How do i ask my doctor for stronger pain meds without sounding like a junkie?!


Question: How do i ask my doctor for stronger pain meds without sounding like a junkie!?
So im guessing i'm going to get prescribed a hydrocodone based medication like Vicodin!. I have tried Vicodin and it makes me sick without even killing the pain!. I weigh about 200lbs and even a 5mg percocet doesnt do the trick for me!. However, I feel that if i ask my doctor to give me oxycodone instead of whatever he feels necessary, LET ALONE tell him that previous experiences with 5mg versions never work for me, it will sound suspicious!. Is this a normal problem!? And do doctors normally do this!?

I was thinking about telling him how i have had experience with vicodin and percocet and prefer the latter, and that i usually need to take 2-3 5mg percocets to kill the breakthrough pain!.

I am taking a pro hormonal supplement that is hard on liver and cant take acetaminophen with it so i may have to tell my doctor to prescribe me something that is purely an opiod/opiate!. It's frustrating that i need so much for pain because i dont want him to think im a druggie!. What can i do about this!?Www@Answer-Health@Com


Answers:
Your weight has minimal significance on the amount of opiate you need for pain control!. This is related to your pain perception, opiate receptors, and your opiate tolerance!.

I had a 118 lb patient who was taking 540 mg of methadone a day for her pain control (She came to me at that dose)!. That would be equivalent to 5000 mg of hydrocodone or 3300 mg of oxycodone per day!. She had no side effects!.

When you see the physician you need to discuss your pain level!. It is reasonable to discuss problems with medications, you have taken in the past, such as nausea and/or vomiting with hydrocodone!. You also need to discuss your other medications, and your inability to take acetamnophen products!.

Each physician will prescribe the medications they feel are appropriate for your condition!. However, if you have a history of needing higher doses of medication in the past, try something like this:

If the physician suggest OXY IR 5 mg every 6 or 8 hours for pain!.!.!.!. Explain that you have had occasions in the past when oxycodone did not completely meet your pain needs!.!.!.and ask if you can call in for a medication adjustment if needed!.

Usually they will increase the dose to 1-2 tablets!. If you say you need 3 at a time, they will assume you are drug seeking, as it is rare for people who are not on chronic opiates to need more than 10 mg of oxycodone for most "moderate to moderately-severe pain issues!.

This does not mean you need to be in pain!. But by asking if you can call if you need a medication adjustment, you have opened up the possiblity for them to further adjust prior to your next appointment!.

A very important point is to not call back and say!.!.!.I am taking 3 and it controls my pain!. Physicians get very frustrated when patients exceed the dose on narcotics!. Establish trust, and you should be fine!.

Never suggest a medication by name, or a dose, as those are typical drug seeking behaviors!. Also if you overuse, and ask for a refill early, most physicians will refuse and tell you to take ibuprofen!. So stick to the rules!. Just describe the pain, and let the physician make the appropriate adjustments needed!.Www@Answer-Health@Com

Yeah, when a patient asks for a specific drug, it's a red flag!. If you have liver issues you're probably not gonna get vicodin OR percocet, as they both have APAP!. So, since I don't know what your pain is from, I can't guess what he might suggest, but I'd just mention what drugs you've tried, and that they aren't working, and let him suggest an alternative!.

Good luck and feel better!Www@Answer-Health@Com

Don't name any drugs you think he should give you!. Wait for him to bring them up!. Tell him how much pain you're in, that the pills aren't working and what should you do!. Just don't tell him what kind of pills you want, that's a dead giveaway!.Www@Answer-Health@Com





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