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OT~ Questions~ Taking OxycodoneIR under pain mgmt care and at the end of my pregnancy.
Hi all, I am not a normal poster of this forum. I'm 23y old, and 37w pregnant and under the care of a High Risk OB and pain management to treat what was initially thought of as L5 pain but they now think is SI pain (sacralilliac) after a fall down the stairs over a year ago.
My pain mgmt dr has me on OxycodoneIR 10mg every 3 hours and we're trying to space it to every 4 hrs but it's been a bit tough. The only withdrawal symptoms I've ever noticed if I went a couple days w/out the med (my pain mgmt dr writes scripts for 7 days only and my last appointment was made at the 10day mark so I had to go 2-3 days without pain meds) were some diarreah and worsened pain. The pain doesn't immediately get worse but is accumlative where it'll be tolerable at first and then over the course of about 18-24hrs gets intolerable to where I can barely move and can't sleep (of course it's all made worse by pregnancy).
my Dr had me on Norco 10/325 2 every 6 hrs for about 3 months before I finally got approved by insurance for pain management and I've been on this dose at pain management for about 2 months at most.
Heres my questions: #1~ how long do I need to taper to reduce the chances my son will experience w/d after he's born?
#2~ How long can W/D in a newborn last and what can they do to treat it? I did research and found that they can use several meds to treat w/d symptoms in newborns.
I have not had the chance to speak to my OBGYN about this because he's been out of the office for the last 2 appointments and It's a teaching hospital anywayse so I see a different resident each time and just see the main dr's for a couple minutes at the end.
my son's growth is fine, and all. I understand completely and have always understood the risks of being on opiates but I had to find a happy medium between pain control so I could function to care for my 15mo old with special needs (down syndrome) and also try to keep my unborn son healthy. You may not have much advice to offer since this is a different case than most but I appreciate you reading this!
My pain mgmt dr has me on OxycodoneIR 10mg every 3 hours and we're trying to space it to every 4 hrs but it's been a bit tough. The only withdrawal symptoms I've ever noticed if I went a couple days w/out the med (my pain mgmt dr writes scripts for 7 days only and my last appointment was made at the 10day mark so I had to go 2-3 days without pain meds) were some diarreah and worsened pain. The pain doesn't immediately get worse but is accumlative where it'll be tolerable at first and then over the course of about 18-24hrs gets intolerable to where I can barely move and can't sleep (of course it's all made worse by pregnancy).
my Dr had me on Norco 10/325 2 every 6 hrs for about 3 months before I finally got approved by insurance for pain management and I've been on this dose at pain management for about 2 months at most.
Heres my questions: #1~ how long do I need to taper to reduce the chances my son will experience w/d after he's born?
#2~ How long can W/D in a newborn last and what can they do to treat it? I did research and found that they can use several meds to treat w/d symptoms in newborns.
I have not had the chance to speak to my OBGYN about this because he's been out of the office for the last 2 appointments and It's a teaching hospital anywayse so I see a different resident each time and just see the main dr's for a couple minutes at the end.
my son's growth is fine, and all. I understand completely and have always understood the risks of being on opiates but I had to find a happy medium between pain control so I could function to care for my 15mo old with special needs (down syndrome) and also try to keep my unborn son healthy. You may not have much advice to offer since this is a different case than most but I appreciate you reading this!
Congrats on ur baby...good job on that I'm very glad 2 here baby is ok n u will be too...good luck with everything u will get off the pills and help with ur back...r u able 2 c a chiropractor?
Just writing to update. my son was born 12/9 and for 2 days before that I'd tapered my dose and then gone without> when he was born I'd gone almost 36 hrs without any pain meds and before that 24 tapering. My son was born with NO dependancy whatsoever and Im grateful for that. they did wind up putting me on dilaudid for my csection+back pain following surgery (they placed my spinal 3x and kept hitting nerves where my back is damaged causing me more pain following surgery).
I just wanted to update w/the good news about my lil man.
I just wanted to update w/the good news about my lil man.
I take 2 5mg tabs every 3-4 hrs (we're trying to get it spaced to the 4hr mark at pain mgmt dr's request) and I do have to take them overnight. I don't sleep well due to the pain so It will wake me up at around the 4hr mark so I need to take a dose in order to get comfortable enough to go back to sleep.
The total amt Ive been at for 2mo is 80mg/day but we are trying to get that down to about 60mg/day total before baby is born. Yesterday and today I've been slowly lowering the dose even more, and yesterday on 2 occasions went 6 hrs between 10mg doseages, then this afternoon I'm trying to just take 5mg every 3-4hrs... so far no bad side effects other than a little extra discomfort in my back. it probably helps that I'm adding tylenol every 6 hrs.
When I run out of meds I have experienced just diarreah and increased pain, but as I said it takes a while after not taking the med for my pain to become intolerable, usually at the 18hr sometimes 24hr mark with no meds. (that's if pain had been perfectly controlled before stopping the medication).
You asked why the pain mgmt dr's had me go an extra 3 days w/out meds. Well my normal dr has been out of the office for the last 2 visits so I'm seeing a stand-in dr. however my normal appointment day at the 7 day mark was fully booked so they had to put me in the next time that dr was in. Hope that makes sense.
No, i dont feel I'm an addict because I take the medication for pain and I don't get a high from it, when I'm without the med I have pain but I don't mentally keep thinking "I wish I had the med it would make everything better"....I've seen true addiction, it's what killed my stepfather.
I did not crack my tailbone during the fall although I have before so I know what that feels like (it hurts like h*ll!) , I hit my back on the edge of the stairs as I fell and my insurance wouldn't approve an MRI only xrays (which don't always show disk damage). Xray showed weakened L5, mild arthritis and some scoliosis. The weak bones could've been done to my previous pregnancy (i was 1mo postpartum when I fell)
Back problems run in my family, even my younger brother who's 16 has back issues but refuses any treatment.
I'm a high risk pregnancy mainly due to my history. My first child has down syndrome and also a genetic skin disorder I carry (DS doesn't run in my or hubby's families). But because he was born with both issues and I had something called HG or Hyperemesis (threw up nonstop) for 25w I'm high risk. My two boys will also be less than 18mo apart and i'm a repeat csection. That also makes me high risk. and of course the chronic pain issues don't help any.
I'm familiar with medical terminology and actually plan to go towards getting my prerequisites for nursing in the fall. Hopefully the treatments for my back that pain mgmt has planned will work and I'll no longer need any medications.
If I have to go with no adequate pain managment I hurt so badly I can't eat, I can't function enough to even hold my first son more than a couple minutes and I can't pick up or clean my house. it feels horrible. and yes there are days where things like lidocaine patches and icyhot help some... but those are only when the pain is at it's weakest
The total amt Ive been at for 2mo is 80mg/day but we are trying to get that down to about 60mg/day total before baby is born. Yesterday and today I've been slowly lowering the dose even more, and yesterday on 2 occasions went 6 hrs between 10mg doseages, then this afternoon I'm trying to just take 5mg every 3-4hrs... so far no bad side effects other than a little extra discomfort in my back. it probably helps that I'm adding tylenol every 6 hrs.
When I run out of meds I have experienced just diarreah and increased pain, but as I said it takes a while after not taking the med for my pain to become intolerable, usually at the 18hr sometimes 24hr mark with no meds. (that's if pain had been perfectly controlled before stopping the medication).
You asked why the pain mgmt dr's had me go an extra 3 days w/out meds. Well my normal dr has been out of the office for the last 2 visits so I'm seeing a stand-in dr. however my normal appointment day at the 7 day mark was fully booked so they had to put me in the next time that dr was in. Hope that makes sense.
No, i dont feel I'm an addict because I take the medication for pain and I don't get a high from it, when I'm without the med I have pain but I don't mentally keep thinking "I wish I had the med it would make everything better"....I've seen true addiction, it's what killed my stepfather.
I did not crack my tailbone during the fall although I have before so I know what that feels like (it hurts like h*ll!) , I hit my back on the edge of the stairs as I fell and my insurance wouldn't approve an MRI only xrays (which don't always show disk damage). Xray showed weakened L5, mild arthritis and some scoliosis. The weak bones could've been done to my previous pregnancy (i was 1mo postpartum when I fell)
Back problems run in my family, even my younger brother who's 16 has back issues but refuses any treatment.
I'm a high risk pregnancy mainly due to my history. My first child has down syndrome and also a genetic skin disorder I carry (DS doesn't run in my or hubby's families). But because he was born with both issues and I had something called HG or Hyperemesis (threw up nonstop) for 25w I'm high risk. My two boys will also be less than 18mo apart and i'm a repeat csection. That also makes me high risk. and of course the chronic pain issues don't help any.
I'm familiar with medical terminology and actually plan to go towards getting my prerequisites for nursing in the fall. Hopefully the treatments for my back that pain mgmt has planned will work and I'll no longer need any medications.
If I have to go with no adequate pain managment I hurt so badly I can't eat, I can't function enough to even hold my first son more than a couple minutes and I can't pick up or clean my house. it feels horrible. and yes there are days where things like lidocaine patches and icyhot help some... but those are only when the pain is at it's weakest
I see u r rx-ed 10 mg every 4 hours? so u r taking maybe 3-4 pills a day? as some of this u r asleep..so from ur post i would think u r at 30-40 mgs of oxycone each day
When u run out of pain meds, do u experience just physical discomfort,,,like the runs? or do you have cravings for the drug//ie r u an addict? seeing an high risk ob this late in ur pregnancy, why did they leave u stranded 3 days short? As a rule ob doc;s do not want a high risk patient to go thru wds....
Do they think u cracked ur tail bone? coccyx in medical terms which is a common injury and usually no intervention is done...long term narcotics is a bit unusual for a tailbone injury as most anyone who has fell before..or in any type of accident involving the low back has this issue...most never know it..it is usually felt for a few weeks and then not an issue anymore
After a year of pain I would definitely seek another opinion if this is still causing u pain
as a rule..the baby's wd will be comparative to urs as anything u put in ur body is fed to the baby..it is hard to predict..only thing is less is better but u r under a specialists care...he should not have let u run out by making u wait 10 days for an appt and only give u pills for seven days....wd is not a good thing to have during a high risk pregnancy
Why is ur pregnancy high risk? a fractured cracked tail bone is not usually cause to call a pregnancy high risk as many have this condition
It is common for someone addicted to narcotics to experience increased pain during wds...but it doesnt sound as if u feel u r an addict...try to not run out while u r expecting if the pills are necessary to function and take care of ur son..the dr should not have let this happen
keep posting
When u run out of pain meds, do u experience just physical discomfort,,,like the runs? or do you have cravings for the drug//ie r u an addict? seeing an high risk ob this late in ur pregnancy, why did they leave u stranded 3 days short? As a rule ob doc;s do not want a high risk patient to go thru wds....
Do they think u cracked ur tail bone? coccyx in medical terms which is a common injury and usually no intervention is done...long term narcotics is a bit unusual for a tailbone injury as most anyone who has fell before..or in any type of accident involving the low back has this issue...most never know it..it is usually felt for a few weeks and then not an issue anymore
After a year of pain I would definitely seek another opinion if this is still causing u pain
as a rule..the baby's wd will be comparative to urs as anything u put in ur body is fed to the baby..it is hard to predict..only thing is less is better but u r under a specialists care...he should not have let u run out by making u wait 10 days for an appt and only give u pills for seven days....wd is not a good thing to have during a high risk pregnancy
Why is ur pregnancy high risk? a fractured cracked tail bone is not usually cause to call a pregnancy high risk as many have this condition
It is common for someone addicted to narcotics to experience increased pain during wds...but it doesnt sound as if u feel u r an addict...try to not run out while u r expecting if the pills are necessary to function and take care of ur son..the dr should not have let this happen
keep posting
I know you said your doctor has been out of the office the last 2 visits,but the questions that you have are questions that only he or she can answer.I'm surprised at 37 weeks,especially since your doctor is a high risk OB ,they haven't already addressed these issues with you.However it is extremely important to the health and well being of your baby and you that they address them soon and that you follow their advice.I wish you all the best with your new little one....Kim
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