BT meds on a few bad days per week. Instead, my PM is encouraging me to use them more liberally -- and given my typical pain pattern, that would roughly double what I've been using.
For example, following his advice over the past few days, I took 2 BT meds on Friday, 3 on Saturday and 2 yesterday. Normally, I would have likely done 1,2,1 or even 1,2, then 0 -- since I've tended to withhold use even when in pain after a few days of taking meds. On the day that I took three, my back was killing me and I gave in to my third dose after spending an hour or more in bed rotating ice then heat.
Over the past few years, a 90 pill script of hydrocodone would last 6-9 months, an a 60 pill script of oxycodone would last a year. Following my PM's recommendations, I'm looking at 90 hydros every three months. But I still plan on limiting my oxy use to just the worst days... so maybe 5 per month still.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray