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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

The EADD Health, Sickness and Pain Thread - share what ails you here.

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Try Gabapetin?

Also if you do take Gabapetin you could try DHC as it makes opiate based painkillers more effective. So I read!
 
Or perhaps Buprenorphine (as Temgesic)? It's not very sedating and for some people it's a very effective analgesic.
Also, a dose lasts quite long which may be convenient.

Gabapentin and pregabalin are fantastic for neuropathy and indeed also for making opioids/opiates seem more effective (or at least for boosting the euphoria).
 
I'm not sure what I suffer is neuropathic pain, I have got a fair amount of nerve damage in my leg which gives a lack of sensation and numbness but I think the main source of pain is from the damaged soft tissue and damaged ligaments etc.

I've never been offered DHC or Codeine on it's own at all, I suspect my doc is concerned about dependency as he is aware of my history in such things.

Buprenorphine does look interesting but not something I'd be wise to ask for by name, it's a tricky business avoiding being labelled a drug seeker, I could get DHC or most other things illegally if I wanted to but that kind of self medication is best avoided.
 
Noratrip? You said no to amitrip, believe noratrip has less side effects.

I found with Bupe that my when my dose went below 6 the pain started again, and below 4 was noticeable all the time. So the problem is I think the dose for pain is much lower. If you get me, the prescription amount for pain.
 
I really want to avoid ADs, I've recently managed to get myself off Venlafaxine and don't want to rock the boat, in general they don't agree with me and I've tried quite a few.

I have tried Amiltrip in the past and didn't find it useful, that said I couldn't take all that much due to being in the other AD.

I find it very difficult to asses my pain levels, in general I have a high tolerance to pain and discomfort but I'm sure there are knock on effects due to lack of relaxation and poor sleep.

I've got another MST script to keep me going but I'm going to have to make the effort and go see my doc, he wasn't keen on Tramadol but did say wecould try some other stuff if the MST wasn't working out.
 
Well its about trial and error. Hope you get sorted soon :)

Sounds like you have a good GP, my new one is ace, makes life so much easier. We talk openly.

I like this thread a lot. Its good to talk with other people in pain. Give advice, take it.

:-)
 
Inso said:
Quick advice for anyone taking amitriptyline for pain, be careful of side effects. I just took myself off after two months or so at 20mg/night and it feels like being woken up from a horrible dream. Had this insidious, creeping depression coming on over the past few weeks and couldn't really figure out why until it dawned on me, 24 hours off and I'm in a lot more pain but far better than feeling like everything is pointless.

I just don't agree with anything labelled 'antidepressant' they seem to have the opposite effect. Citalopram sent me loopy years ago too, ugh. I've read this drug called Nortriptyline could have similar pain effect as Ami without the serotonergic effects, anyone tried it?
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What kind of pain do you have, what's the cause, and what else are you scripted for it?

I just had my first appointment with a new pain specialist, first German pain doc I've seen. I was referred by my orthopaedist bc he's not experienced with chronic pain patients. Really strange appointment; I'm scripted delayed release hydromorphone 8mg twice a day, 10mg diazepam once nightly, and Celebrex 400mg daily. She went into a long rant about how dangerous diazepam is and how I should never take it and must get off it. I wasn't happy to hear this as diaz is my wonder drug, the only drug I've tried that actually relaxes my muscle tension & prevents spasms. I also have major sleep issues, largely pain related but I also have trouble maintaining daytime hours.

So for the muscle tension she prescribed me flurpirtine (Kaladon brand name here), a drug I've never heard of that's unique from all other drugs. For sleep she put me on amitriptyline drops, 20 drops = 40mg. I've tried amitriptyline but it was a long time ago...I recall not liking it much and finding it ineffective. Now your story has me scared. I respond badly to many ADs but quite well to a few (venlafaxine, Prozac). Not much experience with tricyclics though.
 
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atm23 said:
After a week without any MST I had to give in an get another script, at least the stopping and starting is keeping my tolerance low but I really need to go to see my doc as I'm not convinced MST is the best solution. I find it quite sedating and it generally makes me feel a bit 'orrible even at the relatively low doses I take.

I want to avoid any AD type stuff, so Tram and Amiltrip are off the cards and co-cos are useless, my pain stems from a nasty leg injury I sustained nearly a year ago in a bike crash.

Any suggestions on better meds I could suggest to my doc ?
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I was on morphine IR tablets for a while; first proper painkiller I got. My experience was much like yours; helped but not enough and I hated the way it made me feel, particularly drowsy and nauseated.

I had a great Dr then/there who really listened to me and was open to ideas, and I asked for hydromorphone as I'd tried all the other opiates other than it and oxymorphone, and hadn't liked any of those I'd tried. I'd ask for oxycodone first if I were you as it seems great for many and is on par with morphine. It's a lot more stimulating/less sedating , and known to be so, which you could mention as a reason for you wanting to switch to it. IME drs are very sympathetic when it comes to drowsiness.
 
i have pain in both my ankles. think i might have fractured them when i fell climbing two weeks ago. Going to hospital tomorrow to get them checked out.
 
knock said:
i have pain in both my ankles. think i might have fractured them when i fell climbing two weeks ago. Going to hospital tomorrow to get them checked out.
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Hope it's OK Knock, both ankles is a little careless, physical exercise is a dangerous business.

When you say tomorrow do you mean today, it's so confusing when you've overdone the amphet;)
 
my upper back near my shoulder blade on the right and and right below my neck on the right side has knots in it. i have no health insurance. i had it but lost it back in may. it was feeling better after physical therapy, a small amount of pain meds, injections, and i think something else. now that im at work its coming back and hurts like hell but i cant do anything about it.

anyways, it was a hard week this week so it fucking hurt. it was nothing that a small dose of roxi, tylenol, asprin, ibuprofen, heating pad, lidocaine patch, and a little alcohol couldnt fix lol
 
im really lucky i had been a heroin addict for years on lyrica et as well as i damged l3 20 yrs ago , when my doc gave me 8 60mg dhc a day for addiction and i started rreducing and not using h the pain was getting worse and worse so he sent me topain clinic n mri once he got the results he told me yes im an addict but he wouldnt deny me pain treatment i needed tried me on 75mcg fent plus 4 x 20mg oxynorm when i struggled with patches coming off etc he changed me to oxycontin plus oxynorm and increased monthly till i was comfortable at 200mg a day,4x 20mg norm 2x40mg and 2x20mg contin 3600mg gabapentin and 8x5mg valium a day plus 15 mg zopiclone a night , sadly he left and new doc tries to tell me valium and zopiclone are same drug and i shouldnt be on them so i convinced him to script clonazepam instead ,1mg instead of each yellow and zopiclone now hes happy with that as he sees valium as a bad drug but clonaz 1mg equal to 5mg diazepam lol think his gp ticket came from woolies !
 
Took one of my time release 400mg flurpirtine tablets last night, along with 8-10mg of amitriptyline. The flurpirtine seems to be actually quite helpful, in both reducing my muscle tension & potentiating my hydromorphone. I wish I'd never taken the amitriptyline though, I'm totally lethargic and I've knocked over several things, it's really fucked my motor control. I'm useless today as a result, nothing seems to perk me up.
 
fairnymph said:
What kind of pain do you have, what's the cause, and what else are you scripted for it?
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It is a neuragia/neuropathic type pain, up and down constant burning with jolts and spasms of further electric-shock line pain at random. Cause unknown as of yet, going for further investigations soon. Am on large dose of Gabapentin currently which does help, but even at 2700mg per day its not enough so need something else.

I'm thinking a muscle relaxer might help, like Baclofen? Since i get really terrible shakes/spasms too. Got a GP apt on Mon, will ask about it.

Edit: Just read your post, I'm going to see about diazepam too, but I know that is very hard to get. Have a feeling it would be quite effective though with my type of pain.
 
Inso said:
It is a neuragia/neuropathic type pain, up and down constant burning with jolts and spasms of further electric-shock line pain at random. Cause unknown as of yet, going for further investigations soon. Am on large dose of Gabapentin currently which does help, but even at 2700mg per day its not enough so need something else.

I'm thinking a muscle relaxer might help, like Baclofen? Since i get really terrible shakes/spasms too. Got a GP apt on Mon, will ask about it.

Edit: Just read your post, I'm going to see about diazepam too, but I know that is very hard to get. Have a feeling it would be quite effective though with my type of pain.
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Your pain sounds almost as different from my pain as can be, but I get a lot of spasms too. I've tried every muscle relaxant on the American market, as well as all the benzos. I don't have any neuropathic pain but drs in the US were determined to diagnose me with it so they wouldn't have to face the fact that my pain is entirely muscoskeletal in origin, and thus my medication options are much more limited. So I've tried gabapentin, baclofen, and a bunch of other neuropathic pain meds, none of which helped alas.

The only non-benzo muscle relaxants that help me at all are Soma and Flexeril (tizanidine), with the former being much more useful. But neither helps as much as diazepam. Other benzos don't help at all, though I haven't tried tetrazepam as it's not used in the US. Thus why I call diaz my wonder drug. I've been taking it pretty much daily for 5 years and I've been able to keep my tolerance down so that I'm taking the same amount I did 5 years ago, and it continues to be effective.

There is significant literature that shows that diazepam has strong muscle relaxant properties, perhaps even the strongest out of all drugs across all classes. Its longevity and minimal side effects make it a good option for constant/chronic muscle tension and spasticity. I've never suffered WD symptoms either; it's a lot safer than other benzos in that regard.

I've found if you tell a Dr you've had it prescribed before & found it very helpful, generally getting a script isn't difficult.

This new drug I'm on, flurpirtine, is really great so far, and apparently it's good for neuropathic pain as well as muscoskeletal. It's not abuseable so you shouldn't have a problem getting it. When I'm fully off the diazepam & have been on the flurpirtine longer I'll report back.
 
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wcote said:
Are there not more effective benzos for relaxing the 'body' than Valium.
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Not for me, there aren't! None of the others I've tried have relaxed my muscle tension at all. I've tried alprazolam, lorazepam, oxazepam, nitrazepam, clonazepam, etizolam, phenazepam, bromazepam, triazolam, temazepam...and possibly a couple others I can't recall.

To be fair, I respond unusually to many drugs, due to overefficient cell pumps and a strange profile of liver enzymes (deficient in some, excess of others). Supposedly clonazepam is also a good muscle relaxant for most, and tetrazepam which I haven't tried.
 
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smokemctoke420 said:
my upper back near my shoulder blade on the right and and right below my neck on the right side has knots in it. i have no health insurance. i had it but lost it back in may. it was feeling better after physical therapy, a small amount of pain meds, injections, and i think something else. now that im at work its coming back and hurts like hell but i cant do anything about it.

anyways, it was a hard week this week so it fucking hurt. it was nothing that a small dose of roxi, tylenol, asprin, ibuprofen, heating pad, lidocaine patch, and a little alcohol couldnt fix lol
Click to expand...

Massage! I have major muscle knots and massage reduces my pain drastically. Alas, the relief is short lived for me, but you might have more luck. Those hot pads you can stick to your skin help too.
 
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