patients on methadone plus PRN pain meds

[sassyann85]

Hello,

I have seen several patients on methadone maintenance that are also ordered PRN pain meds such as tramadol or oxycodone. How often do you typically have them wait after administering the methadone to get a PRN pain pill? I'm worried about the interaction of respiratory depression. Thanks!

[toomuchbaloney]

^^^ This. No sympathy for your pain if you are an addict/user. You made that choice. We will manage your pain like we would anyone else's based on the trauma/surgery/condition. No, we will not feed you Perc 10's every two hours because you just had a baby. Sorry, you'll get our gold standard and nothing more. You might want to be comatosed, but that's not how we roll.

I love that you post a judgemental statement about drug addicts and then quote yourself with a celebration of how smart and wise you think you sounded.