Opioids Ex Addict now has to take opiates for Pain

[.:Holy::Toast:.]

Yes but OP is talking about strictly physical pain, and anytime I've taken opiates low dose strictly for pain they gave me no euphoria, sure a bit of drowsiness but not the dopey feeling I'm used too.

 

[Psychedelic Jay]

Yes but OP is talking about strictly physical pain, and anytime I've taken opiates low dose strictly for pain they gave me no euphoria, sure a bit of drowsiness but not the dopey feeling I'm used too.

They go hand in hand...

 

[.:Holy::Toast:.]

They never did for me, but I guess opiates never seemed to effect me the way they do other people.
I get the euphoria only when I snort or smoke them anyways.

 

[cj]

OP I don't think you should feel guilty for feeling good. You need the pain meds so I really don't see the problem

 

[Cane2theLeft]

They go hand in hand...

This is patently false. It's very well-documented that with appropriate pain management dosing, all but 1 of the common side effects subside quickly (the one that commonly persists is constipation). Euphoria, in the case of therapeutic use, is a side effect and with the right dosing, will subside within days to weeks depending on frequency of use and other factors. This is why pain patients who use their medication appropriately can go for years with minimally increased doses and recreational users/addicts have to rapidly increase their doses to achieve the same desired effects.

Chronic pain patients (especially those with a history of substance abuse) often rationalize that for the drug to work you have to 'feel' it which leads them to perpetually take more than they need for analgesia.

Relatively speaking, opioids alone are not very efficacious in treating chronic pain and a multi-targeted approach is universally going to be more effective. Opioids have limited clinical utility alone in treating neuropathic pain and are generally indicated in combination with opioid-sparing drugs (such as NSAIDs, skeletal muscle relaxants, benzodiazepines, tricyclic antidepressants, anticonvulsants, SNRI's, cannabinoids and other options) as well as non-pharmacologic modalities such as physical therapy, bio/neurofeedback, transcutaneous electrical nerve stimulation (TENS), massage, nerve blocks, radiofrequency ablation, epidural steroid injections, meditation, accupuncture, mental health counseling to address comorbidities that exacerbate the physical symptoms and many other approaches.

Any doctor who just writes opioid prescriptions without utilizing a diverse approach to more comprehensively treat the chronic pain (especially at the source through proper diagnosis and intervention) is simply being negligent.

 

[fallenangel3]

Thanks Benny
For seeing my problem and not judging, obviously I'm not ok with it for all the others who don't get it, or I would not be trying to get some good advise. I know an addict can never control an opiate. I realize if I'm snoring them I'm in addiction again, don't everybody get their quick to judge grandma patties in a wad.

But thanks Benny, hey why don't the Fent help with withdrawal I'm still getting that medication. I'm going have my doc wean and have my husband keep them an dole them out.
Thanks againg for you non judgemental advise.

I guess since you don't have a clue, just don't comment.
Thanks

Thanks for the knowledgeable input. I am in the water everyday lite water stretching, this is not a overnight thing been thru all that. Surgery is last resort. Which I'm not doing as this patch works, I do have minimal breakthrough, and your right addicts like to feel the something, I don't feel the Fent and don't care, I'm just glad there is no pain, the oxys are what is going have to be dealth. with.
Thanks

Thanks I can feel the hate comeing thur my phone.

Why did pic the name on here since you seem so digusted is it psycho J?

Your a jerk a lot of addicts have had devestating things happen in our lives an we all do it to escape the pain, some of us realize this soon or later, your heartless and nasty.

 

[Tommyboy]

Oxycodone has a higher oral bioavailability than nasal (simply meaning you get more of the drug absorbed into your system by eating it than you do by snorting it), so you are actually wasting some of the drug by snorting it, and definitely shortening the duration that it works for. I could see how people were snorting the old opanas instead of taking them orally since the nasal BA was 4x that of the oral, but in the case of oxy you are better off just eating them. Yea when eating it you don't get the quick spike in the amount of oxy in you, but it will work its way up there and stays there longer if you eat it.

Once you mentally comprehend why it's more effective to take it orally then you should come around. The mind is a powerful thing... Oh and don't get so defensive. People were just saying that you can't be calling yourself an ex addict if you are currently snorting your medication.

Edit: Click the 'quote' button below any post you want to reply to so we know who you are talking to, and if you want to quote multiple posts click on the icon to the right of the quote icon (circled in the picture below), which looks like a page on top of another page, and after clicking all the ones you want to reply to then click the quote button on the last one. I'm merging your posts for now.

NSFW:

Edit 2: I see you are using your phone so it might be harder to use these functions, but you can also edit your post that I merged together and write "@Psychedelic Jay" before your reply to him, and so forth... The edit button is in the picture I posted, and is just to the left of the quote icon.

 

[bennyZA]

Thanks Benny for seeing my problem and not judging, obviously I'm not ok with it for all the others who don't get it, or I would not be trying to get some good advise. I know an addict can never control an opiate. I realize if I'm snoring them I'm in addiction again, don't everybody get their quick to judge grandma patties in a wad.

But thanks Benny, hey why don't the Fent help with withdrawal I'm still getting that medication. I'm going have my doc wean and have my husband keep them an dole them out.
Thanks againg for you non judgemental advise.

No problem, but I think for any non-CPP patient it's hard to understand this issue so they might come off like they're judging, but everyone here is good peoples. Most people can't understand people who just need some opiates. A lot of recreational drug user who are on this forum often forget that's what opiates are for. It's especially hard for people to understand why someone would get strong opiate meds if they're addicts. As if former everyday users are somehow not entitled to opiate meds when they need them.

Just remember, these abuse issues are not over. It's going to be a battle for you as long as your on these meds. It's going to be very hard not to use. I hope you appreciate this honesty, but be prepared, you will abuse your medications again. It's going to happen. As long as you nip it in the bud and don't let a relapse get out of control, it's ok. If you start freaking out and feeling like your a failure. Your not. It's going to be hard but if you can stay positive after a relapse, you're better off. If you get very negative about yourself and your relapse, you will go right back to using and trying to get high. If you can put things into perspective and keep calm, you'll be okay. Just think to yourself "okay, I knew I'd eventually relapse, I don't need to freak out. I need to call or talk to <insert person here>" It can really help to be completely honest to people you really trust that you can talk to, like your husband or a really good friend. Lay all the cards on the table and let him know if you relapse, maybe have a plan set up if it does happen. Also, if 12 step meetings are your thing, you can go to one after you sober up. Like I said, this will be a battle and hopefully you will eventually stop abusing the meds for good. So try to get the less recreational pain meds. Make sure someone holds on to ALL your meds. Make sure some people know your issues, and stay positive.

 

[Tommyboy]

I always said that if I were a CPP I would want morphine since I find it to be the least euphoric opiate I have tried, yet it worked very well for my pain and lasted a long time. So I agree about seeking out an alternative medication that isn't as euphoric.

 

[Psychedelic Jay]

This is patently false. It's very well-documented that with appropriate pain management dosing, all but 1 of the common side effects subside quickly (the one that commonly persists is constipation). Euphoria, in the case of therapeutic use, is a side effect and with the right dosing, will subside within days to weeks depending on frequency of use and other factors.


Any doctor who just writes opioid prescriptions without utilizing a diverse approach to more comprehensively treat the chronic pain (especially at the source through proper diagnosis and intervention) is simply being negligent.

I'll believe it when I see it because no one really does it...

And to the second part quoted, it's damn near all of them...

 

[Cane2theLeft]

No one really takes pain medicine as prescribed and stays on stable doses? Are you shitting me? There are thousands upon thousands of cancer patients, AIDS patients and incalculable others suffering from seriously painful ailments who use pain medicine effectively and as prescribed. You seriously need to learn more about national trends in topics such as chronic pain management. The information is out there, you just refuse to look for anything that contradicts what YOU want to believe.

Far more doctors refuse to prescribe opioids or force patients through dozens of other treatments before considering them and when they finally do prescribe them, under treat the pain for fear of abuse and addiction.

A survey study involving 386 Texas physicians was conducted in order to ascertain their
knowledge related to pain management along with their general attitudes concerning chronic
pain patients. The results of this 59-item survey indicated that a considerable number of
participating physicians suffered from opiophobia (a bias against using opioid medications),
along with a lack of knowledge about appropriate pain management practices. In addition, the
responding physicians admitted to holding negative views about patients with chronic pain
(Winstein, et al., 2000, Results section)

http://addictionmanagement.org/Pseudoaddiction%20versus%20Addiction%20in%20a%20Pain%20Population.pdf

Larger studies of physician attitudes in the US and Britain consistently show most physicians under treat pain, not toss ever-increasing dosages of painkillers at anyone saying they hurt. Take a look though the multiple iterations of the chronic pain mega threads and you'll see story after story of people with real pain struggling to get relief because doctors are too afraid to prescribe.

If you want to be taken seriously, you should look into the topics you post on and see if your views are empirically supported.

Sorry to derail your thread, OP. It really bothers me when people spread misinformation on a site designed to inform people so they can make better decisions. It's especially disappointing from a long term member who generally helpfully contributes to the site.

 

[fallenangel3]

Hey Thanks,
I just felt like I explained my situation wrong. Yes snorting is addict behavior and am an addict if im doing that. So Im taking orally only if I need to for breakthru, I only started snorting them a few weeks ago if that so all the work I put in getting and wanting to be clean I will fight for with everthing I have. I was reaching out and I understand I cant ever pretend to control it. Hubby has them who has not so much as touched or needed a drug since 1997. I admire him. So tough Love is ok and needed.

Thank You for your info to, I guess maybe a few people have never been in this catch 22 and really dont understand so they should of not commented, it just seemed plain hateful. Ok again thanks for the info, I can tell you have a good heart.

 

[fallenangel3]

Again Thank You, I have been so disappointed in myself, but I am a fighter, like to the death when I need something bad enough, not want but need and a bunch of oxys up my nose is not a need, you a good guy. Thanks again. Obviously you get it...