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Re: DR APPT to Robin

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Robin,

When I went to see my new PM doctor that I wrote you about, I was on 50

mgs. duragesic and 40 mgs. oxycontin. My doctor took me off the oxycontin

also, saying that it was not standard or suitable practice to have a patient on

two different long acting narcotics. He said either more or one or more of the

other, but not both. Since I'd had good success with the duragesic for the last

year, without any side effects, he chose to increase my duragesic up to

75mgs., too, and took me off the oxycontin. I did not go through any kind of

withdrawal. This has, so far, seemed to work well. Tonight has been the first

exception, since unfortunately I believe I'm starting either an attack or a

really

bad episode.

But for normal, daily pain maintence, this increase of the duragesic for the

last 2 1/2 weeks, has worked well thus far (knock on wood!!!) Give yourself

several days to get accustomed to the change and see how you're doing.

What did he give you for breakthrough?

With hope and prayers,

Heidi

Heidi H. Griffeth

South Carolina

SC & SE Regional Rep.

PAI, Intl.

Note: All comments or advice are personal opinion only, and

should never be substituted for consultation with a medical

professional.

Robin wrote:

> What he did was increase my duragesic patch from 25 to 75, but didn't give

me any more oxycontin, of which I was taking 200 mg a day. Any thoughts

on whether anyone has followed a similar pain management pattern? He said

I shouldn't go through any type of withdrawal, because he replaced the oxy

with enough of the patch. I just took my last oxy...

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