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What to do when the meds stop working?
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My question is...after 10 years of being on the same medications (180 10/325's vicodins monthly, 90 50mg ultrams monthly) Ive talked to my dr. about what we could do so I could live a reasonable life like I was prior to my tolerance top, she said Im maxed and I just have to live with it? can anyone tell me what I should do?
 
Posts: 2 | Registered: 07-06-2009Reply With QuoteReport This Post
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Hi buckashow,
Welcome to ChronicPainConnection!

When your doctor says you're maxed, she probably means you've maxed out of the pain medications she is comfortable prescribing. The medications you're taking are actually two of the milder pain relievers available. Most primary care doctors do not like to prescribe anything stronger. So it may be time for you to see a pain management specialist, as there are a lot more options available. Your doctor should be able to recommend someone.

If you do see a pain specialist or go to a pain clinic, you'll be required to sign a Treatment Agreement before they will treat you. I strongly urge you to read this article before doing so: Treatment Agreements: What You Need to Know Before Signing

Good luck to you. I hope you'll let us know what you decide and how you do.

Karen


Karen Lee Richards
ChronicPainConnection Expert
 
Posts: 218 | Registered: 03-16-2007Reply With QuoteReport This Post
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Thank you for the response but this is my PMS saying this to me, so what should I do, Ive had a spinal fusion L4-L5, I have Syatica, and DDD, Im suffering daily and he seems not to care, its not like Ive been on this regiment for 6-9 months its been since Aug 24th, 1999.
 
Posts: 2 | Registered: 07-06-2009Reply With QuoteReport This Post
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Wow! I was surprised to hear it was your PMS that told you you were maxed out. I know there are PMSs that are gun-shy about prescribing opioids, but I always wonder why they specialized in pain management.

I know it's not easy to do, but you might want to consider finding another PMS. Here's a link to a directory of pain doctors in case you want to try that: http://www.doctorsforpain.com/physicians/index.html

The only other think I can think of would be to try some complementary treatments in addition to the medication you're taking. One to consider would be acupuncture. Here's some info on it: Treating Pain With Acupuncture

Another is something called Mindfullness Based Stress Reduction. I know it sounds strange, but I know of people who have tried it and say it really does help. They don't claim it takes away all pain, but they do say they have improved. Here's a link to more information about it: Mindfullness Based Stress Reduction And here's a link to a directory to help you find a program in your area: MBSR Directory If you don't find a program through the directory, try calling local hospitals to see if they offer it.

I wish I could give you some better or easier options. The most important thing with chronic pain is to find a doctor who will listen and is willing to work with you. I know that's easier said than done.

Karen


Karen Lee Richards
ChronicPainConnection Expert
 
Posts: 218 | Registered: 03-16-2007Reply With QuoteReport This Post
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Every pain specialist I have ever been to has agreed on one thing, a rotation of meds. Using different ones for a number of months. So if you are on Perc and Ultram then you go to Vicodin and ultram. Just to give your body something different to try to get used to. When it becomes tolerant then perhaps you go back or perhaps you move on to another regimen. She can do this without increasing your dose amount just a different med..

Your doses are low, very low actually but each person is of course different. I suspect your PMS is med shy or has had problems in the past. You can inquire through the med board in your area and then decide to find another one or talk to her again. If she is uncomfortable raising your doses then ask for a different medication. That is not an unreasonable request and it should not fall under the drug seeker hackles. If your meds no longer work, there is a reason. Like many of us, it is because your body has built up it's tolerance for it and needs "different"

Fight for your pain and don't let one Doctor treat you like they do not care. Your money can go to another more caring doctor just as easy! Of course be careful not to look like a drug seeker but 10 years!!! C'mon even I know that's too long on one plan.

I wish you luck!
 
Posts: 4 | Location: Hawaii | Registered: 07-02-2011Reply With QuoteReport This Post
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There is a new alternative to pain management by meds. It is an electric modality which locates the origin of the pain and destroys the scar tissue or muscle protection that is blocking the electrical signals from the brain. This device has proven to be extremely successful for PRO athletes and is available noe to the general public.
 
Posts: 11 | Registered: 08-01-2011Reply With QuoteReport This Post
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buckshaw:

This procedure will work and it won't cost a penny to be evaluated.
 
Posts: 11 | Registered: 08-01-2011Reply With QuoteReport This Post
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    Chronic Pain Community  Hop To Forum Categories  Chronic Pain Connections  Hop To Forums  Treatment    What to do when the meds stop working?
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