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Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) v6

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I think you sense of humor has kept this thread going Rtp. All must bow to you now
 
Oh, very sweet Mister Closeau ?

How's them ribs? Your hurting ones, not the sticky BBQ ribs & pizza I've just ordered? Lolol I'll PM u re: your mystery....

Rtp
 
Pain peeps, my pain is so horrible this morning. Im sick of it but then theres the mental voice saying this is your fault!! Uurrgh. I cant walk too good. Im lucky i muscled my way thry errands this past week. I can just sit herre and chill, watch golf later and drink gatorade and smoke. Im ok sitting it just throbs but when i go to get up my abdomen kills then when im up my groin kills. One more day. Im gonna be at pharmacy when they open the gates tomorrow and i hope nobody filled dilaudid cause she had enough yesterday but its first come first serve. No shit. Pharmasists are worse than Drs cause they think their Drs. I almost went to school to be one. Instead im a broke disabled man who knows a lot about pills. Pity party today. Ive done 7 days i can do one more. I have had some help with a few percocets but oxy doesnt do shit for me. Anyway, thought id throw some negativity out here. Sorry guys
 
So pain peeps, its 4:20am here and i have yet to sleep. Between my physical pain and mental sadness over my late mother i cant sleep. No activity out here and Facebook is all Mothers Day shit. For those of you who dont know i lost my mom to cancer last Nov so this is my first mothers day without her. I expected to dleep and have a sad but normal day. The pain i feel in my heart is enourmous. Ive been in shock all year and havent really processed it until now. Now its hitting me hard. She was my therapist, sponser, and best friend and i could really use her right now. I think she would say focus on Chloe, my daughter. Shes growing up fast and shes gonna need me and my experience. In the last 2 years the hospital has saved my life 3 times. 2 were emergency surgeries cause i was septic and going into shock and one was a suicide attempt where they had to shock me back. I was so pissed when i woke up but that was then. My mom never knew about the suicide cause she was sick and weak but the other 2 i was perplexed and i asked her, why am i still alive? She would always say cause Chloe needs you. This is why im moving out there too her. With me there and moms help from above perhaps i can spare her from what ive endured in my life. Right now it just hurts and i feel alone. My sisters are across the country and i have nobody. So i pick up my dilaudid this morning and i know what i wanna do but i gotta get my shit together so today is the day to start. I just wanted to post this to my friends here. Heartache is chronic pain too!! To any mothers happy mothers day and ill check in later.
 
Dear Closeau, any momentous day can bring about feelings we're not expecting nor used to. I'm so sorry you lost your mum who was everything to you. I lost my dad last sept not even a month after my road accident. It sucks that we Lose parents while we still need one another.

At least you got your script which is a means to an end. You've been through an awful week, and came thru the other side, well done!! I know how hard it can be!!!

Does oral dilaudid relieve any pain? I know u said oxycodone dowsnt.

For me it was the opposite, oxy Codone x several helped wherein dilaudid,- I could take the majority of a bottle in a day & not notice pain relief! (High tolerance, not for anyone else to try)!

You're in my thoughts,

Rtp xx
 
Rtp, im sorry about your dad. Thats terrible. No matter how they go, their gone. Hard isnt it? I finally stopped crying and then a song came on called She is Love by Parachute and i lost it. Down on the floor like a baby. Ive pulled myself together for the pharmacy but its gonna keep going.

Oral bio of dilaudid is very low. Its fast acting. Fast on fast off thats why i take every 4 hrs. For some reason dilaudid reacts well with me where oxy makes me naucous. I have to take 3 times as much oxy i get from dilaudid. I havent had one since Wed so my tolerance should be down a bit but im working something else out that will work better. I need to go foodshopping. Really just gatorade, catfood, and cleaner but it might be later cause once that stuff hits me im gonna be out. Im not used to being up all night. I was upset but i also took an adderall about 7 so that had a part in it.

I appreciate your kind words and post. Ill be checking in soon. Take care darlin
 
Well i just took a power nap. Got my dilaudid and the difference is remarkable. Im very relaxed and pain is decreased and wd is gone. Thank God. My landlady was going crazy cleaning the house cause some dude came to look at the room. Hes 45 on probation and disabled and has no car. Great. Another winner in this zoo. Fuck. Now im gonna miss the guy whos been in there who asks me for a ride every day. No more rides to anybody. Im not a taxi and i dont care about gas money, i got money already. Anyway she was spastic and talking to herself so i got my shit and went to my special place and talked to my mom. It was wonderful and even got a message frim her. Dont worry, im sane. So i think that the trick is to talk to her. I talk to myself all the time. So now im headed to the store but wanted to check in with my pain peeps who are not posting today. Anyway, im goid
 
Happy Mothers Day, to everyone, as we all have or had mothers that we celebrate, right?

Closeau, I'm so glad you're talking to her. I think you'll feel closer to her and hopefully find peace that she was taken too early.

RTP, I'm sorry about your dad. I can't imagine losing either of my parents, even though I try to prepare myself for this eventuality.

The sun has FINALLY made an appearance in Boston. It affects my mood so much. We just went for a long walk, and while I know it helps and I should do it often, when I'm in pain or feel gross and its gross outside, it's easier to stay in. This winter was TOO long.

I hope everyone has a good Monday.
 
Hi guys, I'm new here but had a couple questions I hoped I could find answers to here. I had surgery a couple years ago for a prolapsed disc but have had a quite a lot of pain in the last year in particular. I live in Finland and my main medicine is codeine/APAP 30/500 though I have a few hydrocodone 5/325 from an earlier doctor visit in the US. Can taking them together have a stronger effect than only one? Obviously I'm aware of APAP overdose risks and don't take any overly large doses. Does it make sense to potentiate with both quinine and white grapefruit juice? Or would I be better off just taking the meds separately?
 
Hi there,

Hydrocodone 5mg equals pretty much the same as a single Panacod and if you take both it is then pretty much same as if you would take double.

How the hell you have been able to got through prolapsed disc pain by just taking Panacods?

Btw I am from Finland too.
 
Hi everybody! I wonder if anyone else has noticed that taking cimetidine might make it stronger, but it burns through your drug faster. I notice that I always wake up in the middle of the night in slight WD on days when I would take cimetidine.
 
Moses1, I have a feeling white grapefruit juice doesnt potentiate codiene. I might be mixed up with something else.

Be aware of the ceiling if you're going to do a CWE. And have an anti histamine handy, codeine in higher doses itches like a mofo :(

Pain peeps, it's tmorro, (today actually), that in 13.30hrs I'm booked in for a standard MRI in my capital city followed by the whiz bang new sitting/standing MRI.

Obv I'm not sleeping, (just took some Diaz), as if there's only two of these machines in my country so far & my neurosurgeon requested the scan be done I feel quite apprehensive!!

What ifs are floating in my head. Neck surgery was never in my game plan but neither was living with a dead dominant hand & painful arm/shoulder/neck.

What if nothing untoward shows up? I asked my physio this and he clearly knows I have sensitive nerves in these regions, he simply said well,- it might take a year or two to settle down. I'm now seeing him twice weekly.

Wish me luck guys, for better or worse, that my problem will have a resolution :/

Peaceful thoughts to all,

Rtp
 
MrRoot said:
Hi there,

Hydrocodone 5mg equals pretty much the same as a single Panacod and if you take both it is then pretty much same as if you would take double.

How the hell you have been able to got through prolapsed disc pain by just taking Panacods?

Btw I am from Finland too.
Click to expand...

Thanks for the reply! Answer to the pain question is not too well--Panacod really doesn't help a lot with daily prolapse pain, though at least it doesn't hurt as bad now as it did before the surgery. In the past I was prescribed Tramadol (quit because of risk of seizures with my ADD meds and other problems) which seemed about the same effectiveness as Panacod and Norspan 10μg buprenorphine patches that I didn't think worked as well--and I take meloxicam and muscle relaxers. Are there other meds they will prescribe for chronic prolapse pain? Just curious what the system is like, this is not an attempt to discuss how to get them or break any site rules.

As for the codeine/hydrocodone conversion I've read the same thing regarding 6:1 but personal experience suggests one 5mg hydro is at least 50% stronger than one 30mg codeine, if not more so, and that there are significant qualitative differences.

@RTP - Sorry to hear about your neck and nerves and best of luck getting better! Does not sound like a pleasant experience to go through.

I don't think the white grapefruit juice helps with the codeine either but the quinine in tonic seems to. I'm not messing with a CWE since the total APAP shouldn't be much over 1500mg and under 3000mg for the whole day. I tried a CWE once or twice and didn't notice a big difference between ~90mg and double that so I've more or less decided it's not worth messing with more than 90mg at a time. My usual muscle relaxant is the antihistamine orphenadrine and I have diphenhydramine handy as well if things get itchy.
 
I am currently tapering off from OxyContin for my pain which was prescribed before last succesful prolapsed disc surgery. Pain is currently at 2 out of 10 constant and peaks at 4 out of 10 and I am goingmto switch to Lyrica after tapering out.

I have found that public doctors aren't much into treating chronic pain with anything else than Norspan patches, Tramadol and Panacod unless specialist has told them to use something else and often you have to do contract with Dr. and pharmacy so that you can't get CNS affecting drugs from anywhere else than where you are primarily treated.

Private clinics such as Terveystalo have specialist docs who know much better how to treat chronic pain and have more drugs they can prescribe than general physicians. OxyContin is pretty much the first drug after you have tried Tramadol and it haven't worked well and Palladon is often prescribed if OxyContin fails.
 
Its wierd when I hear of all these contracts and agreements that people in other countries have to sign to receive narcotic pain meds.

Its really different in the UK...We have non of that and all doctors (even GPS) have a responsibility to treat pain with the appropriate meds regardless...

It does vary from doctor to doctor but on the whole I've found that most do their best to help.....of course we don't have a DEA in England so that's probably why...
 
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I was just diagnosed with fibromyalgia. I go to a pain management clinic because I fractured my back and have bulging discs and a load of other conditions that a surgeon won't touch me. So, here I am in a pain clinic after a rheumatologist, orthopedic surgeon and nueologist all said there is nothing they can do. So, really? This is the rest of my life. On pain meds. I'm 39. I've been on Percocets for a year and injection in the spine and trigger points and now on Lyrica for Fibro. I run out of pain meds every month and it's hell waiting for a refill. It's the only thing that gets me out of bed to take care of my toddler. Anyone else have the same issues? What have you done to help ease the pain and improve your life?
 
Glad your pain is getting better MrRoot and also great if you're able to taper off the oxycontin without too much difficulty. I've never tried Lyrica for pain but was prescribed gabapentin for a while, with limited results. I'd never heard of that kind of contract in Finland but unless it interferes with emergency care it probably wouldn't be a problem for me. I'm eager not to look like I'm doctor shopping or otherwise scamming the system, not least because I don't want to take a risk of my pain being managed any worse than it already is. I moved to a new city a few months ago and have yet to meet with my doctor from the public system so maybe it would be worth it to go to one of the private sector ones. I was a bit worried about them though, after an earlier experience getting my health check for a driver's license: after I told the doctor I was prescribed amphetamine for ADD he force me take a drug test secure enough that the nurse had to be watching the whole time and refused to give me permission to drive commercial vehicles with passengers. Up to that point I was more amused and surprised than anything else but when he refused that certification I had to argue that if anything the med would increase my driving ability and point out that all (or at least most) of the world's air forces give similar meds to their fighter pilots. I thought maybe being treated like a criminal during that experience was due to a general attitude toward that medicine among Finnish doctors but I was later offered that medicine by a Finnish doctor (I turned it down and stuck with methylphenidate).

@ englandgz74 - You're lucky to be in that kind of a system! I guess it used to be like that in the US but that was before any of my back pain started.
 
Yeah that sounds odd that he would say amphetamine hinders your driving ability (but methylphenidate doesn't??).

A slightly similar law came into force in the UK recently where impeded driving due to prescription drugs became a crime and you had to report everything to the Driver and Vehicle Licencing Authority if you were prescribed any of the drugs they listed. It might be ok just for driving a car but a group2 vehicle such as an ambulance (that I drive) would be a problem.....I had to stop all my pain meds overnight and it's been absolutely hell ever since. I've still got access to whatever I want from my doctor but have had to hold off taking them for this very reason. I can see where they are coming from but I doesn't make life any easier. I envy "normal" people who don't have to go through this.....
 
I wish we had an easier way of getting meds here in America. People who need it get the worst of it because people chose to abuse it. It make my life hard and I'm so tired of life being so hard with all the pain I know can be relieved if it wasn't so messed up I our system.






i QUOTE=englandgz74;13603220]Its wierd when I hear of all these contracts and agreements that people in other countries have to sign to receive narcotic pain meds.

Its really different in the UK...We have non of that and all doctors (even GPS) have a responsibility to treat pain with the appropriate meds regardless...

It does vary from doctor to doctor but on the whole I've found that most do their best to help.....of course we don't have a DEA in England so that's probably why...[/QUOTE]
 
I wish we had an easier way of getting meds here in America. People who need it get the worst of it because people chose to abuse it. It makes my life hard and I'm so tired of life being so hard with all the pain I know can be relieved if it wasn't so messed up in our system.
 
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