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Pain management doctor ok'd script - he won't write - my other doctors won't write either. What now?

by coastalgirl, Jun 28, 2007 12:00AM
I am on my way to c/t tomorrow from oxycodone. Have chronic abdominal pain, still undiagnosed, sigmoidoscopy and cat scan next week at Lahey Clinic in Boston - troubles after a bad c-section. Have seen GI doc and Ob-gyn who both wrote scripts for my oxycodone for 6 mos then said they thought it was too mucg for my age (32) - no concern for my pain level or cause of pain -nervous, I think to be writing them is all. Passing the buck.

Referred me to PM dr who said my 4-6 5mg tab of oxy/day was fine. When they (and a family dr) heard that they said "he is wrong", go to another, and in the meantime no more oxy, try Cymbalta (no help). The new dr can't get me in for a month and he doesn't write scripts either, so if he concurs that oxy is OK I still have nobody to help me. In the meantime, I fear my stomach pain more then w/d symptoms.  It can be debilitating.

The first PM doc gave me some other family docs to call that might help (they are more lenient?) but again, a month's wait.  What am I supposed to do?  I don't want to be a shoppper, don't want to sit in an ER for 15 pills and have them call my other docs with whom I have an open and honest relationship.  I am really scared for tomorrow ... and beyond.

Any advice?  I know you can buy this stuff on the internet but that sounds dangerous and expensive.  Thanks in advance!
Member Comments (9)

by marcatj, Jun 28, 2007 12:00AM
To: coastalgirl
c.g. - i'm sorry.  i didn't understand exactly what you were asking for.

are you asking the best way to go c/t, or how to get more pills?

sorry you are in a bad way...

-mj

by road2recovery, Jun 28, 2007 12:00AM
To: coastal girl
explain a little more....you are in pain and they won't give you anythig is what you are saying??i don't quite understand..
sorry you are in  pain
and maybe with the problems you are having your body can't handle w/d's...i know for me i can't stop now, because my body isn't healed and doc says it cannot handle w/d's

explain a little more k

by oxynot, Jun 28, 2007 12:00AM
To: CoastalGirl
Hey, I just went through this after tapering down to about (3) 5mg perc's a day. This a sort of “Formula” I am developing to help me through the next time.  ( I expect to have at least 3 or 4 major surgeries yet and getting through them without narcotic pain meds is not realistic.)  

I hope it is of some value to you. I know it is different for everyone, but the things I list here I got mostly from different pieces of advice from others on this site and it was really helpful.

Oxycodone Withdrawal:  Notes for quitting.  

3 key issues for surviving withdrawal:  

1. Control Depression Symptoms.  
( The biggest part of the withdrawal symptoms in my opinion.)

2. Be responsibility free, at least for the first 2 or 3 days.  
(i.e. no child care, etc.  Someone to help and support is really helpful)

3. Get some sleep.
( But don’t expect it the first night.  And not much for a few nights. This
  won’t kill you!)

Be sure to take morning meds:  Load 1-week Pill dispenser ahead of time.
Be sure to take evening meds:    Load 1-week Pill dispenser ahead of time.

Remember to take anti-depressents.  For me: 150 mg Zoloft / day.  50 in the AM and 100 in the PM.  Put these in the morning and evening pill dispensers for the next week.  The need for this should taper off.  

Drink lots of fluids.   (Gatorade is excellent.)

Take lots of hot baths.

Have hot bean bags ready for the chills.  
(I didn’t suffer these when I finally quit, but I did previously when I first discovered my addiction and went cold turkey unprepared and un-tapered.)

Have some good, relaxing, light-hearted movies picked out and ready for watching all night long.

For Sleep:
Ambien  (10mg needed for first few days at least.)
Melatonin (OTC) (1 mg pill or 1/2 of 3mg pill only)
Dramamine (OTC) (1/2 pill for starters?  Rumor is it helps calm the effects of the increased Adrenaline during withdrawal. It seemed to work for me.)

I'm not a doctor.  The specifics I listed here, including doses, is just what worked for me.
I did try the c/t before having any of this information and I thought I was going to die.  Controlling the depression caused by withdrawal is really key to making it for me and I've seen other's on here express similar thoughts.

Best wishes and hang in there. You can do it.

by coastalgirl, Jun 28, 2007 12:00AM
To: Clarification
Sorry, didn't really clarify my quesiton.  I do need more meds, am wondering where to go from here now that everyone is passing the buck.  The PM docs, I understand, don't really take on cases like mine with low doses, more cancer patients, from what I am told.  Then, my other docs are specialty (GI, ObGyn) and don't feel that is their realm.  Finally, my family dr (she is new, I am new to state) doesn't want anything to do with narcotics.  So, in pain, I am asking where to turn?  Find another family doc, keep going until one writes the scripts?  That could take a few - understandably I would look like a shopper, would insurance get suspicious?  This sucks.

Thanks for the c/t advice.  I fortunately have all of those things handy - and it looks like that is what it is coming to.  

CG

by tomanypills, Jun 28, 2007 12:00AM
To: oxynot
thats good advice for someone who is physically dependent but this is an addiction forum so the part about loading 1 weeks worth and taking them per schedule is something that most of us cant do or we wouldnt be here,,again though thats good advice for some,, ty

by coastalgirl, Jun 28, 2007 12:00AM
To: Has anyone bought them online?
Or do you not know what you are getting and that is insane?

Thanks

by road2recovery, Jun 28, 2007 12:00AM
To: coastal girl
i think you need to ask around since you are new there..For a good doctor..I am not sure about doctor shopping even though i have done my share of it..my insurance company never did anything to me..But i was kind of in the same boat as you., real pain , and had to find the right doctor to help me..not sure about online stuff...I hope you can find a doctor to help you, and since you have insurance ,then better...But like i said ask around..

by fishmeal, Jun 28, 2007 12:00AM
Isn't it illegal to take you off of meds CT??? I would call the dox back and tell them you need something because you are physically dependant on the drugs and that you will report them if you don't get something.

by oxynot, Jun 28, 2007 12:00AM
To: tomanypills
Hi,

Not sure if this was clear.  The "pills" to be loaded in weekly dispensers are non-narcotic meds one is already taking for other medical reasons and will continue to take.  Using the dispensers just helps assure that one gets one's meds on schedule when one may not be thinking very well (withdrawal.)  This is, of course, a good place to add anti-depressents, like zoloft, which may be needed to get through the withdrawal.

Addicted vs. physically dependent?  I guess if one is addicted, he/she goes through long term pyschological need for the drug once off of it and, if one is physically dependent, the pyschological need goes away quickly or is non-existent?   Not sure about this but I have seen many people posting on here with what I think is defined as "physical dependence" from relatively short uses of narcotics for surgeries.  The advice on this forum is very helpful to them as well.  It was for me.

So, assuming that I was just physically dependent, I can say that I've had enough of a taste of it to be scared of it and really sympathize with those who are truly addicted.  I know that kicking the "physical dependence" is, by far, the worst part to look forward to with any future surgery.  I hope that these future surgeries don't bring me into the ranks of "addicted."

I truly wish you folks the best in kicking the narcotics out of your lives.    

oxynot

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