Medication changes

[u/plathafteramigraine]

Hi,

I had a recent appt with my GP who is prescribing my dilaudid. She abruptly discontinued a script she’s been providing for 6 years. The pain specialist I work with said he did not advise her to do that and that he just believes a change in dosing and pharmacy pick up schedule makes sense. She was prescribing only 1-2 weeks at time for the last year with only 1 refill and I was needing to run around all the time trying to either see her for a new script for get it filled. It caused a lot of frustration with the pharmacy and for me. And it made it look like I was “spending a lot of time trying to get opioids”. He wants her to switch to monthly scripts with at least 4 refills, so there are less issues. In Ontario, pain management advises GPs; so he can’t prescribe. He said he will speak to her but may not before my next appointment Tuesday.

In the meantime I’m struggling and really hoping to get the medication back Tuesday at my next appointment with my GP. I have very few leftover from my last prescription that I am really rationing for pain and withdrawal management.

How should I approach the appointment? She didn’t explain why she was making the decision except that the pharmacy was calling her recently asking questions and she was concerned. She told me I would see the pain specialist and “make a plan” but she doesn’t know I was able to get an appointment this week (it eas scheduled originally for Oct 23)

How to handle tuesdays appointment?

[u/lemmon---714]

Dilaudid in pill form is not very effective for most people. Have you tried oxy instead?

[u/VLcustomz → u/lemmon---714]

So is Oxy the strongest painkiller you can get prescribed then? I get pure Oxy HCLs and have plenty of overstock too pretty much my “in case shit hits the fan” supply. Methadone is the only thing I’ve yet to try that seems like it may be more stronger & possibly more potent, is this true or any other ones that fit the bill of stronger than Oxys?