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Dr. changed prescription and now I feel worse

Posted: Fri Apr 06, 2012 3:30 am
by dlb
My doctor changed my pain meds from 7.5/325 hydrocodone 45 mg a day to oxycontin 60 mg a day and it does not seem to help. She said I could take hydrocodone for breakthrough pain, but did not elaborate. I called in today and talked to the nurse and she said it was fine to take a hydrocodone if I was having pain in between doses, that I may just not be used to the new med yet. Does this seem right....This new med was supposed to be better for me, but I feel like it is making it worse. I also take 900 mg of gabapentin a day, .75 of bupoprin (which I don't think does anything) and 2 mg of tiazadine at night.
the new pain meds have me feeling like I did before I started taking anything...
thoughts?

Re: Dr. changed prescription and now I feel worse

Posted: Fri Apr 06, 2012 9:45 am
by helenlegs 11
Pain medication, especially for neuro pain is 'experimental' on an individual basis as people can react very differently to different meds. They only person who can really tell how they are affecting you (or not) is you.
I would usually say give it some time but that would be to 'get past' any side effects rather than non effects which seem to be your problem.
I would still give these new meds a little time and monitor how things are going but if you really have not had additional help from them after a 2-3 weeks it would seem sensible to quit and revert back to what does work or works better. Let your Dr. know and why, perhaps you could end up taking almost as high a dose of hydrocodone for breakthrough pain because the new drug isn't working for you making the new one redundant.
I'm sorry I don't have any pharmaceutical knowledge so can't comment on these actual prescriptions (which would have been helpful ) Although it seems that the new one is a slow release drug, maybe that does need to build up in your system but I am speculating on something I really shouldn't :)
How long have you been taking the new one now?
Take care,
Helen

Re: Dr. changed prescription and now I feel worse

Posted: Fri Apr 06, 2012 10:05 pm
by Poppy
Oxycodone isn't normally used for neuropathic pain but it does work for some; me included. It does take time for it to start having any effect though. If you can cope give it a few days. 60mg is a fair sized dose but your doctor can't increase it suddenly. Personally I find that the quick release version oxynorm works better for me. I take it every 4 hours. I tried the slow release version which is supposed to last 12 hours and it doesn't do much more than 8 hours.