Opioids Can't get effect from Oxy anymore, whatsoever :(

[spade082]

Hi. I used to take 15mg of Percocet daily (w/ Promethazine for potentiation) and after a long while of daily use it got about 20-30mg max. Recently my pain doc who was giving me this has lost his office due to financial reasons. And he was the only one I found to treat me respectfully and as a human being in pain, not an addict looking for pills 24/7. While I do admit I have a dependance problem, I was in a suboxone program a month maybe 2. I was extremely unstable, puking my guts out, and felt like I was taking sugar pills. Ive tried anywhere from 4mg-24mg daily of subs, but after the 1st week of good help, they lost effect. When they denied me Methadone (2nd time) without even talking to me face to face about my predicament, I slammed my water bottle everywhere over the office, and morally dont feel right paying somebody $75 a week for treatment, when my doc wont even look me in the eye.
So here I am back on the street, unstable, without a doc, and in pain. Thing is, the roxi 10s ive been getting have almost NO effect when I eat them, and a short short duration when I snort them, leaving me extremely unsatisfied. Not only can I not get high but my pain is killing me. What should I do? Theyll give me bitch ass vicodin at the ER, and I can get stronger p10s for more $ (any Opiate-dependant/addict will know the financial strain of everyday use), but even those dont do shit unless I take a whole bunch up (which I cant afford, nor spare with daily use.)
How long would the tolerance of somebody on 20-30mg take to drop to where I can take like 15+ mg and have an adequate effect? I've been on opiate for almost 3 years, with almost 2 years daily use. And are there any other options for me at this point now that the pain clinic was no help (half a year wait) and the ER dropped my regular pain doc? (Only one who didnt treat me like an addict for needing opiates)
Also, are there other pills which are more efficient for pain that last longer BUT are not Extended Release? I CANNOT deal with the OPs. Blech. This pain has left me debilitated, and very depressed. I almost want to end my life. It doesnt feel worth a lifetime of pain when nobody wants to help me.... sigh.. though thats a diff. story and will actually probably take a bit of talking out of... :/ Your help would be greatly appreciated. Im at a total loss, and will probably end up in the ER tonight. This is no way to live... if you could even call this life...
-Thanks for any help,
Desperate.

 

[mrflowers00]

i feel for ya but for pain only and not the buzz i think fentanyl is about as good as it gets a patch is supposed to last 3 days but i find by the 3rd day it's weak so i'd put a new patch on and take the old one off that night but it's a bit strong for your tolerance

 

[spade082]

Well see Im just now down to 20-30mg. I have a pretty big tolerance. It used to be about 40mg with promethazine, more without. I have a pretty respecatble tolerance, but docs have a hard time understanding. I have intractable daily migraines (tried a long list of bullshit meds including non-narcotic RX painkillers) as well as Fibromyalgia. Im a young male and feel in my 60s. Im also resistant to IV morphine (up to 20mg). So along with daily oxy doses Ive done IV Morph and Nubain (*partial agonist-antagonist), ive been on opi's daily for a long time. And 20-30mg is a single dose, not including the amount of times I need to re-dose. If Fentanyl helps my pain im open to it, the buzz is just an extra. But idk that they'll do that since its neurological, and they can't physically see a source of pain, other than my reactions to it and what I tell them. Ive done up to 24mg suboxone which made me feel physically sick (side-effects), as long as doing jack-shit for my pain.

 

[Coraline]

There are drs that will help you. You have to look.

I'm really sorry your going through so much. I'm glad you at least have the er to help you.

Don't give up. Something's just take time to work out.

 

[mrflowers00]

my pain is from an injury and i'm a 23 year old male and hurt myslef at 14 thats when i started the pain killers at first i had some slipped disks but they've healed but now i still have bad muscle spasms and get painful knots in my back shoulders and neck so i'm on 60mg of roxicodone 4X a day and 8mg of zanaflex 3X a day and it's working well i just have to skip days of taking it somewhat frequently so i don't raise my tolerance even higher

 

[laschenova]

what do you mean you slammed your water bottle? like a temper tantrum? you are lucky they didnt call security or worse... maybe you should evaluate your attitude a tad? you may be copping an attitude without realizing it. i used to work in an ER and most people are not good actors when they don't get their way...they show their emotions way before they throw a hissy fit. it ruins the doctor/patient rapport when you see the hate and disdain in someones eyes but they are visibly struggling to be courteous. You can sense they are thinking they are tricking you or that you are naive to what is going on in your head. You don't want to be blacklisted by the local Hospitals/Doctor's offices. They do have a community and share information about patients to watch out for.

I am not saying you are trying to trick anyone or be nasty, just trying to give you some tips and a different perspective.

i am in pain mgt and the op 20s work fine..maybe try a higher dose? i went from about 60mg of hydrocodone daily to one op 20. maybe 30 or 40? or try morphine tabs? I would try a few different pills and try not to write off the ER versions. They can be helpful, I appreciate not having to dose multiple times a day.

wait...your "pain doc" was at the ER? color me confused. were you going to the er and requesting him? i am not doubting you, just curious.

Sorry this is so poorly written, I am still at work finishing up some stuff and procrastinating on BL, typing with one hand while going through a stack of charts : P

 

[spade082]

Not a temper tantrum no. I never let my anger get in the way of my treatment, but this was the second time I requested to talk to the done doc, the 1st time the other director said its not likely, but i figured if they understand ive been to 2 neurologists, a migraine specialist, and after daily having to drive and get more pills off the street, i entered the clinic. I assumed this is the place that helps people, and I had tried suboxone with good results but after a while it just felt like taking pills filled with NOTHING. The docs were so stubborn they wouldnt even let me try subutex after the doc refused to even come talk to me about methadone, and why he wouldnt give it to me. It's because im a couple months off 18, and 'the magical book of answers' said no, so he wouldnt even listen to my unique predicament. I had tried methadone multiple times on the street with good results. I was also previously denied by a pain clinic i drove 4 hours to, because they didnt get the info WE SENT THEM. Which is their fault, not mine. So yes, when i told them unless i get on methadone ill be back scoring drugs, and they wouldnt even come out to talk to me, I was understandably pissed. And while I was leaving i slammed my water on the ground, and stepped out never to return. Call it what you like, but i feel that my anger was justified after years of chronic, intractable pain. Shortly after the hospital offices (behind ER) terminated the contract with my specialist. So now I am solely getting things from people I know. Im sure i'll find a doc eventually, but i have been very unstable as of late, and am close to giving up all hope. Its as if nobody wants to have to deal with me, and put the duty off on some other doc (who usually says the same thing.) Ive been through this cycle with a number of docs. Please, understand why I might be losing hope and feeling frustrated. It has nothing to do with getting what I want and being a child, it has everything to do with the fact I cant help support my family, finish my GED (I go maybe a couple times a month), or even have down time with friends.

 

[RobotRipping]

have u considered using muscle relaxers instead? something like valium would work or better yet soma (carisoprodol). If it's just the muscles causing pain now then this might be a better option. It'd be cheaper if nothing else.

 

[waldo777]

Have u thought about heroin? It should be a last ditch option, but u sound so desperate if its H or giving up all hope, use the H I guess... That and keep calling doctors till u find a helpful one

 

[pbuilder]

Yea the OP 80's are a joke, with nearly 0 tolerance half of one had me wondering if I was even feeling it, and the other half a bit after just got me sorta 'high'. Honestly 2-3 perc 5mgs got me way way higher lol, how come these things are so weak?

 

[tricomb]

Have u thought about heroin? It should be a last ditch option, but u sound so desperate if its H or giving up all hope, use the H I guess... That and keep calling doctors till u find a helpful one

I haven't read this thread yet, just the last two posts and I really hope you have a good reason for recommending heroin.

Yea the OP 80's are a joke, with nearly 0 tolerance half of one had me wondering if I was even feeling it, and the other half a bit after just got me sorta 'high'. Honestly 2-3 perc 5mgs got me way way higher lol, how come these things are so weak?

It's because the OP time release is far inferior to the old one, my own personal thoughts on the matter is that new OxyContins don't fully release all the oxycodone, that some of it remains trapped in the polymer, very similar to how the new Opana ER have been found to be similarly ineffective, and even have been found intact (Pun included lol cos its called INTAC) undigested in patients bowel movements.

 

[DoseYouAll]

Seriously, you haven't even begun to get a tolerance. 40mg is nothing. Why are you hating on OP's, at the level you are taking oxy an 80mg OP would rock your world. It sounds like you are just getting on the "OPs suck" train because it's cool to say that. Is it possible that you can't get methadone because you are barely taking any meaningful quantity of oxy or hydrocodone as it is? I mean what would be the equivalent dose of methadone, like 5 mg? That's not even worth paying the clinic fees for each day. Seriously what do you mean you are "resistant" to 20mg of morphine? That's a tiny dose you wouldn't even feel, 20mg IV morphine is not even enough to get a tingle in your shoulders so if you think your tolerance is too high to feel it I got news for you nobody would feel 20mg of morphine. I don't know man it sounds like you are making a big deal out of something that isn't a big deal. The kind of pain that only takes three or four percocets to kill, i have a hard time believing that is serious debilitating pain.

 

[tricomb]

^Some valid points.

 

[waldo777]

Yeah to clarify I would only resort to heroin as a last desperate act and. Absolutely do not think u should use it. The OP just sounded so desperate and I was thinking that before they give up all hope and do something they will regret, they should exhaust all possible opiate options first.

And since they seem to be stuck resortinng to street drugs, whether or not they really are, or they just think that docotors won't help, heroin is one thing from the street that could help if all else fails.

I would really suggest going to more/diff docotors again and again until you find one that is helpful---it will happen! It may take a week or two and a dozen diff appointments, but if u genuinely need the pain meds, then you WILL find a doctor who will help you so be patient and u will persevere.

Good luck and hang in there

 

[AlphaMethylPhenyl]

I may be wrong but I really don't get the impression you're searching for pain relief in the physical sense.

 

[Swain]

I don't get it, why are you denied the methadone clinic, and why does suboxone not work for such a small habit? At your level of dependancy you could get by on 1/16th of an 8mg bupe pill lol. But I am guessing it's a high you are chasing?

 

[DubNaut]

hey when it comes to the depression and debilitation..
the source could be the addiction to opiates..
you have been using daily for two years, something to keep in mind

why are you in so much pain, did you have an accident or injury?
best of luck, i totally feel your pain when it comes to medical assistance, not helping you with what you really need.


edit: "

I may be wrong but I really don't get the impression you're searching for pain relief in the physical sense.

"

that's where i am coming from, you may just be in a sticky situation

 

[MrKitty2]

from what I read his habit is nothing, so they wont give him methadone, and the suboxone didnt work because he was taking too much Sub compared to his oxy tolerance.

 

[klonodonian]

I don't get it, why are you denied the methadone clinic, and why does suboxone not work for such a small habit? At your level of dependancy you could get by on 1/16th of an 8mg bupe pill lol. But I am guessing it's a high you are chasing?

The OP is denied from the Methadone Clinics because his tolerance is SO low that more than 15mg of methadone may kill him. I hate to be a dick, but if you are only addicted to 30mgs of oxycodone a day consider yourself fucking lucky and quit while you are ahead, because it will only get worse from here. And you are tricking yourself if you think it isn't <90% all about the high for you. No judgement. Just callin it like it is.

I was in your same exact shoes, and I didn't take the advice offered me. Now I have King Kong on my back.

I'll say it again, quit while you are ahead.

^That was me being nice.

What you could always do is swallow a valium or 2 with your daily dose(s). That will bring back your high, if not give you a better high than you were getting before.

^That was me being evil.

 

[Swain]

Yeah I reread his post. to teh OP, you are OUT OF YOUR MIND thinking to get on methadone when your tolerance is non existant. That is like saying 'please fuck my life up really bad'

Do you understand what ti will be like on a meth clinic? If you have ever experienced withdrawals, at your dependancy level you have only gotten a .00001% taste of what methadone dependence will be like. It really blows my mind when peo[ple who have practically no opiate tolerance want to get on a clinic. Thinking yeah its a legal way to get high every day. You haev NO IDEA what you are setting your self up for. It's really fuckin ga stupid idea sorryu man