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Re: Please, anybody!!..Go get oral meds.. » jay

Posted by Ame Sans Vie on October 3, 2003, at 9:52:49

In reply to Re: Please, anybody!!..Go get oral meds.. » Ame Sans Vie, posted by jay on October 3, 2003, at 1:37:13

::posted by jay
> I don't know why you wouldn't respond..just tell your doc and get oral meds. Is this for an injury?

Thanks for responding... I called and asked about calling in a script for Talwin, Stadol or something else not Schedule II (can't take Vicodin, Percodan, Vicoprofen... allergies to OTC pain meds). Anyway, she said, "We're not a pain clinic, you're just going to have to wait for your appointment with your pain-management specialist on the 20th."

No, not an injury -- fibromyalgia, depression, and OCD. Mostly fibro though, since the Ultram I take helps a lot with the other two.

::posted by lesliekay
>Fentanyl transdermals are really good for pain management, your doc should have kept you on your oral meds while waiting for it to kick in.

Actually, I haven't been on oral opioids for the pain yet (I take Ultram 400mg/day, but for depression and OCD -- absolutely useless for my pain), which is why I found it quite strange that she prescribed Duragesic-50! But she really should have given me something to hold me over.

>The onset is actually 12 hours to reach a serum level, however most of my patients have to wait 1-2 days for efficacy. You still need an oral med for breakthrough pain...it doesn't sound to me that your doctor really has it all together if you know what I mean. It sounds like you have a chronic severe pain issue, and for that you need a specialist. Go see a pain management specialist

Well, luckily I woke up today with the patch working at what seems like full force, as the pain is *completely* gone -- I woke up and immediately started to cry just because I was so relieved. Am feeling a little bit loopy... well, okay, extremely high would be a better description, lol. Absolutely wonderful.

As I mentioned above, I do have an appt. with a pain-management doc -- I've only seen him once a couple weeks ago, and he ordered some MRIs and lab work. I go back on the 20th and he refuses to give me anything until he sees that the MRIs are negative. So this doctor I saw the other day is just a family practice clinic doc -- I assumed she didn't know what she was doing, but I certainly wasn't going to complain about a prescription for fentanyl, lol.

The patch is kind of a pain though... I have to plaster it down with about 20 strips of medical tape. I think I'll opt for something oral and long acting when I see the pain doc... probably MS-Contin, methadone, or OxyContin, all of which he already mentioned to me as options.


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poster:Ame Sans Vie thread:264800
URL: http://www.dr-bob.org/babble/20030928/msgs/265187.html