getting back on MMT after years away

[theSWPK]

Wouldn't going to a pain management specialist be a better idea ? The clinic can be quite rigid and can interfere with your lifestyle.

I see it as a last resort and Oxycodone would be a better pain medication.

Haha

It's so stupid hard to get into any right now, and our DEA has pussy whipped most into not writing shit. For example my aunts Dr writes her 60 30mg oxycodone a month. Never more than 60 on anything, it's a rule he has. Except that oxycodone is to be taken every 6 hours and she's supposed to take the whole 30mg. That's 2 pills a day...


And I did find dementia listed as a side effect of gabaoentin listed on a mayo clinic page. http://www.mayoclinic.org/drugs-supplements/gabapentin-oral-route/side-effects/drg-20064011

[bignasty]

Wouldn't going to a pain management specialist be a better idea ? The clinic can be quite rigid and can interfere with your lifestyle.

I see it as a last resort and Oxycodone would be a better pain medication.

Haha

It's so stupid hard to get into any right now, and our DEA has pussy whipped most into not writing shit. For example my aunts Dr writes her 60 30mg oxycodone a month. Never more than 60 on anything, it's a rule he has. Except that oxycodone is to be taken every 6 hours and she's supposed to take the whole 30mg. That's 2 pills a day...

I know this post is old but I don't understand why doctors do that and what they expect their patients to do for the rest of the hours of the day. If it's a chronic pain condition, they should be required to write you a long acting medication AND a break-thru medication. If they're only gonna write for 60 short acting pills, they should write use one every 12 hours as needed for pain because you can't take one every 12 hrs and get pain relief for those 12 hours.

I feel like doctors create more addiction by under prescribing than they do by over prescribing or at least by writing the perfect amount for the individual. When you're only prescribed 2 30mg roxies per day, you put them on a pedestal and think and say "Oh, I'd have it made and would love life if I could just get RX'd 4-6 per day so I could have constant pain relief and not have to decide when I want to feel bad and when I want to feel pain and mild WD's".

Just like the OG oxy's and the OPs lasting 8 hrs instead of the 12 hrs that they claimed they worked for created more addiction because people got to where they were counting down the hours until they could take their next dose. It almost creates like a mystique(sp?) or folks just worshipping and looking forward to that next little pill where if they were RX'd 3 per day they'd just think "Oh, it's been 8 hrs since my last OxyContin so I guess I should take another one before I start feeling bad and getting achy again". Under-prescribing creates cravings and eventual taking more than RX'd or more often than RX'd because the medicine isn't working like it's supposed to work. Then, that's when patients get into finding other pills through friends or family or even drug dealers. Then, an addiction is born.

[Chip]

Ah but *IF* you could get RX'd 4-6 per day so you could have constant pain relief and not have to decide when I want to feel bad and when I want to feel pain and mild WD's".

so in a few days that will be your baseline and you will arrive at the "spot" that gets even deeper than before.

none of it is sustainable ultimately.

I do advocate for Oxycodone but only in the short term knowing what i know now and give people what they think they need and track the moving gaol postings.

[bignasty]

I know what you're saying but I meant for folks that take their medicine like they're supposed to and don't have addictive personalities and honestly need some good pain relief around the clock. That doctor should give her 2 OPs a day (or MScontin or Fent patches or 'done would be even better) instead of 2 roxies a day.

[Chip]

a GABA cocktail including Pregablin can cut her pain dramatically.

With gentle weaning, that patient can become opiate free.

or to be used for breakthrough. Why make somebody more dependent on opiates ?

None of it is very sustainable [again].

WHO Would wish opiod dependence on anyone ? Higher doses means higher risk and a higher chance of overdose.

Bupe is a safer treatment in that regard.