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Opioids going back to methadone and oxycodone from buprenor

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Cryptoxx

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May 10, 2011
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I used to be on methadone. 80mg a day. I then slowly went to 30mg a day, then quit. I took my last methadone sept. 20 2008. I then detoxed for 5 days and started taking suboxone. I have been taking suboxone since then. It never worked the way it should, I was never out pain like I was when I took methadone. Now that I have a bulged disc, degenerative disc, and a herniated disc suboxone is doing NOTHING. I have a doctors appointment in two days. I am going to try get back on methadone.

My main question is, if I were to be prescribed 20-30mg of methadone a day, would being prescribed lets say 15mg of roxicodone for BTP be of any use? I know people say methadone blocks, and I understand that at a high dose. But, at such a low dose of methadone, roxicodone will have to be effective to some extent for break through pain.

Please give me your thoughts..

I am also worried about what the doctor is going to say, about why I waited so long. And the truth is, my back has just gotten so much worse, and I was doing clerical work, with hardly any activity, now I am doing hard manual labour, and need much more pain relief. I hope to God, he will understand.

P.S. - The ONLY reason I quit taking methadone was the simple fact that I could NEVER get any PURE facts on the effects it had on the body. I did not want to slowly wither away. Most of the negatives I heard, I always in my mind attributed to people not taking it correctly or taking care of themselves. The medication itself probably did not deteriorate your body. I just could not risk it, given that my son was born Sept. 23, 2008
 
Methadone doesn't block like buprenorphine does, it basically just jacks up your tolerance when people take high maintenance doses so its more difficult to get effects from other full agonists.

At 20-30mg a day, you can certainly take other full agonists for breakthrough pain and many pain patients do. Whether your doctor will be willing to go this route is a different story.
 
Now for the doctor...

Now, I just need to know how to approach my new Doctor the right way. For starters I was going to possibly lie, which really bothers me. I was going to say, I was no longer going to have the great insurance I currently have after July 5, and would not be able to afford the 684.00 for 90 suboxone, for starters. I'm thinking that should be the LAST thing I say. I should tell all the truths first.
1) I am no longer just sitting at a desk, I am doing roofing and setting tile(tile setting involves WAY WAY more than just laying some tiles on some thin set[cement]) and therefore my pain has amplified tremendously.
2) I remember when methadone was effective treating my pain when doing heavy activity.

Now I think it might help if I add what all is causing me pain.

1) I have an old pitching injury from 9 years ago when I was 17, my shoulder makes a wicked pop when my shoulder adducts with my elbow at my waist and my hand out in front of me. It gives the same pop when my hand is extended directly out with my elbow locked and I pronate(go from palm up to thumb down). I have some impinging going on probably, and probably a supraspinatus tear that is scared up. I actually do not have a DEFINITIVE diagnosis, but I know a few orthopedic tests that I fail pretty badly with my shoulder. Anyway, there are a number of ways where working starts to cause sharp pain in my shoulder that is very painful and very acute.
2) I have a bulged lumbar disc, herniated lumbar disc, and what appears to be a degenerating lumbar disc

**3**) I have pain on my left side under my twelfth rib. I had a collapsed lung after pleural effusion, had 1300ML+ drained via thorocentisis, then had two incesions about 4" below my armpit where alot of "crap" was cleaned out, and a chest tube was in when I woke up. Ever since then, it has always hurt to take a deep breath.

I put ** by the number 3, because that's all the records I'm going in with, I'll need a new MRI ordered for my back, and I had an MRI done 9 years ago on my shoulder, and they found litttle to nothing on the MRI, which doesn't mean there isn't damage, but I don't think it's really worth going through again. if both hands are placed around my shoulder and I do some range of motion, the doctor can feel all the movement and cracking, and popping, and that should be enough.
 
if you've got back issues you better hope you get some good shit for roofing and setting tile. I do both of those things also and a bad back is definitely something I would NOT want in that line of work.
 
You should really look into your Degenerative lunbar disk. My dad has it in all 4, and his disks have disinigrated into nearly nothing. Hes almost cripple at age 54.

If you do have this, you should really get out of this line of work as soon as you can, you are only making the problem worse. I hope you get the help you need man, <3
 
I just got an MRI done on my back again. Looks about the same as the previous one. One bulging, one herniated, one degenerating.

I went to my new doctor on May 12, and he wanted me to bring in the past 6 months from my pharmacy, as well as something stating that I am no longer under a pain management contract with my Suboxone doctor for my appointment Thursday, May 19.
He ordered the MRI, because I didn't have a copy of my previous one to show him, nor could I recover it anywhere. So now he'll see what's going on with my back.

Now then. I was only on 24mg of buprenorphine a day, and like I said it never really helped much, I just toughed it out. Now that I'm back WORKING again, it's useless, and I have taken my last one tonight.

I am wondering what is a reasonable request for my new doctor? If he asks me what I want to do, I was going to say "I'm not sure, what do you think? I was thinking I could go back to the methadone at 30-40mg/day". Then, I want to say "In the morning, I can barely get out of bed, and I get borderline depressed it's so frustrating to be hurting like that; is there anything I can take when I wake up that is short term to kill that pain I have in the morning, as well as half-way through the work day?" I'm hoping for something for that, something to get me through those two times of the day, when I wake up, and the middle of the work day. . Should I say that oxycodone 15mg works for my friend and co-worker or just wait for what he has to say? I mean, what is there really for what I need? All I know of is those Instant Release Oxycodone tablets, and those Dilaudid tablets. I'm not proud of it, but I have taken a 4mg dilaudid before when I wasn't prescribed them and I was not impressed at all...
 
Don't start throwing out chemical names and dosages bro. That is my only advice. But we're not supposed to talk about that stuff here... Also don't start talking about buying on the street man! Common sense. Ask what he thinks is best. You might have to suffer a while before you eventually get what you want.
 
Yes just tell the doctor how you feel and ask what he thinks would be best.

You can tell him the methadones worked before. But never start throwing out mg's and pills you've never been prescribed or he may think your drug seeking.

You may have to be in pain for a few months but I hope it gets better for you.
 
thanks guys. I'm sorry if I spoke about anything that wasn't appropriate. This is what I was written for my pain... 30 oxycodone 10mg for two weeks, and then come back, and omg it doesn't do the trick, and of course I couldn't say, hey man, I've had roxi 30 and that's what worked.
He DID freakin ask me that though, "so what works for you, or do you know? other than the methadone?" what does that mean? why ask OTHER than the methadone??

He asked about loratab and percocet, and I said I had percocet when my teeth were taken out, and it worked then. But, I didn't have these problems then. I have Hep C, and it's been tested thoroughly, and it's in "dormant" or whatever, i just have the antibody, or whatever. So, that's why he wrote me just 10mg oxycodone(instead of percocet). What should I do?!

Also, check this out, have you ever heard of arthritis of the back?
 
you should come straight with your doc and tell him you took roxi 30's and they help a lot and the 10mg didn't help at all if hes a good doctor he'll understand
 
What's a good way to tell him I took a roxi 30? I HAVE been at work before, and gotten one from my buddy/boss because I was hurting and feeling bad and I felt perfectly fine after that, finished up the day and went home and wasn't all broken feeling when I sat down after my shower to watch Hulu.
 
Sorry OP but how to get drugs from you Doctor is not the purpose of Other Drugs and not allowed. I know that isn't how this thread started but that's what is has turned into so I'm closing it now.

I'd just tell him that 10mg of oxycodone didn't work and see what he has to say.

If you have any questions or concerns about this closing feel free to PM me.
 
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