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Avatar universal

Scared nurse and mom - taking too much Norco & Oxy

Hi everyone,
I am a 42 mother and nurse.  I'm not sure that I'm on the right forum for myself.  I was taken off of work by a neurosurgeon due to my horrible back about 2 years ago.  I finally had an MRI after suffering with back and leg pain that had gotten progressively worse over about 5 years.  The MRI confirmed that my back was in pretty bad shape.  Consequently, I was started on Vicodin.  You all now the story.  I had to take more and more to get the same relief that I had gotten in the beginning.  Now I'm on Norco in the day time (up to 12 a day which I take.....and more) and I'm supposed to take the Oxy at night and in the morning.  Well, I started taking the Oxy in between my Norco doses and on top of that taking too much Norco.  The problem for me is that I have to take 3 Norco to get any relief and I wake up EVERY DAY at 3:00 AM due to pain!!  So.....as you can see my day is LONG!!!!  This causes me to have to take way too many pills!!  I have a wonderful husband who has no idea that I'm struggling with this (he worries and he has enough on his plate!)  and two WONDERFUL boys 16 and 13.  I'm afraid that I can't stop totally taking these meds because I have terrible pain that I can't tolerate without them.  Am I in the wrong place here or does anyone have any advice as to how I can get back down to a reasonable dosage with my meds.
PLEASE.........anyone!!  Any advice would be so very much appreciated.  I'm too embarrassed to share this information with anyone in my life.  I just don't know how I let myself get so screwed up like this!  I have no Oxy right now because I'm out, so I am trying very hard to get myself down to approx. maybe 16 today.  It's so hard because my leg hurts so much!  ANY ADVICE WOULD BE AWESOME!!!
swany
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Avatar universal
swany - please repost this on the other addiction forum if you don't get feedback here..

sometimes people are just here to b.s. (hence, this second forum) so sometimes you may not find alot of people here... that said, you might!  the other one is mainly addiction related...

as for cutting down if you DON'T want to quit - the only thing i can suggest is you give them to your husband, and ask him to dole them out to you... it sounds like you are at the point you can't control it (like alot of us were..)

that said - if your m.r.i. is showing some pretty bad stuff (as does mine) their are treatments other than painkillers.... have you had an epidural?  tried chiropractic?  acupuncture? etc.... i just hope you try everything before you consider painkillers as your only resort, because they really do f*** with your life, especially at the high amount you are taking...

i hope this helped...  i'll be here if you need me!

be well...
mj
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Avatar universal
OMG!  Thank you so much for writing to me.  I have tried accupunture, chiropractic, nerve-root block.........nothin!  I could have surgery, but being a nurse and taking care of people who were in their third back surgery and worse off than before the first surgery, scares the hell out of me.  I'm afraid that I will be one of them and STILL need pain relief!  Then I will really have a screwed up back.  Do you think I'm addicted?  I have not thought I was because I only take the pills in hopes of getting more relief of my pain.  I have thought about giving them to my husband, but he has absolutely NO idea that there is any problem.  He is the type of guy who won't even take an aspirin, so it's hard for him to relate.  I really don't think I could get through my day without them.  I just need to get down to an appropriate dose.  My doctor also has no idea that I'm having a problem, although I finished my Norco early this month, but thankfully still had enough Oxy to get through to my next Norco prescreption.  I JUST HATE THIS!!  Do you have any more words of wisdom.  Again......I can't thank you enough for writing to me.  I will try the other forum.  
THANK YOU, THANK YOU, THANK YOU!!!
swany
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Avatar universal
I have to take lunch to my son at football practise so I didn't want you to think that if you write back I wasn't responding.  I will be back in approx. one hour and will check to see if you've written.  I feel so lucky to have found this forum.  I hope there is a way I can get myself back under control.  I have taken WAY, WAY, WAY too much of my new prescription and can't refill my Oxy until next Fri.  I have taken on occasion over 20/day.  Yesterday I kept it at 20.  Today I have already taken 8.5.  Do you have any suggestions as to how I should taper?  The withdrawals were so bad that I started the day with 3.......I did wait approx 3.5 hours and took another 3.  Then approx. 2.5 hours later tood 2.5.  I start my day at 3:00 AM, that is part of my problem.  My day is SO long!!  Any advice?  OMG I would give anything for some advice!!!  lol  I know that I keep saying thank you but I just can't tell you how much I appreciate it.  I have felt so alone recently.  I didn't feel out of control until just recently.  It's just been creeping up on me for a while now.  THANKS mj!!!!!
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Avatar universal
HI, i'm on day 4 of oxy withdrawal so I know about the oxy. You will become imune to them and have to up the dose all the time I to have back pain , but at this point i'm willing to try to live with it. the oxy will take over your life and you will live in a stupor. yes 20 a day is way out of control and it wont get better. yes the withdrawls are hell , but in the long run worth it, at least i hope it is , i'll let you know in about a week.you are not alone and prayer has helped me , and also the support of this forum . hope this helps . AL
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Avatar universal
i agree about surgery... that's why i haven't done it...

i think you HAVE to get honest, if you don't want to get off the pills completely (or can't because of your pain.)  there's no shame in this... at all!

if your husband is a loving man, i think you can simply say "look, i think my tolerance is going up, and i've read so much about pill addiction that i want to be careful... can you give me what i need every day for a little while, just to be sure i am not getting addicted?"  honey - you gotta.

do i think you are addicted?  yes.  i think so.  are you chasing the "high" they give you?  only you can answer that...

do you need to take them?  i can't answer that part - only you can.  knowing what chronic pain feels like i would never tell anyone they "shouldn't."

but i do think you have to put your pride aside and be honest.  we ALL went to a scary place when we all started taking too much here...

with luv,
mj
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Avatar universal
also - as for tapering... that's a toughie.  some people can, most of us can't.

unless you have someone help you, as many as you are taking it's probably going to be tough.  only you know.

but there are ways to quit, if that is what you want. or taper - but you'll need to come clean with hubbie...

20 is ALOT.  alot alot.  but you know that, right?
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225213 tn?1213734690
Are you taking anything to help you sleep at night?   I just had surgery and like you, was waking up in pain every two to three hours and taking more and more norcos.   I am now on my first day without any norcos after tapering for a few days.   Even while tapering I used xanax to help me sleep.   I know lunesta is non narcotic but it did nothing for me.   It sounds like if you could sleep through the night it would help reduce your pills.  
The thing is, the more narcotics we take, the less we are able to handle pain without them.   You are in pain and sounds like you have tried other methods.   Id try those methods with different doctors.   Sometimes it helps.  
You are definitely on a high amount of opiates.   Have you told your doc that its not helping that much anymore?  
I know that before I got on narcotics, I would tolerate a certain amount of pain.   BUT once I eat one narcotic pill, my mind tells me I should not feel ANY pain.   That way I take more and more pills.  When we become addicted, our minds and bodies work together to get more and more of the drug.  It is a vicious cycle.  In my opinion, you really need to cut down on the pills.   What if you run out two weeks early and then have to suffer until you get anything?   Trust me it will come to that point.  Heck, Ive run out 3 weeks early.
Keep posting and let us know how you are doing, ok?
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Avatar universal
Man!  You guys are AWESOME to take time out of your day to help me!  I rushed home so quickly so that I could get back on here.   tzt2lady - YOU ARE SO RIGHT!!!  That is EXACTLY what I told my psychologist, I was honest with her and told here that I was taking more and more ( I didn't tell her exactly how much) to get rid of the pain.  All the while, knowing that it never TOTALLY gets rid of the pain.....EVER!  It's always there.  So your mind and body do trick you into thinking that you need more and more of the drug!  OMG.......Again, I have felt so alone lately.  It helps so much to talk to people who have gone through this as well.  I would have NEVER imagined that I would be here right now.  My sister was in a plane accident and suffered with back pain since.  She was taking Narcs (now she's on Methadone and Vicodin when she needs them but has in under control) I told her she had to be so careful!!  Of course, being a nurse I knew this.............AND JUST LOOK AT ME!!!!!   Oh God.....I don't know what has hapened.  
Can any on you give me some sort of regimine to cut down?  I have 194 left and can't refill untill the very last day of this month.  As I said before, I have no Oxy at this time.  I took my last one probably last Sat.  (I think it was)  I am actually probably w/d'ing from those now that I'm thinking about it.  It would be SO AWESOME to not have to refill those.  My dilema is that with the amount I've been taking do you guys think I can taper down to make these last the rest of the month?  I just can't imagine!!!!  
Any advice?  It would be so great to be done with the Oxy and only have the Norco to deal with.  Thanks to you all SO MUCH!  I will be anxiously awaiting your reply.  
PS.  To tzt2lady - I do think that if I had something to help me sleep through the night that would help.  I wake up WAY TOO early to start my day in pain!
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Avatar universal
I am just sitting here crying and I keep hitting the refresh button waiting for you all!  LOL  Pathetic huh?!  I don't even know you guys!!  LOL  But, I feel like I do.  I read in another post that you are currently going through w/d again and using Clonipine.  You aren't feeling that bad?  How much narcotics were you using?  Do you all think that I should call my Pain Management doctor (who is very cool and understanding) and tell him what I'm thinking of doing.  I'm so afraid to come clean because I'm afraid that he will just totally cut me off.  So, I thought that if I was able to get to a reasonable dose on my own, he would never have to know there was a problem.  Is that wrong?  
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225213 tn?1213734690
Im here sweetie, Let me think about this and respond, I was just catching up on some emails.   Im here all day so I will be here for you okay?   You are going to get through this!!  Just know that.
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225213 tn?1213734690
I will tell you a little about my story.  I am a 46 yr old woman who was addicted to street drugs by about 12 yrs of age.  I was on heroin by 14.   Pregnancy and motherhood kept me clean from age 19 - 24 at which time my husband became very abusive and I once again turned to drugs.  I was on crystal meth for two years before going into detox.    Swany I was clean for about 19 years.  I was in NA, I spoke to groups on hundreds of people, went into jails and institutions, and helped hundreds of people one on one to get off drugs.   I went to college and fulfilled my dream to become a teacher.  I got a Masters Degree and am two courses away from a second Masters.   But a few years back, my back went out and I accepted vicodin for the pain.   I got addicted.  
See it happens to ANYONE!    We have had surgeons, lawyers, teachers, moms who have the job of running a household (you know the one without breaks) and a people from every profession who have found themselves in this predicament.   Please don't be ashamed, it happens.  Almost all of us start out with legit pain.

I have not used Clonodine but others have used and are using it to get through withdrawals and swear by it.  It really does help wipe out those withdrawals.   I personally am using ultram but dont preach it much because some people get addicted to it and it has extremely bad withdrawals if abused.

But with you we have the pain issue to think about.   I think your Pain Mgt doctor sounds like a good idea.   Let him know up front what your fears are.   Heck there is a drug called suboxone that takes away withdrawals, gives some pain relief, and is used to get off opiates.      I called and have the chance to go that route if I need it but I asked them up front if taking it would make it impossible for me to get pain meds if I need them for legit pain.  They said it would NOT make it impossible.

If you talk to your pain mgt doc, ask if there is anything non-narcotic that you could try for breakthrough pain.  That way you can taper your norcos and still have something for the pain for backup.

194 Norcos is what you have left?   What strength are they?   We have to think about the amount of tylenol thats in them too because your liver could be taxed by that.    
If you are taking 20 norcos a day, I would say start by only allowing yourself 16 today no matter what.
Stay on that for two days.  

Im going to call on Tim, an awesome member who has a great taper plan.  I cant think of it right now but maybe when he gets on he will post it for you.   Meanwhile I am going to search around and see if I can find it on a different page.   \

Of course its a plan to get to zero Norcos but in your case you can use it to get to whatever dose you dr has you on.

My doctor agrees with your view on surgery.   He told me that he would not ever recommend me for that.  
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Avatar universal
gosh swany... i don't know how to answer some of this... clonidine is actually what i'm on, and it's for going off completely.  and i gotta tell ya - i've pretty much had NO w/d symptoms... at one point i was taking 10-12 norco's a day.

i also don't know what a "reasonable dose" of painkillers is to you.  honestly, for most people it's 3 or 4 tops, a day.

i could be totally wrong, but at the rate you are going, i honestly don't see you cutting down and staying there.  i am sorry to be there bearer of bad news!!!  but i just don't think non-addicts take 20 a day.... i know this is not what you want to hear, but i really feel it's best for me to be honest.

your only option at this point is to give them to someone and have them dole them out to you daily if you want to stay on them.  that is all i know to tell you...

maybe TZ has something better...

good luck,
mj
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Avatar universal
I'm really a mess right now.  I just can't express how much it means to me to talk to you.  I am so sorry to be so insensitive to the fact that you are trying to break free of this drug as we speak also.  How do you even have the energy to write to people.  I love you for that!!  My son is just in the other room and I don't want him to see me cry.  It's so hard.  I again will be waiting to hear from you.  You seem to have very logical ideas about how I might go through this.  I just can't imagine having to cope with this pain for the rest of my life without any help from Norco.  I just don't see how.  What do you think?
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Avatar universal
Thank you for your honesty.  Maybe I should try to just get rid of them all together.  Do you think that I should call my Pain Management doctor and discuss this with him.  He really is a nice, understanding doctor.  I'm so afraid of not being able to handle this pain without them.  I just don't know what to do.  You are all so kind.  Thank you for all your words of wisdom and encouragement.  I really need to think about what to do.  Honestly, it has just recently gotten out of control.  I was in control for so long (it's been two years now).  I honestly don't think I had a problem until just now.  I just kept increasing and increasing, not being able to handle my pain anymore and mistakingly thinking that more would get rid of it.......NOT........stupid.  It's never gonna be totally gone.  I need to think.
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225213 tn?1213734690
Im not seeing Tims plan but he will check the board at some point and put it up for you.   There are some amino acids and vitamins that people swear by.  They are listed in "The Thomas Recipe" which you can find by typing the name intot he search box at the top of this page.

Im gonna run make myself some breakfast but I'll be right back.
tzt
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225213 tn?1213734690
Im perfectly comfy right now.   Im on the sofa with my feet elevated, a pillow across my tummy (Im reocovering from tummy tuck surgery and its the worse) and have had my ultram meds for the morning.

Im all here for you and am not feeling any withdrawals right now;

lets continue but Im going to look for Tims Taper plan.


In the meantime heres a big hug for you and Im wiping those tears away, ok?  Its gonna be ok.  Lets problem solve.

((((((((Swany)))))))))
tzt
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Avatar universal
What an inspiration you are!!  I can't believe you lived through all of that.  You are amazing.  If YOU can do THAT, I can certainly do this!!  Well, I don't know yet that I CAN do this...........lol.  But, I'm gonna keep trying to tell myself that.  Do you feel the same way that marcatj does.  That is......if I'm taking this much now, it is probably not reasonable to think that I can go down to a normal amount.  My doctor allows me 12/day of the Norco.  They are 10/325 of acetaminophen.  That is the max of acetaminophen that you should take per day.  So, I'm at the max and then some!  God...........you all are such a comfort to me right now.  I haven't admitted this to ANYONE!!  Practically not even myself.  I still don't know that I want to say that I'm addicted.  I still really feel that I was just trying to get rid of my pain.  I don't get high from these meds anymore....haven't for some time.  But the pain relief I get helps me to function normally through my day.  Maybe I'm just fooling myself.  I just think it got out of hand.  I really forget about them until my pain comes.  It never lasts the full 4 hours and that and the fact that I have to take 3 to get any relief is why my numbers are so high.  I honestly don't get high from them.  I've been taking them for too long.  What do you think tzt?  AND.........God bless you for looking for that taper.  I can't tell you how much I appreciate that!  A tummy tuck huh?!  lol  That's great!  Ya......I've heard those are pretty painful.  lol  Hang in there.  I know as each day passes it will get easier.  I am so impressed by your story.  Thank you so much for sharing it with me.  I think I found you for a reason.
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225213 tn?1213734690
Its so cool how we cross each others paths.  Ive found such and awesome group of people here on this forum.    
Swany, None of us were really getting high anymore.   We were taking more and more pills to keep ourselves from feeling withdrawals.  Some of us have gone months, years without being able to catch that initially buzz we first got from opiates.  
Hun we just MUST get you back down to 12 norcos a day and then work from there.  I am exactly 3 weeks post op from my surgery so the pain is no where near what it was the first ten days or so.   But I would wake up 2 hours after my last opiate and be in pain.   I would force myself to wait 3 hours and then started stretching it out to 4 hours later on.
Now for today........................lets start right now at whatever the clock says.  When was your last dose and how many did you take?    If you took 3 pills 2 hours ago, wait for 2 hours and fifteen minutes before you take your next dose.  more hours before taking your next three.   Now, wait 4 hrs and 15 minutes between each dose.  This will put you at about 18 pills for today, this 24 hour period.
I remember Tims taper plan had something that REALLY helped me with my taper.
In the morning take you regular dose (for you that would be 2)
4 hours and 15 minutes later take 2.5
after that take your 2.5 pill doses every 4 hours and 15 min.
Before bed, take your original 3 again to try to get you through.

See its difficult with around the clock dosing.  Thats why I really wish you had something to help you sleep.   It would help us get you down to the 12 a day your doctor allows.

Also, if you can get down to the 12 a day and your pain is tolerable, maybe you could leave out the oxys.  

Then from 12 a day, if your body adjusts and you can handle it, you can go even lower.

I am really worried about your liver, my liver, our livers.   Gosh we put so much acetom. in our systems.  

I think that you are addicted sweetie.   Even if you dont feel it mentally, physically your body has responded in an addictive manner.
Personally, I couldn't believe I got addicted to vicodin.  Not after being on Heroin, which I always considered to be the only "real" high.   Vicodin was nothing compared to that but I got hooked on it.
Thank goodness the vicodin (norco) withdrawals are so minimal compared to heroin withdrawals too.

Did you call your pain mgt doc?   If so let me know what he says, okay?
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Avatar universal
I just LOVE you!!!  Gosh.......you are SO sweet to help me.  You don't even know me!!!  What an angel that has been sent my way.  THANK YOU!!!  OK.........I couldn't stand the pain.  I went as long as I could and took 2.5 at 12:10.  Before that I took 2.5 at about 9:00.  It's usually about 3 hours before my leg starts aching.  OK.....so, if I have it right I will take 2 or 3? at 4:00 PM?  Then 3 at 8:00?  (that's usually right before I go to bed at 9:00 - 9:30 since I get awaken at 3:00 with pain every morning).  Hey!!  That would only be 16 (or 17 if I'm taking my 3) for today!!  That would be great if I could do that!  Then I would only have 5 to go!!!  I trully think that if I could just get it down to the 12 that I'm allowed, I would NEVER let this happen again!!!  You all may be laughing at me......lol.......but I really think this just got out of hand.  I drink, but have never drank in excess (drunk? dranken?  lol  whatever......poor grammer I'm sure......lol)  So, it doesn't seem that I have an addictive personality.  Again, maybe just fooling myself.  But,  like you said, it can't hurt to try to get down to the correct dose, see if my pain is under control and go from there.  My only worry about not refilling my Oxy prescription is that doing this taper and then getting myself to 12, I don't have enough pills for this.  I was thinking that if I filled my Oxy just one last time and replaced the Oxy for the Norco once I run out, that would work for now.  Then I will NOT EVER fill my Oxy again!!  I was on that only for a period of time also (without the Norco) until I had the bright idea to take my Norco in the day time and the Oxy at night because the Oxy made me so sleepy and I couldn't stand it.  GREAT IDEA HUH?!!!  IDIOT LISA (that's my real name)!!!  lol  My doctor ok'd this....and look at me now.  I really think I would like to work this out with you all and maybe avoid telling my doctor.  I KNOW i can do it!!!  With your help of course.  I'm so lucky to have found this site!!!!  THANKS TZT!!!
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Avatar universal
I can't imagine the pain of heroine withdrawal.  I had a friend in high school who helped another one of our friends detox from heroine.  She had some stories to tell man!!  AWEFUL!!!  I am feeling so hopeful at this moment.  I KNOW that I can get this back under control.  I think I just took a detour and believe me, it has scared me enough to never let this happen again!!  I hope your there to tell me what you think.  Also, I just wanted to tell you that I used to be a runner before I realized how bad my back was.  Now I walk for one hour a day and for the past month I have also been swimming for one hour on top of that.  So.....I definately get excercise which I know is so, so, so important.  Basically, I'm a healthy active person other than my back injury.
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225213 tn?1213734690
16 or 17 for today is a great step!    I found that when I first had this surgery on July 19 I knew Id be back on pain meds (id been off for a few weeks prior) and had a plan to help keep myself on track.

Although I spiraled outta control pretty quickly, I do know that when I logged in myown personal notebook what I was taking, how much, and even gave my pain a rating on a scale from 1 - 10, it really helped me a lot.
When I stopped doing that, I ate the pills like candy.  Just went way crazy with them.  Weird thing is, the pain was about the same no matter what I did.   I dont know if there is a point when no matter how many you take the drug has done all its gonna do or what.

On those oxys.   They are known to be more addicting than the norcos for most.   I had some with my surgery and didn't like them.  I am a Norco girl all the way.  This is another symtom of addiction, having our own drug of choice.  
But we need to get you through.    hmmm.   You know what I started doing when I was trying to taper my norcs this time?   I would wake up in the middle of the night and take either aleve or extra strength tylenol pm.   It actually helped me and I was so afraid of killing my liver I would not let myself have any more of anything with tylenol in it for 4 hours.   Some other members are using advil for break through pain.  

What strength are your oxys?   How many do you have to take at a time to get relief and how often.  Also how many will you get and how long before you can refill your norco?  You may have already answered this.  

Swany, so many people stepped up to help me when I got here and it is my pleasure to chat with you.  Right now you are helping me cuz its my first day without my vicodins and although the ultram helps, I only get it 3 times in a 24 hr period and so I do have to space my doses,  Helping others if I can helps me at the same time and look at the cool people I get to meet!  People like you, my new friend Swany!
hugs
tzt
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Avatar universal
I'm sorry.......one more thing.  I have 5 Valium left after being prescribed probably 5-6 years ago for flying (I HATE FLYING!!!)  Should I try those to sleep at night?  I also have left over Soma which I never took from a long time ago.  Maybe I should try that?  What do you think?  I know they're not for sleep, but I know they probably would help me to sleep.  Just another thought.  THANK YOU, THANK YOU!!  I see you post to so many people in need.  You are just AWESOME (I may be over-using that word.....lol).  You are helping me more than you know.  I felt at my wits end today and just absolutely desperate and alone.  I can't tell you what you mean to me already and I've only known you for a couple of hours..........lol.
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Avatar universal
How pathetic.  I'm answering back so quickly because I'm sitting here hitting my refresh button about every 30 seconds......lol.  I'm kind of confused with you.  You had your surgery on July 19 and you were prescribed Norco for post-op pain?  You had only been off of them for a couple of weeks?  
YES!!!  It is so true that even though you are eating them like candy....the pain never really decreases any more than the little bit of relief that they give you.  We're just beating our head up against a brick wall!  I will start keeping a log.  That is a good idea.
I don't really like Oxy either.  It makes me very sleepy.  Ya.......I only have 194 (that sounds like SO, SO, SO much.....most people would be like "OH MY GOD"!!) left to get me through until the last day of this month.  That allots me to have maybe 8 per day!  So you see what my dilema is.  I just figured if I fill the Oxy at least that would get me through this tapering and I would just replace the Norco with the Oxy until I taper down.  Then I will NEVER REFILL IT AGAIN!!!  What do you think?  My Oxy's are 30 mg and I take 2.  My doctor is very generous and I get 360 to last me for a month, same with the Norco.  Is that crazy?  I haven't seen anyone else like this on here.  Is that outrageous or have you seen this?  
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Avatar universal
I take that back on the Oxy.  That was when I only took Oxy and was also allowed 12/day.  Now, of course, I will not be allowed that many.  Maybe 4.  So the number will be way down from that.  My Norco is now 360 because he allows me 12/day, so x 30 that is 360.
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If you think marijuana has no ill effects on your health, this article from Missouri Medicine may make you think again.
Julia Aharonov, DO, reveals the quickest way to beat drug withdrawal.
Tricks to help you quit for good.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.