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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pain management

I take 6-60mg of Oxycontins a day and 3-8mg dilaudids a day.My doctor cut me down 2 months in a row and I think its to fast as my body hasn t had the time to adapt to the changes.I feel sick most of the day and I cant deal with the pain.My doctor wants to cut my dilaudids to 3-4mg dilaudids a day and also he wants to cut my oxy s to 2-60mg a day.I think this is wrong and way to fast.I been taking this amount for almost 7 years now.I don t have a problem with him cutting me down but do it at a slower level so I can adapt to the changes. I also would like to know would a different pain medicine be more helpful to me as I would like to get off the oxycontins all together.The dilaudids help me more than anything and Im also doing physical therapy to walk again.I was ran over and crushed by a drunk driver and left to die with 64 broken bones and I have chronic pain daily.I was told I will have to take a strong pain medicine the rest of my life and I know it now is true as I deal with so much pain daily.Please help and what is the right way to cut me down.Thank you
Sat, 21 Jul 2018
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Addiction Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

To give general information: 100 mg total a day is considered a high dose. This is close to the highest dose. I've ever seen including most suicide attempts. So, narcotic management is done best by experts in narcotic addiction, such as Methadone clinics. They handle issues with people who have pain also. Other options are in the context of very high doses and most choices would not be safe.

Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for pain management

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To give general information: 100 mg total a day is considered a high dose. This is close to the highest dose. I ve ever seen including most suicide attempts. So, narcotic management is done best by experts in narcotic addiction, such as Methadone clinics. They handle issues with people who have pain also. Other options are in the context of very high doses and most choices would not be safe. Hope I have answered your query. Let me know if I can assist you further.