Just over a month ago my Pain consultant changed my medication to include Ketamine alog with my Morphine, with the hope that I would be able to reduce the Morphine and eventually discard it alltogether.
I started on 0.1ml (10mg) 3 times a day but he also advised to reduce the Morphine a little, but within a couple of days the pain I was in was unbearable.
After 10 days I called the pain Dr and asked for advise, he increased the dose to 0.2ml (20mg) upto 4 times a day.
Since then I have increased the Morphine again and I'm now taking more than I was before starting the Ketamine and still i'm getting very little relief.
That was 20 days ago, should I phone and see if I should increase the Ketamine again, or should I just give it up?
I've tried almost everything there is to try.
I tried Buprenorphine almost 3 years ago, my condition wasn't as bad as it is now, but it knocked me for 6 within a couple of hours of putting the patch on, but out of everything I have taken, even though I only had the patch on a day, it is probably the most pain relief any medication has given me. (So far tried Gabapentin, Pregabalin, Amitriptyline, Fentanyl, Morphine, Burpenorphine, Codeine, Nortriptyline, Ketamine)
I really don't know what to do.