I think they like to start off with small amount and see how you get on with them. I'm lucky as my GP is handling my pain meds and we have been working at trying to find something that helps the pain, leaves me able to function and go to work (ie not doped up) and still has the codeine to slow bowel down. Currently on 300mg gagapentin, oxycodone 5mg every 6 hours and 30mg amitriptyline at night. I could take the oxys every 4 hours but have tried to stick at 6 hours. She gave me 2 weeks worth and see her tomorrow to review the doseage, think I'm going to suggest restarting the fentanyl patch as it did give me good cover but 12mg not high enough and when I increased it up it reacted badly with the codeine and made me feel drunk as hell, cheap for a night out! :) but hopefully with the stronger oxys (was on co-codamol and tramadol) which I process before the 6 hours and having the fentanyl for constant pain relief that doesn't have to go through my digestive system. Want to try and avoid taking the pain meds every 4 hours if I can and need to increase the gabapentin as well. Hoping this combo gives me enough pain cover so I can get back to work.
Crohn's, antiphospholipid syndrome, Crohn's arthritis, very low blood pressure, low kidney function, ezcema, asthma, ileostomy, numerous surgeries for abscessses & strictures. Humira - very bad permanent side effects incl joint pain, hair loss, fatigue & nreve damage. Azathioprine, immodium, simethicone, fludrocortisone, oxycodone, gabapentin, tramadol, amitriptyline, Folic acid, vit d & calcium.