I'm sorry to hear that your pain has been worse lately. We've all been there, and it is certainly no fun indeed.
I don't really have much to add, as you've gotten some good answers from some of our other members. However, I will say that when I was with a previous PM doc several years ago, I also had trouble with him returning my calls when I had a medication question. I ended up just making an appointment for as soon as I could, so that I could discuss it with him in person. I know that that costs money, and that you already have an appointment for next week, but it's just something to consider if you have a problem like this in the future. Sometimes messages get lost, or doctors get so busy that they can't possibly return all of their calls the same day -- or even for a few days. If you can't get ahold of the doctor by phone, a face to face meeting is a potential solution. You can't be ignored or forgotten about
if you have an appointment.
Now, I personally did end up switching doctors several months later -- one of the many reasons being that my calls were never ever returned, regardless of what they were about
(scheduling an appointment or procedure, a medication question, a post-procedure question, etc). But regardless of what you choose to do if you run into this sort of problem again in the future, it is never a good idea to change your dosage without consulting your doctor first, and getting his/her approval. I know that you said that you've been on a higher dose in the past, but besides the fallout that everyone else has discussed, it is potentially dangerous to change your medication regiment yourself -- especially if you are currently taking more than one medication. You could inadvertently cause a serious drug-drug interaction, or other unexpected side effect. People die from self-medicating. I can tell you as a medical professional myself, that there are many
factors that doctors must consider when prescribing a particular medication, or changing a dosage. It is not always such a simple thing. Sometimes even small changes can have devastating effects. Unless you have the medical knowledge and training, you are really flying blind, and playing around with your medications is a very good way to get hurt. You didn't this time, but that doesn't mean that you won't next time.
As others said, if nothing else, this is a lesson learned. I think we can all understand why you did what you did -- we all know how miserable pain is, and how helpless you feel when your pain levels are high and your meds aren't touching it. However, as tempting as it may be, you've got to be careful about
self-medicating in the future (ie. don't do it), and always be honest with your doc.
Post Edited (skeye) : 6/1/2013 10:14:51 PM (GMT-6)