Running out 6 days early means that you had to have taken 24 additional doses of your oxycodone , and assuming you also ran out early for your extended release , an additional 12 doses of those as well. That's an awful lot of medication to go through in 4 weeks.
You said you think he cut the dose of your immediate release too much, but the reality is, he increased your extended release dose and frequency, so he did not reduce your meds at all. He simply converted your immediate release to an extended release dose instead.
As far as another doctor mentioning fentanyl as an option a month ago goes , it is just one of many options in treating chronic pain.
It appears you rely rather often on the immediate release meds to get you through, and that is not a smart thing to do.
Your extended release meds are your baseline meds, which should manage most of your all day, every day pain levels and keep them manageable.. notice I did not say eliminate them, but manage them.
Your oxycodone should only be used, when your pain levels spike to unmanagable levels. That is how they are most effective. The less frequently you use them, the more effectively they reduce those episodes.
It does indeed sound like nerve pain and there are several options to manage that pain, Cymbalta, Lyrica, gabapentin are just a few that you might want to discuss with this doctor. One thing you need to remember is that medications used to treat nerve pain often require dose adjustments to reach an effective dose, so they are typically not immediately effective . It will require sticking with them for a few weeks to get to the correct dose to get the benefits .
Post Edited (mrsm123) : 11/30/2015 11:18:17 AM (GMT-7)