Knowing that I am going to be on narcotics for the remainder of my life, and I'm only 43 now, I have been telling my doctor no when she has suggested I up my medications for better pain relief. I have gone from Lortab, worked up to 60 mg of extended release morphine 3 times a day prior to surgery, back down to 30 mg morphing ER after surgery, and for the last 1 to 1-1/2 years have been on fentanyl patch 50 mcg and Norco 10/325 for BT. I've told her I am afraid of upping things now because I don't want to be 70 and unable to control pain. I use every single one of my allotted BT pain meds every day (six Norco) (tried Percocet but am allergic). I know it is time to up things for a better quality of life, but still have that fear.
At my last visit with my doctor (she is a family MD) she said she is getting out of doing pain management, so I've found a PM doctor in my town and my records are going to be forwarded there. So, now, on the other side of the coin, I am afraid that the PM doctor will try lowering my dosage of BT meds. What can I expect? Is there a "norm" that is prescribed? Will I have to start all over with the physical therapy, epidural steroid injections, etc?