Anyone taken MS Contin 15mg-Taken off Lortab 10

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scottymac
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Anyone taken MS Contin 15mg-Taken off Lortab 10

Has anyone had any experience with MS Contin 15 mg. I was on lortab 10 3x daily. I have had 2 discectomy on l4-5. My most recent on last December in Chicago. After my recovery I kept telling my surgeon I was still having lots of pain. He assured me it was not a disc problem. After bugging his office everyday his nurse told me there was nothing more they could do. I finally went to my chiro after hardly being able to walk examined me and said he would bet any amount of money i had a broad based disc bulge at L5-S1. He ordered my mri reports after surgery. Surprise, surprise severly bulged disc at l5s1. This was radiologist report, my surgeon said no disc issue. Wow a neurosurgeon from Northwestern University in downtown Chicago couldn't tell there still was a disc issue? My chiro thinks he didn't want to admit it. After all he performed discectomy at L4-5 and didn't notice disc bulge a level lower? Anyway a year later I am still in pain everyday. Nothing has helped! Pain clinic 4 months now. Monthly injections, started me on Lortab 10, now put on Ms Contin 15mg every 12 hours. But after 6 i'm ready for another. The lortab 10 every 8 hours seemed to work better. The nurse told me morphine or ms contin is stronger and would provide round the clock relief. Should I call the pain clinic and tell them it's not working? I don't want them to think i'm an addict and i want a higher dosage. I don't know much about "breakthrough pain" but i will bend over and stabbing pain will shoot in my lower back. The pm wants me to see his neurosurgeon to be evaluated, as he thinks i need surgery. I don't know what to do, i hate to have a 3rd surgery but i can't live like this, i cannot do anything physical, cannot stand more than ten minutes, cook, cut veggies or anything like that. Any advice will be apprecieated. And anyone have any thoughts as to why my surgeon from Chicago couldn't figure out i had a broad based disc bulge at l5-s1 when the radiologist at same hospital found it. He had just performed discectomy on l4-5 in december and had another mri in june, and that's the one he read and said only thing he saw was disc degeneration. He said it was a muscle problem. Please advise, Thank You!

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charry
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Hi Scottymac and Welcome

I started at the same MS Contin 30 mg a day. I returned to my Dr. and told her I had pain at night too so she increased it to 60 mg a day. Then I found out it wore off also and told her 5-6 hours I still had pain and was impossible to live like this. She increased it to 30mg 4x day and I would usually take 60mg in the morning and 6 hours later take another 30mg and sometimes did not require the 4th dose. I went so many times to my Dr. and the car ride was so awful to get there. Now after 2 years she's put me on Oxycontin 120 mg/day and 2 weeks later have less pain. I would get another opinion Neuro or Orthosurgeon. I wouldn't began to understand the Surgeon who didn't identify the herniation. I wish you all the best if you plan surgery. Take care. Charry

DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN

jeauxbert
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I'm taking MSContin

One thing to remember, is that everyone is different; some have higher thresh holds for pain than do some. Some people are able to perform usual daily activities in spite of the pain where others are not.

The nurse was correct; the MSContin is a stronger medication than the Lortab. I've been on this ride for quite some time and have found that when I take the longer acting medication (MS Contin; these are also called extended release meds or ER Meds) I am able to "stay ahead of the pain". When I find the MS Contin is wearing off and I am experiencing pain, I will take what is known as a break through medication (or short acting/immediate release - IR Med). Your IR med is Lortab; mine is oxycodone. I've also undergone a series of accupuncture treatment which - oh my GOSH! Literally put me in Heaven for a good 5 hours. And I was a non-believer in the process. Imagine the results I'd have had if I actually thought it would work!

The medications such as Lortab and Percocet, I believe, have added medication such as Ibuprophin or acetaminophen, which when taken in large amounts or for an extended amount of time can actually cause other problems with your liver or stomach...

As I said earlier, it's easier to "stay ahead of the pain" by taking your medication around the clock, than skipping does and then playing "catch up" after your pain rears that ugly head.

Maybe you could discuss this with your doc the next time you see him/her.

The disc bulge you mentioned, is it pressing on a nerve?

Of course, it is never an easy decision to have "another surgery" unless you simply cannot function, and/or lose control of your bladder/bowel.

Maybe, you could speak with your doctor about adding a third MSContin - that's the dose I am on (30 mg 3 times a day). Wouldn't that be too cool if that was all it took to allow you to function on a level close to normal?

Once you get your pain under some sort of control, you may want to consider other avenues such as physical therapy (if your doc approves, of course) or some exercise where you are moving all your limbs and muscles without it being too strenuous, but enough to keep your muscles from wasting away - causing more problems in the long run.

Well.... Sorry I went on and on. Just remember, there is hope. Not so much for your pain to go away completely, but enough that you could maybe get it under some semblance of control.

Best of luck to you. Keep us posted?

BionicWoman
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Pain Journal

scottymac, one thing that can be very helpful for you and your doctor is to start keeping a pain journal. That allows you to create a picture of your pain over time, in the context of your daily activity. It also helps track your medication use and the effectiveness of other interventions.

The American Pain Foundation has a really great starter journal:

http://www.painfoundation.org/learn/publications/files/TargetNotebook.pdf

It has a lot of good information about understanding different types of pain we deal with (chronic pain, break-through pain, pain flares, etc.) and tips for talking with your doctor about the pain you're having. It's also got a simple layout to help you get used to tracking your pain in that way.

Keep a journal like that and taking it to your appointments gives your doctor a lot more information, quickly. Too often, patients go into appointments and tell their doctors "I can't do anything because of the pain" and doctors know that's not entirely true. The fact that we make it to appointments proves it.

It's very helpful to your doctor when you can offer them a tangible snapshot of what's working (even just a little bit) and what's not working, as well as more detailed information about your activity levels and how that impacts your pain levels.

(edited by me, because writing in complete sentences was hard last night..lol)

painkiller
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I agree with BionicWoman and

I agree with BionicWoman and jeauxbert. They both give out great infor. And they both been threw the pain.

Hoping you to be pain free

Jim

Krissy74937
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Meds I currently take

I am currently taking Morphine ER - extended release, Morphine IR - immediate release and Soma for pain. I take 100 mg of the morphine ER 8 times a day, 30 mg morphine IR 8 times a day and Soma 4 times a day. I do very well on this dosage now. I dont nod off or get floaty feeling. I was told by my friend that her husband who had cancer didnt even take that many mg's a day. Is 1040 mg's a day
normal ?

BionicWoman
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Taking any ER drug 8 times a

Taking any ER drug 8 times a day is not normal, because it's not how ER drugs are intended to be used.

In fact, the dosing schedule you've described is the type of prescribing that tends to draw the DEA's attention to your doctor, because it's extremely pill-mill-ish.

marks107
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Sounds like too much to me

That seems to me to be extremely too much to me.I agree with BW about the DEA.It should definitely draw a red flag.Good day to all my spiney comrades.Mark

TTLC
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Hi Krissy...

As BionicWoman and Mark already stated, the amount of ER and IR medications you are on... seems to be unusually high.

ER medication means extended release. The extended release medications are generally given in 8 hour or 12 hour increments. Sometimes, 6 hour increments. Taking the ER medication every 3 hours does not allow the medication to work properly.

The IR medication is given for break-thru pain, before the next dose of the ER medication is due. With the doses you are currently taking, you don't have a chance to experience any kind of break-thru pain.

I feel really bad for you, as it appears you are being over-medicated. With chronic pain, it is always best to go with the least amount of ER and IR dosing... as you want to leave room to grow with the mg amounts. You can always increase the amount, if the lesser dosage is not working.

What kind of spine problems do you have? I looked under the New Member forum, but couldn't find any posts from you. Please feel free to introduce yourself and share a bit of your history under the New Member forum.

Best wishes to you,

Tammy

TTLC
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Hi Scotty...

I hope you found the link BionicWoman posted, to be helpful. It's a great way to keep track of your pain and it gives your doctor(s) valuable information on how to treat you.

Please keep us posted with your progress.

Best wishes to you for less pain,

Tammy

Krissy74937
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I take 2 100mg morphine

I take 2 100mg morphine extended release every 6 and the 30 mg immediate release for breakthrough pain Usually I take the ir's at the same time as the er's.

I had a laminectomy / discectomy on L5/S1 back in 2002, at the age of 29 and re herniated the same disc plus the next 2 up during physical therapy. I had a large disc fragment from previous surgery and had to have a dynamic stabilization *hardware / pedicle screws and bone graft on L5/S1 3 years later. No physical therapy afterwards. December 2008 had myelogram and films showed burn spur growing towards thecal sac, 2 herniated discs still as well as being diagnosed with deteriorating / arthritic facet & sacroiliac joints and degenerative disc disease. 3 months ago I asked my PM doctor if I should have a new myelogram with no result. Actually Ive only seen my PM doctor twice in over a year. His nurse does everything then he looks over her recc. and signs scripts. I have recently moved to another state and will be looking for a new PM doctor next month.

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