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

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Blofeld..holy smokes, 112mg Palladone from a GP? Nice GP.

That dosage of breakthrough med is like...yeah, useless. What I would suggest trying is having your breakthrough med changed to something else, as being on two different kinds of opioids can have a greater effect on pain than one single drug.

Wez.. your old clinic people are being idiots. Tell them to send them to the new clinic you're trying to go to, or have them contact them by phone, and fax in the goddamn signed request form. They know what the deal is. Tell them if they don't you're filing a complaint with the state medical board. Jesus.

eight phone calls and three requests sent
 
Go in. Tell them you aren't leaving until it's been received by the new clinic. Bring something really annoying with you, like a couple colicky babies.
 
I have suffered for years at this point - tremendous, unbearable suffering in my damned ruined spine. I am only in my mid 20's and I feel like I am an old man ready to die. The good times are over, I had a short life on this earth. I have an appointment coming up with a pain specialist. I can't get the fuck out of bed without my percocet and I just want to slash my wrists, I spend my life staring at a ceiling. Otherwise I am physically and mentally active with the opioids and I can be happy and live a normal life.

I've already suffered so much from this bullshit that I developed chronic extreme anxiety / panic attacks which has further complicated things. The stress of the constant pain in my spine just broke me eventually, I lost my awesome first career job, lost my house, went from being jacked like a fuckin ufc fighter to utterly out of shape, couldn't even cook myself a damned meal, fucking lost everything fuck. Since these motherfucking complacent scum bags have done JACK SHIT for me in god damned 3 years of constant complaining I am about to have a fresh start with a pain clinic.

I have my shit together now, but I need a fucking script. Both for benzos, and a low dose opioid. Of course in the screening, I mentioned no prior history of drug abuse (all I ever used to abuse was weed and booze both of which I have quit forever). I said I wasn't depressed, even though this agony in my spine that never goes away is VERY depressing, and that I was hopeful things would get better. Just like a reasonable, healthy person screening but I emphasized how horrible the pain is and what I have lost because of it. There was an opioid abuse screening page. They have psychologists, so I know benzos and opioids are a possibility (or maybe they are just reserved for cancer patients because they asked if I have cancer?)

I did my best to explain in the screening just how horrible an affect this has had on my life. I mentioned that I am currently not on any medications. However, I am doing well! How can I explain that I am a straight-A student if I'm in so much pain and I'm not taking any meds? I can't get the fuck out of bed without them and I just stare at a ceiling slashing at my wrists without any opioids in my system. Screaming in pain like a psychotic maniac, extremely aggressive, I can't handle the agony and torture I'm fuckin suicidal. But I'm not like that I'm normal because I take opioids now and I was always a happy guy before I hurt my back. Nobody could ever handle this pain, it's fucking insane. Is it best to say that I'm not taking anything if it is not prescribed? Obviously I require a benzo and opioid script (low dose of each) because I have been on them for so long at this point and I'll never, ever get off them until these dog-fuckers put a little effort into figuring out what's wrong with me past the MRI stage.

They have a record of medications I have been on: all of them are useless filth - seroquel, ssri's, snri's, a million anti-inflammatories that don't do shit... I never even took any of that stuff. I've had two pussy ass xanax scripts that were enough for like a week supply - but I take clonazepam, diazepam, etizolam, alprazolam, bromazepam, lorazepam... you get the picture. I'm a lifer with those. I need a script for safety purposes because if I ran out I would not survive. I'm thinking it would be best to say that the only thing that ever helped my panic attacks was the xanax and leave it at that? But I am so utterly dependent and I was since day 1, I just couldn't function before... it will be hard for me to leave that part out.

And I presently take 3 percocet 5/325's per day. Helps tremendously. Should I just not mention that at all, and say I was prescribed opioids a couple times when I showed up at the emergency room begging for mercy, and that they really helped but that was all I ever took? But then how will they understand how much pain I am in, if I show up on opioids and I am a reasonable human being instead of a psychotic freak. Like I couldn't make it to the clinic without the pills, I wouldn't make it out the door to my car...

I'm confused about how to deal with these doctors. It's so frustrating. I always come across as very frustrated, and angry because I am just trying to get them to DO SOMETHING and UNDERSTAND. But it seems that with understanding of my scenario comes denial of the medicines. If I am using illicit percocet then I am an 'addict looking for a fix.' If I am not using them, then I must not be in that much pain. It's like I have to be a liar, or do I, I don't know. I am not good at this. This person I know somehow has a script for multiple benzos as many as they want as needed... they take them when they are hungover and that's about it and they abuse drugs recreationally... no anxiety issues at all let alone chronic panic attacks like WTF just a fuckin swindler.

Why the fuck can't I just be honest with these fuckers, tell them what is allowing me to live a normal life and get the fucking pills handed to me under insurance so I can stop blowing money on them that I don't have? It is a great injustice and it's not stopping me at all. In terms of medical tests I am sure that something will be done about that, it's just I need to be on meds in the meantime. Probably for the rest of my life which is scary as I am relatively young. Wrecked facet fucking joint by the way, ruined my life.
 
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You get by on only 3 perks a day?!??
My best advice is be in pain when you go to the pain clinic. Don't take any meds. That way you can accurately and believably describe your pain level. Also good for if they want to go prodding around.
Man , I wish I could get by on 3 perks. I have to take 5-6 at once.
 
And why are you gong to a pain clinic for such minimal drugs? Get your GP to give you controlled release oxy . You need it to function.
 
Man I will trade you my hopeless benzo dependency and panic disorder for your opioid tolerance, it wouldn't be in your favour though.

My GP's office has a sign that say "no narcotics are prescribed here." It's weird cause we are in the same country but what you are saying seems unfathomable to me. A GP and an oxy script?! In my dreams. Maybe I've just had bad doctors. It seems like they are protecting their careers by refusing to even discuss the topic of prescribing as little as 5mg of oxy a day to someone who clearly needs it (well I actually need 15mg so a 20 script would be ideal). Instead, they provide 'alternatives': ssri's, snri's, antipsychotics,... they are happy to prescribe those like WTF there's nothing wrong with my brain, before I hurt my back I was always quite sane. I still am, I'm just in pain. Or they nonsense pseudo-treatments like chiro. Ok, are these people real here? Do they deserve the title of doctor if this is how they've been dog-fucking the way around my situation? I mean they've done an mri but what about bone scan, ct scan? It has been nearly 3 years, to me it's unbelievable that there is no diagnosis or prescribed treatment. I have tried my best.

It's minimal drugs but these doctors, or whoever is in control, are simply fanatics out to go through prescribing everything that doesn't work in a long, drawn out process to avoid the things that actually help and to put the burden of writing a script on someone else. According to these doctors, I guess I'm just looking to get really, really fuckin' high off these things, right? It's not the crippling pain, I just want to pop these things until I get so high that I die. I never even tried them before I hurt my back.
 
You need a new doc. The only GPs who have those signs are the ones no longer able to prescribe narcotics (punishment for something) . A good GP would be best, but a pain clinic would be faster since likely the GP will want to build rapport before prescribing
Around here, you only get perks from specialists: if you need to be on something monthly, it's the gps job to keep you reasonably pain-free.
 
Not east coast, but I think I've found the right people. They told me that my MRI was taken in the wrong spot, not covering my pain place! That makes a lot of sense to me since I know something is seriously messed up with my spine, and they imaged a place where I have no pain which boggles my mind since I was so clear about it. Frustrating but also provoking a sense of hope. I might get a diagnosis with the upcoming urgent MRI.

I was just honest and said I was taking some percocet, and they responded by setting me up with an earlier appointment than they were going to, to specifically talk about prescribing these or another narcotic. They asked for a urine sample first thing and I'm assuming that was for drugs so that's why I mentioned my use since they were going to find out anyway.

Hopefully that opium I've been smoking lately doesn't screw me over. I got in unexpectedly and had just taken an opium dab. I'm not sure if they can differentiate between opiates? I wasn't expecting to pee and I don't know for sure what it is being tested for, if at all drugs. Like if I say I'm taking oxycodone but morphine and codeine show up too from the opium. There are some chems in opium that survive the heroin manufacturing process as well so paranoid me thinks there could be a false positive... I should be fine though. Chances are it will just show 'benzo' and 'opioid' I'm feeling. They seemed really understanding of my scenario so it's overall a great relief, and these are questions that I don't think can be answered so there's no point worrying about something out of my hands.
 
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I'm very new to the world of pain management.

I'm 26 and hail from the land down under.

I've only been suffering from thoracic pain for about a month, took the doctors a week to figure out that it wasn't my kidneys causing me pain,
but something was causing the issue in my thoracic spine.

According to the CT scan I've got an anterior spur on my t10/11 vertebrae with minor degeneration, but no visible nerve compression.

It's a constant throbbing pain from where my bra strap would sit on my back to under my hips, accompanied by stabbing abdominal pain throughout the day, and I've also noticed that my right knee has randomly buckled every now and again whilst waking.


According to both of the GPs, I shouldn't be in this much pain and they suggested I go to a physio, my first appointment is tomorrow.

The first gp I saw put me on Targin 10/5 up to 4 times daily if required before she even knew what the issue was. The targin wasn't cutting it since I could only take it within a certain period or I couldn't sleep.

I saw my regular GP on Friday who put me on a combination of panadol osteo, celexi and endone (5mg IR) for the break through pain and told me to stop taking the targin.

So far the combination of the panadol and celexi are doing nothing. Honestly nothing.

I pushed myself too hard yesterday around the house and ended up in a world of pain this morning.

Two endone, panadol osteo and celexi have done very little to make me any more comfortable. A targin about 2 hours later has just taken the edge off.

I'm praying the physio has some answers and knows how to fix me otherwise I don't know how I'm going to cope.

I hate being on opiates, I was a heroin addict when I was 18-20, got bored of it and never touched it again.

I hate the brain fog, knowing that I'm eventually have to withdraw from these pills and I dread that day.

But honestly, I dread the pain more.
 
I am in pain mgmt. and let them talk me into Suboxone because I kept running out of my script each month from horrible neck and headaches. They convinced me I would get pain relief from the Suboxone, which I do not. I tried to tell my doctor I did not want to take it anymore and he said he would have no part of me going back to opiates. Do you think iff I went to another doctor and explained the situation, will someone ever prescribe me opiates again, or am I stuck on this thing forever?
 
Their hands are tied if you run out too soon. Good Luck, you might need a new doc :)
 
Doing the one thing I've been waiting to do for over 6 months has pretty much destroyed my back.

Getting my hair cut and coloured with those stupid sink chairs and sitting for 3 hours straight has put me in so much pain.

Had to take a dose of endone with my evening celecoxib and then realised the piddly 5mg Endone wasn't giving me any relief I had a targin as well.

And now I still can't sleep and I'm still in pain. If this doesn't get any better within the next day or two I'm going to have to go back to my gp and see what she can work out for me.

Can't function without sleep.. Not with still feeling this bad after taking what's a pretty decent dose of analgesics

Anyone got any suggestions for getting to sleep? .
 
I am in pain mgmt. and let them talk me into Suboxone because I kept running out of my script each month from horrible neck and headaches. They convinced me I would get pain relief from the Suboxone, which I do not. I tried to tell my doctor I did not want to take it anymore and he said he would have no part of me going back to opiates. Do you think iff I went to another doctor and explained the situation, will someone ever prescribe me opiates again, or am I stuck on this thing forever?
Would your current GP at least increase the suboxone dose? You might get some pain relief then.
 
In reference to Chronic pain....I have had 2 cervical back surgeries resulting in 3 fusions. I was on Nucynta 100mg (4/day) plus Nucynta ER twice per day for 4 years. I began to need more because It stopped working. I was running out early and suffering for days before I could get a script filled. Anyway I am now gradually tapering off all of it and am actually not doing bad at all with withdrawls as of yet. I have daily headaches in the back of my head that radiates down my shoulders and arms. This will be for the rest of my life. My Dr. has now prescribed Fiorinal for the headaches. Is this going to work for me? In comparison to Fioricet, is this the better choice? Is there anything else I can try if this does not work? I am very happy to be getting off of all those narcotics because they were controlling my life honestly. Thank You in advance...Anyone in my position?? Would love to hear from you...
 
Does chronic pain in the spine ever go away? Is there ever anything they can do other than prescribe narcotics? Are there any success stories whatsoever of people getting back to normal after suffering for years of extreme, constant agony? Or is it just that you're FUCKED for the rest of your life and your body is never the same...
 
Everyone is different. I had spinal surgery and the pain was less but still quite considerable. They can do epidural injections, nerve blocks, and other things along those lines. Do you have a diagnosis?
 
In agreement with Mstmil. Also curious about a diagnosis. I had a spinal cord injury 28 years ago and have been through it all. With more information I may be able to make some suggestions. Best of luck!
 
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I'm in your position and often regret a decision I made 28 years ago to get on narcotic therapy. Some days I wish I was free as you hopefully will be. Yet there are days that I could not consider being without. Fiorinal has aspirin and caffeine to offset the barbiturate, Fioricette has APAP if my memory serves me correctly. Both are great for headaches but are just as bad if not worse than opioids for addiction. Yes, I have seen people withdraw from Fiorinal, scary shit. Good luck!
 
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