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Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) Version 5.0 ~ V

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Day 4 after neck shots, can't feel the old pain at all! This rocks!! However now all these weird muscles in my neck that never hurt are totally spasming :? These steroid shots are better than any opiate in the world for pain relief. Just sharing in case you are wondering "should I do it".
 
That's great. Whatever feels right and away from the 'devil'.. Lol.
 
Oh man, it feels so much better I couldn't even be brought down by my ex-gf trying to abuse me yesterday and the day before. I even am starting to taper on my own again with a much better attitude and with hope on a whole new level. Today I thought about shooting up, but said fuck that! Instead I took my half a mscontin pill and also am staying high on thc all day for two days straight. You know what kept me from shooting up, as I was getting out the rubbing alcohol and pulling down the curtains? I actually remembered that the good feeling I get from sticking to my values is a better high than shitty old IV mscontin,lol =D
 
^ Good 4 u. I actually did the opposite. Been tapering for a while (not by choice) & can't find new PM doc.
As my old PM doc was actually my GP. But due to some crazy shit (if interested read my posts in TDS/Mental Health)
I'm forced to taper. It appears that there are no Dr's left in my rural area that do medication just shots. I've been looking in a 100 mile radius & so has my social/care worker at my insurance company & nothing. Even tried places that don't take my insurance or hell any insurance. But no dice. Expanding to 200 miles but so far nothing yet. :(

As shots might work for my back but doubt they'd work for my GI Issues & lower left quadrant abdominal pain.
As I am under the impressions it's nerves/neurological, least that's what neurologists I kinda saw suggested it was.
Had a bad morning as I passed out with my morning meds in hand & woke up hours later sick as hell.
Ended up slamming one of my 8mg Dilaudid's I still had from old script. Was happy about it though as first time in couple month's that I wasn't dual sick, as tapering benzo's/opiates at same time. Got some Phenibut though & it seems to be working for the benzo issue, perhaps to well. :\ As I think that's why I passed out.

On the other hand I can taper benzo's at the rate the Dr. wants if it is actually working will know in a few days. Though Psych doctor is gonna restore my benzo's in a few weeks when I see them so it's kinda stupid. Put me through hell & perhaps another seizure/permanent damage just to go back on them. My doctor even knows that I will be getting them back soon as I gave them my psych referral which included a priority note & a reason of "GP reduced benzo's to quick & caused a seizure & patient needs medication restored ASAP to prevent further unecessary seizures/mental &/or physical damage" but nope instead Dr. cut me even quicker when my mom went to pickup my scripts as I can't drive ATM.

Stupid shit, but at least today ended up good. Slammed a 8mg Dilaudid & hit it first try on my own. As in past I abused meds & the like but always had my GF as a "nurse" or a friend to help me as I shake bad & always slip out when I go to register. I can hit vein but end up missing once I register & go to inject. But think I figured out how to do it solo finally, even though after my recent hospital stay they blew out/collapsed 75% of my veins including my old go to's such as my crooks. But I digress, I was just happy to not be in pain for a few hours. As with dual taper, & having just ER Morphine I've been in excruciating pain all the time. As before I had like double the ER dose plus 6 8mg Dilaudid a day. Now just have the ER Morphine at much lower dose being tapered down every week. All because of stupid shit but as I said above to long to post if interested read my other posts...

Anyways, hope everyone is doing well & is as pain free as possible.
Glad to hear the shots worked out for you CF! :)
 
^Feel for you dude. I haven't yet read your other posts, but I think I get what you're going through.

Having to search that many kms for a doctor to treat your pain is beyond ridiculous!! Increasingly drs seem to think all pain patients are opiate seeking drug fiends. We're seeking pain relief. Well,- for the most part ;)

You don't have chronic kidney stones do you? Probably a silly question that has been ruled out but when I had an acute attack the dr at ED said "loin to groin is how we clinically diagnose kidney stones".

I have problems Every Single Time getting my pain meds when my GP is away. She only works part time,- mon-thurs 9am-12pm. Has three children so is on holiday in accordance with school terms.

My permit is held at that clinic, & even legally,- if my GP is not there another dr must call for an authority to write my scripts. However the amount of times these moron doctors have denied these meds, is disgraceful!!

I recently spoke with my GP about this, & she's brought it up in several meetings with the clinic staff, but the fact is that these doctors worry about losing their permit when prescribing the amount of opiates I require. (There have been a few ODs that I've heard of), so perhaps in that regard I can understand their concerns, but I've been on a stable dose for many years now.

My GP told me it's very difficult to decide wether to risk her licence in prescribing to patients. Also, as you well have found out there are few doctors willing to write scrips for opiates.

Sorry to hear you're having such a struggle finding a good doctor, & that you've several pain issues going on. As well as having to taper. Sounds as you're very strong willed, or maybe you don't have an addictive personality. I admire your will.

Tapering is something I can never do. If I have pain & I have pills then I'm going to have them & then suffer the consequences. Which is what will happen from tomorrow onwards.

Best of luck in finding a doctor,

Rtp
 
No doctor

In couple more hours going to be in agony,the pain is increasing slowly each hour.

About 18 months ago i bent over to pick towel up heard crunching sound in my back.The pain was quite bad,over next couple days the pain become horrendous.Over the next couple months was given various mild painkillers,sent to pyhsio usual exercises.Nothing,the pain still persisted 24/7.Lived a nightmare.
Back,fourth the doctors.Then about 4 months ago one doctor at the surgery prescribed me dehyracodeine.
Took them for couple weeks,i noticed if i combined 3 x 30mg of dehyracodeine with one 50mg tramadol i was almost pain free,life was on the up.Could clean the house,do certain exercises even do the garden.
At physio began to talk to nurse about getting on my bike get some proper exercise.(Its the painkillers,but i thought i was getting better).

My problems began when i raised my concerns with my doctor that i may becoming addicted to dehydracodeine.Had a problem with heroin 10 years ago,have been clean since.
He suggested we reduced it to 40x30mg a week,he use to prescribe me 80 tabs,Great.
At this stage i have never mentioned it to him that i take tramadol with my dehydracodeine

I take tramadol + 200mg of modafinal for my narcolepsy/cataplexy,after hurting my back i noticed my seizures (cataplexy) stopped.Told my consultant about this and he told me he was aware of tramadol and its effect on cataplexy.
Use to have up to 20-30 a day,havent had one since taking tramadol.

After couple days reduction the pain began again,contacted my doctor again,his whole attitude had changed,he told me my back there was nothing wrong with my back its more likely a opiate problem "lets see you walk".
I flew into a rage and said "how dare you speak to me bla,bla" and walked out of his surgery.

Pain is kicking in,dont know what to do,have no doctor,no meds,going to be in agony in morning.
Have appointment in June for injections to my lower lumbar region,but thats a long time in chronic pain.
 
@IndusrtialStrenght, how are you doing? Better?
Replied your PM ..
 
Hey guys got a question on some medication I was trying to get from the pharmacy. I have Crohn's disease and missed my remicade infusion which helps with inflammation due to the fact I went out of state to visit my aunt and took them almost two weeks to pre approve insurance. Anyhow been seeing a GP who prescribed 50 2mg hydromorphone every 4 hours but as I've had this many times before and been on it due to multiple er visits I've been taking about 2 every 4 hours so going through the script in about 5 days my GP is referring me to Pain Management which is understandable he's uncomfortable prescribe that much so often. Sorry to ramble but I ran out of meds and got message from GP that refill may not be till end of business day it being 8am in excruciating pain I went to er to hold me over he gave me script for 20 2mg hydromorphone and by the time I got to the pharmacy to my surprise the script for 50 was ready and they told me I could only fill one which is my question why they're 2 different scripts and an extra 20 wouldnt hurt but I went with the 50 as it's my main doc and wanted to get out of pain but the pharmacy took the actual paper script for 20 and kept it why is this? Why couldn't I get both? I'm not terribly mad just curious as my GP said he will continue to prescribe the hydromorphone until my pain subsides hopefully or until I get in contact with the PM doc so I'm luckily taken care of and very grateful in that sense just curious as to why they took the script and I couldn't get both? Also visiting in St.Paul Minnesota just to be thorough! :D
 
Mansavage, there are a couple of reasons. First, if you used insurance or medicaid, they will only pay for one script of the same drug at any one time. The other will reject for being too soon. Second, even if you were a self pay customer, the pharmacist cannot fill two of the same narcotic prescription due to various pharmacy and DEA laws or policy. As difficult as it sometimes is for chronic pain patients, the pharmacist must follow these regulations. I would ask them if they are keeping it on hold for you or if they spoke to your doctors and were told to not fill it. Be honest with them about you needing more pain relief as unfortu ately these draconian rules have made too many pharmacists and doctors into skeptics at best and downright assholes towards pain patients at worse.
 
Thank for the info kitty! They werent very clear with me and had me pick one or the other. But will give them a call and hopefully it would be on hold would be nice to have an extra and I would gladly pay out of pocket as it would be 10$ maybe. But anyway thanks again very helpful!
 
I have one big question for you guys . I just got myself a doctor for my severe back pain in hopes I would get something like Oxycodone that works on my back . I will admit I have gotten Oxycodone many times off the street (30mg Roxycodone Pills A215s) . The doctor said his first step will be a MRI then Physical Therapy , and then a referral to a pain clinic . My question is If the MRI shows nothing will they assume I am lying ? What happens at physical therapy ;because I know that will not take away the pain like Oxycodone will . Do I just keep telling them physical therapy is not working to get past it to get a referral to a pain specialist ? What happens at pain clinics are they just going to try all the stupid nerve block shots and shit ? Can I refuse the nerve block shots ,and surgery if they ask ?

Guys I just want you to know that I am not stupid I know a ton about opiates ,and how to talk to a doctor by not sounding to smart ,and not ever directly asking for pain meds . I know if they do start me on pain meds it will most likely be dumb shit like Tremadol or Hydrocodone at low doses , but what I would like to know is about how long should I wait before telling the doc that that the certain thing I am taking or dose is not working ?

This is my last resort . I have lived in pain since the age of 16 ,and I am tired of it. I buy off the street to keep my pain down just because I don't want to go threw all this crap to get something I know works. Like most though I found I needed more ,and more almost daily to get the same pain control . I now take 22 30mg roxies aday 660mg . I say yes I am dependent on them ,but I don't get high from them . I used to get high when I first took my 30mg roxie ,but not anymore . I am looking for something to help the pain I don't want it to necessarily fuck me up .

Thanx you!
 
I have one big question for you guys . I just got myself a doctor for my severe back pain in hopes I would get something like Oxycodone that works on my back . I will admit I have gotten Oxycodone many times off the street (30mg Roxycodone Pills A215s) . The doctor said his first step will be a MRI then Physical Therapy , and then a referral to a pain clinic . My question is If the MRI shows nothing will they assume I am lying ? What happens at physical therapy ;because I know that will not take away the pain like Oxycodone will . Do I just keep telling them physical therapy is not working to get past it to get a referral to a pain specialist ? What happens at pain clinics are they just going to try all the stupid nerve block shots and shit ? Can I refuse the nerve block shots ,and surgery if they ask ?

Guys I just want you to know that I am not stupid I know a ton about opiates ,and how to talk to a doctor by not sounding to smart ,and not ever directly asking for pain meds . I know if they do start me on pain meds it will most likely be dumb shit like Tremadol or Hydrocodone at low doses , but what I would like to know is about how long should I wait before telling the doc that that the certain thing I am taking or dose is not working ?

This is my last resort . I have lived in pain since the age of 16 ,and I am tired of it. I buy off the street to keep my pain down just because I don't want to go threw all this crap to get something I know works. Like most though I found I needed more ,and more almost daily to get the same pain control . I now take 22 30mg roxies aday 660mg . I say yes I am dependent on them ,but I don't get high from them . I used to get high when I first took my 30mg roxie ,but not anymore . I am looking for something to help the pain I don't want it to necessarily fuck me up .

Thanx you!

Re-read your own post...wow, you're the only one that can help you.
 
crunkman: as a matter of site policy, we don't help people gain their physicians. Since you have a legitimate problem with pain, you should be able to get what you need by being honest and straightforward.

ebola
 
Hello fellow CPers! Hope everyone is well today! I was wondering if anyone out there has tried BOTH Lodine(Etodolac) and Mobic(Meloxicam), and which you found to be more effective, with less side effects?

I was on Mobic a few years ago and had decent results, but I switched dr's and the new guy told me to just take Aleve instead because 'all NSAID's are the same'. Umm.... No. I've since found an amazing guy who is as interested, and concerned, about my pain control as I am, and he mentioned the Lodine. I just am not sure if it's worth changing since I'm familiar already with Mobic?

I just wanted to see how others reacted to the 2 these, and the general consensus on their efficacy. Thanks so much and hope you all have a low pain day!
 
Hey all I've been dealing with cp since '09 and battling addiction for a few years now..started shooting dope a year ago and dragged my ass to detox a month ago. When I checked in they gave me the option whether to tell my Dr or not so I signed my script away of 20mg oxy/6x a day away knowing it'd be near impossible to stay sober getting those every month (which towards the end I'd just sell to buy dope with). I don't want to die so I thought I was doing the right thing...

But now I have nothing that touches my pain besides for dope since there's no more pills on the street and that's the last thing I want to be doing. My Dr brought up subs or methadone(from pharm) but hear those are the two hardest things to kick and I dread the idea of having to be dependant on something again JUST to feel normal.

When I finally decided to get clean I felt hope for the first time in years..but now a month into it I'm feeling as hopeless as ever except now I'm broke too since I can't seem to handle working with out pain killers so things are looking bleak..

I still take 800mg of neurotin 4x/day, lidocaine patches and large amounts of tylenol. I can't take things like mobic or even ibuprofen as I always end up in the hospital with blood coming out both ends. I see my doctor next week but I'm not sure if she'll offer me anything other than subs or done.. I'm also trying to avoid the methadone because of how it rots your teeth and just how old and hagard people look who've been on it long periods(I'm only 29!).

So jw if any one has any other ideas to bring up or if nothing else words of encouragement as I could use them. Tia!
 
^I had similar issues. Ur aware u don't have to jump on mmt right?

At least in my country, not sure where ur posting from, Cpp's can still be prescribed opiates for pain relief. Admittedly under more stringent restrictions eg: a permit is to be obtained by the prescribing doctor sooner than otherwise. Scripts size may be be reduced to weekly etc

From one to another, wding in my gp car park, sorry if I'm rambling a bit :/

PM me if anything there wasn't clear.

Rtp
 
Hey all I've been dealing with cp since '09 and battling addiction for a few years now..started shooting dope a year ago and dragged my ass to detox a month ago. When I checked in they gave me the option whether to tell my Dr or not so I signed my script away of 20mg oxy/6x a day away knowing it'd be near impossible to stay sober getting those every month (which towards the end I'd just sell to buy dope with). I don't want to die so I thought I was doing the right thing...

But now I have nothing that touches my pain besides for dope since there's no more pills on the street and that's the last thing I want to be doing. My Dr brought up subs or methadone(from pharm) but hear those are the two hardest things to kick and I dread the idea of having to be dependant on something again JUST to feel normal.

When I finally decided to get clean I felt hope for the first time in years..but now a month into it I'm feeling as hopeless as ever except now I'm broke too since I can't seem to handle working with out pain killers so things are looking bleak..

I still take 800mg of neurotin 4x/day, lidocaine patches and large amounts of tylenol. I can't take things like mobic or even ibuprofen as I always end up in the hospital with blood coming out both ends. I see my doctor next week but I'm not sure if she'll offer me anything other than subs or done.. I'm also trying to avoid the methadone because of how it rots your teeth and just how old and hagard people look who've been on it long periods(I'm only 29!).

So jw if any one has any other ideas to bring up or if nothing else words of encouragement as I could use them. Tia!
Hi Clam, at least as time goes on, your pain should decrease, since right now it is elevated from the withdrawal. I've heard Dr. drew say a million times that he sees cpp's pain "magically get better after a couple weeks opiate free. How long have you been clean? A month? Should get better. If not, join me in using bupe as your primary painkiller. I figure if I'm gonna be taking morphine for years, I might as well take bupe, it seems to have a gigantic painkilling effect. But i HAVE NEVER TRIED IT, so we'll see when my insurance covers it hopefully :) sorry about the caps ;)
 
I am new here can someone tell me how to post on chronic pain board specifically. I know I sound like a moron but maybe it's just because I have a horrific migraine and my pain is so high today I just can't think ??
 
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