I researched methadone while awaiting my insurance company's decision and my understanding is that it is quite effective in treating neuropathic pain. I know and agree that opioids don't help nerve pain but methadone's chemical make-up also includes being an NMDA receptor antagonist and inhibits release of norepinephrine
The hospital system I work for has their own insurance company and they are bullies. They wouldn't approve simponi for my UC and said I would have to fail humira first. Humira is why I have PN. My PM did a peer-to-peer review after the expected initial denial and they still denied it. I found the lyrica form online that is required for docs to fill out and my neuropathy isn't one of the 5 approved diagnoses.
I value the views on this forum and will discuss with my PM the concerns you have voiced. Thank you for your feedback.
43 yo; dx 2001 left sided UC
asacol max dose for several years
prednisone and rowasa when flaring
remicade since 2009; zofran, canasa
Factor V Leiden-blood clots x3
gabapentin, cymbalta for neuropathy in feet. Insurance denied lyrica so now trying low dose methadone.
Post Edited (platinumpixie) : 2/25/2016 10:19:18 AM (GMT-7)