my pain doc told me something similar. i'm on MS cottin with vicoden for breathru. he says if i build a tolerance to MS he wants me down to only vocodin for breathru. WTF? its only a matter of time before i build a tolerance. the reason why i came to pain managment was cause vicoden as needed wasn't working.

if you figure out what this is all about let me know.

they may be thinking that over time we may be developing opiod hypersensitivity so we go off the extended release for a while and then we get it back. thats happend to me before. I was put on methadone to get my toelrance to opiods down and then he weaned me off and i started back at my low orignal dose. i just wish they'd tell us these things before we freak out and think our pains no longer gonna be controlled.

let us know how it goes k?

What a bunch of BS! I wish these docs would stop f*cking with our meds! If less worked, we'd take less! Duh. I hope you figure something out and it doesn't strain you too much to be on breakthrough only. Otherwise, you really need to sit that doc down, and if he doesn't hear you out, go elsewhere. Good luck!

OMG! What a crock of crap! What about Methadone? If you create a tolerance to the MS Contin, can he switched you to Methadone? It makes no sense to have someone that needs and is used to ER meds down to an IR med, and then on top of that Percocet, the one medication that I think is as good as a sugar pill, give me a break!!! Anyway's, I know that you have signed a contract with your RA, but the RA can get fired by you if he is not gving you the correct medications and is under treating you!
So he either treats you like he is supposed to be, or you fired his arse!!!!
Start looking for/and interview a few PMD's in your area, just in case you need to fired Mr.RA and have to go somewhere else, OK? Take Care,
Hugs,
Tipper

yep, start interviewing new docs now.

I will start interviewing I live in a very small town so we don't have many doctors here. I have to always find someone to take me to my RA doctor that is two hours away because we don't have that here. So if I can't find one here I guess I can extend two hours out.

These are 4 PMD's that I found in your town... Hope that this helps!\

Craig Flinders, M.D.
415 6th Street
Lewiston, Idaho 83501
US


2. Stoutin Lyndal, M.D.
415 6th Street
Lewiston, Idaho 83501
US


3. Gary Haas, M.D.
415 6th Street
Lewiston, Idaho 83501
US


4. J. Thomas Grissom, M.D.
415 6th Street
Lewiston, Idaho 83501
US

Damnit hon! That is kinda same sh*t my dr thinks of! However, he did say that he won't ever put me on just an IR/breakthru med because he feels that makes potential for abuse higher so at least he's wise enough to realize that part!
@ rayfoof, I kinda do think we develop hypersensitivity to opiods... as a matter of fact I am feeling the after effects today! I take Oxy OPs and several times a month I have one or two days at a time where my body cramps, aches, feels extremely worn out, feel bruised all over and very sensitive to touch! I also have very intense arthritis type symptoms in my fingers/hands and toes/feet! Does anyone else experience this? Almost seems to me like maybe my body is toxic with buffers and crap unnecessarily put in pills! Im terrible at drinking water and instead have a pretty heavy coffee addiction too!!!
Im soooo sorry he is cutting you back! Maybe you should demand that he just let you switch to something else for a minute BUT make him promise to give you back the MS Contin if you don't like the med you tried! I did this last month when the new "put as much excess sh*t and poison in ur body as you can" oxy OP came out! I told him the stomach pain and nausea was too much to add to my intestinal pain and wanted to try something else so I could nail down the fact that it was the OP messing with my system! However, I adamently insisted that he agree to gladly give me the 80's back if I did not like the new med, which was 100 mg Kadian! A week later I went back to the OP's because at this point, I think no matter what I take now; my system will remain completely screwed up! The Kadian made me very spacey but upside was drowsiness allowed me to get some halfway decent sleep!
At age 31 and nearly 4 years of switching to extended release types of meds, Im realizing that as CPP's, we will likely always struggle with finally being able to stand on that fine line between lasting, complete and comfortable pain control and suffering with scary side effects that make every part of your body scream "NO!"
....~~

OMG! hon, how did I not learn you were in Lewiston this whole time? Thats where Im from!

it seems like all the doctors are getting shit scared of prescribing narcotiics! and i don't think many doctors believe in "tolerance" to a drug...to them it's addiction. they are just like our family and friends...unless they feel it themselves, they just don't understand.

I know a few times I asked for a different extend release medication but he kept telling me that the mscontin should be working. I never directly said a drug name but I asked him if there was a different extended release I could try and he said not really and that this should be working. I have been on 200mg a day for a few days now and I can't tell the difference between the 200 and 300mg so I am not sure what his plan is.

I think once you get high up on tolerance it is time to mix things up a bit at least for awhile so that way if you do ever need it in the future it will work. It will be uncomfortable for awhile but then your body will get used to it not beaning in your system and you will start to feel better. I am hoping that it works out that way anyways so you can be pain free.

I hope so to but I never really felt relief from ms contin until I did the 100mg 3 times a day and that only lasted two weeks. I didn't think I would build up a tolarance that fast but I guess I did. My body won't respond to my RA meds but then I build a tolarance too fast to pain meds go figure lol

I don't know who to be madder at - The doctors or the DEA that's breathing down their necks. Just as we are always afraid that they will take away our meds, they are just as afraid that they will be indicted and lose their license for overprescribing. Hope everything goes well for you.

Lee, tolerance is a medical fact.~ not opinion. Dr's know this.

lovebaby,
Did you checked out the 4 PM Doc's that I found in your town? Did you see my post? Just wondering............