To: Beenthere2Hippie I will attempt to answer your questions which may give you a bit better understanding of the situation. My best friends friend is prescribed 2 Opana ER 15mg per day-1 to be taken of the morning 1 to be taken at night for supposed extended relief from pain. Is also prescribed 4 10/325mg Percocet to take during the day time for pain. She suffers from extensive spinal degeneration from arthritis, bulging and ruptured discs from thoracic area down to and including the lower lumbar area which is partially cutting off the sciatic nerve on her left side and not as bad but also doing same on the right side. In addition to the back problems she also suffers from severe arthritis of the knees, fibromyalgia and probably other things I can't seem to bring to mind at the moment. She is partially wheel chair/walker bound already.
Besides the pain meds is also having many types of injections in the spine for the past yr on a almost monthly basis which do not seem to be helping even a small bit. The physicians idea was to give the pain meds and use these spinal injections to hopefully stave off surgery for a few more yrs.
She has been on some type opiate
since 2005 but thankfully is not addicted--I've seen her go off of her meds (usually due to the inability to pay for them) for weeks at a time and although she suffered pain, she did not whack out like many do who are truly addicted to opiates
. I've been told she actually goes off her pain meds every 2-3 months for a few weeks at a time to be assured she is not becoming dependent.
Back to this pain doctor. He seems to push the same medications to all of his patients as she said she had listened in on conversations while in the waiting room with people comparing their medications. She also said this pain doctor seems to "push" people into having these injections and has not met one patient whom says they injections truly work for them.
As for the pain injections, she is diabetic and prior to beginning these injections, her blood sugar was so stable, she rarely needed to even take a blood sugar pill, but since beginning these injections, her sugar has went way out of control and she says it seems just as she gets it under control again, it is time for another spinal injection and the whole circle starts again.
She was on Norco 10/325 from 2005-2011. By 2011 they were not helping so her regular physician put her on Oxycodone
15mg 6 per day. She states those really did help with the pain and often times she had no need to take all she was allotted to take each day. She was on those for apx one yr, then rules changed and she was sent to a pain doctor. This pain doctor immediately cut her Oxycodone down to 10mg and placed her on fentanyl
patches. The patches did not help and she had a lot of trouble keeping them on as she has a sweating problem and they would just slide off. This doctor upped the fentanyl to 75mg yet they still did not help and the straw that broke the camels back was one of these patches fell off and she could not find it. She has many pets as well as grandchildren and was horrified that one might find the patch and die from touching it or ingesting it. This pain doctor did not want to change the plan so she was forced to seek out another specialist the one whom she is with now.
I asked again a few days ago how she was taking her meds. She stated that she insufflates 2 quarters of one Opana ER 15mg per day and takes her percocets as normal--I had misunderstood just how much she was insufflating of the Opana. So she is actually taking less of the Opana that she is prescribed. She has been doing this for several months and has a 16 panel U/A every visit and the doctor has not mentioned anything amiss. BTW she did have a major talk with her doctor concerning the pain meds just not cutting it, but he didn't seem to really pay attention to what she was saying and began talking about even more injections. FYI the state of Oklahoma,which we are in, just began some serious changes in pain pill laws so we all believe this is one of the reasons her doctor is not jumping to try some different pain medication with her at this time. I do want to add she mentioned she is ultimately seeking to have a spinal cord stimulater in hopes this would reduce or obliterate her need for any pain pills.
Sorry for the long post but did want you to understand this is a woman in her 50s, not a young person and is truly seeking pain relief not a high. Also do appreciate your thoughtful response
toastnjam added 8 Minutes and 40 Seconds later...
To drummingstoned20 Thanks for the thoughtful information, however I do not believe this woman has ever insufflated any kind of meds until recently with the Opana ER 15, in quarters. As I mentioned previously, she was on Oxycodone 15mg for over a yr and they did take care of her pain so well she states often times she did not need to take all of the 6 allotted pills per day. What she is wanting to know, is now that she has been taking Percocet 10s, two at a time to get any pain relief as only one percocet does nothing now, if when she asks her pain management doctor if she can go back on the Oxycodone, if she should ask for 20mg instead of the 15mg she had been on--due to having been taking two at a time of the percocets which are basically same thing as oxycodone, just without the tylenol in them. She's just concerned she might have developed a slight tolerance to the drug
and may need a bit higher dose to work now days.
Thanks again for your input!!!