First of all, 16 tablets of 15 mg. Oxycodone in itself would seem very dangerous of prescribe. Add to that the morphine and Fentanyl and it makes no sense. So, I must ask for an honest answer. Does all of this come from one physician?
Admittedly, a person in chronic severe pain can gradually work up to large dosages of opioids. Thus 8 tables of 15 mg. Oxycodone per day could be achieved without dangerous respiratory depression. But you mentioned twice that dosage. I find it hard to believe a physician would prescribe it in addition to a 100 mcg. Fentanyl patch and morphine.
Most people with that much opioids in her or his bloodstream would stop breathing.
Could you be wrong about the medications or dosages?View Thread
OK. This helps. I'm guessing that your breakthrough dosage (Oxycodone) is a typo. When you typed "60," was that the amount you receive in an Rx? 60 mgs per dose might produce dangerous respiratory depression. What is the strength of each Oxycodone tablet? Most patients start at 5mg and work up to 10mg (plus Acetaminophen or aspirin). How is it directed every four hours? One tablet? Two?
Have you tried other long-acting opioids? For example, one person can eat morphine like candy, yet Fentanyl is a wonder drug for him or her. We're all different. One person's wonder drug fails to help someone else at all. One of the primary purposes of comprehensive pain management is to try a wide variety of long and short-acting pain drugs in order to determine which combination works best for your unique body chemistry.
So... have you tried other combinations of long and short-acting opioids? If so, which ones? At which dosages?
Have you been through a comprehensive pain management program? I'm referring one that includes a variety of treatments, like spinal decompression, a corset, brace, TENS, traction, acupuncture, biofeedback, physical therapy, kinesiotherapy, rhyzotomy (radio frequency denervation), spinal cord stimulator, intrathecal infusion pump, off-label medications (anti-depressants, anti-convulsants), counseling, hypnosis, meditation, etc. For example, I can drop my pain by up to 20% with biofeedback alone. Some people rave about acupuncture. Others like hypnosis. Until you try most of these, you are cheating yourself. Of course, they don't replace medications. But they enhance medication pain management via alternative options. Ask your doctor for a referral.
One caveat about pain management programs. Today they so fear raising red flags with the DEA as a "pill mill," that PM physicians can be reluctant to provide powerful medications, or at least the one's you're using now. Starting from scratch again can be very painful.
If you've already tried a pain management clinic, then medication might be all that's left. Rotating and alternating medications can help you and your doctor discover the best combination. Also, some of us have a very high tolerance for opioids. Just like someone people can drink you under the table and look sober, some people can take high dosages of opioids and notice little pain relief. Under a physician's direction, you can gradually increase opioid dosages to fairly high levels without danger or risk of respiratory depression. The key is gradually and under a doctor's supervision.
When all of these fail, there are two options. One is the spinal cord stimulator, which can help patients who have referent pain (pain that travels from the spine into a neck, shoulder, arm, hip or leg). This is a mechanical device surgically implanted that exerts an electrical impulse upon the effected spinal nerve roots.
The other is called the intrathecal infusion pump, which is a mechanical pump surgically implanted with a catheter that drips an anesthetic fluid upon your effected spinal nerve roots.
These two items are last resort because surgery is required to implant and to remove. All surgery entails morbidity. So... it's a last resort for pain patients who cannot benefit from medications and other treatment milieu. If you decide to try either of these, know that there is a trial device worn outside the body with catheters and leads that go into your spine. If the trail effort does not help, then the surgical implantation is not worth the risk. The success rates vary from about 40% to about 60%, depending how much spinal damage, and especially spinal nerve root damage, has occurred.
How many injections over what period of time? Are you using any other medications? Have you had any hormonal changes? Did you start/stop using birth control pills or other similar medications? Have you had your thyroid function checked recently? It might not be related to the injections. Talk to an endocrinologist.
BTW, there has been a flood of recent research that reveals spinal injections do not work. These are primarily large volume, control group, double-blind research projects from universities, the government and pharmaceuticals. The groups treated with injections did no better than placebo groups. In other words, the surveys are trusted and the results solid. Injections pose a rick of permanent nerve damage and they do not help. Do your own research. Just Google "spinal injections" for summaries.
Many chronic pain patients have had spinal nerve roots impinged and permanently damaged by needles injected by careless or inexperienced physicians. Now we realize that these injections were not effective in the first place.View Thread
Thank you for your post. I'm so sorry to hear that your meds were taken away. It's terrible when people believe that using opioids long-term might become addicted. The truth is very far from those conjectures.
Most of us who have a generous physician, who are allowed to use a combination of long and short-acting opioids with anti-depressants and anti-convulsants, report a better quality of life, compared to similar chronic pain patients who were denied opioids, or who did not seek them. You have my sympathy. Frankly, I cannot imagine having such medications that help immensely taken away. It would be difficult to want to continue living. I sincerely hope that you will be able to find another physician who is willing to provide the medications that will allow you to live again. Good luck.View Thread
Nowhere in this person's explanation was there any indication of "necrosis" or "tissue damage." I recognize that this thread is more than 5 years old. But that does not give us the right to change the subject, ignoring the reality of this person's condition. Please re-read the original post.View Thread