Question:
Austrailia…and codeee wants to go there?????? — Bill Work
– Hide quoted text — Show quoted text -> Katharine Are you in the USA? I think not, because I would HATE to think that > a US doctor would tell a patient that he needs "permission from the government" > to prescribe MSContin, Oxycontin or Methadone. Sounds like you may do better > with a pain management specialist. good luck.
Response:
Do you know that there’s a site called Pain World, in Australia? It’s a discussion group, but is not usenet. Good people ….. if you’d like the url, let me know. — Harley
Response:
– Hide quoted text — Show quoted text -> You won’t get an entire day’s worth of analgesia from this dosage, but it > certainly is worth trying. Since this medication lasts 4 to 6 hours, *unless > you were instructed otherwise* (You know that you have to follow your > Physician’s specific instructions if these were given) I would recommend > 1/2 tablet along with your other medication to see if you can tolerate the > drug, and if it provides any relief at all in low dose, if you were given > dosing "freedom" for this trial prescription. Since your upper limit, as > defined by your current MD, is 1 and 1/2 tablet per day, this will give you > 6 doses per 24 hours.
Not sure where you got 6 doses from – 1/2 tablet at a time is three doses to get to the 1 1/2 total for the day. Anyway, I’ll give it a try, and see how I respond. The doc said to start with half a tablet once a day, and work my way up to three times a day. My main concern is that there’s 20 in the pack – only a week’s worth at the prescribed dosage. I assume I need to taper down off them? Anyway, off to the chemist to fill the script 
snipped > Also, If you see your Physician prior to pain management, ask for some > samples of Celebrex. COX II meds do work for some people very well, and is > worth trying, even when other NSAIDS have failed. Taken after the evening > meal (and 3 hours before bedtime-heartburn) Celebrex has been very effective > for several of my clients as an adjunct to pain management.
That’s what he was going to try with me, but as inflamation isn’t the problem, I don’t know how they could help. And I’m a bit worried about the side-effects. Also, it seemed like he just picked the name of the drug out of a hat, rather than it being something that he considered along with other possibilities, so I didn’t really trust what he was saying. Does adjunct mean in addition to other pain meds? > I knew that Australia’s Medicare had some prior approval requirements for > certain drugs-are the expensive SR opiates the only ones restricted? Opiates > in general?
snipped I don’t know how it works here, I’ll soon find out I suppose! > Also, give a Chemist a call and see if MS Contin and Oxycontin are available > in Australia. Canada has both, and I can see no reason that "Oz" would > exclude these two meds!
Just done that – looks like they are. But the doc said the long-acting Oxycontin is only available as a suppository at this stage! Pills coming soon I think. Katharine Maxwell.
Response:
Weather plays a big part in how I feel. Can you tell me how you can tell the difference? Humidity really causes me pain also. Humidity effects my whole body especially my hands, neck and knees. What anti -inflammatory work for you? I just tried Vioxx and have nothing good to say about it. See ya. Rob
– Hide quoted text — Show quoted text -> Sorry Rob…didn’t mean to hurt your head! > Weekends are for fun, not for thinking…I agree! > Thanks for the info, BTW. I have both osteoarthritis and > DDD in the same spot, too..lumbar spine. But I know the difference in > how they feel at different times, but that’s just me. > Weather is only a factor for my osteo, not my DDD. > Anyway, enjoy the rest of your weekend! > Best to you, > Trailingvine >The Merriam-Webster Dictionary states >Osteoarthritis : arthritis marked by degeneration of the cartilage and bone >of joints. >I was told by my orthopedic surgeon that Osteoarthritis is the brood term >used. DDD (Degenerative Disc Disease), DJD( Degenerative Joint Disease), >DFD (Degenerative Facet Disease) are more specific as to the location of >Osteoarthritis. >The radiologist’s report referring to my MRI also calls it Osteo in one >sentence and then DDD in the next. If they are two different conditions, I >have them both in one location. Osteo by definition means bone. Arthritis >is : inflammation of a joint or joints resulting in pain and swelling. I am >told that the definition depends on it’s source and is argumentative among >health care professionals. Sorta like what came first the chicken or the >egg. > Now you went and made me think! It’s the weekend, it is not time to think. >http://www.ccohs.ca/oshanswers/diseases/osteoart.html#_1_1 >Rob Hartley >> Rob.. >> DDD and osteoarthritis are 2 different conditions. >> DDD is a disease of the spinal discs, where they degenerate and fall >> apart. >> Osteoarthritis is the most common form of arthritis, taking place in >> the joints. Most people who suffer from DDD also get osteoarthritis in >> the spine, which is where you are getting confused, I think. >> Dr. Work and others can go more in depth than I can on this, but I >> know that I am correct in that they are different diseases. >> Take care, >> Trailingvine >> "To live happily is an inward power of the soul" >> Marcus Aurelius >> >Hi, I’m not 100% positive but I think Osteoarthritis is the same thing as >> >DDD and DJD (degenerative joint disease). I also have Osteoarthritis and >> >found that Relafen has helped me. Relafen is a NSAID and I think since >> >everyone is different that you must experiment with different drugs until >> >you find the one(s) that works. I tried the new drug (Vioxx) and it >doesn’t >> >do diddly for me. I always go back to the Relafen (1000 mgs/day). I >> >sincerely hope you find the combination that works and you have a >relatively >> >pain free life. >> >Rob >> ><snip> message >> ><snip> >> >> > > > > > He suggested something called celebrex, which he said is new. >I >> >> asked >> >> > > him what was in it, and he looked it up in the book and showed me. >> >> It >> >> > > said it was a COX-2 inhibitor. He said something action on >> >> > > prostaglandin… and that it was like the anti-inflammatories. The >> >> > > book mentioned side effects such as stomach problems, but he said >> >> few >> >> > > people had these problems. >> >> > > Anyway, it looked like an NSAID to me, which I’ve had two courses >> >> of, >> >> > > and they’ve had absolutely no affect. He said it also wasn’t just >> >> > > that, but also acted as a pain killer, but I wasn’t convinced. >Plus, >> >> > > the book said it was indicated for conditions such as >> >> osteoarthritis, >> >> > > and that’s nothing to do with what I’ve got (DDD). >> >> > > So, I brought out the big guns, and layed out on the table my >> >> > > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d >> >> be >> >> > > prepared to give me a script for Oxycodone, but only one at this >> >> > > stage, as he has to get permission from the government as it’s a >> >> > > restricted drug. Plus, only the short-acting one is available in >> >> > > tablet form – the long-acting one only as a suppository (it’s >coming >> >> > > in tablet form soon apparently). He was wary of prescribing >Morphine >> >> > > Sulphate due to the restrictions, and he feels he should go step by >> >> > > step up to them rather than directly to them. He sees Morphine as >> >> > > being one step up from Oxycodone. >> >> > > So, we concluded that I’d be better off going to a pain management >> >> > > specialist, who deals with this kind of stuff all the time. That >> >> makes >> >> > > sense to me, but I wanted to give him a fair go first. But when he >> >> > > kept bringing up the problem of the addictive properties of these >> >> > > drugs… that kind of made up my mind At least he was pleasant >> >> > > about the whole thing, and was happy to hear what I had to say. >> >> > > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile >> >> filling >> >> > > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day >> >> to >> >> > > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? >> >> > > (paracetamol 500mg, codeine phosphate 30mg), which I know works >> >> > > (although makes me feel a bit strange, but helps with the pain). >> >> > > Now I just have to find a pain specialist who’s not afraid to >> >> > > prescribe opiods if they are appropriate! I’ve got a couple of >leads >> >> > > from http://www.chronicpaininc.com/ and will be following them up. >> >> > > That’s my update! >> >> > > — >> >> > > Katharine Maxwell >> >> > > spamblock in action. Work it out! >> >> Before you buy. > " Because you have the most marvelous youth, and youth is the one thing worth having." > Oscar Wilde
Response:
Sorry Rob…didn’t mean to hurt your head! Weekends are for fun, not for thinking…I agree! Thanks for the info, BTW. I have both osteoarthritis and DDD in the same spot, too..lumbar spine. But I know the difference in how they feel at different times, but that’s just me. Weather is only a factor for my osteo, not my DDD. Anyway, enjoy the rest of your weekend! Best to you, Trailingvine – Hide quoted text — Show quoted text ->The Merriam-Webster Dictionary states >Osteoarthritis : arthritis marked by degeneration of the cartilage and bone >of joints. >I was told by my orthopedic surgeon that Osteoarthritis is the brood term >used. DDD (Degenerative Disc Disease), DJD( Degenerative Joint Disease), >DFD (Degenerative Facet Disease) are more specific as to the location of >Osteoarthritis. >The radiologist’s report referring to my MRI also calls it Osteo in one >sentence and then DDD in the next. If they are two different conditions, I >have them both in one location. Osteo by definition means bone. Arthritis >is : inflammation of a joint or joints resulting in pain and swelling. I am >told that the definition depends on it’s source and is argumentative among >health care professionals. Sorta like what came first the chicken or the >egg. > Now you went and made me think! It’s the weekend, it is not time to think. >http://www.ccohs.ca/oshanswers/diseases/osteoart.html#_1_1 >Rob Hartley > Rob.. > DDD and osteoarthritis are 2 different conditions. > DDD is a disease of the spinal discs, where they degenerate and fall > apart. > Osteoarthritis is the most common form of arthritis, taking place in > the joints. Most people who suffer from DDD also get osteoarthritis in > the spine, which is where you are getting confused, I think. > Dr. Work and others can go more in depth than I can on this, but I > know that I am correct in that they are different diseases. > Take care, > Trailingvine > "To live happily is an inward power of the soul" > Marcus Aurelius > >Hi, I’m not 100% positive but I think Osteoarthritis is the same thing as > >DDD and DJD (degenerative joint disease). I also have Osteoarthritis and > >found that Relafen has helped me. Relafen is a NSAID and I think since > >everyone is different that you must experiment with different drugs until > >you find the one(s) that works. I tried the new drug (Vioxx) and it >doesn’t > >do diddly for me. I always go back to the Relafen (1000 mgs/day). I > >sincerely hope you find the combination that works and you have a >relatively > >pain free life. > >Rob > ><snip> > ><snip> > >> > > > > > He suggested something called celebrex, which he said is new. >I > >> asked > >> > > him what was in it, and he looked it up in the book and showed me. > >> It > >> > > said it was a COX-2 inhibitor. He said something action on > >> > > prostaglandin… and that it was like the anti-inflammatories. The > >> > > book mentioned side effects such as stomach problems, but he said > >> few > >> > > people had these problems. > >> > > Anyway, it looked like an NSAID to me, which I’ve had two courses > >> of, > >> > > and they’ve had absolutely no affect. He said it also wasn’t just > >> > > that, but also acted as a pain killer, but I wasn’t convinced. >Plus, > >> > > the book said it was indicated for conditions such as > >> osteoarthritis, > >> > > and that’s nothing to do with what I’ve got (DDD). > >> > > So, I brought out the big guns, and layed out on the table my > >> > > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d > >> be > >> > > prepared to give me a script for Oxycodone, but only one at this > >> > > stage, as he has to get permission from the government as it’s a > >> > > restricted drug. Plus, only the short-acting one is available in > >> > > tablet form – the long-acting one only as a suppository (it’s >coming > >> > > in tablet form soon apparently). He was wary of prescribing >Morphine > >> > > Sulphate due to the restrictions, and he feels he should go step by > >> > > step up to them rather than directly to them. He sees Morphine as > >> > > being one step up from Oxycodone. > >> > > So, we concluded that I’d be better off going to a pain management > >> > > specialist, who deals with this kind of stuff all the time. That > >> makes > >> > > sense to me, but I wanted to give him a fair go first. But when he > >> > > kept bringing up the problem of the addictive properties of these > >> > > drugs… that kind of made up my mind At least he was pleasant > >> > > about the whole thing, and was happy to hear what I had to say. > >> > > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile > >> filling > >> > > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day > >> to > >> > > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > >> > > (paracetamol 500mg, codeine phosphate 30mg), which I know works > >> > > (although makes me feel a bit strange, but helps with the pain). > >> > > Now I just have to find a pain specialist who’s not afraid to > >> > > prescribe opiods if they are appropriate! I’ve got a couple of >leads > >> > > from http://www.chronicpaininc.com/ and will be following them up. > >> > > That’s my update! > >> > > — > >> > > Katharine Maxwell > >> > > spamblock in action. Work it out! > >> Before you buy.
" Because you have the most marvelous youth, and youth is the one thing worth having." Oscar Wilde
Response:
Thank you for your feedback, much appreciated. Katharine.
– Hide quoted text — Show quoted text –
Response:
The Merriam-Webster Dictionary states Osteoarthritis : arthritis marked by degeneration of the cartilage and bone of joints. I was told by my orthopedic surgeon that Osteoarthritis is the brood term used. DDD (Degenerative Disc Disease), DJD( Degenerative Joint Disease), DFD (Degenerative Facet Disease) are more specific as to the location of Osteoarthritis. The radiologist’s report referring to my MRI also calls it Osteo in one sentence and then DDD in the next. If they are two different conditions, I have them both in one location. Osteo by definition means bone. Arthritis is : inflammation of a joint or joints resulting in pain and swelling. I am told that the definition depends on it’s source and is argumentative among health care professionals. Sorta like what came first the chicken or the egg. Now you went and made me think! It’s the weekend, it is not time to think. http://www.ccohs.ca/oshanswers/diseases/osteoart.html#_1_1 Rob Hartley – Hide quoted text — Show quoted text -> Rob.. > DDD and osteoarthritis are 2 different conditions. > DDD is a disease of the spinal discs, where they degenerate and fall > apart. > Osteoarthritis is the most common form of arthritis, taking place in > the joints. Most people who suffer from DDD also get osteoarthritis in > the spine, which is where you are getting confused, I think. > Dr. Work and others can go more in depth than I can on this, but I > know that I am correct in that they are different diseases. > Take care, > Trailingvine > "To live happily is an inward power of the soul" > Marcus Aurelius >Hi, I’m not 100% positive but I think Osteoarthritis is the same thing as >DDD and DJD (degenerative joint disease). I also have Osteoarthritis and >found that Relafen has helped me. Relafen is a NSAID and I think since >everyone is different that you must experiment with different drugs until >you find the one(s) that works. I tried the new drug (Vioxx) and it doesn’t >do diddly for me. I always go back to the Relafen (1000 mgs/day). I >sincerely hope you find the combination that works and you have a relatively >pain free life. >Rob ><snip> ><snip> >> > > > > > He suggested something called celebrex, which he said is new. I >> asked >> > > him what was in it, and he looked it up in the book and showed me. >> It >> > > said it was a COX-2 inhibitor. He said something action on >> > > prostaglandin… and that it was like the anti-inflammatories. The >> > > book mentioned side effects such as stomach problems, but he said >> few >> > > people had these problems. >> > > Anyway, it looked like an NSAID to me, which I’ve had two courses >> of, >> > > and they’ve had absolutely no affect. He said it also wasn’t just >> > > that, but also acted as a pain killer, but I wasn’t convinced. Plus, >> > > the book said it was indicated for conditions such as >> osteoarthritis, >> > > and that’s nothing to do with what I’ve got (DDD). >> > > So, I brought out the big guns, and layed out on the table my >> > > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d >> be >> > > prepared to give me a script for Oxycodone, but only one at this >> > > stage, as he has to get permission from the government as it’s a >> > > restricted drug. Plus, only the short-acting one is available in >> > > tablet form – the long-acting one only as a suppository (it’s coming >> > > in tablet form soon apparently). He was wary of prescribing Morphine >> > > Sulphate due to the restrictions, and he feels he should go step by >> > > step up to them rather than directly to them. He sees Morphine as >> > > being one step up from Oxycodone. >> > > So, we concluded that I’d be better off going to a pain management >> > > specialist, who deals with this kind of stuff all the time. That >> makes >> > > sense to me, but I wanted to give him a fair go first. But when he >> > > kept bringing up the problem of the addictive properties of these >> > > drugs… that kind of made up my mind At least he was pleasant >> > > about the whole thing, and was happy to hear what I had to say. >> > > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile >> filling >> > > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day >> to >> > > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? >> > > (paracetamol 500mg, codeine phosphate 30mg), which I know works >> > > (although makes me feel a bit strange, but helps with the pain). >> > > Now I just have to find a pain specialist who’s not afraid to >> > > prescribe opiods if they are appropriate! I’ve got a couple of leads >> > > from http://www.chronicpaininc.com/ and will be following them up. >> > > That’s my update! >> > > — >> > > Katharine Maxwell >> > > spamblock in action. Work it out! >> Before you buy.
Response:
Rob.. DDD and osteoarthritis are 2 different conditions. DDD is a disease of the spinal discs, where they degenerate and fall apart. Osteoarthritis is the most common form of arthritis, taking place in the joints. Most people who suffer from DDD also get osteoarthritis in the spine, which is where you are getting confused, I think. Dr. Work and others can go more in depth than I can on this, but I know that I am correct in that they are different diseases. Take care, Trailingvine "To live happily is an inward power of the soul" Marcus Aurelius – Hide quoted text — Show quoted text ->Hi, I’m not 100% positive but I think Osteoarthritis is the same thing as >DDD and DJD (degenerative joint disease). I also have Osteoarthritis and >found that Relafen has helped me. Relafen is a NSAID and I think since >everyone is different that you must experiment with different drugs until >you find the one(s) that works. I tried the new drug (Vioxx) and it doesn’t >do diddly for me. I always go back to the Relafen (1000 mgs/day). I >sincerely hope you find the combination that works and you have a relatively >pain free life. >Rob ><snip> ><snip> > > > > > > He suggested something called celebrex, which he said is new. I > asked > > > him what was in it, and he looked it up in the book and showed me. > It > > > said it was a COX-2 inhibitor. He said something action on > > > prostaglandin… and that it was like the anti-inflammatories. The > > > book mentioned side effects such as stomach problems, but he said > few > > > people had these problems. > > > Anyway, it looked like an NSAID to me, which I’ve had two courses > of, > > > and they’ve had absolutely no affect. He said it also wasn’t just > > > that, but also acted as a pain killer, but I wasn’t convinced. Plus, > > > the book said it was indicated for conditions such as > osteoarthritis, > > > and that’s nothing to do with what I’ve got (DDD). > > > So, I brought out the big guns, and layed out on the table my > > > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d > be > > > prepared to give me a script for Oxycodone, but only one at this > > > stage, as he has to get permission from the government as it’s a > > > restricted drug. Plus, only the short-acting one is available in > > > tablet form – the long-acting one only as a suppository (it’s coming > > > in tablet form soon apparently). He was wary of prescribing Morphine > > > Sulphate due to the restrictions, and he feels he should go step by > > > step up to them rather than directly to them. He sees Morphine as > > > being one step up from Oxycodone. > > > So, we concluded that I’d be better off going to a pain management > > > specialist, who deals with this kind of stuff all the time. That > makes > > > sense to me, but I wanted to give him a fair go first. But when he > > > kept bringing up the problem of the addictive properties of these > > > drugs… that kind of made up my mind At least he was pleasant > > > about the whole thing, and was happy to hear what I had to say. > > > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile > filling > > > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day > to > > > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > > > (paracetamol 500mg, codeine phosphate 30mg), which I know works > > > (although makes me feel a bit strange, but helps with the pain). > > > Now I just have to find a pain specialist who’s not afraid to > > > prescribe opiods if they are appropriate! I’ve got a couple of leads > > > from http://www.chronicpaininc.com/ and will be following them up. > > > That’s my update! > > > — > > > Katharine Maxwell > > > spamblock in action. Work it out! > Before you buy.
Response:
Hi, I’m not 100% positive but I think Osteoarthritis is the same thing as DDD and DJD (degenerative joint disease). I also have Osteoarthritis and found that Relafen has helped me. Relafen is a NSAID and I think since everyone is different that you must experiment with different drugs until you find the one(s) that works. I tried the new drug (Vioxx) and it doesn’t do diddly for me. I always go back to the Relafen (1000 mgs/day). I sincerely hope you find the combination that works and you have a relatively pain free life. Rob <snip>
<snip> – Hide quoted text — Show quoted text -> > > > > He suggested something called celebrex, which he said is new. I > asked > > him what was in it, and he looked it up in the book and showed me. > It > > said it was a COX-2 inhibitor. He said something action on > > prostaglandin… and that it was like the anti-inflammatories. The > > book mentioned side effects such as stomach problems, but he said > few > > people had these problems. > > Anyway, it looked like an NSAID to me, which I’ve had two courses > of, > > and they’ve had absolutely no affect. He said it also wasn’t just > > that, but also acted as a pain killer, but I wasn’t convinced. Plus, > > the book said it was indicated for conditions such as > osteoarthritis, > > and that’s nothing to do with what I’ve got (DDD). > > So, I brought out the big guns, and layed out on the table my > > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d > be > > prepared to give me a script for Oxycodone, but only one at this > > stage, as he has to get permission from the government as it’s a > > restricted drug. Plus, only the short-acting one is available in > > tablet form – the long-acting one only as a suppository (it’s coming > > in tablet form soon apparently). He was wary of prescribing Morphine > > Sulphate due to the restrictions, and he feels he should go step by > > step up to them rather than directly to them. He sees Morphine as > > being one step up from Oxycodone. > > So, we concluded that I’d be better off going to a pain management > > specialist, who deals with this kind of stuff all the time. That > makes > > sense to me, but I wanted to give him a fair go first. But when he > > kept bringing up the problem of the addictive properties of these > > drugs… that kind of made up my mind At least he was pleasant > > about the whole thing, and was happy to hear what I had to say. > > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile > filling > > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day > to > > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > > (paracetamol 500mg, codeine phosphate 30mg), which I know works > > (although makes me feel a bit strange, but helps with the pain). > > Now I just have to find a pain specialist who’s not afraid to > > prescribe opiods if they are appropriate! I’ve got a couple of leads > > from http://www.chronicpaininc.com/ and will be following them up. > > That’s my update! > > — > > Katharine Maxwell > > spamblock in action. Work it out! > Before you buy.
Response:
Good luck with the new doc. Katherine, I think (bet)you’ll notiice a difference between the oxy and the stuff he was giving you. I’m glad he didn’t blow up when you showed him the information. codeee – Hide quoted text — Show quoted text -> I hope you find some relief with the oxycodone…but it is short-acting. At > least the pain doc will be able to tell how much you will need for > long-acting. > — > Bill Work > Well, I went back to the doctor, armed with all my research and > new-found knowledge of treatment of chronic pain. I explained that the > panamax (Tylenol) didn’t do a thing, except suppress my appetite a bit > (bringing it back to normal – the Luvox has increased it). Waited to > see what he’d say. > He said he’d like to step me up one level – panadeine (paracetamol > 500mg, codeine phosphate 8mg). > I said I’d prefer not to, as I wasn’t happy being on medication which > was designed for short-term pain, and is also short-acting – I need > something that’s long acting. He also suggested straight codeine, but > I balked at that for the same reason. > He suggested something called celebrex, which he said is new. I asked > him what was in it, and he looked it up in the book and showed me. It > said it was a COX-2 inhibitor. He said something action on > prostaglandin… and that it was like the anti-inflammatories. The > book mentioned side effects such as stomach problems, but he said few > people had these problems. > Anyway, it looked like an NSAID to me, which I’ve had two courses of, > and they’ve had absolutely no affect. He said it also wasn’t just > that, but also acted as a pain killer, but I wasn’t convinced. Plus, > the book said it was indicated for conditions such as osteoarthritis, > and that’s nothing to do with what I’ve got (DDD). > So, I brought out the big guns, and layed out on the table my > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d be > prepared to give me a script for Oxycodone, but only one at this > stage, as he has to get permission from the government as it’s a > restricted drug. Plus, only the short-acting one is available in > tablet form – the long-acting one only as a suppository (it’s coming > in tablet form soon apparently). He was wary of prescribing Morphine > Sulphate due to the restrictions, and he feels he should go step by > step up to them rather than directly to them. He sees Morphine as > being one step up from Oxycodone. > So, we concluded that I’d be better off going to a pain management > specialist, who deals with this kind of stuff all the time. That makes > sense to me, but I wanted to give him a fair go first. But when he > kept bringing up the problem of the addictive properties of these > drugs… that kind of made up my mind At least he was pleasant > about the whole thing, and was happy to hear what I had to say. > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile filling > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day to > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > (paracetamol 500mg, codeine phosphate 30mg), which I know works > (although makes me feel a bit strange, but helps with the pain). > Now I just have to find a pain specialist who’s not afraid to > prescribe opiods if they are appropriate! I’ve got a couple of leads > from http://www.chronicpaininc.com/ and will be following them up. > That’s my update! > — > Katharine Maxwell > spamblock in action. Work it out!
Before you buy.
Response:
Katharine Are you in the USA? I think not, because I would HATE to think that a US doctor would tell a patient that he needs "permission from the government" to prescribe MSContin, Oxycontin or Methadone. Sounds like you may do better with a pain management specialist. good luck.
Response:
Australia. — Katharine Maxwell spamblock in action. Work it out!
– Hide quoted text — Show quoted text -> Katharine Are you in the USA? I think not, because I would HATE to think that > a US doctor would tell a patient that he needs "permission from the government" > to prescribe MSContin, Oxycontin or Methadone. Sounds like you may do better > with a pain management specialist. good luck.
Response:
Katharine, You won’t get an entire day’s worth of analgesia from this dosage, but it certainly is worth trying. Since this medication lasts 4 to 6 hours, *unless you were instructed otherwise* (You know that you have to follow your Physician’s specific instructions if these were given) I would recommend 1/2 tablet along with your other medication to see if you can tolerate the drug, and if it provides any relief at all in low dose, if you were given dosing "freedom" for this trial prescription. Since your upper limit, as defined by your current MD, is 1 and 1/2 tablet per day, this will give you 6 doses per 24 hours. If you have no response, a whole tablet after supper or bedtime is worth an attempt to see how effective this is for you. Dr Work is (of course) very correct in that this trial Rx will at least give a baseline for the pain management physician to look at, and also some exposure to the medication for you to discuss with the pain management Physician. You shouldn’t have to take two opiates (Oxycodone and codeine) but it looks like that is your only option right now. – Anyway, give it a fair go-sometimes it is surprising what will work for you. Also, If you see your Physician prior to pain management, ask for some samples of Celebrex. COX II meds do work for some people very well, and is worth trying, even when other NSAIDS have failed. Taken after the evening meal (and 3 hours before bedtime-heartburn) Celebrex has been very effective for several of my clients as an adjunct to pain management. I knew that Australia’s Medicare had some prior approval requirements for certain drugs-are the expensive SR opiates the only ones restricted? Opiates in general? I know that our system in the US severely monitors the use of opiates, but permission prior to prescribing (and dispensing) is not required by the government. It is required by some HMOs and Pharmacy Benefit Managers (PBMs) in the insurance industry-not for dispensing, but for payment. Also, give a Chemist a call and see if MS Contin and Oxycontin are available in Australia. Canada has both, and I can see no reason that "Oz" would exclude these two meds! Hope this information is of some value to you Dave/
– Hide quoted text — Show quoted text -> Well, I went back to the doctor, armed with all my research and > new-found knowledge of treatment of chronic pain. I explained that the > panamax (Tylenol) didn’t do a thing, except suppress my appetite a bit > (bringing it back to normal – the Luvox has increased it). Waited to > see what he’d say. > He said he’d like to step me up one level – panadeine (paracetamol > 500mg, codeine phosphate 8mg). > I said I’d prefer not to, as I wasn’t happy being on medication which > was designed for short-term pain, and is also short-acting – I need > something that’s long acting. He also suggested straight codeine, but > I balked at that for the same reason. > He suggested something called celebrex, which he said is new. I asked > him what was in it, and he looked it up in the book and showed me. It > said it was a COX-2 inhibitor. He said something action on > prostaglandin… and that it was like the anti-inflammatories. The > book mentioned side effects such as stomach problems, but he said few > people had these problems. > Anyway, it looked like an NSAID to me, which I’ve had two courses of, > and they’ve had absolutely no affect. He said it also wasn’t just > that, but also acted as a pain killer, but I wasn’t convinced. Plus, > the book said it was indicated for conditions such as osteoarthritis, > and that’s nothing to do with what I’ve got (DDD). > So, I brought out the big guns, and layed out on the table my > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d be > prepared to give me a script for Oxycodone, but only one at this > stage, as he has to get permission from the government as it’s a > restricted drug. Plus, only the short-acting one is available in > tablet form – the long-acting one only as a suppository (it’s coming > in tablet form soon apparently). He was wary of prescribing Morphine > Sulphate due to the restrictions, and he feels he should go step by > step up to them rather than directly to them. He sees Morphine as > being one step up from Oxycodone. > So, we concluded that I’d be better off going to a pain management > specialist, who deals with this kind of stuff all the time. That makes > sense to me, but I wanted to give him a fair go first. But when he > kept bringing up the problem of the addictive properties of these > drugs… that kind of made up my mind At least he was pleasant > about the whole thing, and was happy to hear what I had to say. > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile filling > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day to > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > (paracetamol 500mg, codeine phosphate 30mg), which I know works > (although makes me feel a bit strange, but helps with the pain). > Now I just have to find a pain specialist who’s not afraid to > prescribe opiods if they are appropriate! I’ve got a couple of leads > from http://www.chronicpaininc.com/ and will be following them up. > That’s my update! > — > Katharine Maxwell > spamblock in action. Work it out!
Response:
<snip story of doctor visit> > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile filling > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day to > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > (paracetamol 500mg, codeine phosphate 30mg), which I know works > (although makes me feel a bit strange, but helps with the pain).
Katharine, For many of us these doses of oxycodone would be considered quite low (a common short-term med here [USA] is Percocet/Percodan which each have 5 or 4.5 mg of oxycodone plus tylenol or aspirin, repectively). Such low doses may work well for a patient who has no opiate use history and could work for you, since you have only used codeine up until now. However, the limits the doc put on your frequency of use may mean that you get only 4-6 hours of pain relief a day. Sounds to me like it is worth trying as a temporary measure until you get set up with someone in pain management. If you have the option of using the panadeine forte as a backup, keep it on hand. Dave Patterson or Bill Work are better to advise you on this, since you are being given pure oxycodone, there is little reason to worry about taking the panadeine forte too soon after the oxycodone. > Now I just have to find a pain specialist who’s not afraid to > prescribe opiods if they are appropriate! I’ve got a couple of leads > from http://www.chronicpaininc.com/ and will be following them up.
I hope one of them works out for you! — Hot Sun "There are lies, damn lies, and project management updates." Visit our humble Home page at http://members.home.net/mmart2/index.html To get my real address, remove the "nojunk" from it.
Response:
I hope you find some relief with the oxycodone…but it is short-acting. At least the pain doc will be able to tell how much you will need for long-acting. — Bill Work
– Hide quoted text — Show quoted text -> Well, I went back to the doctor, armed with all my research and > new-found knowledge of treatment of chronic pain. I explained that the > panamax (Tylenol) didn’t do a thing, except suppress my appetite a bit > (bringing it back to normal – the Luvox has increased it). Waited to > see what he’d say. > He said he’d like to step me up one level – panadeine (paracetamol > 500mg, codeine phosphate 8mg). > I said I’d prefer not to, as I wasn’t happy being on medication which > was designed for short-term pain, and is also short-acting – I need > something that’s long acting. He also suggested straight codeine, but > I balked at that for the same reason. > He suggested something called celebrex, which he said is new. I asked > him what was in it, and he looked it up in the book and showed me. It > said it was a COX-2 inhibitor. He said something action on > prostaglandin… and that it was like the anti-inflammatories. The > book mentioned side effects such as stomach problems, but he said few > people had these problems. > Anyway, it looked like an NSAID to me, which I’ve had two courses of, > and they’ve had absolutely no affect. He said it also wasn’t just > that, but also acted as a pain killer, but I wasn’t convinced. Plus, > the book said it was indicated for conditions such as osteoarthritis, > and that’s nothing to do with what I’ve got (DDD). > So, I brought out the big guns, and layed out on the table my > printouts of info on Morphine Sulphate, and Oxycodone. He said he’d be > prepared to give me a script for Oxycodone, but only one at this > stage, as he has to get permission from the government as it’s a > restricted drug. Plus, only the short-acting one is available in > tablet form – the long-acting one only as a suppository (it’s coming > in tablet form soon apparently). He was wary of prescribing Morphine > Sulphate due to the restrictions, and he feels he should go step by > step up to them rather than directly to them. He sees Morphine as > being one step up from Oxycodone. > So, we concluded that I’d be better off going to a pain management > specialist, who deals with this kind of stuff all the time. That makes > sense to me, but I wanted to give him a fair go first. But when he > kept bringing up the problem of the addictive properties of these > drugs… that kind of made up my mind At least he was pleasant > about the whole thing, and was happy to hear what I had to say. > Anyway, I’ve got a script for the Oxycodone. Is it worthwhile filling > it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day to > 1 1/2 tablets a day. Or should I just stick to the panadeine forte? > (paracetamol 500mg, codeine phosphate 30mg), which I know works > (although makes me feel a bit strange, but helps with the pain). > Now I just have to find a pain specialist who’s not afraid to > prescribe opiods if they are appropriate! I’ve got a couple of leads > from http://www.chronicpaininc.com/ and will be following them up. > That’s my update! > — > Katharine Maxwell > spamblock in action. Work it out!
Response:
Well, I went back to the doctor, armed with all my research and new-found knowledge of treatment of chronic pain. I explained that the panamax (Tylenol) didn’t do a thing, except suppress my appetite a bit (bringing it back to normal – the Luvox has increased it). Waited to see what he’d say. He said he’d like to step me up one level – panadeine (paracetamol 500mg, codeine phosphate 8mg). I said I’d prefer not to, as I wasn’t happy being on medication which was designed for short-term pain, and is also short-acting – I need something that’s long acting. He also suggested straight codeine, but I balked at that for the same reason. He suggested something called celebrex, which he said is new. I asked him what was in it, and he looked it up in the book and showed me. It said it was a COX-2 inhibitor. He said something action on prostaglandin… and that it was like the anti-inflammatories. The book mentioned side effects such as stomach problems, but he said few people had these problems. Anyway, it looked like an NSAID to me, which I’ve had two courses of, and they’ve had absolutely no affect. He said it also wasn’t just that, but also acted as a pain killer, but I wasn’t convinced. Plus, the book said it was indicated for conditions such as osteoarthritis, and that’s nothing to do with what I’ve got (DDD). So, I brought out the big guns, and layed out on the table my printouts of info on Morphine Sulphate, and Oxycodone. He said he’d be prepared to give me a script for Oxycodone, but only one at this stage, as he has to get permission from the government as it’s a restricted drug. Plus, only the short-acting one is available in tablet form – the long-acting one only as a suppository (it’s coming in tablet form soon apparently). He was wary of prescribing Morphine Sulphate due to the restrictions, and he feels he should go step by step up to them rather than directly to them. He sees Morphine as being one step up from Oxycodone. So, we concluded that I’d be better off going to a pain management specialist, who deals with this kind of stuff all the time. That makes sense to me, but I wanted to give him a fair go first. But when he kept bringing up the problem of the addictive properties of these drugs… that kind of made up my mind At least he was pleasant about the whole thing, and was happy to hear what I had to say. Anyway, I’ve got a script for the Oxycodone. Is it worthwhile filling it? It’s for 5 mg tablets, to work my way up from 1/2 tablet a day to 1 1/2 tablets a day. Or should I just stick to the panadeine forte? (paracetamol 500mg, codeine phosphate 30mg), which I know works (although makes me feel a bit strange, but helps with the pain). Now I just have to find a pain specialist who’s not afraid to prescribe opiods if they are appropriate! I’ve got a couple of leads from http://www.chronicpaininc.com/ and will be following them up. That’s my update! — Katharine Maxwell spamblock in action. Work it out!
Response:
