First day on meds.

CrypticCat

Shared on Sat, 02/18/2012 - 00:55
  • 07:00, breakfast, 2 fresh baked buns, 1 glass of orangejuice (fresh), coffee (hot, lol) and 1 Pantoprazol, 1 diclofenac, 2 paracetamol, 30ML of Fresenius.
  • Pain: 7
  • Days to Butrans refresh: 4

 

As you can see, the morning is the heaviest. After the 18:00 start of the treatment yesterday with the side-effect of Diclofenac rearing it head, today I'm hitting off the first day of the full schedule. I'm interested to learn how I'll hold up today. I shared my dietplan and timing of it with an aquintance of mine who works as a med-nurse in a hospital and she says that with my medload, I should eat more. The timing is good, but in the case of lunch, I should experiment a little towards having it later because of the weigth of breakfast. If I can't eat more during the setpiece meals, I should take to grazing during the day. There are lots of choices for grazing that are healthy and it doesn't mean that I should stuff my face 24/7. But I never was a great eater and I can sustain myself on a quantity of food that makes Kate Moss jealous. So overeating can in my case become a serious problem. I want to see how I hold up with my schedule first and then see if I need more food at all. And if I do, then I'll have to look into a kind of ultra light snack I can safely add to my diet.

I said yesterday that I only eat once a day and that it is enough for me. I had trouble with breakfast, the two buns were hard to munch down even with spreads I love. It is something I'll have to learn how to do, I guess. I'm thinking about cutting it down to one bun if the 2 keeps giving me trouble. At midday I'll have another meal to content with too!

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I read Darktest2K's blog this morning and that's humbling. Can't begin to imagine what they must be going through. What can you say that doesn't sound corney or insincere? I wish I knew...

===Update===

  • 12:30, lunch, 2 fresh baked buns, 1 glass of orange juice (fresh), tea and 1 Diclofenac, 2 Paracetamol.
  • Pain: 6

 

As I expected, I was less than hungry! Still ate lunch because Diclofenac requires it. I laid down for an hour before lunch because of the effects of Diclofenac and slept a little extra, which accounts for somewhat less pain. Because of the fact that discernable results can only be measured after three weeks I have no real idea whether or not the Diclofenac already has an effect on it too. Fresenius does work, but I have been taking that for a while. Fresenius is a lactating solution that's co-prescribed with Butrans. Butrans shuts your bowels down, leading to constipation. Fresenius puts your bowels too work again.You have to be careful with Fresenius and stick to the schedule for it. When you take too much, you'll be on the throne all day, which can cause dehydration. Take too little or irregularly, it won't work as intended and you'll just be uncomfortable. I have noticed that I feel a lot better when I drink something and it helps with the nausia that Diclofenac causes. Luckily, I have always more of a drinker than an eater, so dehydration for me is not an issue. I easily reach the required amount of fluids in a day!

===Update===

  • 18:00, dinner, Lasanga and a coke, 1 Diclofenac, 2 Paracetamol, 30ML of Fresenius.
  • Pain: creeping up to a 7.

 

It's interesting to notice how the pain fluctuates. Before I started indexing the measure of pain, I was of a mind that it always was level. That happens because you get used to something that's always there, now matter how cripling it is. Now that I have to record at set intervals how I experience pain (using an arbitrary scale of 1 to 10), I pay more attention. I have been keeping a painlog for over a month now, in case you're wondering. With my medical history and the painlog, we arrived at the current mix of meds we are intending to arrive at a baseline with. I laid down this morning and slept for an hour, which helped lessen the pain a bit, but as the day progresses I become increasingly uncomfortable.

Tentavely I would say that the draconic restructuring of my life, of which this is the true first day, doesn't appear to be as hard as I feared it would be. Being disabled with nothing better to do freed me up to game to my heart's content with royal disregard for the clock. Of course, this is only the first day but I'm fairly certain I'm off to a good start!

===Update===

  • 23:00, lights out, 1 Amitriptyline, 2 Paracetamol
  • Pain: 7

 

Actually, lights out will be at midnight. It's the weekend! =)

 

Comments

Caduceus's picture
Submitted by Caduceus on Sat, 02/18/2012 - 16:59
I saw in the previous blog that you're on amitriptyline 10. I move a lot of chronic pain folks to 20 (then it comes in 25 mg) and then work my way to 50 or 100 mg up to three times a day. Additionally, I don't see any gabapentin (aka Neurontin) on your list and don't know if you've tried that one, as it is also generic and widely available. Less used and more expensive is Lyrica (trade only), which is similar to gabapentin, and Cymbalta which I have used in depressed patient with chronic pain. I don't do a lot of chronic pain, but I manipulate some of the side medications that are used. Good luck with your recovery.

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