Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 , wrote: > I have diabetic neuropathy in both feet and hands, very painful. One year ago I had a diabetic stroke leaving me with bilateral lower neuropathy in my feet. Also I have left side weakness in my arm and hand. My left hand is in excruciating pain almost 24 hrs a day. I take 12 mg of dilauded per day. Most days this is not enough. My doctor will not increase the dose or give me something for breakthrough pain. Is this dose high? Anyone else with similar pain? > > , Your doctor will not give you Nuerotin, topomax, or other nueropathic type medications ? They are not narcotics. What type or doctor are your going to ? Maybe you should ask for a specialist for a second opinion as this might be swelling that could be reduced with another type of medication and you certainly deserve to be out of pain. You should be seeing a neurologist since you had a stroke and have an autonomic work up. Just my opinion. Bennie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 Debra wrote: > Dilaudid is a " break thru " drug which is typically used in conjunction with a long acting controlled released med such as oxycontin, ms contin, avinza. opana etc. I would suggest seeking the assistance of a pain management doctor. > Deb RN > Deb, I disagree with this and Dilaudid is given as a single med as an antitussitve type med as it suppresses the cough reflex. Thus doctors are afraid to increase the dosages as it supresses the respiratory fundcion more than the other opirates but is stronger. Dilaudid suppresses the cough reflex; therefore, the doctor will be cautious about prescribing Dilaudid after an operation or for patients with a lung disease. High doses of Dilaudid may produce labored or slowed breathing. This drug also affects centers that control breathing rhythm and may produce irregular breathing. Be sure to tell the doctor if you have breathing difficulties, such as chronic obstructive pulmonary disease or a condition that reduces oxygen to the tissues (hypoxia) or causes an excess of carbon dioxide in the blood (hypercapnia). Just as Oxycodione and others are given by themselves they are also given for break thru but no where in my search on the internet did the PDR or others simply state that Dialudid is only fo break thru. It is a medication that suppresses respirations and is NOT given much because of that and doctors do not like to give it in conjuction with as it is a hydromorphone. My physician will not give it because of that reason and my phamscist states the same thing. The medical insert states the same warning. , I woul talk to your doctor about that because of the tolerance. Depending on your diagnosis, you should have your treatment plan re-evaluated and I would keep a pain dairy and present it to him and let him see what is going on and what triggers the pain and what works and what does not. I have physical thereapy, bopfeedbacl. heat. ,muscle relaxants. neurotin, and topical ointments, and hot tub so I had to have options to have medicine therapy. You need to have a multi modal approach. Bennie > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 I originally went to my Pain Mgt. Dr. because a friend had a spinal stimulator implanted. But my friend's became infected and he had it removed. Now his insurance co. will not pay for another which he wants. He too thinks it is a Godsend. My insurance didn't want to pay and now I am without insurance. Neurontin worked great at first and for a couple of years. My neurologist said no narcotic would work but I have found them very helpful. The dilaudid works good most of the time, neurontin not so anymore. Thanks all. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.