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Oxycodone tolerance

Hey guys, I've been in PM for almost 5 years. My current PM doc is very strict and by the rules kind of guy, which I don't mind since my first PM doc got shut down by the dea. My first PM doc had me on 180 mg of oxy a day and the new doc lowered me to 120 mg a day. Which was extremely hard at first but I eventually got used to it. I'm going on 3 years with current doc and am getting almost no relief anymore and when I talk to my doc about it he says sorry that's as high as he can go with my dosage. Is it normal that my tolerance is gone this fast and my relief is minimal at best for maybe a half an hour to an hour after I take my 30 mg pill? My condition is severe kyphosis and scholiosis which had led to EVERY disk in my back either bulging, partially degenerated or totally degenerated. My life now consists of almost totally being bed ridden. Oh and btw I also get 2 10 mg hydrocodone for breakthrough pain which to me almost seems like a joke. Any advise or help would be greatly appreciated. Thanks
Best Answer
547368 tn?1440541785
Hey Tommy,

Sift through all the suggestions we've offered and take what you think will work best for you and discuss it with your physician.

Research any medications suggested here before you ask your provider to order them. Know what you are asking for - and remember just because it works for one doesn't mean it will be effective for another (you.)  Our systems are different and therefore we often respond differently.

I hope you'll find a solution! My heart goes out to you.
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Avatar universal
I really hope your upcoming visit with your Dr goes well. You got a lot of great advice from the members so you have much to think about.
If your Dr refuses to make any changes at all then you really should think about checking out other Drs. I understand it may be scary for you but I don't see a problem with at least making an appointment with a different pain Dr to talk about what your options would be if you became his/ her patient.
You're not alone, you have all of us here to support you. The people on this forum are so wonderful and they've helped me through some really hard times. I'm so thankful to have the friends I've made here. I think you're going to feel the same way too.
Helpful - 0
Avatar universal
Thanks I will. My pm appt is this Friday so I'm gonna go in with all of this info and see what kind of changes we can make to try and get me some much needed relief. It's been way to long but because of my insane fear of just being dropped for no apparent reason because I'm being a troublemaker I've just got to suck it up and finally do something. I guess we'll just have to see and just let the chips fall where they may.
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1446517 tn?1304546575
Totally agree...I told her to request Kadian ER instead.
Lower dose like 65MG, and its extended relief.
Yes its morphine, but with a lower dose and her issues, I think it would be a good fit.
I hope she at least asks about it.
Helpful - 0
1446517 tn?1304546575
Ask him if he will switch you to KADIAN ER.
I have it ONLY for break-through pain and I had to fight like hell to get it.
It is "ER", so it lasts 12 hours like oxycontin.
I take 65MGs when I have a flare-up that leaves me begging for a bullet.
I told my primary doc that its cheaper than me going to the emergency room.
I even offered to bring in the bottle so he can SEE, I only take it for breakthrough pain.
Its worth asking about....it is the magic bullet for me.
I have to say, I hated oxycontin but I can take oxycodone and they are really the same, one is just extended relief.
MEDICARE said the urine screenings are "not medically necessary" so I had to leave.....the "contract thing".
My primary doc only makes me fill out a questionaire once a year instead of the urine screening.
HE GETS ITS EXPENSIVE and for me to be just on oxycodone 20MG BID + the break through med (once every other month) its not worth paying $2,400.00 a year to have my pee inspected.
I use to be on (4) narcotics + controlled meds, and I weaned down in order for my primary care doctor to prescribe for me. (Its all about his comfort and not so much about mine)
Those urine screenings bring in the big bucks and everyone wants in on that.
Seniors are being screened for angel dust and crack cocaine! The more testing they order, the bigger the kick-back.
Plus, they tend to over prescribed,imo.
I call it the "constipation clinic"!   :-)
Been there done that, cannot afford the price tag.
Helpful - 0
Avatar universal
Trust me my hunting buddies bend over backwards to help me out n any way they can. I think it's just so depressing knowing that I can't do the things with them anymore like I used to. So many of my friends jump through hoops to help me out and try to make me feel better. As I'm sure you know most of my brain is concentrating on the miserable pain I'm in.
Helpful - 0
547368 tn?1440541785
I checked on Dr Morgan as you suggested. It claims he has sanctions.
It's strange as the document they send you to is not for him. It's a Jed Lane Morris MD.

However after reading on I did see the new report. That's the DEAs side of the story. I'd be interested in hearing his side.

Your life isn't pathetic. You'll find (if you look) things that you can do - besides "getting stupid drunk" - I do understand it's the comradely with those friends that you miss most. I missed my softball friends and other sports and physical things I did.

Look, you'll find other things to occupy your time - and you don't have to give up those best friends of 30 years. True friends don't care if you can no longer drink - or participate in the activities you once did. They are not going any where.  
Helpful - 0
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st. louis, MO
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