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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Continue With Oxycodone And Ms Contin To Cure Pain Caused By IV Cancer And Hepatitis C?

hi, been on oxcodone 30 mg ( after the new formulation of oxcontin op) i have been on Ms Contin 60 mg 3x day, prn and oxcodone 30ms (IR for breakthrough pain) (ms contin Extended release 4x q. 6hrs. prn for the past 17 yeasrs. in Oct 2011 I was diadgosed with staage iv cancer and active heo c and the pain is intolerable. the doctor i was seeing cut me off when he leaned of the cANCER and hep c. now my life is miserable. i am 60 years old and just am AMBULATORY BECAUSE OF THE PAIN. NOW ON MEDICARE.
Fri, 28 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
But stage 4 malignancy with hepatitis c is not having good prognosis.
Palliative treatment in the form of pain management and nutritional support is the only options available.
Newer pain management options are available for terminal cancer patients. These are
1. Transdermal patch of fentanyl (opiod). This gives sustained pain relief for atleast 72 hours.
2. Low dose sedation.
3. Nerve blocks by direct injection in nerves.
So you can discuss these pain management options with your doctor and start suitable option for you.
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Should I Continue With Oxycodone And Ms Contin To Cure Pain Caused By IV Cancer And Hepatitis C?

Thanks for your question on HCM. I can understand your situation and problem. But stage 4 malignancy with hepatitis c is not having good prognosis. Palliative treatment in the form of pain management and nutritional support is the only options available. Newer pain management options are available for terminal cancer patients. These are 1. Transdermal patch of fentanyl (opiod). This gives sustained pain relief for atleast 72 hours. 2. Low dose sedation. 3. Nerve blocks by direct injection in nerves. So you can discuss these pain management options with your doctor and start suitable option for you.