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  • AADD Moderators: swilow | Vagabond696

opiates for pain

from MIMS

Baclofen Uses/Indications: Centrally acting muscle relaxant (antispastic agent). Suppression of voluntary muscle spasm in MS, spinal lesions of traumatic, infectious, degenerative, neoplastic or unknown origin causing skeletal hypertonus, spastic and dyssynergic bladder dysfunction. Not recommended in Parkinson's disease or spasticity assoc with stroke, cerebral palsy, rheumatoid disorder
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you need a referal from your GP to see a PM doc, the GP faxes off your file and referal and you wait for a letter or phonecall confirming the date and time of your appointment.

at the PM clinic (the one i'm attending anyway, Greenslopes Specialist Centre, Brisbane) they do a psychological and physical assessment and from that work out a dosing regime tailored for your needs.

and why won't this new GP up your oxy dose until you see a specialist? I thought your old GP would be in contact and be up to date with your history and continue with the same amount of medication.
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well from my understanding not all doctors have the privelidges to prescribe certain opioids and certain other drugs. that or they're simply covering their asses as to not lose their license by over-prescribing to a patient whom really needn't be on the medications in the first place. i'm really not 100% sure, so i'd have to do some reading into it.

if you're suffering from long term chronic pain you should be overseen by a PM doctor anyway as they're the specialists. the GP just prescribes the drugs and dosages that they admit, liasing together.
 
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Not the picture i was hoping for, alas "Long you live and high you fly" even though i "Missed the starting gun"

well as it turned out my GP was in a bit of a rush and we just decided on 20x3 a day of OC. He had wanted me to reduce my dose and he gave me tramadol and valium to compensate the reduction of oxy. He gave me a referral to see a PM specialist and managed to make an appointment in 3 weeks time. (cost 180, but a medicare rebate of 100 bucks) pretty decent!

I'm also due to see an orthopaedic specialist as an outpatient through the hospital in 4 weeks.... i assumed that being a knee specialist that he/her would just fax a diagnostic report and not have any bearing on pain management. I wonder if they can suggest/authorise/change current PM treatment and liaise with my GP in that sense.

I guess i'm just worried that he might think that 60mg a day of OC is too much for my injury. Pain is subjective though, an i know im insensitive to opiates due to my fluctuating tolerance to all sorts of opiates over the 6 years i've used them for. I'm going to tell him the truth all except my H use. The both times i went on parmachotherapy(where bupe may have effected my tolerance permanently) were for chronic pain so i see no reason to tell him about my smack habit considering i've only used it a few times this year.

I'f My GP wasn't in so much of a rush today i would of asked him that question and whether its necessary if i need to see a PM specialist. I kind of like the way things are now and i don't want a PM specialist to treat me like some of those GP's i've seen in the past.
 
^ Morning Mr Blond, Love your avatar. the most iconic album of all time for me.

My avatar is an edited version of a famous album by a very talented man indeed.

Pink- Floyd-progressive rock pioneers
RDJ- Progressive Electronic music pioneer
 
Hope Im not butting in here, being a noob but I too was taking fentanyl for pain and I thought the 2.1mg patches were a joke UNTIL reading about sub-lingual then they were awesome going from biting back and neck pain with sleepless nights to NO pain at all BUT it only lasts for 24 hrs that way and at the 24hr mark I had a very strong desire to do it again which of course meant the pkt only lasts 5 days instead of 15. Now it's become very hard to get re-prescribed (Cool if any of that can help your friend Phase). P.s getting over the addiction costs two days of crap and a revisit to all that shitty pain ;(

I too have a question: Does anyone know how many Endone would equal 2.1mg Fent patch? The Endone I have are 5mg with a lactose filler and nothing else added. Also is Lactose when used as a binder injurious to one's other vitals?
Pps I have done alot of searching about this and apart from one post suggesting 66mg of Oxycodone Hydro = 2.5mg Fent I could not find anything and the math in that post looked dubious.
Thanks
Have the best day you can
edtree
 
To add. Dropped 12 of those (60mg Oxy) and nothing : ( . So the math in that post was definitely rubbish!
Hari Om
edtree
 
edtree said:
...
I too have a question: Does anyone know how many Endone would equal 2.1mg Fent patch? The Endone I have are 5mg with a lactose filler and nothing else added. Also is Lactose when used as a binder injurious to one's other vitals?Pps I have done alot of searching about this and apart from one post suggesting 66mg of Oxycodone Hydro = 2.5mg Fent I could not find anything and the math in that post looked dubious.
Thanks
Have the best day you can
edtree
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I can't comment on the dosage but regarding your query about the lactose... if you're IV'ing the oxy then you really need to use a wheel/micron filter. They're not particularly expensive and only add a couple of minutes to the whole prep time.

Hhhmmm actually endone aren't particularly good for injecting compared to other OC products due to the small amount of oxy compared to binders right? From memory they might also be extended release?

If you're not injecting then I'd say that small amount of lactose would only be an issue if you were allergic to it?
 
^ Yep, wheel filters are a must when IV'ing.

edtree, you might want to check out OD for info on the fent/oxy conversion, my narcotics converter only lists conversion from IV/IM fentanyl.

Endone I don't think is extended release belarki. :D
 
Mr Blonde said:
^ Yep, wheel filters are a must when IV'ing.

edtree, you might want to check out OD for info on the fent/oxy conversion, m
Tks. Mr Blonde Will do!
Oral not IV belarki. Tks anyways.
Yep the're instant release awright ...... OF NOTHING : (
Scary if one was lactose intolerant tho.
Hari Om
edtree
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I was wondering how you guys initially got your prescriptions without sounding like a druggy seeking meds to get high.

I think I'd be better off with a benzo over an opiate (but didn't want to make another thread) as I read opiates lower your blood pressure. Marijuana seems to causes me more pain, I haven't done much research but I think this is why.

I fear that if I tell the doc all my symptoms and how much stress and anxiety this is causing me that he will either do nothing, give some pointless med like panadeine forte or seek more tests which i'd rather let the specialist do.
 
I found the same thing with marijuana, it didn't kill pain and whenever stoned the pain became harder to ignore.
 
Mangs: Benzodiazepines also have hypotensive effects, whether to the same degree as opioids I do not know though.
 
mangs said:
I was wondering how you guys initially got your prescriptions without sounding like a druggy seeking meds to get high.

I think I'd be better off with a benzo over an opiate (but didn't want to make another thread) as I read opiates lower your blood pressure. Marijuana seems to causes me more pain, I haven't done much research but I think this is why.

I fear that if I tell the doc all my symptoms and how much stress and anxiety this is causing me that he will either do nothing, give some pointless med like panadeine forte or seek more tests which i'd rather let the specialist do.
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I don't think Pan Forte is meaningless for pain reduction. You can cwe to get rid of the nasties and the prep will give you are real sense of calmness/warmth as a bonus without the organ damage doctors seem oblivious to. Tolerance becomes an issue though so it's best to remember 1 day on 4 off as a guide.
Hari Om
edtree
 
leftwing said:
truth be told i really didn't give the jurnista much of a chance as i only got one box of 20, but when i found the right dose to hold me it was extremely efficient. no side effects present except the dry mouth as far as i can remember.

obviously i'm one to have some fun with my script now and then and seeing how much of a fuck around it can be to to extract the HM out to plug, snort or shootl, i stuck with the oxy and tramadol combo.

i'm slowly getting better with my compulsion to just abuse all my oxy so possibly somewhere along the track i may ask to switch back to jurnista, but not right now;)
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Hey Leftwing, if you don't mind; what's the go with Tramadol. I've just been taken of Fent and put on this: tried 200mg and nothing. Slept better than since going off Fent 6 days ago but not much pain reduction (compared to the Fent 2.1mg patch taken sub-ling) and no feeling of well-being at all? Do I need to wait longer for the Fent tolerance build up to subside or up the Tramadol dose?
Hari Om
edtree
P.s read the Tram thread and I'm usually very receptive to opiates.
 
your opiate tolerance is probably higher than normal at the moment having been on fentanyl; it's an extremely potent opiate.

keep dosing your tramadol, if you're prescribed it making sure not to exceed to 400mg/day mark of course, and your tolerance will drop back down eventually to the point where the tramadol will be more effective. possibly a dose raise of the tramadol, like b.d dosing will be more effective and cover those gaps.

it shouldn't take any longer than 5-7 days for you to stabilise on the tramadol in my experience and that's after quite substantially large tolerances to multple opiates at the time.

good luck:)
 
^^

leftwing said:
your opiate tolerance is probably higher than normal at the moment having been on fentanyl; it's an extremely potent opiate.

keep dosing your tramadol, if you're prescribed it making sure not to exceed to 400mg/day mark of course, and your tolerance will drop back down eventually to the point where the tramadol will be more effective. possibly a dose raise of the tramadol, like b.d dosing will be more effective and cover those gaps.

it shouldn't take any longer than 5-7 days for you to stabilise on the tramadol in my experience and that's after quite substantially large tolerances to multple opiates at the time.

good luck:)
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Yeah, you are right LW. Thanks for that. I had 4 days off everything ( I think each day lasted about a week though x_x ) but I can't stop wanting to go back on Fent....AAArrrggghhh! Then 3rd attempt on the Trams at 250mg finally did the trick feelings wise; still the Fent calls like a siren to a sailor ^_^ but I will stick with your advice and keep with the Trams until I've finished my repeats. Can't work out why you need a script for them though when they are so freely available over the net?
Hari Om
Ed
 
ugh, getting off fentanyl was one of the best things i could have done for myself - i couldn't control my intake(abuse) of it and would use my months script within a week. it was a key factor in my first OD as well:|

though thats not to say i don't think it's a great around the clock painkiller because it is. fent and buprenorphine have been my favourable PM opiates but due to my fent abuse and adhesive problems in warmer months with the fent patches and an allergic reaction to the silicone in the norspan (bupe) patches i had to give them away.

at the moment i'm extremely happy on 20mg oxycontin b.d, along with 150mg tramadol b.d. since i've been exercising and lifting weights most days over the last couple of weeks i'm even able to skip a dose or two here and there with minimal wd effects:)

there's still a risk ordering tramadol without a script over the internet even though it's not a scheduled drug, so be careful in that respect too:)

glad it worked out good for you as well.
 
GIVE THEM AWAY :p wish I knew you then, ha! Just finished embarrassing myself at the local med centre to be given two lousy 2.1mg Fents! Not going through that again (for a while anyway :O )
Good to try and keep the body strong aye, my method is the surf. Doesn't stop the wanting but wards off encroaching decrepitude and helps mental health as well.. Wish everyone had the chance to partake!
Hari Om
edtree
 
oh not as in give them away to someone as, i had to cease using them:D but a lucky friend did end up with a few of my norspan patches.
 
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