So MY DOG is a 27yo male who has had 2 back surgeries. First was 2 1/2 years ago and was a microdiscectomy at a lumbar disc. Wend over a year doing pretty well post op and wasn't using anything besides a Vicoden from time to time. HE never had a problem stopping medication at that time. Last March HIS pain returned, had another MRI and it showed that HE had re-herniated the same lumbar disc.. Went back on pain medication (5mg Percocet 4x day) prior to surgery and while we were still trying physical therapy. Had a Fusion in October and had a lot of trouble getting pain relief even in the hospital. HE was on Morphine with little relief so they went to OxyContin / Percocet combo that seemed to work. Went home on 20mg Oxy 2x day and 1-2 10/325mg Percocet every 6hrs as needed for breakthru. Dosagges and medication types have changed over the past 8 months but HE has always been on some type of Oxycodone product
At this point and time HE is still experiencing moderete-near severe pain. Currently being prescribed 20mg oxy 2x day and 1 5/325mg percocet 2x day as needed for breakthru pain.
Now, here is the vicious cycle. He gets the Script for the Oxy and tends to go to town on them because taken as directed they are barely cutting into the pain. When HE runs out of those, he moves on to the percocet. and then will take whatever HE can get his hands on until it is time to refill.
HE still has bad pain and a recent CT scan showed that the bone graft hasn't fused yet. There is still real pain that needs to be addressed but the docs seem to be reluctant to increase dosage. I mean, one way or another HE is going to need help getting off these things when they are no longer needed. HE feels that he has built up a pretty good tolerence over time and that docs are not taking that into consideration. HE has lots of trouble getting a good night's sleep and then sometimes will sleep for 14-15 hrs at a time, missing an entire day while catiching up on missed sleep. Also, HE wakes up with WD's starting to kick in and need something right away.
It's a really bad situation. The docs have tried other meds (Meurontin ect.) to see if they helped with no effect. The Oxy is the only thing that gives very mild relief of the pain and he has been on a decent dosage of pain medication for a year and a half. HE is taking more than prescribed to get any sort of relief of pain and docs still seem hesitant to give more.
Any suggestions???