8 doctors weighed in:
I have chiari type i, surgery soon. Percoset 10mgx4/day wasn't enough. Insurance denied oxycontin. Now trying morphine ER 15mgx2day, but not enough. ?
8 doctors weighed in

Dr. David Rosenfeld
Pain Management
4 doctors agree
In brief: Underdosed
If 40 mg of Percocet was not enough then a starting dose of MS contin (morphine) of 30 mg per day is way to low.
A proper conversion (equal analgesic dose) would be 60 mg of MS contin (morphine). Even that may be low, but your doctor could then titrate your dose up.

In brief: Underdosed
If 40 mg of Percocet was not enough then a starting dose of MS contin (morphine) of 30 mg per day is way to low.
A proper conversion (equal analgesic dose) would be 60 mg of MS contin (morphine). Even that may be low, but your doctor could then titrate your dose up.
Dr. David Rosenfeld
Dr. David Rosenfeld
Thank
1 comment
Dr. James Marx
Adding some other meds wouldn't be a bad idea either like Cymbalta or Pamelor. Also, the anti-epileptic class of drugs can also help. Sometimes they can really help with headache pain.
Dr. Kevin Teal
Neurosurgery
3 doctors agree
In brief: Get surgery
Sometimes no amount of medication can ease your pain before a surgery.
It's best in those cases to proceed with surgery as soon as possible. Your pain management doctor can assist with tapering the medications after surgery.

In brief: Get surgery
Sometimes no amount of medication can ease your pain before a surgery.
It's best in those cases to proceed with surgery as soon as possible. Your pain management doctor can assist with tapering the medications after surgery.
Dr. Kevin Teal
Dr. Kevin Teal
Thank
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