23 January, 2008

From Fentanyl to Morphine

Two weeks ago my GP presented me with the option of chronic pain medication. It was the only next step he had left. At the time I opted for Fentanyl patches, figuring they'd be simpler to handle, since each one lasts for three days, trickling a slow dose of narcotics into my system and hopefully killing pain quietly.

The process requires titration--my GP gave me a prescription for 25mcg/hour, but on speaking to my migraine specialist I doubled the dose on the second day. In his estimation the amount of IV dilaudid I was taking indicated a resistance to narcotics sufficient to make the first step of 25 too small.

Adjusting to it was not fun, but it was doable. I avoided driving for the first few days, and all was pretty much well.

Two days ago my GP changed my chronic meds to MS Contin. Yes, girls and boys--la migraineuse is on morphine. I don't remember the dosage off the top of my head, but the calculations were made so that I wasn't starting over from scratch--the MS Contin was going to pick up in strength right where Fentanyl was leaving off.

But I'm having a whole 'nother adjustment period! I didn't want that.

I've explained it to my boss, and so I'm off to work from home for the rest of the day.'

The work will get done. Perhaps not traditionally, but it will be done.

2 comments:

Jonquil said...

I'm sorry, sweetie. I hope the morphine is tolerable.

LA MIGRAINEUSE said...

I just hope the adjustment period is shorter. He bumped up the Lyrica too, since the initial dosage didn't seem to make much difference--how much do you take? He wants me to get up to the max, 300mg/day.