A realistic Oxycodone dosage?

Jeff L Community Member
  • I've got a question - and a complaint - about Oxycodone dosages.  I'll have to give you some context here I guess. 

    I had to go onto long-term disability.  For many years my primary care has been through the local VA clinic.  The VA clinic told me it is their policy to NOT get involved in anything to do with disability claims; they won't do any of the paperwork required.  So they told me I would have to go to another dr. office and find someone who would fill out the disability forms.  So now I have to find someone at the last minute who will not only take me as a new patient, but also get me in to be seen immediately AND be willing to fill out the forms for disability.  Well, luckily I found someone who would do all these things (I can't say enough good things about the staff and the doctor). 

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    Here's where the trouble starts.  At the VA clinic, I had just been switched from Vicodin to Oxycodone.  I was maxed out on Vicodin and still in a lot of pain.  The VA doc had prescribed me 5mg of Oxycodone, 3 times a day.  It was not helping much.  When I went to this new doc, he gave me a prescription for 20 mg of Oxycodone twice a day, to be taken in addition to the 5 mg scrip from the VA.  I took the new scrip directly to the VA clinic, for one, to follow the rules about not getting narcotics from more than one doc, and two, because I'm a 60% disabled veteran, my prescriptions are free through the VA.  I gave the new scrip to the narcotics nurse at the VA clinic and was told I could fill it locally and in about 10 days the VA pharmacy would mail me the pills.  I fill the scrip locally and am getting some relief, not completely, but better than just the 5mg was giving.  Then, after I've been taking these pills at this dosage for a couple weeks, I get a phone call from the clinic that says the doc won't approve or sign off on that high of a dosage and they are not going to fill the 20 mg scrip.  They said the doc was very upset that I was given that high a dose.  So, I try to make an appointment at the VA clinic and am told that my doc just started a 2 month vacation... So I make an appointment to see a different VA doc.  I get the same reaction from her about the Oxycodone dose.  She acts like more than 5 mg is outrageous, and says that no doctor in the VA would prescribe me more than that.  I told her I had some relief at this dose and didn't seem to be suffering any bad side effects, but she wouldn't budge. 

    I then get another phone call from the VA narcotics nurse and am told that the doc said that since I am getting scrips from another doc, I can just fill them privately and that they will not fill Oxycodone for me at any dosage.  Now remember, I was forced to see this other doc outside of the VA system because they wouldn't fill out my medical paperwork, and now they refuse to honor his course of treatment...  I can't afford to pay the $220 or so it costs for these meds since I don't have private healthcare now. 

    I guess my question is about whether or not 5 mg 3 times a day, and 20 mg twice a day is a high dose of Oxycodone.  I have done some research on the web, and I don't think that it is very high at all.  It seems pretty minimal, especially since I am almost 6ft tall and weigh over 220 pounds. 

  • Wow, that was a long way to get to some simple questions...

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    Anyone taking Oxycodone out there?  I would like to hear some opinions on dosages.

    Thanks

     

    Jeff

Published On: November 05, 2009
62 Comments
  • jinxguy37
    Sep. 24, 2016
    The bottom line is this everyone's pain is subjective, so dosages are subjective too. It would be sheer arrogance to say that my pain is worse than someone else's, and so too would it be arrogant to tell someone that they should need a higher or lower dose (just like those doctors at the VA). I mean they cannot personally feel your pain, nor how much relief...
    RHMLucky777
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    The bottom line is this everyone's pain is subjective, so dosages are subjective too. It would be sheer arrogance to say that my pain is worse than someone else's, and so too would it be arrogant to tell someone that they should need a higher or lower dose (just like those doctors at the VA). I mean they cannot personally feel your pain, nor how much relief you get at what dosage. I think they would just have a FIT if I were to tell them that I am on 240mg of Oxycontin and 360mg of IR Morphine EVERY DAY!!! You see, I went through something similar with my old primary doc(also a female): I am 6'0" tall and about 225 pounds, And I have "Non-Hodgkin's Peripheral T-Cell Lymphoma". And I get swelling in the lymph nodes in my groin which makes me feel like I'm getting kicked in the nuts ALL DAY LONG! Now my question is this: How the f*ck does she know what that's like and how much pain it generates??!! She can't possibly know because since she doesn't have any nuts, she has absolutely no point of reference. which brings me to the second part of my question: Since it's impossible for her to know how much pain I'm in, everything regarding what dose I need to get my pain under control as much as possible, would be sheer guesswork and opinion. And THAT is arrogant assumption, and if she lowballs the dosage knowing that you will still be suffering greatly, in my opinion borderlines on malpractice. After all she would be knowingly letting you suffer which I feel is the same as causing you to suffer; and that- by either action or inaction- violates the Hippocratic Oath: So much for, "Above all else, first do no harm..."
  • rp.munro
    Sep. 03, 2016
    My dosage of Oxycodone is 40mg twice a day. I started on 20mg twice a day and have been increased to the 40mg twice a day. Some days this seems to be a bit light, but most of the time it works well. I suffer from very bad lower back pain when I had an accident at 18 years of age. Many things have been tried but this seems to work. I am now 73 years old and...
    RHMLucky777
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    My dosage of Oxycodone is 40mg twice a day. I started on 20mg twice a day and have been increased to the 40mg twice a day. Some days this seems to be a bit light, but most of the time it works well. I suffer from very bad lower back pain when I had an accident at 18 years of age. Many things have been tried but this seems to work. I am now 73 years old and do not suffer any bad side effects. Hope they start seeing a bit of sense for you. Good luck mate. From NZ.
  • sandysis
    Aug. 25, 2016
    I was taking 40mg a day oxycodone. I've read many articles about people taking much higher doses. I've never really gotten high on any of these different pain meds. All they ever do is lower the level that my pain is at when I first start taking them. Then my tolerance grows and I need to be switched to something stronger. I think going to 60 mgs of oxy a day...
    RHMLucky777
    Read More
    I was taking 40mg a day oxycodone. I've read many articles about people taking much higher doses. I've never really gotten high on any of these different pain meds. All they ever do is lower the level that my pain is at when I first start taking them. Then my tolerance grows and I need to be switched to something stronger. I think going to 60 mgs of oxy a day would be fine but my doctor doesn't like to write scripts of oxy for more than 40 mg a day so 3 days ago she switched me to 15mg of morphine (ms) 3 times a day. It is now 3:00am and my pain level is about an 8. (At 9 I start to cry. At 6 or under I can go about my day. I don't ever expect to be at a level as low as 3 or 4.) I'll be making an apt soon to ask my Dr to increase my morphine soon which I expect she'll do since we are still at the point of figuring out what dosage will be appropriate. I've read, all over the web, of people taking much higher doses of oxy. I don't think the medical field is consistent at all when it comes to dosage. They don't want us to shop for doctors but then some doctors are less sympathetic and more cautious than others. I do acknowledge the addiction issue but living with the constant pain can be unbearable. I'm sorry you're having trouble finding relief and doctor's who will cooperate.
  • sandysis
    Aug. 25, 2016
    I just posted. I am 5' and 115lbs. I was taking 40mg a day oxycodone. I've read many articles about people taking much higher doses. I've never really gotten high on any of these different pain meds. All they ever do is lower the level that my back pain is at when I first start taking them. Then my tolerance grows and I need to be switched to something stronger....
    RHMLucky777
    Read More
    I just posted. I am 5' and 115lbs. I was taking 40mg a day oxycodone. I've read many articles about people taking much higher doses. I've never really gotten high on any of these different pain meds. All they ever do is lower the level that my back pain is at when I first start taking them. Then my tolerance grows and I need to be switched to something stronger. I think going to 60 mgs of oxy a day would be fine but my doctor doesn't like to write scripts of oxy for more than 40 mg a day so 3 days ago she switched me to 15mg of morphine (ms) 3 times a day. It is now 3:00am and my pain level is about an 8. (At 9 I start to cry. At 6 or under I can go about my day. I don't ever expect to be at a level as low as 3 or 4.) I'll be making an apt soon to ask my Dr to increase my morphine soon which I expect she'll do since we are still at the point of figuring out what dosage will be appropriate. I've read, all over the web, of people taking much higher doses of oxy. I don't think the medical field is consistent at all when it comes to dosage. They don't want us to shop for doctors but then some doctors are less sympathetic and more cautious than others. I do acknowledge the addiction issue but living with the constant pain can be unbearable. I'm sorry you're having trouble finding relief and doctor's who will cooperate.
  • Jperry714
    Aug. 24, 2016
    I am 6 ft 3 in and have been treating a genetic muscle disease for about 9 years now so I have a tolerance built up but I think when I first went to oxycodone, off of percecet which is just oxycodone and tylenol, it was from 7.5 to 10mg oxycodone every 4 to 6 hours up to 6 times a day. It did not take long for me to end up where I am now for the last 2-3 years,...
    RHMLucky777
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    I am 6 ft 3 in and have been treating a genetic muscle disease for about 9 years now so I have a tolerance built up but I think when I first went to oxycodone, off of percecet which is just oxycodone and tylenol, it was from 7.5 to 10mg oxycodone every 4 to 6 hours up to 6 times a day. It did not take long for me to end up where I am now for the last 2-3 years, 30mg oxycodone 4-6hours up to 6 a day for breakthrough pain thatvit chiefly managed by the duragesic fentynol patch at 75mcg, changing the patch every two days. By the sound of your VA doctors, they would never treat me. But I fought every increase over the years and had doctors convincibg me to try to improve my quality of life. I even had it turned down on quite a few occasuons when I felt I was feeling well enough to do with less pain meds. The disease I have, has platues after periods of progression. In fact at my request I am on the 75mcg patch when it was 100mcg a year and a half ago. I felt I was sleeping too much for the quality of life argument. I have noticable more pain but can also do more awake. The problem you will hav e with the VA is the knee jeek reaction to people who need pain medication and all of those out there who just want to get high and fake the pain. They ruin it for the rest of us. I even had to change my primary doctor because he refused to manage my pain as requested by my specialist who diagnosed me. I was directed by the specialist to find a doctor who would manage my pain if my primary wouldn't. Unfortunately you don't have the option that you need most. To bw able to go to a doctor that understands that you aren't trying to get high and just want relief from pain. But what you are listing there is not excessive. Especially if it manages your pain.
  • sandysis
    Aug. 21, 2016
    I am 5' tall and 115 lbs. I’ve been taking 15 mg oxycodone 2 times a day and 10mg with .25mg halcyon to sleep for over a year now (40 mgs a day). I'm building a resistance and feel level 8 to 9 pain once or twice a week. My doctor and I are now debating what to do next. Tried a 25 mg fentynal patch for 4 days and felt no relief whatsoever. I was in tears...
    RHMLucky777
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    I am 5' tall and 115 lbs. I’ve been taking 15 mg oxycodone 2 times a day and 10mg with .25mg halcyon to sleep for over a year now (40 mgs a day). I'm building a resistance and feel level 8 to 9 pain once or twice a week. My doctor and I are now debating what to do next. Tried a 25 mg fentynal patch for 4 days and felt no relief whatsoever. I was in tears by third day, sobbing miserably by fourth day. On fifth day was back in Dr Office with all the unused patches. Dr. returned the patches and gave me a new script for my old stuff (oxycodone). Going back to Dr. in 3 days to reassess what to try next. I have severe scoliosis that has never bothered me. I think we are narrowing my diagnosis to my having bone spurs growing between my vertebrae. What's made this most unbearable is that none of the many, many Drs. that I've visited want to do anything but blame my scoliosis and give me pills. I have had to beg and demand for x-rays, MRIs, and referrals to Rheumatologists (I have scleroderma), neurosurgeons, etc... 10 years this has been going on. Finally started calling Drs. to remind them that I need the referrals they promised. Three weeks of calling twice a week and often getting hung up on - I explained that I will now call every day, perhaps twice a day until I get my referrals. I finally got 2 of them last week. My husband and I (just entering our 60s) now go to each other Drs Appointments with each other and are finding that we get much better service. Doctors actually pull up a seat, ask questions and listen to questions much more when they have an audience. We also refuse to wait more than an hour to see Dr. If the office is clearly too crowded I will tell the receptionist that I have another dr appt. in 2 hours and that if I can't see this Dr in time I need to reschedule. They will reschedule and can’t charge us because we did show up on time for our appt. So they lose some calculated income. It may be easier for my husband to do this since we are retired but if more patients did this these doctors just might stop stuffing us in as if we are sardines with no life of our own.
    • Jperry714
      Aug. 24, 2016
      I am 6ft3in I am on fentyno land oxycodone for breakthrough for treatment of a genetic muscle disease. I just wanted to make a reccomendation based on my personal expirience. I suggest you try thecfentynol patch again but get the doctor to write the scrpt DAW or dispense as written. This will get you the name brand Duragesic. When I was put on the patch, I...
      RHMLucky777
      Read More
      I am 6ft3in I am on fentyno land oxycodone for breakthrough for treatment of a genetic muscle disease. I just wanted to make a reccomendation based on my personal expirience. I suggest you try thecfentynol patch again but get the doctor to write the scrpt DAW or dispense as written. This will get you the name brand Duragesic. When I was put on the patch, I tried every single generic and had the same issue as you. Once I was on the Duragesic, it was like night and day, I felt even better than on the oxycontin. For what ever reason, the name brad iscthe only one that works and there is a stark difference in the construction and look of the different patches. Also, Duragesic offers a coupon online that pays up to $50 for a subscription fill. Then in the box the patches come in there is a coupon for the same rhat the pharmacy can reuse until the coupon's expiration date. This effectively makes it free for me every month. If tou only tried the generic, I highlt reccomend seeing if your doctor wull try the name brand. My doxtors don't know why only rhat works but they say it is not unheard of and there are so many benefits to my stomach to be off the pills. Or at least taking fewer a month.
  • jpastorick1
    May. 16, 2016
    I broke my neck and now have a full neck fusion. Rods, screws, pins. I'll be 42 on Tuesday and will probably take med the rest of my life. I take 5-30mg and 3-100mg of Morphin sulphate per day. It sux, but it's better than all the pain.
  • garyyukich5
    May. 07, 2016
    5 mg 3 x a day and 2 20's are not a lot I was on 8 80's a day-my dr erecently put me down to 3 80's a day and its not enough-I need 1 to 2 more for my pain-I have been on them since the mid 90's I believe I have 5 fused vertebrae w 2 9 inch rods in my back since 14 yrs ols-i am 64 wirh 2 vertebrae messed up as well -a rod from my elbow to shoulder from another...
    RHMLucky777
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    5 mg 3 x a day and 2 20's are not a lot I was on 8 80's a day-my dr erecently put me down to 3 80's a day and its not enough-I need 1 to 2 more for my pain-I have been on them since the mid 90's I believe I have 5 fused vertebrae w 2 9 inch rods in my back since 14 yrs ols-i am 64 wirh 2 vertebrae messed up as well -a rod from my elbow to shoulder from another injury and 2 steel plates on either side -I need a new doctor but cant find one where I live-I guess what is enough is what you can tolerate without harming yourself and living as much as you can pain free-we all deserve quality of life-ultimately you know what you need-not the doctors who don't suffer as you do at home medication -opiates in particular have become political nonsense-I tried everthing-i want to live my remaining years with dignity a-that is why heroin has increased 3 fold in america as well as heroin overdoses ringing in at 3 times after the govn't got involved in their oxycontin blunder
  • COZ
    COZ
    Apr. 07, 2016
    I suffered nerve damage after an operation. It's been years fighting with Doctors to try to get my life back and pain under control. It's been a very rough journey. I take 4x30 oxy-neo per day. 4x40 takes my pain away completely however I cannot get the Doctor to agree. I've looked for maximum daily dosage info but it's hard to come by. Anyone know the limits?...
    RHMLucky777
    Read More
    I suffered nerve damage after an operation. It's been years fighting with Doctors to try to get my life back and pain under control. It's been a very rough journey. I take 4x30 oxy-neo per day. 4x40 takes my pain away completely however I cannot get the Doctor to agree. I've looked for maximum daily dosage info but it's hard to come by. Anyone know the limits? Want to stick within guidelines. I know my dose is high however it does take my pain away and has no side effects. Thanks.
  • benzy007us
    Mar. 10, 2016
    Thank You for yiur service and my appologies for the wreakless insensiive behavior your experiencing, I pray someone gets them in line, The dosage is all dependant on prior use type of injury etc, 5 mg totalling 15 mg is very low, Instarted on 20 mg twice daily after six months was increased to 30mg twice daily, only after taking percs norco for many years...
    RHMLucky777
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    Thank You for yiur service and my appologies for the wreakless insensiive behavior your experiencing, I pray someone gets them in line, The dosage is all dependant on prior use type of injury etc, 5 mg totalling 15 mg is very low, Instarted on 20 mg twice daily after six months was increased to 30mg twice daily, only after taking percs norco for many years maxing out my tylenol usage of time which will cause liver issues in the future based on the intake of the tylenol mixture hence switching to oxycotin. I am 39 had a double spinal lumbar fusion that failed never fused causing pressure to crack implant screw one of three along with three rods titanium made. Bottom line i have multiple disk blow outs l3 l4 and a failed fusion with bone fragments, die to the recent surgery and collapse of implants and the difficulty repairing nerves on multi levels and having the chance of being paralized the neuro group said wait until you loose use of the legs then we can talk surgery again maybe, multiple back surgeries and fusions and have poor outcomes in general, i was tramsferred to a pain clinic from the neuro group their opinion if my injury and pain provided in documentation, you then need to be honest with your pain doc, dont go to high side because long term chronic pain patients will have to increase dosage as your body becomes insensitive to dosages at level of 5 and 20. 20 mg twice daily with break thru pain pills like norco should do the trick for a while year plus, understand that pain medicine is not a fix, you become dependnt, and use your pain free time to move, walk live! Its a complicated matter,amd with abuse on the radar of docs due to bad apples in the past obtaining and filling are difficult until building a relationship, but this pain mgt clinic will complete disability forms, i take it you dont have ins other then va benefits, perdue pharma maker of oxy does provide free medicine for those in financial distress and in need of the medication. It a short form your doc files with a script and they mail you the medications. Hope you feel better and hope my information was of assistance, go check out pain mgt clinics in your area, and contact perdue pharma in Ct to receive the form for free medictions
  • mattyj
    Feb. 17, 2016
    The issue in itself is the government and it's need to pray on the livelihood of the US citizen. In effect oxicodone medication has a social stigma due to the misuse and abuse of it by a large quantity of individuals seeking a high and the entrepreneur looking to make a buck. Therefore patients that actually need and use the medication for honest ailments...
    RHMLucky777
    Read More
    The issue in itself is the government and it's need to pray on the livelihood of the US citizen. In effect oxicodone medication has a social stigma due to the misuse and abuse of it by a large quantity of individuals seeking a high and the entrepreneur looking to make a buck. Therefore patients that actually need and use the medication for honest ailments are looked upon unfavorably by not only the physician, but also the pharmacist, the receptionist, law enforcement and anyone else with a opinion on the subject. Everytime I turn a script in to be filled i get a look like I am either a junkie looking for a fix or chapo guzman looking to get rich. It's ridiculous. I was injured quite severely when a teenager back in the 90s. I have been on megs my entire life. I have also tried just about every pain relief one can do. Whether it be hydrocodone, ibuprofen, aspirin, muscle relaxers, ice packs, heat packs, sauna, massage, stretching techniques, even crystal therapy believe it or not. Of it all oxicodone is the only thing I have found that supplies relief without any real side effects I can not live with. However, due to the aforementioned junkies and hustlers my medication was place upon a ugly pedi stole and now I am nervous everytime I visit my doc office to hear what new excuse my doc may have to try to take me off of it. I saw the demise of the oxi 80s in 09 and I saw this was coming for roxies after all the busts in florida shortly thereafter after. The powers that be saw that the large drug companies were making money hand over fist and the government wasnt getting they're cut of the opiate trade. When law enforcement stopped someone carrying a large amount of what they felt was oxi for sale, they were limited to what they were able to do if the individual had a prescription. Same goes for the user they apprehended. So the pushers were making they're money, the docs were getting they're issue, and lets not forget the pharmacies and the big drug companies had to back the truck up to load in they're profits. So who is left out in the cold in this little tale? Why the bean counters in Washington ofcourse. If the patients and insurances are paying the docs and pharmacies, as well as the users paying the pushers whom don't pay they're taxes, then where does the government make any money from the large opiate trade? They can't even bank off the justice and prison systems because only a small number of low intelligences were actually being caught without a valid script they could present at some point. Hiw does the government fix this dilemma and tap in to the rich market of opiate trade then? That's easy, destroy the competition and force the masses to use a product they could make they're money on. So the crack down began. Pain management centers were raided, physicians were harrassed, pharmacies were threatened to the point that all of them were to afraid to even issue it or fill it anymore. So it was inevitable that those of us that truly did need our medication were casualties of this war. And what did the government decide to introduce to all of those junkies and poor souls left to find a another substance? Heroine. Now the guys up on the hill can control the supply they allow to come in to the country and get a cut from the cartels, allow them to operate on American soil and within American cities, arrest all those found in possession of it, feed to the justice system so it makes the loot it's got coming, dispose of the person in prison so those beds stay nice and filled, and ofcourse get those single mothers and parent less children on welfare and government plans to create a legacy of money supplying citizens. I'm no conspiracy theorist or some fanatical ant government kook, I simply saw it all unfold and put it together. See I reside in arizona, arguably the highest drug smuggling border state, and I see busts day in and day out, year after year on the news and in the papers. I often I see marijjuana busts. Tractor trailers and storage buildings full of it. Albeit is only nasty old Mexican weed probably a year old that the cartels couldn't give away in this new legalized marijjuana age. Along with some small Mexican national or two whom lives in poverty and squalor south of the border. Whom feels a US prison is a club med compared to life in mexico. Not to mention they can make anywhere from .50 cents to $3.00 a hour working on prison work contracts while they are on vacation serving they're sentences. Also please note that a Mexican national, crossing a international border illegally, while carrying illegal substances on theyre backs not only recieves a fraction of what a US citizen recieves, but atleast in AZ, they only have to serve half of they're sentence before being deported home and released. No, I never see the diesels full of heroine being busted and reported. Which appears quite odd to me, considering the national heroine overdoses has quadrupled since 2011. Take in to consideration thas only the overdoses mind you. Not new users of which I am sure that number is staggering. To even supply the amount needed to quadruple the number of overdoses in 5 years is unbelievable. That my readers, is a lot of dope. Now to think of how much would realistically have to cross that line to supply all those cash paying US citizens you would someone that lives in a narco border state would be seeing busts left and right. I dont. No I most certainly do not. The only explanation is that the cartels obviously have help. Sure they cough up a couple pounds of before mentioned weed, along with a couple Mexicans whom are looking to get a debt cleared, and the feds can give Joe public some type of satisfaction where they're taxes for this war on drugs is going. So the government tapped in to the opiate trade and they are getting nice and fat off the misery and imprisonment of its citizens. The fix to this whole mess would be to legalize narcotics and let the chips fall where they may. The price would plummet along with the crime rates. Much like it did with prohibition so long ago. Since the US is by and large the largest consumer of narcotics around the world, and our narcotics dollar price is that which many countries base they're narcotics prices against, the cost amount would drop world wide. Not to mention our prisons, which coincidentally has the largest population of incarceration in the world as well, would virtually empty out. Drug offenses are the majority of crimes. And those that are not drug offenses, such as robberies, and violent acts, are usually a by product of the inflated cost of illegal drugs as well. From a buisness percpective, why would they legalize it? No company in a clear state of mind would give up a multi billion dollar a year income. Not only do they get a cut from sales and trafficing, but get to arrest and jail those with which the drugs are smuggled and sold to. Then they sieze that citizens accounts, assets, freedom, and there is no one to stop it. Admittedly it's a beautiful buisness model. Crush a legal product, import a illegal one, create the demand, control the supply. It's ingenious. Unfortunately it is us, the American citizen, that is the one who is left to deal with the devastating consequences of this greed. Our government is a slave to the dollar and we the Republic are the commodity.. Matt Johnson
  • Joe Joseph
    Feb. 11, 2016
    I know this original post was from 2009, but this thread pops up in Google search on this topic so it is something people are using as a reference still. I am a nurse, and I have fibromyalgia and osteoarthritis. I have 10-30mg every 4 hours of oxycodone as needed, and that is in addition to 100mg of extended release morphine twice a day. So I do not think this...
    RHMLucky777
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    I know this original post was from 2009, but this thread pops up in Google search on this topic so it is something people are using as a reference still. I am a nurse, and I have fibromyalgia and osteoarthritis. I have 10-30mg every 4 hours of oxycodone as needed, and that is in addition to 100mg of extended release morphine twice a day. So I do not think this dose is too high for someone in your case. The big thing is whether the person is opioid naïve or experienced. I am opioid experienced, meaning I have been taking this dose for years to control my pain. If someone who is opioid naïve (meaning they do not have a built up tolerance to narcotics) tried to take the dose of drugs that I take, they would probably become very somnolent or stop breathing. In Jeffs case, he was not taking a dose that I consider dangerous for him in that situation. He had been taking Vicodin prior to using the oxycodone so he had a tolerance and I do not think 20mg of oxycodone twice a day was that horrible of a thing. But there are also short acting and long acting forms of narcotics. For people with chronic long terms pain, the best management is to put them on a dose of something that provide extended release for 12 hours, then something short acting to cover break through pain as needed. (Like my dose above). If you have chronic pain, do not waste your time seeing your primary care physician, they are usually like the VA doctors and are afraid to dispense narcotics because of all of the national concern of high dose prescription narcotics. You need to see a pain management specialist, because they are willing to give what it takes to manage a persons pain and they are given the leeway to do so because of their additional training as a specialist. And hell, even if you are not having long term chronic pain, but have something that is just going on for a few weeks or a few months but your doctor is not treating your pain well, demand to have a consult with a Pain Management Specialist. As a nurse, it pisses me off when people in real pain are labeled drug seekers and addicts when they are just people living with horrible pain.
    • mpoplin
      Apr. 23, 2016
      I have gone to a pain specialist center for several years due to chronic advanced neuropathy, especially in my hands. I am now on 15 mg 4 times a day, but it does NOTHING to relieve the horrible pain. I am pretty much housebound due to this pain and I tell them every time I go that 15 mg is not working. They won't raise it for some reason. I am 66 years old,...
      RHMLucky777
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      I have gone to a pain specialist center for several years due to chronic advanced neuropathy, especially in my hands. I am now on 15 mg 4 times a day, but it does NOTHING to relieve the horrible pain. I am pretty much housebound due to this pain and I tell them every time I go that 15 mg is not working. They won't raise it for some reason. I am 66 years old, but should not have to live in so much agony.(I am typing this with one finger because I keep my hands balled up.) I get very little sleep because I wake up in pain. I guess I am opioid intolerant to this dosage. Should I go to a different pain center? This one does not listen to me tell them 15 mg is not working! I have tried massage, acupuncture, whatever I can for relief. I am desperate. I want to have a life again!! Thank you for any advice.
    • eileenlegge
      May. 01, 2016
      Dear MPOPLIN, It sounds like you have RSD/CRPS ... have you been diagnosed with this disease? I ask because I have it. It usually begins with an injury to one limb and can remain there or begin spreading to other limbs/areas of the body. It causes deep bone pain, muscle pain and intense neuropathic pain. Best treatment is from a team of specialistsome from...
      RHMLucky777
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      Dear MPOPLIN, It sounds like you have RSD/CRPS ... have you been diagnosed with this disease? I ask because I have it. It usually begins with an injury to one limb and can remain there or begin spreading to other limbs/areas of the body. It causes deep bone pain, muscle pain and intense neuropathic pain. Best treatment is from a team of specialistsome from neurologists, pain management, PT/OT, and psychologist to learn how to handle the pain along with adjusting to your new reality. Spinal Cord Stimulators work very well for neuropathic pain as it won't respond very well with opiods for many. I take a long acting opioid and anot here for breakthrough pain (which is all the time) and am waiting to begin a trial for an SCS implant. I wish you all the best, please hang in there!
    • capntucker7
      May. 03, 2016
      OMG!!!!! Finally I read someone with common sense and no stereo typing us people who live with cronic pain and take absolutely as directed!!!! Even pain clinics now here in Knoxville, Tn. are treating patients as drug seekers!!!! Pisses me off something awful!!! Is there a Pain Managment in Knoxville ,tn. that CARES about controlling pain without keeping you...
      RHMLucky777
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      OMG!!!!! Finally I read someone with common sense and no stereo typing us people who live with cronic pain and take absolutely as directed!!!! Even pain clinics now here in Knoxville, Tn. are treating patients as drug seekers!!!! Pisses me off something awful!!! Is there a Pain Managment in Knoxville ,tn. that CARES about controlling pain without keeping you down to Baby Aspirin drugs????? Steve B.
  • adam999
    Feb. 04, 2016
    Dosages are unique to the patient, and there is no way for anyone out here to know if the 20mg twice a day is too high for YOU. HOWEVER! Based on your very well worded testimony which states what you were prescribed before the Oxycodone, and how the 5mg 3x a day wasn't helping, I would say no, it's not too high. Now you're also learning where honesty gets you....
    RHMLucky777
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    Dosages are unique to the patient, and there is no way for anyone out here to know if the 20mg twice a day is too high for YOU. HOWEVER! Based on your very well worded testimony which states what you were prescribed before the Oxycodone, and how the 5mg 3x a day wasn't helping, I would say no, it's not too high. Now you're also learning where honesty gets you. While you definitely did the right thing telling the first Dr about the 2nd prescription, look at the mess now. Had you not reported it, the new database being put in place tracks every prescription we get and where, and I think this is a great idea, so they would have found out anyway and probably labeled you a Dr shopper and cut you off (then you'd never get anything from anyone anywhere). Oxyxodone is one and a half times stronger than Hydrocodone (Vicodin), and it does not put Acetaminophen (Tylenol) into your liver. Twice a day sounds more to me like an Oxycontin direction ("contin" meaning continuous release), as an immediate release Oxycodone is commonly prescribed at one every 4-6 hours, every 6 hours at best, as it starts to wear off at 4 hours. Bottom line, welcome to the :oh, you want drugs do ya?" mess we're in. It's bad and getting worse every day as the legit patients fall through the cracks in the name of "saving us from ourselves."
  • allidawebb
    Jan. 11, 2016
    I suffer from herniated disk at C4, with an outstanding amount of degenerative disc disease and stenosis. I am 58 yr old, female living in Alabama. I just had MRI's done because it had been since 2010 was my last one. I was with out a job, so no insurance for 6 years. Then I got the Obamacare, as I occasionally get a temporary office job from Agencies. I am...
    RHMLucky777
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    I suffer from herniated disk at C4, with an outstanding amount of degenerative disc disease and stenosis. I am 58 yr old, female living in Alabama. I just had MRI's done because it had been since 2010 was my last one. I was with out a job, so no insurance for 6 years. Then I got the Obamacare, as I occasionally get a temporary office job from Agencies. I am given 10mg Oxycodone IR, 4 times a day, it took and act of Congress to get that. I was fine with it for a long time, now back in April, my big Anatolian Shepard dog saw a rabbit before me, and took off, she was leashed so she got about 3 ft and since I wasn't prepared for it, I got yanked and lost balance and went down on left wrist and face mostly. Good thing was it was grass and dirt, so my face was ok, but wrist swelled up. Was sore to use for 2 weeks, just when it was getting better, I tried to pick up something too heavy and must have aggravated it, because within 24 hrs it swelled back some, but worst was it went numb. I already have the nerve slightly pinched on right side from a chiropractor adjustment over 10 yrs ago. I had some really scary things happen right after this, both arms were numb and tingly, and I lost tremendous amt of strength, I could not even throw my towel over the shower curtain rod anymore. I told my pain mgmt nurse, and she referred me to Neurosurgeon. He looked at MRI and couldn't see anything, so referred me to Neurologist, and he only gave me Neurontin time released. I hate it, it makes me so sleepy, and I get bumps on my tongue. He did nerve conduction and ordered contrast MRI of neck and brain. The brain came back fine, I guess he was making sure I didn't have a stroke. The neck showed the old slight pinching of the nerve, but the left looks fine. there was a light patch in spine that the Surgeon called a UBO, unidentified bright object. The contrasting one doesn't show it much more. Surgeon to my great disappointment didn't recommend surgery. Neurologist agreed and said yes well maybe you bruised your spinal cord, (surgeon originally offered this) So I'm stuck with numbness on both sides though it has gotten better. I also kept using arms at a temp job that I had to do a lot of packet stuffing, filing etc. helped because I can now throw the towel over the rod again. Barely. But my neck spasms, neurologist commented on how I must have really bad spasms after looking at MRI. I am given 3 flexaril 10mg day. But my pain meds now run out of power at 4 hours, not the 6 hrs they used to and what I'm prescribed. I try to hold off, but if I am to function, go anywhere do anything I need one ever 4 hrs, which correlates into 5 a day. The Nurse Practitioner, just won't up it. She said" The world of narcotic Pain Medication has changed!) So I guess that's all is recommended to them. But I now have to chose 2 hrs of pain or take them every 4 hrs and run out 3-4 days before I'm allowed new rx. I actually have the rx every 28 days, but Pharmacy won't fill till 30 days. So this leaves me withdrawing excruciatingly a couple of days before Rx fillable, or put up with the 2 hrs pain ever 4 hrs. Sometimes it does last 6, but rarely. Why won't they give me the one more pill, I don't think 15mg 4xday would help. I don't need it stronger just more often. I know people who get 30mg 2xday. that's 60mg a day, I'm only asking for 50mg/day.
    • lgeralyn
      Aug. 25, 2016
      I would try to find a palliative care clinic and try longer lasting options like fentanyl patches or methadone. In fact, methadone works better for nerve pain that any other opiate. You can take low doses and still get seamless pain relief. Dont try oxycontin- they marketed it as an 8 hr pill just to be different, even though their own studies proved it runs...
      RHMLucky777
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      I would try to find a palliative care clinic and try longer lasting options like fentanyl patches or methadone. In fact, methadone works better for nerve pain that any other opiate. You can take low doses and still get seamless pain relief. Dont try oxycontin- they marketed it as an 8 hr pill just to be different, even though their own studies proved it runs out after 6 hrs.
  • Jessie532
    Nov. 23, 2015
    My first question to you is: what state do you reside in? I've lived in several. So I know that each state has a different judgement when it comes to pain medication. Do I feel that your dosage is high? Absolutely not, but I reside in TX. I know when I lived in MD it was unheard of to receive oxycodone anymore. So it was VERY difficult to transition from 3...
    RHMLucky777
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    My first question to you is: what state do you reside in? I've lived in several. So I know that each state has a different judgement when it comes to pain medication. Do I feel that your dosage is high? Absolutely not, but I reside in TX. I know when I lived in MD it was unheard of to receive oxycodone anymore. So it was VERY difficult to transition from 3 30mg of oxycodone a day, to 2mg twice a day of Tylenol 3!! NOW, I'm back in TXt thank God & my pain has worsened due to MANY health reasons. My current dr has me on 5 10/325 Norco & 5 20mg oxycodone daily. Which btw, ARE the normal doses to receive. Anytime I have a surgery scheduled, they up BOTH to 6 of each a day. Then, after 2 months, I lower back to 5 a day of each. Since I'm not a dr, I can't tell you why I think your doctors think you're on high amounts. However, due to my experience, bc I've been on pain management for MANY years, I find myself curious as to why the V.A. is less compassionate than other pain management facilities. Especially being a vet, I'd think they'd have WAY more compassion & be incredibly understanding to your needs! At least treat you with much more respect than it seems. I'm so sorry for the difficulties you're having. I hope you find a doctor that's better suited for your needs! Also, I'd like to thank you for your services in helping me have my freedom in this country we all call home!! I am forever grateful & in debt to your honor!! I thank God for men like you that are so incredibly brave & put your life on the line so that we may live our's!
  • camdendavid
    Oct. 16, 2015
    You are not being treated fairly! I was in a car accident at 25 years old I have 7 herniated disk and on that has fused by its self. I was on 10mg of Lortab every 6hrs. It worked for about a year. A year later I wanted to go back to work as a hvac tec. So I asked my doc to put me on something stronger. He put me on Roxicodone 15mg every 6hrs I took NAME BRAND...
    RHMLucky777
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    You are not being treated fairly! I was in a car accident at 25 years old I have 7 herniated disk and on that has fused by its self. I was on 10mg of Lortab every 6hrs. It worked for about a year. A year later I wanted to go back to work as a hvac tec. So I asked my doc to put me on something stronger. He put me on Roxicodone 15mg every 6hrs I took NAME BRAND is much stronger better pain control. I worlds for 2 years now I am 28 years old. I tore lower back muscle all the way across my back was in the bed and had to sit all day for almost a year. Wife left me lost my beautiful condo, my 65inch TV king size bed you name it. I couldn't walk and she said you need to go into a nursing home I don't want to do us anymore we been together for eight years. I went back to the doc and got on 30mg Roxicodone every four hours six times a day,and I had epidural injections and 25mmg of fyentynal every 3 days and flexeral muscle relaxers. And a few more meds. 5mg rox 3 times a day is VA does because a lot of people at the VA and financial straits and the DEA stays on the doctors asses at the VA they don't like to prescribe the maximum is 10 mg every four hours and you really have to plead with your doctor to get them to give you that I have a friend that's a retired veteran. There's been a lot of veterans that have committed suicide because the doctors of lowered their pain medication and the vets couldn't handle the chronic pain they had to deal with. Honestly it's auto forwarded you a be better off to go see a doctor for pain management doctor in the private sector you'll get much better care for your chronic pain and more compassion.
    • mrstrex7
      Oct. 21, 2015
      Maybe you can help me with my question. My dad has been a addict as long as I can remember (to various things), which is why I rarely see him. For quite a few years now its been pills. He also goes to the VA, and I've often wondered why do they keep prescribing him meds when besides aging, ( when he is sick or is in the hospital, he always complains they're...
      RHMLucky777
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      Maybe you can help me with my question. My dad has been a addict as long as I can remember (to various things), which is why I rarely see him. For quite a few years now its been pills. He also goes to the VA, and I've often wondered why do they keep prescribing him meds when besides aging, ( when he is sick or is in the hospital, he always complains they're not giving him enough pain medicine and eventually leaves against medical advice) he's never had a major accident. I just found his VA scripts and he's being prescribed oxycodone 5mg immediate acting 1 every 6 hrs (120 month) & 40mg oxcodone extended release 2 pills 3 times a day (180 month). Its obvious to everyone he's messed up so why does the VA dr still prescribe them to him? Its frustrating.
    • Hrafna
      Feb. 03, 2016
      Yes I agree it's better to go to private sector and pay. Oxy 20 mg is half the price of Vicodin/norco/hydrocodone and morphine. Sorry for your challenges. Here in Hawaii it's hard to get the opioids and I had to go through ten docs before I finally found one who gives me a rx comparable to this person. Even at the higher dosages we are taking there are days...
      RHMLucky777
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      Yes I agree it's better to go to private sector and pay. Oxy 20 mg is half the price of Vicodin/norco/hydrocodone and morphine. Sorry for your challenges. Here in Hawaii it's hard to get the opioids and I had to go through ten docs before I finally found one who gives me a rx comparable to this person. Even at the higher dosages we are taking there are days the meds don't work. To have to live each day in chronic pain can easily lead to depression and thinking of suicide. I hope you get the dosage u need even if you have to pay. Sometimes in life it's better to just pay although u may qualify for free if they don't give u enough. Don't give up until u find the right doc. Take care.
  • adkinsjovon
    Oct. 13, 2015
    I have MS with chronic pain, I have had this migraine for 2 years straight now, I have tried everything and the only thing that works is the oxycodone, I take 1 30mg immediate release tablet every 4 hours so I take them 6 times a day, so 20mg twice a day is really nothing foreal.
    • lynn
      Oct. 15, 2015
      do you mind me asking what state you are in i was taking the dose you are until the dea got involved and dr had to lower me to 4 a day i have been on them for about 8 years gradually went up due to tolerance i was fine with the 1 every 4 hrs dont need anymore then that i dont want to dr shop thats why im trying to find help from a person like me that needs...
      RHMLucky777
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      do you mind me asking what state you are in i was taking the dose you are until the dea got involved and dr had to lower me to 4 a day i have been on them for about 8 years gradually went up due to tolerance i was fine with the 1 every 4 hrs dont need anymore then that i dont want to dr shop thats why im trying to find help from a person like me that needs medicine for pain i was hoping someone on one of these chat sites would be able to help me find a dr in my area which is in az
    • mrstrex7
      Oct. 21, 2015
      Maybe you can help me with my question. My dad has been a addict as long as I can remember (to various things), which is why I rarely see him. For quite a few years now its been pills. He also goes to the VA, and I've often wondered why do they keep prescribing him meds when besides aging, ( when he is sick or is in the hospital, he always complains they're...
      RHMLucky777
      Read More
      Maybe you can help me with my question. My dad has been a addict as long as I can remember (to various things), which is why I rarely see him. For quite a few years now its been pills. He also goes to the VA, and I've often wondered why do they keep prescribing him meds when besides aging, ( when he is sick or is in the hospital, he always complains they're not giving him enough pain medicine and eventually leaves against medical advice) he's never had a major accident. I just found his VA scripts and he's being prescribed oxycodone 5mg immediate acting 1 every 6 hrs (120 month) & 40mg oxcodone extended release 2 pills 3 times a day (180 month). Its obvious to everyone he's messed up so why does the VA dr still prescribe them to him? Its frustrating.
  • Tdarr47
    Feb. 05, 2015
    I am on 7.5 325 mgs q 4hrs. of oxycodone. And 30 mgs of morphine q12 hrs. For rsd. An adult can take approx. 60 mgs of oxycodone a day, you are on 5mgs q 8hrs. For a total of 15mgs. I hope you can find a doctor who understands pain and pain mngt. There are better meds for chronic pain, such as dilaudid 4mgs q4 to 6hrs. Or fentanyl patches. I am very sorry that...
    RHMLucky777
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    I am on 7.5 325 mgs q 4hrs. of oxycodone. And 30 mgs of morphine q12 hrs. For rsd. An adult can take approx. 60 mgs of oxycodone a day, you are on 5mgs q 8hrs. For a total of 15mgs. I hope you can find a doctor who understands pain and pain mngt. There are better meds for chronic pain, such as dilaudid 4mgs q4 to 6hrs. Or fentanyl patches. I am very sorry that your doctor does not understand pain and the trouble it causes us. Also I want to thank you for your dedication and fighting for our country. Maybe in the future you can find a doctor who can dedicate himself to helping you and your pain. If there is anything I can do for you just ask. Thanks again.
    • gpalm09
      Oct. 14, 2015
      Over a year ago i was on 120 Norco 10/325. Eventually my quantity got lifted to 150 a month. Eventually it went up to 180 a month which is every 4 hours. After a year i told the doctor that it helps when i take 1 1/2 to 2 pills. He then changed me to oxycodone 10/325. It helped for 3 months. I was then put on hydromorphone. 4 mg. I looked it up and it said...
      RHMLucky777
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      Over a year ago i was on 120 Norco 10/325. Eventually my quantity got lifted to 150 a month. Eventually it went up to 180 a month which is every 4 hours. After a year i told the doctor that it helps when i take 1 1/2 to 2 pills. He then changed me to oxycodone 10/325. It helped for 3 months. I was then put on hydromorphone. 4 mg. I looked it up and it said that is equal to 30 mg morphine. I was able to take 1 or 2 every 4 hours. One pill did not touch my pain. When i took one them an hour later took one more, i felt so sick in my stomach. I gave the meds back to the pain management doctor. He put me back on oxycodone 10/325. About two weeks ago i got my nerves burnt off my lower spine. It's the best thing that could have happened. No it's my middle, and upper back and my neck that are horrible. My doctor asked if the oxycodone 10/325 still helps but by taking 1 1/2 to 2 pills. I said yes. I asked if there was a dose of 15/325 or 20/325. He said no but told me there is i think he said 15 mg of oxycodone and there is 20 mg of oxycodone which is stronger then what i was taking and even so cause there is no Tylenol and it's pure oxycodone. So i need to wait till tomorrow to pick it up cause the drug store didn't have 180 of them. I sure hope it helps the pain.
  • emuh1eeee
    Jan. 28, 2015
    I was in a car accident, had 10 fractures. I am prescribed 10 mg oxycodone 4x a day and opana er 10mg 2 times a day, I started on 20 mg oxycontion 20mg er then 10 mg pnr but that wasnt much help. Then I was on a fentanyl patch 25 mcg, every 3 days. It doesn't take all the pain away but if i'm late on a dose i can definitely tell because I'm in so much pain....
    RHMLucky777
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    I was in a car accident, had 10 fractures. I am prescribed 10 mg oxycodone 4x a day and opana er 10mg 2 times a day, I started on 20 mg oxycontion 20mg er then 10 mg pnr but that wasnt much help. Then I was on a fentanyl patch 25 mcg, every 3 days. It doesn't take all the pain away but if i'm late on a dose i can definitely tell because I'm in so much pain. Imo, thats a low dose especially for your size. I'm 110 pounds. If anything, you should be increased, but if what you're taking works then its better then increasing.
  • any2cards5150
    Jan. 28, 2015
    I am I the same situation. I was rated at 60% from VA when I got out of the Army and bumped up to 100% after several years. I've been on every pain pain their is and i cant believe the problem you are having. I go to Fresno VA hospital and currently take Oxycodone 5mg IR as needed for breakthrough pain with 240 pills issued a month along with 40mg SR @ 90 pills...
    RHMLucky777
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    I am I the same situation. I was rated at 60% from VA when I got out of the Army and bumped up to 100% after several years. I've been on every pain pain their is and i cant believe the problem you are having. I go to Fresno VA hospital and currently take Oxycodone 5mg IR as needed for breakthrough pain with 240 pills issued a month along with 40mg SR @ 90 pills a month for 3 times a day. I have never had any problems getting any meds. It must be you doctor's wherever you are. If the pills don't work try asking for fentanyal patches. They start you off slow at 25 MG and increase up to 100mg patches over a few months. I switch back in forth between pills and patches. PATCHES are better because they last up too 3 days at a time without side effects like constipation. Only problems I have is itching sometimes especially if you accidentally get it to wet and get water under patch. Just be careful when they and place them around underwear line to hold in place better. I hope this helps you out. Last 5 MG to 20 MG IR can be considered a lot that's why you should ask for slow release in conjunction with 5 MG IR and you should be fine.
  • drvaleithian
    Dec. 18, 2014
    I am a psychologist who works with many clients with chronic illness/chronic pain. There has been a big turnaround in the medical field regarding opioids for chronic pain, and it's starting to swing again. When I did a year fellowship in a multidisciplinary pain clinic 23 years ago the first thing the MDs did was take people off any opioids they might be taking....
    RHMLucky777
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    I am a psychologist who works with many clients with chronic illness/chronic pain. There has been a big turnaround in the medical field regarding opioids for chronic pain, and it's starting to swing again. When I did a year fellowship in a multidisciplinary pain clinic 23 years ago the first thing the MDs did was take people off any opioids they might be taking. In the last 10 years, pain specialists have prescribed opioids regularly, and I've heard/read quotes that essentially say that getting a person as pain-free as possible is the first step, because clients often aren't "compliant" with exercise, PT, OT, or whatever else if their pain is too high. Things have recently started going back in the more conservative direction. Laws have recently passed in some areas of the country - maybe the whole country, not sure - reclassifying opioids as "schedule II" medications, meaning that a person has to have a fresh paper prescription every time - no refills, no called, faxed, or e-mailed prescriptions, etc. I think - just my personal opinion, not a medical opinion, that these changes are reactionary and because of political pressure rather well-reasoned medical decisions or evidence that prescription practices with people with chronic pain are actually leading to more addiction. I have known people on many different opioids at a wide range of doses, and I'm not a prescriber, so I don't want to give an opinion on a "reasonable" dose. My recommendation would be to do your best to find a doctor or clinic that specializes in treating chronic pain. In some places such doctors go by the title "physiatrists" (not to be confused with psychiatrists), physical medicine and rehabilitation (PMR) docs, or even sports medicine docs. I don't know how easy it will be to find someone in your area that is a pain specialist, or, even better, a multidisciplinary pain treatment program that includes PT, OT, and psychology services as well as medical treatment such as meds, injections, etc., but if it is possible, that is what I would recommend. The psychology part, by the way, in no way implies that the pain is caused by or even worsened by psychological factors. Rather it is because being in pain all the time causes emotional issues, family issues, grief and loss issues.... Generalists often under-prescribe opioids for fear of "enabling" addiction. Pain docs usually don't, because they know more about treating chronic pain. And they know that the research on getting addicted to opioids indicates that keeping pain at a low level consistently is much less likely to lead to addiction than being in high pain until the person "can't stand it" then getting relief. It is the relief, which feels SO good after high level pain, that is psychologically addictive, and for most "addicts" the psychological factors are harder to fight than withdrawal sx that might occur when someone quits taking an addicting medication or drug, including alcohol and tobacco. Good luck to you.
    • astroception1
      Aug. 03, 2015
      I just wanted to say that your post was one of the best I have read in a while.
    • eileenlegge
      May. 01, 2016
      I have RSD/CRPS in 3 limbs now as it keeps spreading, so you can imagine the pain that consumes my life. Your post is spot on. It takes a multidisciplinary team to properly manage severe pain and even then it's a struggle. Most neuropathic pain is difficult to conquer and personally I haven't had success with opioid therapy. Even with 150mcg (2 patches) every...
      RHMLucky777
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      I have RSD/CRPS in 3 limbs now as it keeps spreading, so you can imagine the pain that consumes my life. Your post is spot on. It takes a multidisciplinary team to properly manage severe pain and even then it's a struggle. Most neuropathic pain is difficult to conquer and personally I haven't had success with opioid therapy. Even with 150mcg (2 patches) every 48 hours instead of 72 hours, as well as 15mg oxycodone, 3200mg gabapentin/day, as well as Zanaflex, I am still at an 8/10 on the McGill pain scale. Even I realize that there's no point in increasing dosages-my body isn't responding. I'm going to try spinal cord stimulation to see if I can fool my pain pathways by disrupting the messages. Wish me luck because I can't keep going on at this level of pain. If it even decreases my level 50% I will be in heaven!
  • lynn
    May. 03, 2014

    I was on a 30 mg every 4 hrs. 180 tabs monthly for chronic pain my dr just told me the fda put a restriction on dosages my dr has to take me down to 30 mg every 6 hrs 120 monthly i've been on the higher dosage for a few years now for pain day and night i wake up in middle of night with pain my question is how can fda know what you need for your pain has anyone...

    RHMLucky777

    Read More

    I was on a 30 mg every 4 hrs. 180 tabs monthly for chronic pain my dr just told me the fda put a restriction on dosages my dr has to take me down to 30 mg every 6 hrs 120 monthly i've been on the higher dosage for a few years now for pain day and night i wake up in middle of night with pain my question is how can fda know what you need for your pain has anyone else came across this problem maybe my dr just wants excuse to lower not sure i know it all comes down to people abusing this hurts the people who need it

    • drvaleithian
      Dec. 18, 2014
      It's not just your doctor; opioids have recently been reclassified as Schedule II medications, meaning more difficulty filling prescriptions - no refills, no e-mailed, faxed, or phoned-in prescriptions, etc. - and limits on prescribing and/or lots more documentation required when prescribing, are happening all over the place. I think (personal opinion not professional...
      RHMLucky777
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      It's not just your doctor; opioids have recently been reclassified as Schedule II medications, meaning more difficulty filling prescriptions - no refills, no e-mailed, faxed, or phoned-in prescriptions, etc. - and limits on prescribing and/or lots more documentation required when prescribing, are happening all over the place. I think (personal opinion not professional opinion) that it is reactionary and political rather than sound medicine. You might want to write your representatives and senators at the state and federal level, write letters to the editors of local newspapers, add comments online when appropriate, etc. May not do any good, but it can't hurt, and it might feel good emotionally to get your story out there.
    • immaculatecopeland73
      Mar. 02, 2015
      I just found out that after getting 120 oxycodone a month mine are being dropped to 90,because Indiana is only allowing 60 mg to be giving daily which equals 3 of my 20's.😡
    • js
      js
      Mar. 16, 2015
      I truly know what you mean. How the hell, can the government dictate to not only myself, but to my doctor, what medicine and how much I can or should take. I have been on oxycodone for years now, (after a semi truck broadsided me). I have tried every other pain med out there, but the oxycodone is what works best for me. I have injuries that there is either...
      RHMLucky777
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      I truly know what you mean. How the hell, can the government dictate to not only myself, but to my doctor, what medicine and how much I can or should take. I have been on oxycodone for years now, (after a semi truck broadsided me). I have tried every other pain med out there, but the oxycodone is what works best for me. I have injuries that there is either no fix for, or that the surgery to fix them would either leave me in worse pain or possibly result in DEATH. I am currently taking 30 mgs - 6 times a day. As I also wake in the middle of the night, and have to take a pill, just to get enough relief, so I can get back to what little sleep i get. My other doc's, finally sent me to a pain management psychiatrist (head doc). Best thing to ever happen to me. Due to having (on top of everything else ) chronic disease, which affects your liver, I am unable to take any drugc in the NSAIDS FAMILY. Nor can I take time release med's. I can tell you from experience, and you can also check the web, but taking any medication with Tylenol or any other anti-inflammatory additive, especially long term, can and will do irreparable damage to your liver and possibly your kidneys. Have you tried for Medicare disability? At least you would get help with your med's then. I wish the best for you.
    • david11a
      Jul. 28, 2015
      DEA has gotten involved, I don't know why but thier limit on class two is 120 per month any dosage for same chemical make-up of drug.
    • adkinsjovon
      Oct. 13, 2015
      I'm on 6 30 mgs a day too, 180 a month. I haven't had that problem yet but if I do come across it, I have all the doctors I need to back me up and the test to prove I need it too. The FDA only knows what the doctor tells them and the test he has done, so yur doctor isn't doing his job if they made him lower yur perscription.
    • gpalm09
      Oct. 14, 2015
      Do you go to a pain management doctor or your own general physician. My regular doctor told me a year ago she can't prescribe any more pain meds that i need to go through pain management.
    • godshappychild
      May. 25, 2016
      I had the same problem. I was taking 15 mg 6x daily and my Dr said that was too much wanting me down to 15 mg 4x daily. He told me we would not go below 4 tabs daily because that would be too difficult on me that I would be miserable most of the day if I did. Now apparently the laws have changed and i am only allowed 15 mg 3x a day, and I am not making it on...
      RHMLucky777
      Read More
      I had the same problem. I was taking 15 mg 6x daily and my Dr said that was too much wanting me down to 15 mg 4x daily. He told me we would not go below 4 tabs daily because that would be too difficult on me that I would be miserable most of the day if I did. Now apparently the laws have changed and i am only allowed 15 mg 3x a day, and I am not making it on that! I don't understand how the insurance companies or the government can tell my Dr what I need for my pain! Pisses me off that I have been on this pain medication for 5 plus years and now all the sudden the government want to dictate what my needs are and what I can be reasonably prescribed. They are not involved in my healthcare they do not see my x rays or feel my pain level so how can they step in and limit my pain medications not knowing any of the facts surrounding my case!! Very frustrated in Washington State
  • Anonymous
    Hunky
    Jan. 13, 2014

    This is a response to your post of 11-09, it's now 1-13-14.  It may be too late and maybe you've solved your problem by now. I have back pain from a vertabral replacement, shoulder pain, and knees.  I've been taking it for 2-1/2 years and have had one increase of mg in that time. I'm on prescribed 330 mg per 24 hr. day. I am 360 pounds.  Im...

    RHMLucky777

    Read More

    This is a response to your post of 11-09, it's now 1-13-14.  It may be too late and maybe you've solved your problem by now. I have back pain from a vertabral replacement, shoulder pain, and knees.  I've been taking it for 2-1/2 years and have had one increase of mg in that time. I'm on prescribed 330 mg per 24 hr. day. I am 360 pounds.  Im at the point where I'd like a little more, but I'd don't think he'll do it.  I never got a buzz of any kind, but have to admit early into the use, I would get very sleepy, which I hate.

  • gemstone
    Dec. 09, 2013

    It seems the doctors want me to suffer . Pain is often ignored !!! I relize many people abuse meds but what about the people that are in severe pain ? Pain Management is a joke . Its all about the Benjamins !!

    • gpalm09
      Oct. 14, 2015
      If they could only give 120 pain pills them could they also give a script for also another different pain pill foot 60 more to equal the 180?
    • LaEast
      Oct. 28, 2015
      Sadly, I believe this is part of our problem. Why people turn to drug use and abuse. It is totally impossible to get pain mess from any Doctor in our area. I am in chronic pain and just recently twisted and Sprained my wrist so bad j thought it was broke. They even so much told me " my blood pressure was slightly elevated" and wanted to put me on s b/p pill!!!!!...
      RHMLucky777
      Read More
      Sadly, I believe this is part of our problem. Why people turn to drug use and abuse. It is totally impossible to get pain mess from any Doctor in our area. I am in chronic pain and just recently twisted and Sprained my wrist so bad j thought it was broke. They even so much told me " my blood pressure was slightly elevated" and wanted to put me on s b/p pill!!!!! Really? I came in for X-Rays and something for my pain. As a nurse, we access pain status. Those that are unable to talk but show other signs of pain eg ( increase blood pressure)... It's your body having pain.... Raising up your b/p. I'm so disgusted with our Doctors here in the U.S. So when in pain ... I call into work for a sick day. It's a complete circle of BS. Any good Doctors in Canada that understands a patient chronic pain condition and prescribing proper mess?
  • Anonymous
    Faye Wilson
    May. 20, 2012

    I accidently took two 30mg oxycodone. I meant to take zanax, but they are both blue. I had taken my one regular 30mg oxycodone an hour before. I am also wearing my regular, one every 3 days, 75mcg/h Fentanyl patch,..on my 2nd day. Should I take the patch off? Where I live, it is bedtime. If I go to sleep, will I wake up?Thanks to anyone who answers. 

    • Kim
      Kim
      May. 21, 2012
      Hi Faye, It is ok to take both fentanyl and oxycodone at the same time. I would think you should be ok as long as you do not have shortness of breath, nausea or any other adverse reactions. If you have any of those symptoms take off the patch and call 911. I had an adverse reaction to Percocet and fentanyl together but it was the patch that was the issue. Be...
      RHMLucky777
      Read More
      Hi Faye, It is ok to take both fentanyl and oxycodone at the same time. I would think you should be ok as long as you do not have shortness of breath, nausea or any other adverse reactions. If you have any of those symptoms take off the patch and call 911. I had an adverse reaction to Percocet and fentanyl together but it was the patch that was the issue. Be careful with those things. If they get to hot they will release the medicine faster than it should. I am currently on 4 15 mg of oxycodone should be 6 so you should be safe with the dosage you took.
  • Anonymous
    BrokenSailor
    Dec. 15, 2010

    Hi,

      I am a VA patient also in Chronic pain.  You can get your disability papers filled out by the VA by bringing them to the Release of Information department.  They will take the paperwork and have a doctor fill it out for you.  You cannot go to the doctors directly.

     

    At 60% you need to work the VA system better.  I suggest...

    RHMLucky777

    Read More

    Hi,

      I am a VA patient also in Chronic pain.  You can get your disability papers filled out by the VA by bringing them to the Release of Information department.  They will take the paperwork and have a doctor fill it out for you.  You cannot go to the doctors directly.

     

    At 60% you need to work the VA system better.  I suggest you join the DAV.  It is non-profit and will file your petition for increases and new disabilities such as PTS due to pain and Insomnia.  This gives you a Mental Health disabilty wich will give you another 10%.  Also if you have ringing in the ears from using weapons and or machinery (Tinitus) that is another 10% and they cannot prove you don't have it. You need to have one injury at 40% and three at 10% for a total of 70% and you can file for unemployability with the VA.  This will then make you 100%. Since you are over 50% all medical issues are covered for you.  I am assuming service connected...

     

    You also need to get into a VA chronic Pain clinic.  You need to get a consult from your primary care doc and then see the chronic Pain clinic.  There are too different clinics.  Anathesia Pain Management and Pain Management and Rehab (PMNR).  Anathesia pain management will give you trigger point injections, Beir Blocks, Spinal blocks, etc.  PMNR will get you into a medication regime. They can also get you canes, walkers, wheel chairs, ramps, etc.   Talk to the Vietnam vets hanging out to be picked up by transportation and you will learn a lot.  You can also have your primary care doctor request that your receive free transportation to the VA facility at your rate.  This will help, since driving on meds and in pain is not advisable.  This also builds your case.  You need to play the game to get the service you deserve.

     

    I would suggest that you inquire about a Fentynal Patch and use Oxycodone for breakthrough.  They may try to start you on Morphine Sulfate as this is much cheaper.   Get a not from somone that you cannot function or have severe side effects and they will move you to the Fentynal patch.  The Morphine really messes with your GI...constipation. 

     

    I am currently on 75 ug/hr of fentanyl with 5 mg/8 hours for breakthrough.  The breakthrough is not cutting it and the doctor is not budging on the this.  They are likely to move me up on my patch.

     

    I have been through many needles over many years and many different meds.  So far this is the best.  I have a paralyzed siatic nerve plus other damage, missing part of my leg.

    • Jeff L
      Dec. 15, 2010

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      RHMLucky777

      Read More

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      Hey BrokenSailor, thanks for the good advice – I know it’s good because I’ve already done most of the things you suggest =]

      Yup, I’m service connected.  I became a Lifetime Member of the DAV years ago and gave them Power of Attorney to represent me with my VA claims.  I turned in claims for my back, PTSD and unemployability which were, of course, denied – the DAV is appealing, but I’m sure you know how long that process can be.  I have since had to suck it up and go back to work – if I didn’t, I would’ve lost everything and been on the streets…  I have cut back on my meds so that I’m not so drugged up anymore, but the pain is so bad that I’m nearly out of my head anyway, kinda stuck in bad catch-22 thing there…

      I do have a bad case of tinnitus in both ears from weapons firing, aircraft and such, and am at 10% for that.  I am also rated for both ankles and both knees.  Had a botched reconstruction of my Rt ankle while active duty that left me with nerve damage and a limp.

      I’ve been to the pain clinic in Indy, and won’t go back – they injected my spine and made it worse – the meds wore off the next night and I was literally left in the fetal position unable to do anything but scream and cry – got a nice ambulance ride to the local ER where it took 2 shots of morphine to un-curl me… I’ve never experienced that kind of pain before – it was all consuming.  I was almost totally unaware of my surroundings, and don’t even remember the paramedics or the trip to the ER – just came back to reality once they pumped me full of morphine.

      They offered me morphine before the Oxycontin, but I turned it down – it scares me.  30 mins after the shots of morphine in the ER, I was twitching and scratchin like a junkie, my skin crawling and shaking… I can see how people get strung out on that stuff.

      It sounds like you’ve been run through the same VA ringer I have – I feel for ya.  It truly sucks.  I hope that you are able to keep your chin up and that you get some relief. 

      Jeff

    • BrokenSailor
      Dec. 17, 2010

      Great,

       Long reply, but it may help others... Sounds like you are on the right path.  I have four herniated disks also and use a muscle relaxer Cyclobenzaprine HCL.  You can't drive on it, whacks you out, but I got used to it and now I am better and can drive short miles.  I have been on pain management for 20 years. I spent two years in...

      RHMLucky777

      Read More

      Great,

       Long reply, but it may help others... Sounds like you are on the right path.  I have four herniated disks also and use a muscle relaxer Cyclobenzaprine HCL.  You can't drive on it, whacks you out, but I got used to it and now I am better and can drive short miles.  I have been on pain management for 20 years. I spent two years in a cast and almost three years in a Naval Hospital.  After I learned to walk again (2 years...my leg was the size of my arm)  I went through 10 years of Vocational Rehab and got my college degree on the VA dime and then went to work for the US DOE. They just forced me out when my back froze up at work and with the new meds, too much to be safe at work.  I applied for unemployability and got it. I am also receiving Social Security Disability and extra money for my child.  The VA is now paying for my wife to go back and get her masters and my son has his college paid for.

       

      It seems like we are indeed in a similar boat.  I think that for your back you should see the doc about muscle spasms.  When my back hurts it is from the nerves, which in turn causes the muscles to clamp up.  My experience was similar to yours...fetal position, screaming, no memory and such.  I was treated for a heart attack at the local ER.  Went to the VA ER the next day and a very good doctor figured out that my muscles were spasming from a back x-ray.  This could be your problem and solution.  Took me two weeks on the above med to get me right.  Now every now and then, but I am home in a recliner with a heat and massager.  I cannot do much at all.

       

      Regarding the Pain Treatment...20 yrs.  I have more experience at pain management than many of my doctors have been practicing....and I let them know it!   I too went through a bunch of needles...trigger point injections (I have three nueroma sites ...bundled nerve endings where my leg was cut off ...missing two inches in my shin area.  They saved my leg.)  I did 10 injections every three days foro four years, and finally gave up on that.  I also did spinals like you and Beir blocks...where they put a tourniquet up on my thigh, and lidocane and steroids into an IV in my foot.  That is Anesthesia Pain Management.  If it works it is better than being on Opioids.  I also tried Nuerontin for many years...non narcotic meds... Now I am on the Fentynal patch which is 10 times more powerful than heroin, but it is time released and I change the patch every two days.  They don't work for three days as advertised.  They are the best thing I have found.  No ups and downs like morphine pills.  You should try to get into the Pain Management Clinic.  I am in NY and go to the Northport VA.  I have nothing but good things to say about everything the VA has done for me.  Once you are seen and put on a regiment that works for you, your meds are then handled by your primary care doctor.

       

      As for PTSD....I was not sure if you got rated for it or not?  You can get PTSD for the Pain from a service connected injury.  In other words, you have have mental problems from dealing with the pain. Also if you have insomnia...due to social issues caused by pain...you can get 30%.  Do not directly relate the insomnia to the pain, relate it to the problems you have at home...frustration, anxiety, depression, etc...

       

      Unemployability... You have to have one issue that is 40%.  Do you have this?  If not, you need to build your case on your main injury.  Nerve involvement at the injury site will do this for you.  You need to document this.  The DAV is great for handling your claim. 

       

      This is my best advise...go see your Congressman.  No shit, do it.  I have been to his office four times, and they have an aide that is usually assigned for dealing with just Vets.  They can expedite your case.  Once you have a Congressman looking at your case, things start happening.  My Congressman is Tim Bishop (D) and his staff is Great!  There was a liaison at the VA for SSD.  This is not welfare, it is social security disability and you paid in for it, so you deserve it.  I filed my case with the VA liaison at the VA hospital, and he took it directly to the SS office,  but the Congressman can point you to one.  He helped me fill out the forms...took one week. I went to Records Release at the VA and got a copy of the last year of my medical records, attached it and that was that.  Then I went to the Congressman and he had it expedite.

       

      They have a separate staff member to help you with that.  I went to one physical and saw a Haji doctor dressed in white pajamas. Guy was like 80 years old.  He had me perform some function tests....using a zipper, buttons...nothing for my leg....got an X-ray and was done.  Had my SSD in three months.  Took six months for the VA to grant me unemployability.  They back pay you.  Most important thing I did for my case was get the Congressman involved. 

       

      I am now fighting for my mortgage, since I couldn't make payments while waiting for my VA and SSD.  I have a separate congressional aide that has filed a complaint, and now I deal directly with the Presidential office at Wells Fargo and have a direct phone number to one person.  Still taking forever... it is a Freddy Mac Loan.  Looks like it is going OK, but it has been 14 months now since I got hurt and 8 months since I filed under the new mortgage act.  4 Months since the congressman got involved.  They call me back almost weekly at this point.  I have little else to do.  All said and done... the VA pays out 2900, SSD 1600 plus kid 800. You can live well on that.  I had a long term disability policy that I paid into at DOE with Prudential.  They said I could still work, even with decisions from the VA, SSD, and letters from the DOE doctor at the OMC clinic.  Prudential SUCKS!

       

      After I settle my mortgage, I plan on selling and moving to a warmer climate where my bone pain won't hurt as much.  On the pain score I aim for a seven and hit a nine three days a week.  Sometimes I can get lower.  My 10 year old has to watch my cry and scream from the pain, until meds kick in.  It is very sad and upsets me very much.  Thank the VA his college is paid for due to my sacrifice.  This is important to document at the VA.  Never say you are less than a seven.  You might feel better than that with meds, but give them the score before meds.  They use this number heavily when looking at your case.  You have to get into pain  management at the VA to bolster you case.  Have patience....it took me three years just to figure out I had a nerve problem....then many years and tests to get treatment. I have been through a lot but I am sitting well now.

       

      Overall it sounds like you need to really focus on putting in your time at the VA hospital to get develop your case better and get into a pain management clinic.  The Fentynal patch is the best thing I have found for quality of life opioid treatment.  I also use 2 lidocane patch directly on my leg...wound site to kill some surface pain. They work well, but the VA has discontinued them.  So my VA doc writes the script and I get it locally.  I have asked twice for exception, but have been denied.

       

      If I was in a legalized marijuana state, I would probably try that.  I understand I could cut down my opioid by 50% and increase my quality of life.  Now that the VA will let you stay in a Pain Management clinic if you follow your state laws you can do this.  In NY, we are still waiting.  I don't know about your state, but look into it.  I hear from other Vets with Nerve damage like mine, it would help, but I cannot risk it and break my PM contract with the VA.  They do give you a Tox screening.  I have had one in the beginning and now have one coming up next month.  Otherwise not much of a problem.  I don't smoke, or drink, and I am not addiction prone at all.  If you smoke cigs, or drink they watch you more carefully. (Note to Everyone)

       

      I called asking to many questions about my dosing of oxycodone, and the doctor put me in for one.  I scheduled it for a month out....read between the lines.  Presently they only allow me 5mg per 8 hour for breakthrough, and to get from a 9 to a 7, I need 15 mg, which they say is too much and will kill me.  Well, it hasn't, but my questions raised a concern that I may be abusing my oxycodone to get high.  Funny thing is, besides when I have increased from 12 to 25, 50, and 75 ug/hr of Fentynal I have never had any euphoric feeling ever from my meds.  They are looking to raise my patch to 100 now. I have been on 75 for 2.5 years. 

       

      Regards

       

       

    • Jeff L
      Dec. 21, 2010

      BrokenSailor,

      Sounds like we've been through a lot of the same treatments and meds, although it sounds like you have MUCH more serious injuries than I.  I feel ashamed sometimes to even complain about my feet ankle and knee pain because I still have them attached, and there are so many others that have lost entire limbs.

       

      Last year I was prescribed...

      RHMLucky777

      Read More

      BrokenSailor,

      Sounds like we've been through a lot of the same treatments and meds, although it sounds like you have MUCH more serious injuries than I.  I feel ashamed sometimes to even complain about my feet ankle and knee pain because I still have them attached, and there are so many others that have lost entire limbs.

       

      Last year I was prescribed - and taking all at once - Oxycontin, Neurontin, Flexeril, tramadol, and was switched around on several different anti-depressants (they all made me REALLY depressed).  I was maxed out on the dosage amounts - still am maxed out on the Flexeril.  My mental state has suffered...The damn VA let my Neurontin script expire and wouldn't see me or return a phone call about what to do.  I had to quit the Neurontin cold turkey, and I don't advise it.  I had withdrawals for a month; non-stop nauseousness, throwing up, shakes, you name it.  They finally called me back over three weeks into my withdrawals and I told them I didn't want the meds any more.  I actually wanted to stop taking it because if I was an hour late with a dose, I'd have sweats and shakes and crawling skin.  So of course they send me a three month supply after not having any for a month.  I didn't start taking them again.  My pain level is higher, but I'll accept that.  I still have constant muscle spasms in my back and neck, but they say I can't take a higher dose of muscle relaxers than what I'm on.

       

      In addition to the joint pain in knees, ankles, back and neck, my local VA primary care doc diagnosed me with fibromyalgia and PTSD.  The regional VA, however, won't accept these diagnoses.  They've turned me down on the PTSD because they say they can't document any of the things I've told the VA shrink I've been through... haven't told everything though, and may never speak of any of it again if possible.  I just can't bring myself to fight them on that issue.

       

      The pain mgt clinic at the Indy VA said that injections are the only thing they do, and since it didn't work for me, my only other option is to let them actually burn out the nerve and destroy it.  While waiting for my last appt at the pain clinic, I was sitting next to a guy, with 2 crutches, and heard him telling another guy that he just had that nerve destruction thing done, and they did the wrong nerve!  They totally destroyed sciatic nerve and left him on crutches... They didn't understand why I wouldn't agree to the procedure.

       

      I wish that I could move to a warmer climate.  Winter is hard on me too.  Gotta stay here - my youngest is only ten, and I can't bear the thought of moving away from my kids.  They live with their mother.

       

      I currently take 20 mg of Oxycontin 3 times a day, and it isn't enough.  I know what you mean about them acting suspicious.  I had to fight them hard to get my dosage that high.  But, like you, I never get any kind of high or buzz from the painkillers.  I guess that means we're in too much pain to get any of the side effects that recreational users seem to like so much.

       

      Well, here I am at the end of another sleepless night...

      I gotta go, can't sit at this computer any longer.  I type slow and my computer chair is one uncomfortable SOB.  I had my girls all weekend and Monday, and I'm worn out and hurtin.

      I wish you luck.  Hope you have a Merry Christmas and Happy (less painfull) New Year.

      Jeff

    • Aussie Back Battler
      Dec. 14, 2013

      Hi there mate.

       

      you can't hold anything back from the docs, especially with something as serious as pain and its associated extras. I'm talking about your ptsd stuff. I have a lot of shameful and horrible thoughts and dreams every day and night because of the pain I am in, and don't leave out any details if your injury is causing any extra manly issues...

      RHMLucky777

      Read More

      Hi there mate.

       

      you can't hold anything back from the docs, especially with something as serious as pain and its associated extras. I'm talking about your ptsd stuff. I have a lot of shameful and horrible thoughts and dreams every day and night because of the pain I am in, and don't leave out any details if your injury is causing any extra manly issues (which a lot of these anti-depressants and pain meds can do ). As far as dosage goes; here is mine.

       

      oxyContin 120mg 2x daily

      oxycodone 5mg x 4 daily for breakthrough.

      tramadol 50mg x 8 daily

      paracetomol 600mg controlled release x6 daily

      baclofen 10mg x 8-10 daily for spasms.

      7.5mg mobic 2x daily

      venlafaxine x225mg at night

      just changing from 900mg gabapentin x 4 daily back to 2 x 300mg pregabalin daily.

       All this from a work accident which crushed my sciatic nerve. Your oxy dose is laughable. That is a tiny, tiny amount. The highest dose I took was 240mg of oxycontin (I mis-counted my pills) found out a few hours later, honestly just got too scared to aleep in case I didn't wake up, but apart from that I didn't get any extra pain relief. That's why I don't recommend ever adding to your dosage as it doesn't seem to make any difference and I have no idea why anyone abuses these pills as apart from a Tiny amount of pain relief, I have only experienced a bit of funkiness the very first time I took 2 oxyxodone. Now I just get sweating, shakes and constipation. How are you doing now? I realise this is an old thread.

    • RetiredRN
      Jun. 18, 2015
      I used to work for the VA and it is people like you that make it rough on legit applicants to fight for their benefits. Don't you realize the VA knows exactly what you are doing to get your benefits increased. Their has never in the history of the VA so many disability claims since the Iraq war in the 1990's. I am not against any veteran getting their fair...
      RHMLucky777
      Read More
      I used to work for the VA and it is people like you that make it rough on legit applicants to fight for their benefits. Don't you realize the VA knows exactly what you are doing to get your benefits increased. Their has never in the history of the VA so many disability claims since the Iraq war in the 1990's. I am not against any veteran getting their fair benefits if they get hurt, but you tell me of one job that will pay you the amount of disability that the military does. The high amount is quite an incentive to make claims sound worse then they really are. All I have to say is this, if you were hurt while in the military, then you should get what is due to you, but don't add things that are not true just to get more benefits because that is the reason they will deny you. I was in the Navy for 16 years as a Registered Nurse, so I saw many men and women in very bad condition, and if I could of at that time, they would have been getting their full benefits from the day that they were injured, but it just irritates me when veterans abuse the system just to get more money each month.
  • wingsovgrace
    Jan. 09, 2010

    It is my undersanding that Oxycontin is extended release taken 1 x 12 hrs. The Oxycodone is short acting taken every 4-6hrs. (According to my pharmacist)

    My doctor and I have been experimenting to find an adequate dose and combination to cover pain and minimize side effects. The following are the doses and drug he prescribed. 15mg-30mg Oxycodone. 40mg Oxycontin....

    RHMLucky777

    Read More

    It is my undersanding that Oxycontin is extended release taken 1 x 12 hrs. The Oxycodone is short acting taken every 4-6hrs. (According to my pharmacist)

    My doctor and I have been experimenting to find an adequate dose and combination to cover pain and minimize side effects. The following are the doses and drug he prescribed. 15mg-30mg Oxycodone. 40mg Oxycontin. Certainly not all at once and he is trying it in combination with another med but these are some of the doses I have been prescribed.

    I am 56 yrs, 4'11" and 101 lbs. Experience moderate to severe pain.

    You be the judge.

    This is my first post on the sight. Hope it was helpful.

  • Scooter
    Nov. 11, 2009

    The amount you are taking is NOT a high dose at all. Ten years ago I started out at 20mg three times a day with 5mg in between for breakthru pain. Now, I'm up to 80mg twice a day and 40mg once a day with 5mg for breakthru pain. My doctor told me he would encrease the doses if I needed it. Of coarse it costs a fortune. Oxycontin has a bad reputation because...

    RHMLucky777

    Read More

    The amount you are taking is NOT a high dose at all. Ten years ago I started out at 20mg three times a day with 5mg in between for breakthru pain. Now, I'm up to 80mg twice a day and 40mg once a day with 5mg for breakthru pain. My doctor told me he would encrease the doses if I needed it. Of coarse it costs a fortune. Oxycontin has a bad reputation because so many people abuse it and there are a lot of doctors who won't prescribe it. I wish you the best with many low pain days.    Scooter

    • Jeff L
      Nov. 12, 2009

      Hey Scooter, thanks.  I kinda figured the dose was pretty low, especially after my internet searches...

      I just can't figure out the doc's attitude about this stuff and why they say a total of 55 mg a day is ridiculously huge.

      I get the same type of effects as I had with Vicodin - the drug helps with pain, but I don't have any kind of feelings or anything...

      RHMLucky777

      Read More

      Hey Scooter, thanks.  I kinda figured the dose was pretty low, especially after my internet searches...

      I just can't figure out the doc's attitude about this stuff and why they say a total of 55 mg a day is ridiculously huge.

      I get the same type of effects as I had with Vicodin - the drug helps with pain, but I don't have any kind of feelings or anything that would make me want to take it recreationally.  The VA clinic also makes me take frequent blood tests to ensure that not only am I taking my drugs, but also that I'm not taking any recreational drugs.  They know I have real pain for several conditions, but act like every prescription they write is gonna come out of their own paycheck.  I guess I'm paying for all the other peoples' abuses of this drug...

       

      Jeff

    • RetiredRN
      Jun. 18, 2015
      The reason the FDA is coming down on the Dr's to cut back is the high amount of people who get them filled and then sells them. In the office I work in the Dr's did get a letter from the FDA stating that the doses of opiates had to be lowered to a maximum daily dose of 120 mg. The reason is the high abuse of the drugs and also they are now requiring patients...
      RHMLucky777
      Read More
      The reason the FDA is coming down on the Dr's to cut back is the high amount of people who get them filled and then sells them. In the office I work in the Dr's did get a letter from the FDA stating that the doses of opiates had to be lowered to a maximum daily dose of 120 mg. The reason is the high abuse of the drugs and also they are now requiring patients to do a pee test to make sure they are taking their medications. Patients also have to sign an agreement that has a list of things that they have to do to be able to keep getting their medications. Personally I think the government is overstepping their authority on this. This should be between the patient and his/her physician (this is just my opinion).
  • Nan from the Dunes
    Nov. 06, 2009

    Jeff:

     

    I recently was switched from norcote 10/325 tid(3xdaily) to oxy 10/650 tid(3x) I also have a pump.  the oxy is for breakthru and pain in other areas i have problems with since the pump is for cervical area.  I would check with major pharmacy's to see if they have any type of program you can belong too.  as an example, in my area...

    RHMLucky777

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    Jeff:

     

    I recently was switched from norcote 10/325 tid(3xdaily) to oxy 10/650 tid(3x) I also have a pump.  the oxy is for breakthru and pain in other areas i have problems with since the pump is for cervical area.  I would check with major pharmacy's to see if they have any type of program you can belong too.  as an example, in my area walgreens has a 20 bucks per year joining program which reduces cost.  the state i live in belongs to a program in which all residents can get a card and get drugs at reduced cost.  also check walmart....call around to price check.  The cost under this una rx(state card for oxy20mg er 1 month is 110 , looked it up for you) See if your state has a unified type of drug card.  Wait....I just looked up your profile...you live in indiana , so do I, go to this link....fill it out....check walgreens,   cvs....walmart..for cost.  Then get this card, it is free...follow link for meds and check prices in your area...it might save you some bucks for these meds you are going to need help with.....Who is your employer?...  send m;e private message  maybe i can really help you....been dealing with all this stuff for 5 + years.  but first here is the link:   http://indianadrugcard.com/index.php#    I look forward to talking to you later

     

     

    • Jeff L
      Nov. 06, 2009

      Hey Nan, thanks for the info - I'll send you a private message after this.

      In browsing through other posts, I've run across references to a couple more sites: www.simplefill.com and www.pparx.org  have you tried either of these?  The one post said that the simplefill site filled out all paperwork and even gets refills automatically for $65 a month. ...

      RHMLucky777

      Read More

      Hey Nan, thanks for the info - I'll send you a private message after this.

      In browsing through other posts, I've run across references to a couple more sites: www.simplefill.com and www.pparx.org  have you tried either of these?  The one post said that the simplefill site filled out all paperwork and even gets refills automatically for $65 a month.  Sounds too good to be true, but still probably worth checking out.

      In your post you said you were switched to oxy 10/650 - is that 10mg oxy with 650 acetaminophen, like percocet? 

      I went to the site and got the Indiana drug card.  That was easy.  Thanks again

       

      Jeff

    • Nan from the Dunes
      Nov. 07, 2009

      Jeff:

      oxy is 10mg with 650 mg as you guessed.  I have not tried the other options out there because I still had coverage and do have coverage until 12/13/09 with my employer, The State of Indiana.  It is after I have to purchase my own.  Will let you know other details later.

    • Anonymous
      Kathleen
      Nov. 14, 2009

      Hey Nan, I came across your comment while looking at information regarding Oxycodone and Oxycontin.  I too am on this medication (among 10 or so other meds per day).  The reason I wanted to contact you is because you seem to be in a similar situation as I am.  I worked for the State of Colorado for 20 years and have recently gone on Disability...

      RHMLucky777

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      Hey Nan, I came across your comment while looking at information regarding Oxycodone and Oxycontin.  I too am on this medication (among 10 or so other meds per day).  The reason I wanted to contact you is because you seem to be in a similar situation as I am.  I worked for the State of Colorado for 20 years and have recently gone on Disability Retirement.  I did not pay into Social Security, so I am not elligible for Medicare or Medicaid (I'm 49 years old).  Right now I am using COBRA insurance, with the reducation from Obama's stimulus package.  So my premium is only $139 a month.  In January that goes up to $397 a month!!!  I only make $1807 in PERA Disability, so its going to be tough.  Do you know of any other optioins for health insurance coverage for State employees?

       

      Thanks for your consideration of my question.

      Kathleen

    • Nan from the Dunes
      Nov. 15, 2009

      Kathleen:

       

      Having paid into medicare, I really wouldn't know what to do in your situation.  Does Colorodo have a retired employees association that you can contact for suggestions?  This situation of yours leaves me at a loss, other than working with drug companies for cost reduced or free medication assistance I really don't know what direction...

      RHMLucky777

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      Kathleen:

       

      Having paid into medicare, I really wouldn't know what to do in your situation.  Does Colorodo have a retired employees association that you can contact for suggestions?  This situation of yours leaves me at a loss, other than working with drug companies for cost reduced or free medication assistance I really don't know what direction to point you in.  I would discuss this with as many people in your state, for direction and guidance.  If fact this kinda blows me away that this option was even availiable to you(if an option)  talk, talk, talk, to other state retiree's to get some suggestions.

      Have a great week!

      I am sorry I cannot point you in any other directions.