Thank y'all for your thoughts. Indeed, as I stated in earlier posts upon joining HW...GONE are my days of excellent health/dental/eye/prescript
ion insurance coverage through Fortune 500 employer, along with his career with the firm, and the lifestyle it provided. Our health insurance was downsized to health/hospital only, so I've truly had a rude awakening with PM drug costs out of pocket
My PM doctor wanted to start me on Fentanyl patch back in January upon initial consult. (due to extensive mal-absorption issues from stomach "pouch") I'd used that successfully several years ago through PM, but with 72 hour change intervals. I clearly remember the initial relief, but also the wrenching dry-heave withdrawals before 72 hour period. The doctor then would not discuss 48 hour change out, so I stopped altogether.
That was almost 9 years ago. Now the 48 hour change interval would not be a problem. The cost of 15(?) patches per month of 50 mcg (with no insurance)
IS a problem. My PM is trying to work with me, saying that OxyContin is the second from the top of the ladder to Fentanyl for ER med. He KNOWS I can't afford it without coverage, so for now I have no choice but the Oxycodone. Vickie, it does exactly as you described...hits hard and makes me goofy(er) for a couple of hours...then GONE. It doesn't change the pain, more so "perception" of pain.
I confess I am afraid to take the recommended dosing amounts for fear of quickly creating tolerance issues. I am scheduled for 15 mg 4xday, which could possibly make my life less of a living HELL. However, I white knuckle through with half that amount out of pure, unmitigated fear of addiction (or rapid increase of mgs) I understand dependence vs. addiction, and I've made peace with that. At 53, I need less pain through chemistry, no doubt.
I'm just not sure how I can afford it. My husband and I are blessed to have a good combined income, but it would quickly be depleted with costs of $400+ per month for 1 med. His genetic heart condition requires (5) separate meds monthly, 3 unavailable in generic. I have extensive intestinal/female/spinal issues that require several maintenance meds monthly just to keep my gastrointestinal system functioning (and my body in an upright position). I certainly don't mean to come across as whining, as we are blessed in so many ways. It has been (and continues to be) astounding that our income exceeds parameters for PPA (DO NOT qualify)
. Yet our income falls short of the ability to spend $1000+ per month out of pocket
. We, like many Americans, have fallen through the proverbial cracks.
Vickie, my PM (due to cost restraints) tried Methadone (NO) then MS Contin (NO) now Oxycodone (prefers ER form). I've researched the changed formulation of OxyC, so I fear exactly what you describe, even if I could afford it. I can't help but feel like I've slid into Alice's rabbit hole, kicking and screaming that I can't "afford" to stay for tea=(
Again, I remain
open to all thoughts and suggestions y'all can offer me. Meanwhile, I wish for all who suffer...much needed relief.
Post Edited (Dixie6) : 10/30/2014 9:34:25 AM (GMT-6)