I took a risk by being honest w/ my pain doc...

[DeathIndustrial88]

Thank you for your insight, DeathIndustrial88!

Absolutely! My pleasure! Anything I can do to help!

Oxycodone is metabolized by the CYP3A4 pathway, so you could try drinking grapefruit juice with your oxy to extend the duration of analgesia. But it's also possible some of the other meds you're on could be metabolized by this pathway (I'm not sure). So doing this could potentiate more than just your oxycodone.

Oral antifungal meds are also CYP3A4 inhibitors, like itraconazole. I actually took itraconazole recently a few months back & felt like it potentiated my buprenorphine but only slightly.

If you look up "CYP3A4" inhibitors, it should show you what drugs & foods will inhibit this enzyme, which will slow down your metabolism of oxycodone.

The gabapentin will work wonders for opioid withdrawal. I take about 900-1,200mg of gabapentin myself every day. It should absolutely help in the right doses.

Dextromethorphan is another thing that can help tremendously. It's the main ingredient in Robitussin & OTC cough meds. Make sure to only use products that contain DXM and nothing else. Taking 30-90mg of DXM can help potentiate an opioid. Taking higher doses can actually help with withdrawal big time but the higher dose causes a dissociative trip & I don't think you're trying to go for that. lol

I use to take small doses of DXM, loperamide & tonic water when I had withdrawals. Some times it helped, some times it didn't do much.

Tizanidine can potentiate opioids. My sister gave me some of those a few years back & I snorted some of them (because I'm an addict & like to snort things lol) and it knocked me on my ass. I believe it's related to clonidine but is more of a muscle relaxant.

The vyvanse should also help. I'm surprised you're able to get all of these meds honestly! lol The gaba, vyvanse & tizanidine should be doing at least a little to help keep withdrawal at bay.

And yes, you may need a little bit higher doses of loperamide than that. Supposedly no more than 8mg a day of loperamide is safe. Some sites say no more than 16mg a day... So I would hover around that area & see if it helps any better.

 

[516CAZ]

UPDATE: I just got an appointment reminder for the pain doc that says my appointment is on THURSDAY, the 15th, which is the day I'm actually due to run out. Sooooooooo, I would have an empty bottle no matter what. I'm confused... Was this a mistake by the scheduler? Should I call them and point it out or keep quiet and show up on THURSDAY instead of TUESDAY??

 

[DeathIndustrial88]

UPDATE: I just got an appointment reminder for the pain doc that says my appointment is on THURSDAY, the 15th, which is the day I'm actually due to run out. Sooooooooo, I would have an empty bottle no matter what. I'm confused... Was this a mistake by the scheduler? Should I call them and point it out or keep quiet and show up on THURSDAY instead of TUESDAY??

I would just point it out when you get there. That way you can show them their mistake to their face. And then ask them why they wanted you to bring an empty pill bottle if they knew that's when they'd be out.


I'm hoping for the best for you & maybe your doc wants you to come in & dish out some anti-junkie rheotoric & then give you something else or extra. He just wants to see you in person. At least this is the scenario I'm hoping for you. My mom use to have to refill her tramadol for me every month for 11 years & she (we) dealt with a ton of bullshit from doctors & pharmacies once tramadol became a controlled substance. Always making her come in for refills & unnecessary appts. I feel pretty bad that my mom had to do all that bullshit for me for so long.

But if he's an ass or isn't helpful, definitely time to consider looking around for a new one. But it sounds like you're on a lot of meds & it might not be easy for find a new doc willing to prescribe all those same meds either, so that does make this a nerve racking situation. I'm really sorry to hear.

Good luck!

 

[SuperPsych]

I pulled up my last drug screen record. It does not list kratom as a tested drug. I've had kratom before, but can't remember where I got them? Was it a smoke shop? I guess I need to make a decision quickly as I just took my second to last oxycodone...

I will definitely be looking for a different provider! Like you said, I'll only keep going to this doc until I find another. The majority of reviews for pain places around me (Phoenix, Arizona) are not good.

I said to him, "I definitely regret being honest with you." I'm usually a very strong advocate for myself, but I think I was just shocked at his reaction. As a woman, I know I have to advocate harder. It just caught me off guard, I guess... WHAT A DICK.

Unfortunately there is a thing with some male doctors where they don't take their female patients seriously, especially when it comes to pain for some reason. I was just talking to my sister about this and she was sharing some bad experiences that she's had. Medicine is no place for misogyny (not that there IS a place for it), and unfortunately it seems more common than one would expect. Keep on trying to find a new doctor though! Kratom is very commonly found in Smoke Shops and Mini Marts. You wont be likely to find any at chain mini marts but mom and pop corner stores often have it, at least in my area. It's also available online but it'd take a few days to receive it

 

[SuperPsych]

I would just point it out when you get there. That way you can show them their mistake to their face. And then ask them why they wanted you to bring an empty pill bottle if they knew that's when they'd be out.

This is what I would do. You could even play it off as YOU were mistaken. Like that you thought you had taken extra but evidently did not. Or that yes, sometimes you'd take a dose a little bit early but that you did stick to the 3x a day (or whatever your prescribed schedule is). This honestly might play in your favor, although I wouldn't get your hopes up. I still think that Kratom is a decent choice to get you through to your appointment

 

[JackARoe]

UPDATE: I just got an appointment reminder for the pain doc that says my appointment is on THURSDAY, the 15th, which is the day I'm actually due to run out. Sooooooooo, I would have an empty bottle no matter what. I'm confused... Was this a mistake by the scheduler? Should I call them and point it out or keep quiet and show up on THURSDAY instead of TUESDAY??

No more fear. I would show up annoyed talking loud at times how this miscount of pills is irritating and this is becoming a pharmaceutical nightmare (as they ask you to lower your voice). But no one should ever be talked to like that. I could never be a pain patient. I would have told him to lower his voice as he talks to me and looked at him strongly. Take back control. Big frigging deal a few extra pills. Sorry to get your undies in a bundle doc. What is the malpractice? We say you had to go to the black market because he do wouldn't use his abilities as a doctor to help.

Once one of us wins a lottery we get together and take a slew of doctors to court for malpractice. You can do anything with money. We include a few benzo doctors that are telling their patients to just go CT. Malpractice. May not win in court but dragging their asses in there is an inconvenience. And we get to preach.

Last bit of advice. Learn to do a little poppy gardening. You don't get much but enough for a few serious times. Nature does not yell at you for this like the stink ass doctor that has a complex does.

 

[Curt Mandible]

Nature doesn’t yell at you… but your neighbor might when they see your “mystery garden”