Pain Management Doctors Patients Rights
Posted: Thu Mar 02, 2023 4:03 pm
Some of you have read my past comments in some of these threads but I am not sure I mentioned I was recommended to leave my neurologist and go to a pain management doctor, pmd, as my neuro doctor could not prescribe opioids. I am also trying the low oxalate diet with some success on my past medication tramadol and pregabalin. My past prescription has been for the past couple of weeks, 2-50 mg of tramadol at 5 or 6 pm and then 2mg extended release at 9 or 10 pm, pregabalin 75mg at 7am, 2pm, 9pm and I would sleep through the night, except when I did not follow the low oxalate diet. Since I am at the top of the tramadol dose and prior to the low oxalate diet I had been augmented on the tramadol, that is why I was on the high dose, started on 50mg once a day, and built up to the dose with the pregabalin added over this past 9 months, and now that has to be increased, except it makes my brain mush and I feel like I have Alzheimer's, that it was decided I go to the pmd.
The pmd put me on methadone and I had a really bad reaction, only one day, so they put me back on tramadol, but in stead of 2-50's three times a day they put me on the 2mg extended release with the 2-50's. The NP told me she could not write the script for my original 2-50s three times a day.
Now I am on a two-month holiday using 5/325 hydrocodone acetaminophen 3X per day. The new hydros are not even touching my RLS during mid-day, evening, and night. I have asked to increase the dose and to up the dose to at least 4 per day.
As a new patient at a pain management facility, what are my rights? How long do I have to wait to go back on the tramadol? I sent a message today to see what they have to say. My next doctor's appointment is in a month and I don't think I can wait a month to change this medicine.
I know the goal for pmd is to get patients off opioids and on the least amount but I want to at least be comfortable and able to sleep.
Any guidance will be helpful! Mel
The pmd put me on methadone and I had a really bad reaction, only one day, so they put me back on tramadol, but in stead of 2-50's three times a day they put me on the 2mg extended release with the 2-50's. The NP told me she could not write the script for my original 2-50s three times a day.
Now I am on a two-month holiday using 5/325 hydrocodone acetaminophen 3X per day. The new hydros are not even touching my RLS during mid-day, evening, and night. I have asked to increase the dose and to up the dose to at least 4 per day.
As a new patient at a pain management facility, what are my rights? How long do I have to wait to go back on the tramadol? I sent a message today to see what they have to say. My next doctor's appointment is in a month and I don't think I can wait a month to change this medicine.
I know the goal for pmd is to get patients off opioids and on the least amount but I want to at least be comfortable and able to sleep.
Any guidance will be helpful! Mel