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Best way to go about telling your doctor your current medication is not adequate?

So I've been on a medication called Opana (Oxymorphone) for over a year. I have never asked for a increase in strength although I probably needed one a few months ago. Right now I'm taking 10mg x2 per day, but it just isnt cutting it any more and I've called out of work two days in a row now because of my pain.

I dont want my doctor to cut me off, but I also cant deal with the pain. I also have a pilonidal cyst on my back, which hurts even worse!

Even if I went to the ER they wouldn't be able to prescribe anything stronger then what i'm taking now, so im sort of stuck. Any ideas?

Update:

Reason for the medication was bi-lateral carpal tunnel, back problems from surgery at birth, and now a pilonidal cyst ontop of that which hurts like crazy.

7 Answers

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  • mysti
    Lv 6
    1 decade ago
    Favorite Answer

    I think it would be very appropriate for you to discuss your level of pain with your doctor. He should expect that you would be needing an increase in your dosage by now. The fact that you have been on the same dose for over a year and never asked for an increase should tell the doctor that you are not a drug seeker. It's normal and expected to develop a tolerance to opiate painkillers, so don't hesitate to talk to your doctor about it. You deserve and have a right to adequate pain control.

    Source(s): nurse
  • 4 years ago

    I had my Gallbladder bumped off in Oct 2006 and function had soreness in that section ever considering the fact that. It stages from extreme to gentle on & off and it is a deep throbbing soreness, burning, stabbing or chilly soreness. I see a professional soreness DR for this I additionally go through with what they informed me 12 yrs in the past, after a laparoscopy, became Endometriosis, which has miraculously disappaeared, so as that they now say i basically have continual pelvic soreness which my soreness Dr thinks could be with the aid of Pudendal Neuralgia. I even have been taking co codamol, codeine or coproxamol, mefenamic acid & specifically cases Tramadol for 12 yrs on a accepted foundation and that i've got no longer grow to be addicted, i'm able to come off them for weeks at a time without issues. i'm prescribed the coproxamol & Tramadol for use purely while max dose cocodamol isn't effectual. while you're no longer looking the co codamol effectual & having to exceed the dose talk on your Dr approximately having a distinctive painkiller which will relieve the soreness without needing to exceed the dose. I even have been on pregabalin 150g 3 x on a daily basis, yet they did no longer artwork so i'm now on gabapentin 900mg 3 x on a daily basis, I even have purely been on those for 3 weeks yet they seem ineffective too. If those cures do no longer artwork then they're going to do a spinal nerve freeze injection for my belly soreness and an op to cut back the pre sacral nerve interior the pelvic section to stop the pelvic soreness. good success, wish it is effectual to be attentive to you're no longer on your man or woman :):)

  • 1 decade ago

    Definitely tell him that your current dose is no longer working for you. Any physician understands that oral medications that are metabolized through the liver/blood stream are subject to tolerance. I wound up with a implanted morphine pump that releases medication directly into the spinal column. It's called "Medtronics Intrathecial Pump." Check it out on the internet and ask your doctor if your a candidate for this level of treatment. Best of luck

    Source(s): Personal/Chronic Pain Patient
  • 1 decade ago

    Now is the time to talk to your doctor about pain. Either he can recommend a pain clinic for extended healing or can do it himself. Something like a Morphine sulphate in a time release and a morphine sulphate in a immediate drug works fine. He may ask you to take a pee test every 30 days to make sure your not abusing.

    Source(s): former MedLab technologist supervisor.
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  • 1 decade ago

    I have to have my meds changed a lot, just explain to your doctor that the medicine that you are on is not working, and that you are still in pain. As long as your not abusing the drug there shouldn't be a problem.

  • 1 decade ago

    I would tell him outright that it`s not doing the trick anymore. Your body gets amuned to the medication after awhile and it just weakens the good it is supposed to be doing.

    hope it works out for you.

  • 1 decade ago

    What was the original underlying health problem that warranted pain drugs?

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