New patient adjustment

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New Member

Date Joined Dec 2007
Total Posts : 3
   Posted 12/19/2007 10:31 AM (GMT -6)   
I recently became a new patient at a pain management clinic and was switched to methadone after taking vicoprofen for the past few years. I was started at a really low dosage which has been completely ineffective along with some annoying side effects. My previous doctor said I should be able to make adjustments every 8-10 days to find the right dosage. Unfortunately if I call the PM office I will be in breach of contract because my next appointment is in late January.

This seems like a better med for chronic pain but I really don't want to spend the holidays like this. Do I have any options at all?

Thanks in advance.

Forum Moderator

Date Joined Jan 2005
Total Posts : 9152
   Posted 12/19/2007 11:26 AM (GMT -6)   
Hi Spock,

Sounds like you got a bad deal when they won't help with adjustments to a new medication. Adjusting that far apart isn't doing it with the patient in mind, obviously. You should be able to at least talk to your doctor during the initial adjustment period. They always start low and adjust up.

Can you call your old doctor's office and for his advice about the problem? Talk to your pharmacist? Do you have any of the old medications left? Other than that I just don't know of any other options with breaking the contract.

This is a good warning for others who are just starting with new medications. Always ask about the adjustment period and what you can do if the medication isn't enough...and it rarely is.

Good luck and keep in touch,
Co-Mod Fibromyalgia & Chronic Pain Forums
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, collapsed disk, dermatitis herpetiformus, osteo arthritis in spine and other locations.

The only difference between genius and stupidity is that genius has it's limits. Albert Einstein: (1879-1955)

New Member

Date Joined Dec 2007
Total Posts : 3
   Posted 12/19/2007 12:01 PM (GMT -6)   
Yeah thanks, that's kind of what I expected. I did ask about adjustments and was told I could increase or switch back at my last appointment. I think it is the specific nursing staff (secretary?) that refuses to let me speak to him directly. I'm not sure if he is on vacation or they are just that callous, but I am getting the 'we are too busy' vibe.

I guess I will just risk it and try again. You know you just get to the point where even unbearable pain is preferable to ignorance and lack of compassion.

Anyway, thanks and happy holidays.
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