If you are taking 13 a day, that is 390 pills per month. That amount is only going to get bigger and more expensive as your tolerance grows. I am not passing judgment at all, I know the situation you are in, and it sucks.
Tolerance is an unfortunate side-effect of opiates, and for some people it ramps up quite quickly. Only you know why you need that much, and that is entirely your business.
I have a few suggestions:
1) Switch to compounded meds. You can get 15/80 or 15/100 from a few companies listed on these boards. http://www.cyberscriptsrx.com , http://www.drmwatson.com , http://www.painmeds4u.com are a few that I know of, but I have no personal experience. I don't know if there are any companies providing compounded meds who won't require a port-a-medic visit, but some will prescribe up to 360 a month, and while this is expensive, it's cheaper in the long-run than ordering from several OP's and obsessing over where your next refill will come from. Do yourself a favor and look into it.
2) You have to do something about the amount of tylenol you are taking. Get a bottle of NAC (it shouldn't be more than $15) and take that throughout the day. It will go a long way in helping your liver.
3) The amount of tylenol you are taking is way beyond any amount that could be contributing to pain relief. If you won't do the compounded med thing, at least switch to 10/325's. That way you will be taking about 2000 mg less of tylenol per day, and it won't affect your pain relief.
4) You will come to a point when hydrocodone is simply not strong enough, and you will have to be taking ridiculous doses. FIND A PAIN MANAGEMENT DOCTOR! Try a few if you don't like the results you get at first, but your liver and pain will be in better shape if you got on OxyContin, Duragesic, MSContin, Methadone, etc. This is what will work for you in the long-term, you'll only be getting your meds from one doctor, one pharmacy, and you will feel much better and less stressed out. Compassionate PM docs do exist, and you will find one if you search hard enough. You will probably save yourself a ton of money, too.
5) Don't even think about ordering Oxy from an e-mail source.
Please at least give these choices some consideration. I think you will find your life in much more manageable shape, and I know what you are going through, it really does suck, but there are ways to get better. If you need to be on opiates the rest of your life, then so be it, but don't keep doing what you're doing now because you're only killing time as it slowly gets worse. Good luck, I really do feel for you.
-yawkaw
|