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Oxycontin alternative options

B

Berger

Greenlighter
Joined
Mar 2, 2015
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10
Hi All
This is my first post but I have got some great info off here in the last few years and any help/advice would be great
I take oxy and endone for chronic and post op pain from an accident. Some days I need a fair bit more than is prescribed to get by, but I usually make it, I need to last 21 days minimum from 28 days worth. The problem I'm having is of late I'm regularly getting caught out with public holidays and what not and running out, which is not good as I don't function well without it. I have tried CWE but it really barely helps as I'm on 70mg of oxy per day plus break through plus I often need more than 70. Any advise would be great, I'm really tempted to have a crack at getting some online but know it's not a good idea, I have bought less restricted drugs online from OS without an issue. It is shit being so reliant on the stuff hopefully as I recover I will use less but it seems a way off.
Cheers
 
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hydromorphone, your post is pretty much the same as mine....im fucked
 
Sorry to hear that Birc. Doesn't sound like Hydromorphone will be very easy for me to get, has it helped you? I'm definitely a cranky person when I can't get out of pain.
One thing I have wondered if late that you may be able to offer an opinion on as well. When I have enough pain relief to be fully out of pain my mood is way better, is it just because I'm out of pain or because I'm high or both. I certainly don't get the buzz I used to when it first happened, so much less would do so much more.
 
Poppy seed tea? It's cheap it's readily available and easy to source.dont think it won't do anything for cus IT WILL I was on 40mg of oxy a day and when I started doing full kilo wash's on my poppy seeds it got me high enough to get a nod going
 
It's strong enough to overdose on,I'd put it up there with heroin MS Contin junestas just gott get the dose right and be man enough to drink 2-3 litres of awful tasting crap
 
If you are new to opiates for pain management it's easy for things to escalate into full dependence, I would suggest you make an honest assessment of your situation and think whether you want to go down the path of opiate dependence where you are having to constantly seek out and take more and more opiates to maintain a satisfactory "buzz".
From the sound of it you are becoming tolerant and that most likely it's withdrawls rather than pain that are responsible for your negative emotional state.

My advice if you still require opiates for pain and not just chasing the high, is that if you experience strong pain would be to get some panadol with 15mg codeine and some ibu +12.8mg codeine and take at the very max 2 of each and not more than 4 of each daily. take that ontop of your standard dose and any breakthrough meds as long as they don't also contain panadol or ibuprofen or NSAIDs.

Tolerance is a bitch , do not get into the habit of having to take more if you aren't satisfied this will just push your tolly higher.

Other options are to start to taper down your daily dose 2 weeks before you need to pickup your new script. so cut a small amount off each pill and set it aside, make the amount removed larger every day. This way you will avoid w/d's , keep your tolerance down and also mean you should have a stash of bits if you're caught out on a public holiday.

Or you could try adding another non opiate pain meds like pregabalin to your pain management regime, this is what doctors prefer to do over increasing your oxy dosage.

I hope this is somewhat helpful.
 
Thanks oldirtybizza. I forgot to mention that I have started Lyrica (pregabalin) to see if it will help either with nerve pain or by potentiating the oxy, I don't think it is helping the pain too much.
This has been going on for 3 years now the only time I haven't required pain relief is when I can lay around all day, which is now never. My tolerance is definitely an issue, I definitely do like the buzz and I maybe just justifying my use but it has helped me get through the last 3 years. I have lost all forms of exercise and blowing off steam but I'm only just now having to really deal with the fact that i may not get much better.
I have tapered and stopped a few times to make sure I can and to make sure the pain is real and it is. I guess I mostly take it for pain now cause if I take enough to get a buzz I don't get the same buzz but more of a nod. I have planned to taper and stock up while doing so for occasional use but maybe I'm kidding myself, in the morning I can barely move until some break through kicks in and by the end of the day I'm physically hammered. Anyway thanks for the advice you're on the money.
JS the only issue I can see with the tea is the wifey she would freak right out.
 
Tried it a fair bit early on did not help pain...did chill me out though, may need to try again.
 
Im surprised no one has suggested talking to your prescribing doctor about an increase / add on medication.

Acupan is good gear.
 
brighton said:
Im surprised no one has suggested talking to your prescribing doctor about an increase / add on medication.

Acupan is good gear.
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For the reasons I mentioned , increasing opiate dosage to counter tolerance isn't an option many doctors are comfortable with in non terminal pain patients.

Berger, you mentioned no longer exercising. I know in my case when I follow my physio regime my pain levels are much better. treating the pain with analgesics is only one part of pain management. there's so many benefits from a good exercise regime that doesn't irritate your condition especially for reducing pain and countering some of the negative effects of opiates.

Remember lyrica takes a few weeks to start really providing pain relief, although it's mostly for neuropathic pain, so depending on your pain it may not be effective.
On a bad pain day have you considered taking a cyp3a4 inhibitor a few hours before taking your oxy dose?
Having a high fat meal after taking your opiate dose can give surprisingly good results.
A low dose of DXM from robotussin can help prevent tolerance if taken before your dose, it can also substantially increase morphine serum concentrations, not sure if this is also the case with oxy tho.

Good Luck.
 
^Berger, Medicare-DDU is open 24/7, I also take oxy & endone on authority scripts. Don't let any doctor tell you they're not open public hols or w/ends. It's a medical service available day & night.

As for any mood lift, opiates are known as anxiolytics though rarely prescribed by psychiatrists as such.

If you're gonna be dealing with chronic pain for some time have you heard of Ketamine infusions? I have them regularly, Ketamine works on different receptors to help manage a growing opiate tolerance.

Pm me anytime?

Rtp
 
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Hey thanks for all of the advice/options.

odb when I say can't exercise I'm talking about things that I'm passionate about, the things that I lived for and dolid up to 20 hours a week of. I have a heavy physio regime and I need it to function as well as I am. I am getting stronger but the pain isn't improving.
On a positive note I may not be as dependant as I thought yesterday when i got up i hadn't had anything but oxy 30 at 7am the previous day, some panadeine extra and nurofen plus at 3pm the previous day. I didn't feel any withdrawal symptoms and waited a few hours until I couldn't put up with the pain too take anything. Also the month before last I went a full 28 days which never happens, it was tough though. So I'm not out of control yet but I maybe at the tipping point not sure, in very confident that the pain is there and needs to be managed.

I want aware that lyrica took so long to work, I definitely have extensive nerve damage but it's kind of hard for me to tell how much pain it is causing.

I've gotta go for a bit I'll be back soon to reply to Roadtoparadise. Thanks again guys.
 
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Odb also I haven't tried dxm or the inhibitors but I'll look into it.
I see the quack tomorrow so I've almost made it, I have a good relationship with him and I think he is a great dr. But he definitely wants to reduce my doses which does worry me.

Rtp I have not heard of ketamine infusions but I know it was given to me during one of my surgeries and recovery was more like hell, terrible holucinations.

Cheers
 
Haha, yeah, ketamine is not always so pleasant.. It is now used instead of opiates after or during surgery.

However,- if you're a long time cpp it can be worthwhile ..

I'm guessing your in aus to have had that experience?

Also, Lyrica doesn't take that long to wrk.. A decent dose will help within hours.

Rtp
 
Yeah in aus. I haven't had it in a surgery since.

Makes sense, when I first took the Lyrica it definitely had an effect.

What's longtime ccp? Sorry not up with a lot of acronyms on here.
 
Hey Just an update I got through to today much better than I expected.

Last oxy 30 Sunday at 7am, 2 x 5mg endone on Monday both of those days I had about 6 panadeine extra and 6 ibuprofen plus. Today woke up feeling good none of my usual withdrawal symptoms I eventually after eating had 2 ibuprofen plus with Lyrica and endep as normal.
Got all of my scripts filled but decided I might see how long I could last without pain relief. My pain kept building up through the day, physio wasn't any more painful but the constant ache in my back, knee, and hip just kept compounding. It's kind of funny but I felt sharper mentally as if my brain was working properly again but was struggling to concentrate over the pain, my memory has been pretty useless over the last few years as well.

I'd had enough and cracked at 4pm took 50 and then 40 at about 730 after doing some strength training which still caused a lot of extra pain. Hopeless kind of fucked up the positives of the last few days.
 
Berger said:
My pain kept building up through the day, physio wasn't any more painful but the constant ache in my back, knee, and hip just kept compounding. It's kind of funny but I felt sharper mentally as if my brain was working properly again but was struggling to concentrate over the pain, my memory has been pretty useless over the last few years as well.

I'd had enough and cracked at 4pm took 50 and then 40 at about 730 after doing some strength training which still caused a lot of extra pain. Hopeless kind of fucked up the positives of the last few days.
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Don't beat yourself up mate, it's not easy tapering or stopping opiates , let alone as a chronic pain sufferer. When the pains bad and you've also got withdrawl to deal with it's hard to not take a dose.

Used to be right into my board sports before my injury , now that and most other physical activity that I enjoyed aren't really possible, so I definitely feel ya there. Another reason why the meds can be such a crutch because they become an alternative to those things you used to enjoy, I've mentioned it in other threads, but having good recreational alternatives to drug use are really important to changing habits.

Not sure how informed you are about this kind of stuff, but you can definitely get good relief from a lower opiate dose and also lessen the psychological and physical negative effects. Unless your condition worsens it's only tolerance that makes the medication less effective.
Your pain also becomes worse when you stop or lower you dose due to Hyperalgesia which is increased pain sensitivity, a lowered pain threshold and exaggerated pain levels caused by chronic opiate usage. Probably why your doc wants to drop your dose.

Berger said:
My pain kept building up through the day, physio wasn't any more painful but the constant ache in my back, knee, and hip just kept compounding. It's kind of funny but I felt sharper mentally as if my brain was working properly again but was struggling to concentrate over the pain, my memory has been pretty useless over the last few years as well.
Click to expand...

It took many years but it's only recently I've also realised how impairing Oxy (more than any other opiate I've been on) is on my normal functioning. Not that I've stopped but it really is a fine line to walk between that functional impairment and controlling the pain.
I'm down to half of your daily dose and no breakthrough meds. Not that the dose lowering was my choice but I do realise it's in my best interest.

Pain is a part of life after all, you can't block it out entirely without also blocking out the part of you that makes you feel alive!
 
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