PM Apt - Unexpected New Meds - Info please

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Retired Mom
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Date Joined Feb 2010
Total Posts : 1753
   Posted 3/28/2012 7:46 AM (GMT -6)   
Hello All,
 
Well I had my RFA yesterday mad and spent the event in pain so severe I cannot even explain it.  I was going to post yesterday, but took enough meds to knock me out by the time I got home.
 
Anyway, I did get the chance to speak to the PM DR (can you believe the actuall DR??) before the procedure.  I didn't want to wait until after because my mind would be foggy.  I brought my list I compiled after talking to the pharmacist (of the long term meds) and gave them back my baclofen.  Strangely....this time they asked me if I was sure I wanted to "waste" them and I said that I don't share meds and I can't take them, so they can do whatever they want with them.  I don't want them in my house.  They seemed surprised.
 
So after speaking with the PM, he refused the return to Soma right away and I told him I was too afraid to consider the oxycontin...which left us a few other long acting meds to consider.  He wanted to take the list and the other info with him and "think about it".  I got the distinct impression the answer was NO, however, my BP and my pain levels during the procedure were greater than even he had expected to see and I had the runny nose and tears and was trying to stay calm.  I was a hot mess!!  Immediately after we finished, I told him I understood if he could not do what I had asked about giving me long acting meds, but almost begged him to give me one additional Oxy IR since I am no longer on the ambien and can take it at night.  He asked how often I take them and I told him I only take what is given, but that I have to spread them out more now for pain at night and I was in such horrible pain that I could not handle it anymore.
 
When they went to check me out to leave, there was no new prescription so the nurse went back to ask him what to do and to my great surprise, he ADDED MSContin twice a day and Robaxin to my regular meds.  I will be allowed to continue the meds I have now and add these on top of it!!!! I can't believe he finally made the change!!! 
 
I so hope these meds work for me and I can take them.  If not, I'm afraid he won't continue to be so generous in the future.  It's always a hit and miss thing with this office.  He also agreed to set up another Trigger point injection for two months from now.
 
Any info on the two new meds would be greatly appreciated.
 
Thanks all and thanks for sticking by me when I needed the support for so long!!!  Now I just have to get up there to get my meds and get some relief.  They should open soon!
 

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 3/28/2012 8:12 AM (GMT -6)   
 
      Morning retiredmom!....I believe the MScontin is morphine so yes that is a change from the OXY IR. I'm also curious on the dosage compared to the Oxy you were taking? Willing to share that information? wink
 
     Hope it works well for you,
 
 SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Retired Mom
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Date Joined Feb 2010
Total Posts : 1753
   Posted 3/28/2012 8:48 AM (GMT -6)   
30 mg 2x daily in addition to the oxy and 750 mg robaxin 3x daily ....also keep ultracet
Failed TLIF L5-S1, Miltiple Bulges/Herniations, Scoliosis, Pituatary Disorder, Fibro, Failed Bladder Surgery, Failed Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (now trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendonitis, Adult Onset Flat Feet, & Vision Issues

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 3/28/2012 8:52 AM (GMT -6)   

 

      Thanks!...let us know how it works for you. wink

    SE wink


Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 3/28/2012 8:56 AM (GMT -6)   
That's great news!!

I've been on MSContin for a few years now and after getting through about a month of fatigue...it works extremely well for my pain through the day/night. It is a very smooth medication as in you can't even feel that you are taking anything which is great. As in you don't get spikes in pain....


I also used Robaxin for years and it's one of the better muscle relaxers out there that doesn't cause any fatigue...At least for me....

So he is leaving you with OxyIR to take as breakthrough medication?

I assume he started with 15mg MSContin? or 30mg? twice a day?...

This is a pretty big bump in pain meds so it should really help you which is wonderful!!

Again...keep in mind that the nuisance side effects from the MSContin will go away after a few weeks.....so unless there is an actual emergent allergic reaction.....hang in there as it really is a great medication that works well...

Yea for you!!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/28/2012 10:24 AM (GMT -6)   
RM,

I'm sorry you are dealing w/ so much pain :(

I'm glad you finally got changes to your meds, though. I've been on MS Contin for a long time as my ER med... I'm w/ SB in that it is a very smooth medication... I don't "feel" it at all.

30mg 2x/daily is not high dose, by any means (to give perspective - there have been times that I was on 240mg 2x/daily, plus 60mg 1x/daily).... that being said, it's a decent dose from where you were. So, I do hope it helps you!

As for the Robaxin - I know these things vary from person to person - but I think it's a terrible muscle relaxer, lol. It's very weak and can cause drowsiness. But, again, that's just how it worked for me.

Let us know how you do on all of these!
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 3/28/2012 10:46 AM (GMT -6)   
 
    ...that was kinda of what I was thinking on the dose as well Tina. From wht I read on the charts, it should be scripted 1.5 to 2 times the dose compared to oxy...however they have scripted it in addition to her oxy....so it sounds about right...and probably a good starting place.
 
 SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 3/28/2012 10:51 AM (GMT -6)   
I started it a few hours ago and have to admit I feel a little strange. I only start one new med at a time and generally try to go without some of the "normal" ones to keep the reactions to a minimum, but I can tell now that I'm going to have to take the oxy....like it or not. It's hard to tell what is really a med reaction and what is just normal. I guess time will tell.

Thanks for all the info guys!!
Failed TLIF L5-S1, Miltiple Bulges/Herniations, Scoliosis, Pituatary Disorder, Fibro, Failed Bladder Surgery, Failed Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (now trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendonitis, Adult Onset Flat Feet, & Vision Issues

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 3/28/2012 11:01 AM (GMT -6)   
 
     ...Mom...maybe when you go back for a checkup...they can increase the dose, and you will not have to take the oxy....that would be a blessing! smilewinkgrin
 
  SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 932
   Posted 3/28/2012 11:10 AM (GMT -6)   
Retired Mom,

I tried Kadian about a year ago, which is a 1x daily morphine med. I had to discontinue use within a few days as everytime I took it (despite being time-release), I would get extremely tired within a few hours and fall asleep.

If you're able to stay awake, that's good news and maybe the strange feeling will dissipate over the coming days. But if you need to stop, maybe have your PM consider Opana ER? Personally, I found the IR helpful with pain and the only side effect that was an issue for me was that it made me urinate a lot (it like other opioids affects vasopressin).
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 & 2-3x 10mg Hydrocodone daily. Oxycodone 10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 3/28/2012 11:52 AM (GMT -6)   
Thanks Cogito,

Opana ER was the very first one I tried and it was the best med ever for the first 6 hours...then it released basically the balance of the med into my system at the same time. I though I was od'ing... I gave that one back to him and he hasn't let me try anything ER since then. I really do have to take that oxy now though because the pain is getting past what I can stand. I sooooo hope it won't cause issues.

Thanks SE and everyone who has given me info. You guys are the best!
Failed TLIF L5-S1, Miltiple Bulges/Herniations, Scoliosis, Pituatary Disorder, Fibro, Failed Bladder Surgery, Failed Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (now trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendonitis, Adult Onset Flat Feet, & Vision Issues

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 932
   Posted 3/28/2012 4:55 PM (GMT -6)   
Retired Mom,

Perhaps rather than forsaking all ER's, look into the release mechanism of each. Perhaps some mechanisms, like what Opana uses, won't work out. But maybe there are others that will suit your digestive process. For instance, I believe that the Opana ER has coating layers that are suppose to slow digestion. By contrast, Kadian comes in capsules filled with little pellets and they are supposed to make it through to your intestine rather than getting released in your stomach.
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 & 2-3x 10mg Hydrocodone daily. Oxycodone 10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 3/28/2012 5:41 PM (GMT -6)   
Oops...I must have missed your other post about the dosage amounts before I typed mine..

Adding 60mg a day of MSContin is a really large jump and should hopefully help with your pain levels...

Keep in mind that with any ER type of medicine...it does take time to get into your bloodstream and even over days it starts building up...So needing that OxyIR right now will be normal....

The key will be to hold off on your normal times you take the OxyIR in the next days to see when/if you really need it as a breakthrough medicine...

I use OxyIR 5mg as my BT meds as well....

And as predicted...you will find that some people have had great success with MSContin and Robaxin....and others that haven't....It really doesn't matter what worked for us....it's just what works for you!:)

So...I really do hope in the next weeks you will start to really feel the benefits of adding these medicines.

With my MSContin, OxyIR, and Flexeril as my meds...and all the other modalities I use from exercise to acupunture to injections to massage....My pain levels are at a 5-7 each day which is what most of us with chronic pain can hope for....

Keep us posted:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 3/29/2012 4:48 AM (GMT -6)   
I thank you all for your kind responses and for the informtation you provide. This site is so powerful to me because it's members are such a wealth of knowledge. It's so nice to be able to ask a question and have people provide the information you need.

I will be working on the adjustment for a few days into the MSContin and then start on the Robaxin to see how I adjust to that. I'm sure it will improve some and it does seem to diminish the pain a little (perhaps), but the oxy IR and Ultracet are still the ones doing the most good as of yet. I'll give it the correct amount of time and wait to see what they say at my next apt. They didn't tell me to take the oxy as breakthrough, just as written (4 x day)...I thought that was strange with the added meds, but I'm certainly no Dr and I do think he got an honest picture of what my back is really like when doing that procedure. I'm just happy that he finally "got" it and gave me somethign to help. I understand my own pain, I really do, but I needed some help on this one beyond what I can stand. Now I just have to get over the RFA and see what happens with the meds.

Thanks again everyone!
Failed TLIF L5-S1, Miltiple Bulges/Herniations, Scoliosis, Pituatary Disorder, Fibro, Failed Bladder Surgery, Failed Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (now trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendonitis, Adult Onset Flat Feet, & Vision Issues

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 3/29/2012 8:03 PM (GMT -6)   
I to take ms contin 60mg 4xday, sadly because it is extended release, I need the bt meds in the morning mostly as they work within 30 minutes.  But as for the ms contin, I love them they do keep it running right along and I have never felt foggy from taking them or really anything else, but at 15 almost years, thats how it should be I think.  I am never looking for foggy thats why I like the ms contin.
 
Take care and good luck,
Kathy
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson
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