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Saw my new pain management doctor today
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| iSpine Discuss Saw my new pain management doctor today in the Main forums forums; Mark, did you go by the fact that twice a day coverage was leaving you with pain before it was ... |
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01-22-2009, 06:49 PM
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Mark, did you go by the fact that twice a day coverage was leaving you with pain before it was time to take the next dose, as reason to go for lower doses more frequently?
I'm just wondering, because I take extended release meds (twice a day), and I don't feel any additional pain in the time before the next dose, but my doctor was asking me about it. I guess if it wasn't lasting the full 12 hours, she might have done a similar thing, going with a lower dose three times a day. I was taking short acting meds, 4 times a day. I much prefer taking the long acting meds.
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Cathy 46 years old. 12-15 years of intermittent pain, 2 years with constant pain. DDD, L4-5 and L5-S1, pain confirmed by discogram. PT, ESI's, Facet injection and block, Acupuncture - all no help. 2-level (Prodisc-L) ADR surgery with Dr. Bertagnoli, May 26, 2009. Currently taking Opana-ER (tapering off) and oxycodone 
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01-22-2009, 07:13 PM
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I am noticing (granted, after being on this extended release less than 24 hours!) that the 10 mg. is just not cutting it. Does it take awhile to get into the system? I took 1 dose last night at 6pm and a second dose at 6 am this morning. I'm only supposed to take 2 percocet a day for break thru, and I have already taken 1 today, and it is only 1:10 pm. Is this normal? Now I'm really nervous about going out of the country tomorrow. Should I call the pain management clinic to give them a head's up?? Any suggestions?
Thanx! Cindylou
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bicycle accident 6/01: 2 compression fractures @ T12-L1; vertibroplasty; 4/06: right hip labral tear & arthroscopic repair; 4/07: lumbar prodiscs @ 3 levels, L3-6 by Dr. Bertagnoli; 7/02/08: ALIF L6-S1; 7/30/08: reopened to remove bone cement, leaked onto S1 nerve root; 8/08: pulmonary embolism, double pneumonia, collapsed left lung, pleurisy, pleural effusion; ALIF fusion complete; 3/10/09: SI Joint Fusion by Dr. Stark; Jury still out.
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01-22-2009, 07:25 PM
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If you can handle it, I'd let things settle out for a few days. It gets tougher and tougher to communicate with the doctors and their offices if we try to manage these issues on a short term basis. Yes it does take some time to build up the levels... how does your new dose compare to your old dose in terms of total/day. You need to remember that the total is spread out over a longer period for the extended release meds, depending on how you take them and how you took the IR meds. Obviously, if you are concerned... call the doc.
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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01-22-2009, 10:16 PM
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Hey CL,
If you haven't been on a medication consistently, it will take some time to reach a therapeutic level. Unfortunately, you can't speed up this process. In the meantime, you may need to adjust your dosing based on your current pain levels. You can also take half of the percocet in between your regular doses to help bridge the peaks and valleys until you have a therapeutic level in your system. What you are experiencing is normal. Good luck and feel free to PM with any specific questions... (as always, this should not be regarded as medical advice). BTW... have FUN on your vacation!! Quote:
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-Justin 1994 Football Injury 1997 Snow Skiing Injury Laminotomy L4/L5 (3.7.97--17 years old) 1999 & 2003 MVA (not at fault both times) Grade V Tears L4/L5 & L5/L6 2-Level ProDisc® L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old) Dr. Rudolf Bertagnoli -- dr-bertagnoli.com Pain-free for the last 4.5 yrs. 5.14.09 DSS with Dr. B. I'm here to help.  Only checking PMs currently.
Last edited by Justin; 01-22-2009 at 10:32 PM.
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