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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Safe Is Oxycodone For Neurophatic Pain ?

I am a 50 year old male with a history of cervical spine injury. I have had a disc-ectomy with fusion in 2012 and in Feb of 2013 reinjured my neck in an auto accident. I, in the past greatly benefited from Oxycodone 10mg, It totally worked for me. Other medications such as Nambumetone, Naproxen, Cyclobenziprine, Amitriptyline, Prednisone, as well as several others were not effective. I am an electrician and I do a lot of tasks that are posture compromising. I am often required to crane my neck for extended periods, ( a recent pain management Dr did not know what craning of the neck meant) I have to access crawl spaces and attics. I have to manually bend conduit, and work overhead. I have to work above suspended ceilings off of a ladder, outstretching and reaching to pass wires along, By days end I am in agony. I am unable to get my current primary care physician to prescribe the one medication that works for me. Oxycodone.. I am aware of the dependency risks. I am also aware of some of the warnings that come with the medications they are so freely willing to give me. Shouldn t the decision be mine as to which risks I am willing to take. Nambumetone for example has risks of gastric bleeding, increased incidence of stroke and a slew of other possible side effects. The Amitriptyline has been shied away from for years as an anti depressant because of far safer forms of antidepressants currently available, yet they are more than willing to let me take it for neuropathic pain, even-though it is ineffective. How does one approach a physician about prescribing Oxycodone, without appearing as someone seeking it for less than honest reasons? I genuinely benefit from the 10 mg dose. It worked wonders the 8 months I was on it. it worked so well I opted not to have the additional fusion surgery recommended after my 2/10/13 accident.. When I opted out of having the 2nd fusion surgery the surgeon subsequently ceased prescribing the oxycodone & told me to get it from my PCP who is unwilling to prescribe it, and now I am once again contemplating having the surgery. I actually had the most productive 8 months in over 5 years while taking Oxycodone. My pain was managed, my pain associated depression was non existent, I functioned at work, and got things done at home after a day at work. Now I just barely make it through the day, and when I get home I am a couch potato, to sore to do anything. . YYYY@YYYY
Mon, 27 Jan 2014
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Psychiatrist 's  Response
hi
thanks for using healthcare magic

Oxycodone is a opioid derivative and it helps in controlling pain. If u r getting relief through it, then u can take it. But try to control the dose. With time u will get tolerance to the dose, which could lead to increase the dose. U can take it on sos basis, it would help u to control the tolerance and dependence pattern. In any case u need our help u can connect us.

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How Safe Is Oxycodone For Neurophatic Pain ?

hi thanks for using healthcare magic Oxycodone is a opioid derivative and it helps in controlling pain. If u r getting relief through it, then u can take it. But try to control the dose. With time u will get tolerance to the dose, which could lead to increase the dose. U can take it on sos basis, it would help u to control the tolerance and dependence pattern. In any case u need our help u can connect us. Thanks