I usually post, looking for advice before I see my PM.
During my last visit, I asked to add or switch to a stronger time-release med. Instead, he wanted me to up my BT med use (I was averaging roughly 20 10mg hydrocodones and 5 oxycodones per month).
So, in January, my use was up a bit... 23 hydros and 7 oxys. However, February was a TERRIBLE month for me, probably my worst ever. I used 37 hydrocodones and 10 oxycodones. Only 3 days out of the month I was able to avoid any BT meds. Part of the increase was due to my trip to Toronto. Part as well was due to my wondering whether my Ultram ER was still making a difference, so I dosed out of it then started up again. From 300-200mg, not a big difference, but once I got to 100mg, blam! I still dosed down to zero, but after just a day, had to return to the 300mg. Those were really bad days and my pain was just unmanageable.
At least I know that the Ultram is helping and after a few days back at 300mg, my pain hasn't been too bad.
One thing I'll need is a refill of my hydrocodone. Though I usually only ask for one every 6 to 9 months, I'm already low enough after 3 months, I'll need more. But as I see it, this is a consequence of my PM's suggestion that I take more (and, I guess, a product of my Ultram experiment). I'm still fine with my oxycodone supply. I had 60 prescribed in October and still have 35 left.
So, I can just ask for Ultram and Hydrocodone refills or revisit the change in time-release meds. It would be nice to not have to think so much about taking BT meds and keep the pain down.
I wish a time-release hydrocodone was available, but in lieu of that, I'm again going to pitch the lowest dose of Opana ER to add on to the Ultram... unless anyone has other ideas.
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