Dilaudid And Percocet

Hi,

I have chronic pain. I have Interstitial Cystitis, have chronic pelvic pain, shoulder pain, neck and back pain, etc. I am a 45 year old woman who has had 4 children so you'd think that I would be able to handle pain. However, I cannot. At 5'9" tall, I only weigh 115 pounds so you'd think that pain meds would hit me like a ton of bricks! They don't. I have a very low threshold for pain, but a very high threshold for pain medication or just medication in general. For instance, I had a hysterectomy two weeks ago. Before the surgery I was given Versed. Versed does NOTHING for me. I told the Anesthesiologist but he gave it to me anyway. It does not cause amnesia in me like it does in most people nor does it have a sedating effect. So he then gave me a dose of Fentanyl. Still......nothing. Then he gave me another dose of Versed. Well, I was still wide awake when they wheeled me into surgery. The Anesthesiologist was telling everyone in the OR how nothing seems to work in sedating me before surgery. My OB said that my threshold for medications is very high. Thank God she knew that before my surgery. During my 2 hour recovery, I was given Fentanyl and then Dilaudid several times before my pain was finally under control. Alternating between the Fentanyl and the Dilaudid is much more effective than being given just one or the other. The Nurse was amazed that I was still awake, let alone talking like someone who had not been given any pain medications. My 19 year old daughter has had several surgeries and she reacts the same way that I do to pain medications. I wonder why that is.........

Anyway, I have been on 7.5 mg. of Percocet every 4 hours for about a year. I also take 100 mg. of Tramadol twice a day. They should just give me a bottle full of sugar pills because the Tramadol does absolutely NOTHING for my pain. However, trying to get off of Tramadol is extremely difficult! It gives me head zaps, flu like symptoms, and unbearable pain in my legs! Anyway, after my hysterectomy two weeks ago, I was given 60 - 4 mg. Dilaudid tablets and 120 - 5 mg. tablets of Percocet. I take 4 mg. of Dilaudid first thing in the morning, 10 mg. of Percocet 2 hours later, another Dilaudid 2 hours later, etc. all day long. It is like my life revolves around taking medication. I did notice that alternating between the Dilaudid and the Percocet as prescribed is much more effective than the Percocet alone. I am still in pain from the hysterectomy, but it is much more bearable now.

Is anybody else on an alternating pain medication schedule between Dilaudid and Percocet? It is quite effective for me and I really want to discuss this with my PCP when I see him on September 2nd. I have finally found a pain medication duo that works for me and am hoping that he will see that and be able to prescribe it to me for my chronic pain that I have every single day! Is this a reasonable request for me to ask my PCP? He prescribes ALL of my medications, including the Percocet. I am afraid to ask because I do not want him to think I am drug seeking when I truly am not. He knows that I NEVER run out of any of my medications early and take them as prescribed. So, should I ask my PCP about alternating between 4 mg. of Dilaudid and 10 mg. of Percocet, or should I see a Pain Management Doctor? Any help or advice would be greatly appreciated! :)

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Hello, Golfgal! How are you?

If you require such medications on a long-term ongoing basis, you'll need to see a pain management specialist, due to the new regulations that were put in place last year.

The best thing to do would be to ask your PCP to refer you to someone.

This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

Is there anything else I can help with?

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Hi,

Thank you for your response. I have been getting my Percocet from my PCP for over a year. He has no problem prescribing it each month. I am guessing it would be more difficult to get the Dilaudid filled. I have an appointment on Tuesday. I will ask him then.

Thanks!

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In this day in age with prescription abuse on the rise, generally your PCP is only going to see your pain control immediately after surgery. If you have chronic pain needing strong narcotic and opioids they will refer you to a pain management clinic. They do regular drug panels on everyone!

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