Sir - I was diagnosed with polycythemia some ten + years ago. Warfarin for 2.5 years and dropped instantly when under a different PCP. All during that time, I have had pain, dizziness, and a constant skin rash. 8 months ago, I endured an AAA with emergency surgery upon it s rupture. The pain I experienced prior to surgery has increased at least double fold now. I need some sort of pain relieve as that it has me immobilized for weeks at a time. During my recovery, I was prescribed oxycodone which left me feeling the best I have in at least 15 years. I m really not a pill taker but, I was able to do things I couldn t for a long time. Without it, the constant pain and agony is near unbearable most of the time. If there is something better to live what life I have left, please inform me of this this. Otherwise, I am forced to do what I must to alleviate this 24/7 life of misery. The VA seems to be oblivious to this so, I can t deem it as a resource for any improvement in that area. Anything to remove the pain is under my consideration. Highest regards, Dave Sorrell
Hi, Cannot say in your particular case, but generally, if someone is on anticoagulation, Aspirin-like drugs are too risky to use. Tramadol is a lower risk narcotic that is extremely helpful in the more complicated pain and less so in simple joint and disc disease. Other places that prescribe narcotics are Methadone and Suboxone clinics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist