Need advice- want to switch from percs to k4's

[SpecialGuy69]

I'm currently prescribed 100 perc 10/325's a month for breakthrough- I'd like to change that to dilaudid. My base medicine is fentanyl 2.5mg patches, recently switched from 40mg of Kadian/day. So, what do you think I should say to the doctor to get switched without looking like a drug-seeker? I know I don't want to tell him I'm concerned about the effect of the APAP on my liver. I need some other ideas.

I just recently switched to the fent, so I was thinking about telling the doctor I did a lot of research (up to this point, I've always played ignorant) and a lot of people say that dilaudid is the best breakthrough med to pair with fent, and I'd like to try it.

It would be great if one of you had a better idea on how to bring this up to the doctor. I also wouldn't be opposed to roxicodone or MS IR, basically, I just want a breakthrough medicine that doesn't have APAP in it. So, if there's a good reason to ask for OC IR instead, I'd be okay with asking for that instead.

This is the final peice of the puzzle to my pain management- If I can get switched to dilaudid or OC IR or MS IR for breakthrough, I think I'll FINALLY have enough medicine to last me through the month- I started off with a massive (undisclosed to the doc) tolerance, and I've been trying to catch my scripts up to my tolerance ever since. I'm SOOO close to being adequately medicated.

The equianalgesic calculator says that 33.3mg of oral oxycodone per day (my current script) is equal to the following oral instant release medicines:
12.5 mg hydromorphine (dilaudid) - 3x 4mg per day
50 mg morphine sulfate (MS IR) - 3x 15mg per day
33.3 mg oxycodone (Roxicodone) - 2x 15mg per day or 6x 5mg per day

So, please let me know what you think I should say to my doctor. Remember- up until this point, I have played niaeve (sp?), and I complained of nausea to get switched off the morphine- I was aiming for OC, but fent is as good or better to me (especially cause it's much harder to get). Maybe I could say that I still have the nausea, that I noticed I don't have it except when I take the percocets, so can I try a different breakthrough medicine instead of the percocet... That sounds to me like it might work. Well what do you guys think?

Thanks in advance for reading my ramblings, and for your wisdom.

[nick]

I presume you're going to snort the K4's because from what others have said they're not that efficient taken orally.
If you've played niavee up to now look up side effects for the percs or tell him when mixed with fent you suffer from ????? whatever suits you,but make sure he knows the fent works well.
I really wouldn't level with him now.Most docs seem to get freaked that they have been mislead.
Good luck bro.

[devilsdrug]

eventuallly there is never enough, dont switch around too often , i think docs dont like that , why dont u want to say anything about tylenol

[SpecialGuy69]

^ I'm definitely not gonna just tell him what's up, thatI have a huge tolerance and my meds only last 2 weeks, tops. I was thinking about telling them I did some research because I was disappointed that I was still getting sick. Nausea that's my excuse.

I want the K4's or roxis or MS IR's just because they are unpolluted with APAP. I'm trying to cut that bullshit out of my medicine- it doesn't help me, and I don't want to be forced to take that shit. I wish I could just tell the doc that: "If I want tylenol, i'll take over the counter tylenol. I don't need it mixed in with my oxycodone!"

I might snort dilaudids i might not, they will fuck you up nicely orally, just takes a lot more. (And a LOT more than my prescribed dosage, too)