Quote Originally Posted by UTD Toker
I feel afraid to tell my doctor or parents that I really need more painkillers as I don't want to make them think I'm some kind of junkie or just abusing them. Usually I have to take 2 of the which only most of the time takes care of the pain, but I am worried about my day to day constipation and liver damage possibly for me in the future.
The liver damage from pain medication comes from the acetaminophen and not the narcotics. Much better for your liver is Norco, as opposed to Vicodine. There is no recommended maximum for the opiates portion of pain meds, and that is left up to the doctor. I think the recommended max for acetaminophen is something like 2000 mg. per day. If the doctor knows that you are additionally taking medical mj as well, he or she will be likely to cut your dose way down. They are afraid of polymorphism (or something like that) and the DEA.

I feel for you, and that condition really sounds suckie. I suffer from chronic pain and my doctor reduced my pain med dosage when I asked him to sign my form for the medical mj program. Depending on how much the DEA is looking over your doctors shoulder, asking to increase your dosage may or may not work. Likely though you will be referred to a pain management clinic unless your primary care physician happens to specialize in pain as well. Same thing with dosages will happen at the pain clinic, and you will get drug tested. You don't have to tell your doctor about your mj use, but they'll soon find out at the pain clinic. Some pain clinics refuse to treat you if you are on medical mj. You just have to hope to find a sympathetic doctor that isn't a pansy girly man, and make him understand your pain.