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

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^^That's really terrible NY is like that, and that your doctor would treat you like that. It might be time to look for a new doctor. I'm all about forming long-term relationships with your health-care providers but it's important to find someone compassionate who cares as a basis for that relationship.
 
^I'm with Felonious Monk. Everyone whose doctors are treating them in an inhumane way find another one. No one should be treated in that manner. I went through the specialist route for years before a kind doctor referred me to a pain management doctor. Go out and find one. There are clinics in every state. Even if you have to travel a distance. They are out there. They are experienced in treating pain patients. Just make sure to get copies of your medical records from your doctor to bring with you. Look for one you like until you are happy and being treated like a human being who simply wants relief. Please. You owe it to yourself.
 
I agree that I and other under-treated pain patients should seek new doctors. The thought of beginning that process while already in debilitating pain is exhausting. New York state has also rescheduled hydrocodone as Sch. II ahead of pending federal rescheduling…so now docs here are scared to even prescribe hydrocodone. Hence my codeine prescription, I believe.
 
Hi I've been taking hydrocodne 7.5/500 every 4 hours for back pain/pain management, in a day I prolly take 5, I was reading on tylenol website it now says to take 500mg of tylenol every 6 hours instead of 4-6, if I take two every 4 hours will still be ok. Or should I go by the tylenol website?
 
^
You should absolutly fine with every 4 hrs but no sooner then that and its not good in the longterm.
 
Bruce, around here pharmacies can no longer dispense mixed meds with acetaminophen in greater strength than 325 mg. As of 1/1/2014…I had heard it was a federal law, so don't be surprised if your 500 mg. of tylenol is soon reduced to 325 mg. Less analgesia but also less worry about toxicity.
 
I've been so fucked up this last week, in blackouts all week and now the weather is worsening so I'm in for more blackouts. Been bed bound for 6 weeks, HAD to get out of bed today and now I cannot sleep because I am in so much pain, took a large concoction of various medication to aid my sleep but it isn't work. I'm also covered in pressure sores which is making matters worse and I have lost all feeling in my hands, still feel the damn pain though. Ugh!!!
 
Well I've hopped off the diacetylmorphine express now back to my 180-220 mgs of oxy a day for surgical complications. Started off tonight with 80 mgs hardly felt a diff, was sick of APAP (literally was making me sick + the NSAID's too) so I'm back on my oxy script I added 40 more mgs (within) 1 hour (another OC 40) to finally get semi desired relief. Might cheat and have a few more norms and be totally pain free and dare i say it h**h
 
ColdMiser said:
xtc, yes! Exactly the same circumstances. It is maddening and feels like everyone's ass is being covered except for the patient in pain. I'm so sorry that happened to you. No one wants to address the issue of tolerance, which is just a clinical reality - if you've been legitimately taking x mg of y drug for any appreciable length of time for existing pain, that same dosage is NOT going to cover a new, acute, severe, or post-surgical pain. Yet in NY at least, the new crack-down is giving doctors an excuse to ignore this reality and let patients suffer.

If you want to shoot me a link to the legal docs you are trying to decipher, I'll read them over - I read & write for a living, so I'm pretty good at translating dense jargon into palatable form.

I just want to say this is norm

It occurs to me that the government is going about this whole opiate-addiction issue in completely the wrong way. I think we as a society need to address WHY people are getting addicted in such huge numbers - what is the illness of spirit that is causing so many people to self-medicate their loneliness or psychic pain and why has it reached such critical proportions at this time in history - rather than trying to control ACCESS, which just ends up sending addicts to heroin and legit pain patients to the hell of untreated chronic pain. It ends up, as it always does, that the people with power and privilege (doctors, legislators) are protected from harm and the little man (patients) are subjected to MORE harm and no addict I've ever known has gotten long-term clean because of lack of access to his drug of choice.

I hope everyone is feeling OK today…I've followed your stories and cheered you on from the sidelines and it's nice to finally say hello. My ortho surg called and my rx is ready, but as always, I won't relax into knowing my misery is over until I have the actual medication in my hand.
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I just want to say this is normal. If you are on Pain Management and are getting medication from your doctor YOU CANNOT get narcotic pain medication from another doctor. That is basically doctor shopping even if your intentions are not to do so. If you know you are going to have surgery then you need to tell your PM doctors this and they will give you something to compensate for it. Also, if you are on schedule 2 drugs you CANNOT get the same schedule 2 drugs within the allotted time frame usually 30 days and that is the law all over the USA the only way you can is by having your doctor write a letter of medical necessity to your insurance company and even then you are likely to be denied. So again make sure you all talk to your doctor before you have surgery and in the event where you have to have emergency surgery have the hospital call your pain clinic and talk with them and they will work something out. Hopefully this clears up some of the confusion you all are having. Much love to all of you! I have been in pain management for 4 years since my accident where I was run over by a truck and shattered my spine "L1-L2" and all of my ribs were shattered and I am now an incomplete paraplegic so I am well familiar with pain management and the law. If you have any other questions regarding this matter feel free to ask or message me or anything like that.
 
Hi everybody, I've been gone awhile because I've been having problems with my husband. He and I are currently separated and it's not looking good for us. He snooped through my iPhone, found conversations I had about wanting to try heroin for the pain since it's cheaper than buying prescription drugs off the internet, and he saw all my recent posts in this forum and other forums. He backed me into a corner and forced me to confess to taking heroin, even though my tox screen at the hospital was clean, and I've been banned from his house ever since. He actually told his mom (who was at the hospital with me, I was there because I hadn't eaten in 3 days) that if my blood and pee tested positive then not to bring me home. And I left with the kids for my parents' in nj last Thursday and they went back Monday because they have school. Baby Davey stayed with me because he needs his mommy.

I woke up at 4 AM in excruciating pain. Never got back to sleep. Am now so tired that I am writing gibberish occasionally and I'm about to face plant in my eggplant Parmesan. Goodnight lords and ladies of the pain management megathread.
 
Are you still using heroin or did you realize what a bad idea it was after all of our advice and your bad experience with it? And now it has already split up your family...that was really quick. Hope you made a good decision..and that you are ok.
 
I got my pain doc appointment on Thursday. I'd really for her to bump my meds back up a little bit. She used to have me on 120 10mg hydrocodone and 90 30mg er morphine but bumped down to 100 10mg hydrocodone and 60 30mg morphine last year but thankfully she gave me a good amount of time to taper. Before bumping my morphine she said she would but put my hydrocodone back up to 120 but never did and I was afraid to ask. When I asked her about putting the morphine back she said she would have to decrease me to 2 hydros a day. I understand this is not all their fault and the DEA is putting allot of pressure on them especially in Florida but at least if she could put my hydrocodone back up that'd make a bit of a difference. The duration of the pain relief is not lasting long enough and I hate that up and down feeling. I'm also scripted gabbapentin, sulfasalazine, tizanidine, and prednisone. I'll self medicate with cannabis and ketamine. The ketamine works wonders for my pain but have been using it allot less lately since I'm back in school and can't have my head too foggy. I also can't smoke too much because of my docs drug screens.

Iv'e been so depressed lately about my health issues and how they have ruined my life and what the future has in store for me. I know I valid excuse for it but it still doesn't make me feel any better about being a jobless 26 year old that still hasn't finished college. I did do good last semester after a 2 year break and was doing good but got kinda behind since I've been helping out my mom and am not doing good my self.
 
Not sure if this is the right place ot post this but it's worth a shot.

Well I don't know much about drugs, and I came across this site a while back when doing some research on some other pills. Basically, I have bad toothaches, really really bad. My roommate gave me a bottle of Tramadol 50mg, but the thing is they're expired and have been for a little over a year. By expired I mean the bottle has a "use by (date here)" stamp on the label. Are they safe to take? Of course I googled this before posting here, and some people said it was fine to take, and others said it wasn't. I also remember reading about expired tramadol a while ago and I THINK I read that one of the ingredients in it goes bad after it "expires". Sorry for this post being so long.

TL;DR - Is it safe to take 50mg tramadol that's been "expired" for over a year?
 
^This is definitely not the place to ask that, but I'll answer it so you don't have to create your own thread. Yes you can take "expired" tramadol, but do not ever dose more than 200mg at a time or you risk inducing seizures. Tramadol is a shitty drug that IMO should be taken off the market due to it's huge risk:reward ratio leaning so heavily on the risk side and not at all on the reward side.

It's not a drug people desire for abuse.

See a dentist about your tooth pain. They can prescribe you a much more effective pain killer like hydrocodone or oxycodone if they think you need it.

@this thread, I'm in significant pain today, trying to get work done though.... Hanging in there...
 
Does anyone else feel somehow guilty for being on PM? Like, I could survive with cannabis and be in more pain, and I guess I feel subconsciously like I should?

I tried to make it like that before I went to PM, for a whole month before I started I didn't use any opiates, but I was still in a lot of pain. I'm still in some pain now, and my functional GI distress continues, but it's better, and more manageable. But like I said, I know I could survive 95% of the time without, it just makes me more comfortable.

And it's not like I take very much either, but I guess I know in the back of my mind I know I either have to take them forever and keep increasing dose, or eventually get off them, so part of me wants to quit while I'm ahead and just grin and bear it (but I'm already depressed from being sick, so that's probably not the best answer). I only end up taking ~600mg/month, so I'm doing a good job of moderating my use, but feeling bad about it doesn't help.
 
I am wondering if I should ask for a PM referral.

I have rheumatoid arthritis that affects my hands, feet and jaw, and I am in a good deal of pain every day. It takes me hours to really get going in the morning and by the end of the day, my jaw and hands feel like they are on fire. It sucks. My primary had me on 4 7.5/300 lortabs a day. Then they got all hot and bothered about rxing pain meds, started giving me drug tests (I passed every one) and made me sign a contract. My doc all of a sudden started with "we need to get you off that stuff because its addictive." I said great, so you have a cure for my ailment that will eliminate the need for the pain meds then.... well no.

So in 'good faith' I offered to go down from 7.5 to 5mg lortabs which seemed to make him happy. Well needless to say now I am in more pain, and wind up running out well before the end of the month, and buying subs or something to hold me over until the refill. So I am really in a bad way half to 3/4 of the month.

I'm afraid to go that direction, but I don't know what to do because this is really messing with my life. My productivity at work has suffered, I have limited energy a lot of the time ect.

I have a great diet, do yoga, run (I used to do 25-30 miles a week but can only do 10-15 now) and if I don't do some form of cardio every day, I feel even worse the next day.

What about adding Lyrica to the 5/325 lortabs? Any experience?

I'm on dmards for the RA, with no help. Also had my bite modified by the dentist and mouth guard for the jaw problems with no relief :(
 
Hopefully having a two-level fusion soon. I know I'll want my extended release medication to be MS-Contin because of price, but I know the pain management doctor I'm about to be seeing likes to use Opana. I know price discussion of street drugs isn't allowed, but I'm just wondering if broad comparisons of pharmacy prices are allowed...for instance, is oxymorphone IR generic or hydromorphone generic at a reasonable price, or are they super pricey? I know I can't afford OxyContin or Opana ER (hence why I'm just wanting to go with the MS-Contins).
 
It really depends on your insurance (if you have it, and what the co-pay is). Personally, all generics cost one price and brand-name another. But I'm pretty sure you can look up a "retail" price for medication online, from various online pharmacies. Generic is generally quite inexpensive though, regardless of medication. Most doctors will work with you if you make it clear price is an issue, but you still don't get to pick your script.

Anybody have an answer to my post above (#135)?
 
It would be more fair patient wise if the drug prices would be regulated - you'd pay the same price no matter what pharmacy you decide to use.
 
Jktm said:
Hopefully having a two-level fusion soon. I know I'll want my extended release medication to be MS-Contin because of price, but I know the pain management doctor I'm about to be seeing likes to use Opana. I know price discussion of street drugs isn't allowed, but I'm just wondering if broad comparisons of pharmacy prices are allowed...for instance, is oxymorphone IR generic or hydromorphone generic at a reasonable price, or are they super pricey? I know I can't afford OxyContin or Opana ER (hence why I'm just wanting to go with the MS-Contins).
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I'm not sure about the oxymorphone or hydromorphone but do know the morphine/ms is considerably cheaper than oxycodone ER if you don't have insurance.
 
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