Information was received from a consumer regarding a patient receiving 10 mg/ml of hydromorphone at 1.14 mg/day and 1.5 mg/ml of bupivacaine at 0.1710 mg/day via an implantable pump for non-malignant pain and post lumbar laminectomy syndrome.It was reported the patient could feel their pump malfunction a couple days earlier (relative to the date of the report, (b)(6) 2018).The patient went for a walk and started feeling very drugged up.The patient stated he did not hear any alarms coming from his pump.No interventions were reported.The patient reported they were trying to work with their healthcare provider.The patient reported experiencing sweating, snoring while sleeping, difficulty breathing, and having to ¿push to urinate.¿ the patient sated he started to feel much better the day before after exercising and was trying to push through it.The patient stated this seemed to happen after getting refilled.The patient did not know when their last refill was.The patient stated they get refilled every 90 days and their next refill would be on (b)(6) 2018.The patient indicated they were on hydromorphone, so they had difficulties concentrating.The patient reported there had been no medication change and they were not sick.The patient was at baseline.The patient reported they had gone through an overdose a couple of years ago as well (please refer to mfr report #3004209178-2014-17207).The patient reported they were on morphine, and but their pain was getting worse.The patient reported they were trying to tell their hcp they did not want to be doped up all the time.The patient just wanted to take hydrocodone or tramadol when they needed it.The patient stated they found out they were talking too much tramadol, like 8 a day, so they want to back off of that.The patient stated they were supposed to take hydrocodone, but he had not picked it up from the pharmacy yet.No further complications were reported or anticipated.
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