As mentioned in an earlier post, I was very worried about today's PM visit.
After 5 years of Ultram ER and 7 years of tramadol, I didn't think it was helping any longer -- and the extra hydrocodone the PM prescribed last time was giving me bad headaches.
I told the intake nurse about the headaches and waited for quite a while until finally the PA came to see me. He said that he and the PM were going over my records and were discussing what would be the right strategy. They had in their notes that most other meds were not working out (Opana, Nucynta) and so wanted to see what I thought about methadone.
I indicated that I was worried it would make me too sleepy (as it had this effect on my father) and so we discussed all the others options. The PA, who I like alot, was very willing to discuss all the options with me, and we even discussed levorphanol, which they've never prescribed.
We settled on oxycontin and oxycodone for BT, since I've reacted well to oxycodone and given the pressure I'm under to get my work done, I didn't want to risk a med that will make me sleepy.
So, I am to begin with 20mg in 24hrs and if that isn't enough, move up to 40mg. For BT, they wrote the script for 5mg oxycodone, since I tend to break the 10mg into quarters (and take 3 = 7.5mg). To my amazement, the script was for 180 pills, so I can take a few a day if I need to.
I have to cross-taper over the next week and then I see the PM again in a month.
Also, I discussed the problems I was having getting more info from the orthopedic surgeon I saw and the PA said he would take care of it (I signed a medical release and they'll ask for a report, then refer me to a neurologist).
So, all in all, I am VERY VERY pleased. The oxycontin may or may not be the right choice, but I was allowed to voice my thoughts and we had a real discussion.
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:20mg Oxycontin daily, Oxycodone 5-10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia).