FMS, disc degeneration

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I have been diagnosed with FMS and disc degeneration. I have been using Tramadol for over twenty years. In addition I have been prescribed Hydrocodone (5mg) to be used as needed for major pain cycles that will not respond to Tramadol. Thirty tablets of Hydrocodone last approximately six months; one tablet when required.

This plan has kept me employed for the last twenty years and now that I am retired, it has allowed me to continue to mostly enjoy life . As a patient of the Minneapolis VA system, I frequently find myself assigned to a new primary physician. The latest refuses to continue prescribing my medication, indicating that she feels it is a fatal combination. The VA has refused to do surgery, indicating that they could improve the mechanics but not remove the pain. She has prescribed Gabapentin as an alternative to using Hydrocodone as needed. In addition to not being nearly as effective on pain, I cannot function the day after I use it.

I am beginning to understand the thought process that leads to seeking drugs outside legal channels. The pain that results from this change in medication may prompt me to inform my family and friends of the situation and my preference of continuing to risk taking the "fatal" combination as I have for over two decades.

Any thoughts or suggestions would be greatly appreciated.

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