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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Chronic Pancreatitis, On Oxycodone, Fentnyl. Feel Always Sleepy, Joints Ache. Can Slowly Stop It ?

I have very severe chronic pancreatitus an docs started me 11 yrs ago 5 mg oxycodone an 25 mic fentnyl now its up to 30 mg six times day an 150 mic every 3 days. Now all I do is sleep. Ive been to pain mngmnt an I can slowly stop the fentnyl an abruptly stop the oxy. prob. is doc put me on for a reason. once i start going down Im screaming in pain. There is a very real reason im on these med's. now when I wake up my fingers are knarled an joints ache an I'm sleeping a ridiculous amnt of time. Do u know of any other possible treatments. Ive had the multi million dollar work up puestow surgury 3 eus all showed all the way thru head body an tail. of pancreaus. im frequently hosp. so much so I have a port in chest veins in arms shot from so many iv's. Any Ideas greatly appreciated.
Tue, 2 Jul 2013
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Gastroenterologist 's  Response
Hi,
Thank you for the query.
You are on a very high dose of analgesics.
Best option for you is an EUS ( endoscopic ulrasound ) guided analgesic block in the pancreas ( coeliac block). This will help your pain and also will help cut down on your analgesics.
Best wishes.
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Severe Chronic Pancreatitis, On Oxycodone, Fentnyl. Feel Always Sleepy, Joints Ache. Can Slowly Stop It ?

Hi, Thank you for the query. You are on a very high dose of analgesics. Best option for you is an EUS ( endoscopic ulrasound ) guided analgesic block in the pancreas ( coeliac block). This will help your pain and also will help cut down on your analgesics. Best wishes.