Opioids When Doctors Can't Grasp the Idea that you NEED More than The "Daily Max. Dose"

[ChemicallyEnhanced]

I both do and don't mean in term of required analgesia. So because of my history (a decade ago I almost died of extremely serious acute pancreatitis - caused by a combination of alcoholism and bulimia - and I still have constant pain mostly due to have three large pseudocysts on my pancreas, one larger than a tennis ball...they gave me IV morphine 6 x day for 12 weeks in hospital then oral Oxy at home after, I got addicted to it) my doctor has flat-out said I will never be prescribed any of the strong opioids again (unless as an inpatient).
At first I was only given codeine but after I confessed to him I was using HEROIN because I was in so much pain and I felt like I had no other options, he put me on Tramadol...which helped slightly...and then Dihydrocodeine.
He has me on the max. dose of DHC (240mg/day) and turns a blind eye to the fact that I always call for a repeat script 3-7 days before my 14-day script is actually due....but I've told him that I need to take 12 pills a day (360mg) JUST to not be sick. I'm still in serious pain at that dose, but at least I'm not also in withdrawal....and that 16 pills (480mg) is the minimum I need to tolerate my pain. Not to be pain-free, just to be able to live a normal life and function at basic tasks.
He just keeps repeating about 8 a day being the max dose and I've explained every way I can that I 100% COMPREHAND THAT FACT BUT FOR MY DEPENDENCY AND PAIN IT ISN'T ENOUGH but he doesn't seem to get it.

What can I do if he won't increase my DHC OR put me on a stronger med? I understand my history, but I thought I could at least like get a low-dose Fent patch for background pain. I've also told him he can have my parents hold whatever opioid he prescribes and give it to me when it's due. Or that I will pick up daily at a pharmacy (like when you get put on methadone).

I've even been considering going to the methadone clinic just to get methadone for pain (Obv I'd lie and tell them it was for opiate addiction) or even going back on Heroin, but it all seems so ridiculous.
My pain isn't even an "invisible" pain; scans show the enormous cysts, pancreatic damage, etc and I have everything on hospital records.

I'm getting seriously desperate.

 

[negrogesic]

You really might consider methadone.

The problem with methadone for pain however is that it should be broken into multiple doses a day. The pain relieving effects of methadone are shorter lived than the withdrawal suppressing effects. The issue is that multiple doses can be difficult given that clinics are set up for once/day dosing.

 

[Juniper Bruhmomentius]

Problem is your age and your past. Of course they know you need more. They just dont want to lose their practising lisence. Methadone would be better. Ask in advance about your opamox script.

Another option is save 500-2k and go to one of those expensive london docs

 

[Snafu in the Void]

Thankfully you don't live in the US.

If you visit a 2nd doctor is that going to show up in the system as a red flag? (in the US doctors report opioid scripts to a central system so people don't go around getting scripts from different doctors, IDK if that might be an option)

this is a potentially very dangerous suggestion but have you looked into inhibiting/inducing the enzymes that metabolize DHC? I'm not sure about DHC, but I know codeine enzymes can be inhibited, potentiating it... but I also heard about this from a case where it was a fatal overdose, so proceed with A LOT of caution

just my 2 cents

 

[axe battler]

Maybe see if it's possible to get on methadone a d keep your DHC script. I've known people on the meth who've kept/gained scripts for other opiates.
Maybe claim the methy is for addiction but the DHC is still needed for pain.

 

[Dextro .45]

Methadone 100% Hands Down. Period.

Yes, any clinic will administer one daily dose….in Canada, your family physician CAN prescribe Methadone (Metadol tablets) for chronic long term pain. Mine did.

Methadone 80mg daily dose in the morning ….plus after a long day at work, I come home and have a surplus allowed of half a Metadol 25mg scored tablet (or a whole if severe pain) . Expensive as F@CK ….a 100 tablet sealed bottle of Metadol 25mg tablets is $240 CDN ($200 USD) every month (25 days) ….just got work insurance so free now.

Methadone is AMAZING for serious chronic pain. Long half life, potent as f@ck, and a full mu-agonist capable of inducing euphoria if that’s your thing. I’ve been on 80mg daily for 7-9 years and will probably be for the rest of my life due to medical condition.

Methadone
Methylphenidate (Ritalin) & Lisdexamfetamine (Vyvanse)
Light dose benzo (alpraz/etiz/diaz)
Cannabis Indica THC/CBD
Depo-Testosterone 200mg IM (Amazing anti-depressant btw) also harder than Forged STEEL

Chronic pain is best treated with a potent opioid plus a dopaminergic stimulant. Both work synergistically to enhance analgesia and cognitive function, reduce sedation and enhance vigilance, working hand in hand with opioid to reduce pain and give back an active life to the individual.

Yes, Methadone for chronic pain commonly needs to be administered several times a day. Main dose in the morning followed by another slightly smaller dose in evening for “breakthrough pain”.

Hope you get the relief you need

 

[Dextro .45]

Interesting fact: prior to a combat mission, special operations administer d-amphetamine or Desoxyn in addition to testosterone 200mg IM, plus oral Oxycodone 5mg as needed (IM morphine on person for serious combat injuries)

This cocktail will turn that Elite combat soldier (SOCOM) into a machine…a hunter killer, a highly trained professional operator, JACKED on testosterone & dexedrine/desoxyn, faster, stronger, fearless, aggressive, cold & calculated operative neutralizing threats with laser like precision.

U.S. President John F Kennedy also received regular IM injections of testosterone 200mg and IV Methedrine 15mg to restore his youthful vigor lol. I’d LOVE that cocktail here & there

 

[Balissa]

Man I totally understand what you’re going through I’ve got pancreatic cancer (stage 4) and a large pseudo cyst on my pancreas I just got over a bout of pancreatitis and I literally was praying to God just go ahead and take me.. my oncologist put me on perc 5s at first even though I told her I was addicted to Fent and was trying to come off of it which was a mistake I should have just kept my mouth shut but I needed help.. after 3 rounds of chemo and the pancreatitis she uppped me to Oxy 10mg three times a day and morphine 15mg twice a day but after the 4th round of chemo she said she would switch the morphine to OxyContin ER 10mg twice a day but the problem was I needed a prior approval from my insurance that she had to fill out paperwork on and after a month of waiting for it and her not doing it I guess I called and asked about it too much because she msg me and said she didn’t think I needed it anymore she’s just gonna keep me on the oxycodone only at cut me off of the morphine even though I’m getting worse.. I can’t stand my oncologist I’ve asked the hospital to switch my doctors since the 2nd time I seen her because she will not do anything she won’t answer my calls and she will not let me know anything it’s gotten to the point my dad called her boss and threatened a law suit because she would wait weeks after my prescription was due to call them in.. i swear dealing with her is more stressful than dealing with this cancer I’m at the end of the road pretty much and she’s being spiteful because I’ve requested to switch doctors so many times.. I just don’t trust her.. I’ve passed ever one of my drug tests and I’m getting worse and the pain is sometimes out of this world it’s come too the point I’m either going to quit chemo and let nature take its course or I’m going back to shooting Fent I really don’t see another option..

 

[Keif' Richards]

In genral, the doctors in this country prescribe what will get them the most dough, the quickest returns, what Pharma tells them to describe, all while trying their best not to lose their licenses. We treat medicine like such a science, but the truth is that despite effective medicine, the actual practice of medicine is still based almost entirely on "educated guesses" with little to no actual responsibility for making the patient better. If they don't get better, it's not their fault. If the patient does get better, it's all just their natural talent. It's truly not much different than in medieval times. There are highly trained specialists out there whose professions truly are based on science like surgeons for instance. They have to do it right or their failure is generally obvious. A "pain doctor" really has no responsibility to make you actually feel better. Either way they get paid. They'll keep giving you the crumbs knowing you'll come back, but it sounds like they don't truly care about you.

Sadly, a lot of folks do have to go to the Methadone clinic in this country to access pharmaceutical Opioids. The problem is, the Methadone clinic is designed to treat junkies, not to treat pain. 100mg Methadone once a day, every morning, is adequate to keep an addict well for 24 hours, but the primary analgesic effects of Methadone don't last more than 8 hours for most, which is why it's prescribed that way for pain.

We're happy to help you with whatever advice you need. The medical profession in this country is useless.

 

[Robi]

Man I totally understand what you’re going through I’ve got pancreatic cancer (stage 4) and a large pseudo cyst on my pancreas I just got over a bout of pancreatitis and I literally was praying to God just go ahead and take me.. my oncologist put me on perc 5s at first even though I told her I was addicted to Fent and was trying to come off of it which was a mistake I should have just kept my mouth shut but I needed help.. after 3 rounds of chemo and the pancreatitis she uppped me to Oxy 10mg three times a day and morphine 15mg twice a day but after the 4th round of chemo she said she would switch the morphine to OxyContin ER 10mg twice a day but the problem was I needed a prior approval from my insurance that she had to fill out paperwork on and after a month of waiting for it and her not doing it I guess I called and asked about it too much because she msg me and said she didn’t think I needed it anymore she’s just gonna keep me on the oxycodone only at cut me off of the morphine even though I’m getting worse.. I can’t stand my oncologist I’ve asked the hospital to switch my doctors since the 2nd time I seen her because she will not do anything she won’t answer my calls and she will not let me know anything it’s gotten to the point my dad called her boss and threatened a law suit because she would wait weeks after my prescription was due to call them in.. i swear dealing with her is more stressful than dealing with this cancer I’m at the end of the road pretty much and she’s being spiteful because I’ve requested to switch doctors so many times.. I just don’t trust her.. I’ve passed ever one of my drug tests and I’m getting worse and the pain is sometimes out of this world it’s come too the point I’m either going to quit chemo and let nature take its course or I’m going back to shooting Fent I really don’t see another option..

i like fent too, dont hear much about people takin that, maybe a very good thing, i want so much for you

 

[Robby D]

Man I totally understand what you’re going through I’ve got pancreatic cancer (stage 4) and a large pseudo cyst on my pancreas I just got over a bout of pancreatitis and I literally was praying to God just go ahead and take me.. my oncologist put me on perc 5s at first even though I told her I was addicted to Fent and was trying to come off of it which was a mistake I should have just kept my mouth shut but I needed help.. after 3 rounds of chemo and the pancreatitis she uppped me to Oxy 10mg three times a day and morphine 15mg twice a day but after the 4th round of chemo she said she would switch the morphine to OxyContin ER 10mg twice a day but the problem was I needed a prior approval from my insurance that she had to fill out paperwork on and after a month of waiting for it and her not doing it I guess I called and asked about it too much because she msg me and said she didn’t think I needed it anymore she’s just gonna keep me on the oxycodone only at cut me off of the morphine even though I’m getting worse.. I can’t stand my oncologist I’ve asked the hospital to switch my doctors since the 2nd time I seen her because she will not do anything she won’t answer my calls and she will not let me know anything it’s gotten to the point my dad called her boss and threatened a law suit because she would wait weeks after my prescription was due to call them in.. i swear dealing with her is more stressful than dealing with this cancer I’m at the end of the road pretty much and she’s being spiteful because I’ve requested to switch doctors so many times.. I just don’t trust her.. I’ve passed ever one of my drug tests and I’m getting worse and the pain is sometimes out of this world it’s come too the point I’m either going to quit chemo and let nature take its course or I’m going back to shooting Fent I really don’t see another option..

I’m from Kentucky too and my mom has stage four kidney cancer. I am so sorry you have to deal with this bullshit! What part of Kentucky are you from?? I’m from London. You look like a very beautiful girl! I’m sorry to hear about hour cancer!

 

[Balissa]

I’m from Kentucky too and my mom has stage four kidney cancer. I am so sorry you have to deal with this bullshit! What part of Kentucky are you from?? I’m from London. You look like a very beautiful girl! I’m sorry to hear about hour cancer!

I’m from Louisa it’s in Eastern Ky bordering West Virginia and thank you I appreciate that.. sorry to hear about your mom is she doing okay?

 

[Balissa]

i like fent too, dont hear much about people takin that, maybe a very good thing, i want so much for you

Where I live Fent is all we can get I didn’t like it at first but it’s one hell of a pain killer and thank you for you kind words

 

[Robi]

Where I live Fent is all we can get I didn’t like it at first but it’s one hell of a pain killer and thank you for you kind words

ty for you and the impact you gave to me,

 

[Robi]

hurray another female robby

 

[Robby D]

I’m from Louisa it’s in Eastern Ky bordering West Virginia and thank you I appreciate that.. sorry to hear about your mom is she doing okay?

Yeah she was diagnosed stage four over two years ago and she’s still fighting!! She seems to be doing good she just can’t keep weight on! If it wasn’t for weed idk where she would be!! I know where Louisa is at I’m about 2 1/2 hours from you maybe two. I hope you are doing ok! I know it can be tough! You are a very beautiful woman!!

 

[Pickledlemons]

Methadone, like others have said. Suboxone might even work, and its probably easier to get. There's kratom, or you could just buy some more dhc on the dark net. Its fairly cheap.

 

[Keif' Richards]

Man I totally understand what you’re going through I’ve got pancreatic cancer (stage 4) and a large pseudo cyst on my pancreas I just got over a bout of pancreatitis and I literally was praying to God just go ahead and take me.. my oncologist put me on perc 5s at first even though I told her I was addicted to Fent and was trying to come off of it which was a mistake I should have just kept my mouth shut but I needed help.. after 3 rounds of chemo and the pancreatitis she uppped me to Oxy 10mg three times a day and morphine 15mg twice a day but after the 4th round of chemo she said she would switch the morphine to OxyContin ER 10mg twice a day but the problem was I needed a prior approval from my insurance that she had to fill out paperwork on and after a month of waiting for it and her not doing it I guess I called and asked about it too much because she msg me and said she didn’t think I needed it anymore she’s just gonna keep me on the oxycodone only at cut me off of the morphine even though I’m getting worse.. I can’t stand my oncologist I’ve asked the hospital to switch my doctors since the 2nd time I seen her because she will not do anything she won’t answer my calls and she will not let me know anything it’s gotten to the point my dad called her boss and threatened a law suit because she would wait weeks after my prescription was due to call them in.. i swear dealing with her is more stressful than dealing with this cancer I’m at the end of the road pretty much and she’s being spiteful because I’ve requested to switch doctors so many times.. I just don’t trust her.. I’ve passed ever one of my drug tests and I’m getting worse and the pain is sometimes out of this world it’s come too the point I’m either going to quit chemo and let nature take its course or I’m going back to shooting Fent I really don’t see another option..

WOW. That is so fucked up. Pancreatic cancer, pancreatitis and all that business is known to be some of the most painful shit known to man. I can't believe they would still treat you like this in stage 4? It was my understanding that many of the rules on prescribing are relaxed when a patien is near death. There are doctors out there who will treat your pain adequately, but they don't exactly have billboards saying "I am truly compassionate" or, maybe they do, but they're not exactly truthful in most instances.

If you get involved with the Methadone clinic right now, you likely will be eligible for take-home doses in a relatively small period of time. It used to be extremely rugged prior to Covid, like 3 months of clean time gets you one day a week, 3 more months gets you 2, then every other day, then weekly all with that 3 month gap. Now, people are getting weekly take homes in my neck of the woods following less than 3 months of clean time.

As we have discussed, Methadone only keeps one well for 24 hours. It does not treat pain effectively for that time, with the most potent analgesia lasting for about 8 hours. So, as you can see, this is no true fix, but it is a way to get regular access to a pretty powerful Opioid. Once you have your take homes, you can design your own regimen that works best for your pain. You could, for instance, take Methadone during the week then use your prescription Opioids to get through the weekend. There are many possiblities.

We're more than happy to help you navigate the "Clinic System" and to discuss the actual effects of these drugs.

 

[axe battler]

I should probably add for balance that it's possible the doctor may refuse to continue prescribing your DHC when you start on the methadone, so I would perhaps try and enquire beforehand and be very careful with how you express what you want/need before committing.
As others have said it may just be easier to buy a bit extra on the dark web or even use something like kratom or pregabalin to try and bridge the gap. I think your circumstances at present may prevent this, but in future it could be an option.

 

[Balissa]

@Keif' Richards thanks for your reply I’ve thought about asking my oncologist to prescribe me methadone pills for pain management since the nearest clinic is an hour away and I’m too weak to drive most days. I fucked up telling her I was once addicted to opiates I should have kept my mouth shut but I had been off them for 10+ years and really at this point who cares if I get addicted to them again? Hell it got so bad I started using Fent off the streets trying to control my pain and honestly it’s the only thing that gives me any quality of life so I figured why not and im using small amounts almost daily with some T breaks and since then I’ve been a lot more active, felt a lot better and have had some pretty decent days. A lot of people with my stage cancer and prognosis are on extremely high doses of opiates to control their pain and rightfully so it just happens I found the one doctor who has zero compassion and looks at me like I’m just a junky wanting a fix not someone dying of cancer. Hopefully when the time comes for me to go on hospice the decisions will be out of her hands.