Karen, my first pain pump did not have a PTM that allowed a bolus for BT pain, instead I was given something orally for BT pain. I was instructed by my PM dr that the BT meds were not to be taken on a scheduled daily basis, strictly for BT pain only. My 2nd pump is a Codman & it is the same set up. The reasoning I was given was if a person takes them daily on a scheduled basis our body will become dependent on that daily dosage. The very same thing was explained to me when I was on ER meds too. I have been told this by 4 of my PM drs over the years. They all said if the ER is not taking care of the pain it needs to be changed because they do not want the patient relying on BT meds that much. I have seen many members over the yrs be given the same explanation here at HW by their dr.
Your situation may be completely different because of all the different issues you are dealing with which causes immense pain.
Also, getting back to OP's question about
BT meds, the best I can tell she liked the instant release meds better than ER. Knowing the environment of treating CP it looks like her dr is trying to find a decent median to help with her pain until she has surgery this summer. I am thinking the dr is not wanting to get her dosage up there because surgeons do not know how to dose post op pain with patients that has been on narcotics long term. The patient ends up suffering a great deal as a result of this very situation & they should not have to. With that being said it happens all of the time.
M&G I am one of the mods that has posted this here, lol.
Moderator in Chronic Pain & Psoriasis Forums
Post Edited (straydog) : 2/27/2017 9:57:19 AM (GMT-7)