Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) Version 5.0 ~ V

[Mad Dash]

Poor show Cliffy poor show I was simply stating that people don't need painkillers or drugs to not have pain they just need to realise pain is not real its just a word inside your head i mean if you don't believe me then explain how if you think your in pain you are but if you dont think your in pain you wont feel a thing this of course requiers bravers, skill and manliness.

Jeb, you have never experienced real pain. It is obvious, you are a teenager roughly 12-15 years old, and you have zero life experience nor have you ever experienced true pain. You have watched one too many T.V. shows/ Movies/ video games. Your perception that being brave, having skill, and manliness (sounds like something a socially inept child would say) is incorrect. I served in the U.S. Army in a special operations unit with some of the best trained military operators on the globe. We showed the world that we were specially selected and well-trained Soldiers. But when a member of our company passed away, or somebody was injured, or you yourself were injured... we all cried, and as much as we try to fight it sometimes we still do when we remember it. You don't know what pain is until you see somebody you know dying from an IED roadside bomb and hearing them scream for morphine just to dull the last few minutes of their pain enough to ask you to tell his wife and kids he loved them and then watching him slowly slip away. So your notions of mind over matter have simply yet to be tested. Don't talk to me about bravery kid. Because you don't have a clue.

 

[DixiChik]

Well said, Mad Dash...As always, much GRATITUDE for your military service.

I cannot compare my pain with yours, nor would I. I would challenge anyone with HIS attitude to endure just part of my pain for just part of their day, with ZERO HOPE for better. It ain't happening.

Caution: Graphic content. I assume he is a boy, so no vagina. Let's use penis pain, for instance, in comparison. What if you felt a constant sensation of a serrated edge knife reaming your penis/urethra/rectum? As if that isn't enough, that same disease robbed you of your fertility, as in CASTRATED? You're stripped of hormone production or HRT because it will feed the disease.

Let's be conservative and say 2 weeks of every month is sheer HELL with peritoneal pain, cramping, bloating, distention? You can't eat, sleep or poop without issues. The chemicals used to treat your disease have consumed your bones, causing grinding bone on bone pain from your skull to your toes. You awaken, if you've slept at all, to agonizing pain w/difficulty even getting out of bed. You get up anyway because you have work, family obligations, service to others.

You've been through multiple surgeries just to save your so-called life. It's no life, merely existence. You're told "There's nothing more to be done. Seek PM." Most meds make your GI angry, so you are back at the "can't eat or poop" place. Except...now you are so messed up, your nerves are frayed. You can't swallow your own spit, without projectile vomit.

You don't dare focus on your pain, because you could instantly rationalize ending your life to escape. You pour yourself into your career and community outreach. You see firsthand in mom's nursing home how this story will end. Yet you do everything in your power to meet those responsibilities. You are now the "parent" of a wicked 89 year old mom, making all medical decisions, taking all of the verbal horse shit from siblings who don't show up.

You put on your happy face and bake birthday cakes for the seniors to celebrate. You smile through the agonizing pain because they need you, when no one else shows up. You leave the nursing home thankful that you can still walk, talk, feed yourself, clean yourself, drive...leave that hellish future that we all face. You attend no less than one funeral a month of senior peeps you've grown to love over 10 years.

You want to go home, close the shutters, and cry uncontrollably.

You don't dare, because self-pity is a luxury that a CPP cannot afford. You must fight the darkness every second of every fucking day. Because, guess what? This is as good as it gets, folks.

Indeed, "Jeb" doesn't have a fucking clue. Karma is indeed a bitch with whom I would hesitate to pick a fight.

 

[tnvol44]

JEB You are the most ignorant sob that has ever walked the earth.It would be my pleasure to change your mind for you.If you would meet me and my baseball bat somewhere we could continue this discussion and chances are very good I could quickly change your mind for you."Pain"is just a word.that's the most absurd thing I have ever heard you asshole.It's people like you that make this world a worse place for you being in it.I hope something happens to you that requires the sympathy of someone such as myself and you find yourself on the other end of the spectrum.Fuck you buddy and I hope you learn soon what an ass you really are for making such an ignorant statement.

 

[DixiChik]

Stef...I'm so sorry I didn't see your question for me. I'm in somewhat of a "funk" mood, with hurdles in every direction regarding "management" of pain. I'm not familiar with "injectable opioids" outside of a hospital setting. Granted, the pic line IVs in hospital give the best relief.

Somehow, even post surgery I recall my oncologist saying to my husband..."We're giving her enough morphine to sink the Titanic". It was a horrifically extensive and painful post-op. I still believe it's my altered GI system that fails to absorb the pain relieving properties.

As stated in another thread (search DixiChik) asking to PLEASE TRANSLATE genetic testing for metabolism, I'm limited with options. The Oxycodone doesn't cause GI issues, but I DO fear long term usage, as my pain will never get better.

My husband administers B12 shots for me weekly. I'm BEYOND a pin cushion, but am so deficient, I cannot afford to NOT take the B12. No, I've never injected pain meds. That doesn't sound like something I could do cause I'm a wienie! If only Toradol shots were allowed regularly and long term, I'd be first in line.

How are you feeling?

 

[pbuilder]

Jeb, you have never experienced real pain. It is obvious, you are a teenager roughly 12-15 years old, and you have zero life experience nor have you ever experienced true pain. You have watched one too many T.V. shows/ Movies/ video games. Your perception that being brave, having skill, and manliness (sounds like something a socially inept child would say) is incorrect. I served in the U.S. Army in a special operations unit with some of the best trained military operators on the globe. We showed the world that we were specially selected and well-trained Soldiers. But when a member of our company passed away, or somebody was injured, or you yourself were injured... we all cried, and as much as we try to fight it sometimes we still do when we remember it. You don't know what pain is until you see somebody you know dying from an IED roadside bomb and hearing them scream for morphine just to dull the last few minutes of their pain enough to ask you to tell his wife and kids he loved them and then watching him slowly slip away. So your notions of mind over matter have simply yet to be tested. Don't talk to me about bravery kid. Because you don't have a clue.

This is a great post.

 

[CfZrx]

Anybody ever use kratom on top of methadone? I just added 1.5 tsp to my 15mg daily methadone dose, and i was feeling no pain all the way through grocery shopping.

 

[JebJebJeb]

jeb you are the most ignorant sob that has ever walked the earth.it would be my pleasure to change your mind for you.if you would meet me and my baseball bat somewhere we could continue this discussion and chances are very good i could quickly change your mind for you."pain"is just a word.that's the most absurd thing i have ever heard you asshole.it's people like you that make this world a worse place for you being in it.i hope something happens to you that requires the sympathy of someone such as myself and you find yourself on the other end of the spectrum.fuck you buddy and i hope you learn soon what an ass you really are for making such an ignorant statement.

that is threat of violence and physical abuse i demand he gets banned!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

 

[IndustrialStrength]

@CfZrx I used Kratom while I was waiting to get in with my new PM who put me on Methadone.
At my request even, so far very happy with this new situation. Just already so tired of waiting to get upped & stabilized.
The times between appts. are quite long & they want me to communicate via electronic means in the meantime.
Waiting on a reply ATM to see if I will get upped on my refill as I really don't want to wait for Appt.
After my not so random DT (Gotta get catheterized so must be scheduled) Thank you shy bladder syndrome.
Never thought I'd be saying that . But hopefully once results are in & will of course be perfect.
Unless they fuckup as many places I've been to have in the past, I will be good on that.
Sad how few Dr.'s realize how inaccurate DT's are.
Having an older family member along to back you up helps.
Kinda stupid that you have to do so when your in your 30's but hey whatever works.
That & like 20 pages of journal articles, lawsuits, etc. proving how inaccurate said tests are.
But I digress from the topic at hand.

I'll have to try the Kratom idea after the DT & report back.
So far I've just supplemented with whatever was available.
Of course not within the time frame of any testing.
However after said test I will resume said supplementation till I get stabilized.
But if I can just supplement with Kratom that might be an option.

How do you get by on such a low dose of Kratom?
I was using 4tsp 3x Daily prior to getting on the Methadone.
Perhaps I answered my own question though?
As I was supplementing weaker meds than Methadone at that point.
With the Kratom if that wasn't clear. 4tsp 3x Daily + the meds I was using at that time.
Though from what I've gathered 4tsp 3x Daily is an unusually high dose, especially + other meds.
I have had a massive tolerance in the past & seem to have retained it.
Which I assume is why I needed so much but curious to see that you need so little with the Methadone.

Do you have a prior high tolerance? Or just the low level of 15mg Methadone daily?
If your not comfortable with the question, no need to answer just curious.

that is threat of violence and physical abuse i demand he gets banned!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

@JebJebJeb The post was warranted. You don't need to be posting your ignorance in this thread.
This thread is a place for people who actually have major pain issues.
It's a place for support & comfort, not for ignorant BS. Mad Dash & others got it right.
If anyone needs the ban hammer, your a great candidate.

 

[Runtoparadise]

^Ignoring this fucktard is likely the best policy. This threads amusing but getting off topic.

So...I recently had a lengthy admission to hospital for acute pain, totally separate to my chronic pain.

After eight years of oxy my tolerance is jacked, & after round the clock iv fent on top of my usual dose of 200mg oxycontin/codone I'm finally discharged. Still sore, but thankfully ok.

My concern is that even prior to this incident, that dose of opiates was really not working well for my day to day pain, & I've rotated to every other available equianalgesic med with no noticeable relief.

Except methadone.

Hence my PM feeling I have two options now. It's not realistic to ever think I'll improve or be pain free, so switch to methadone which is also an NMDA antagonist to hopefully also help my neuropathic pain,- but then I don't have the option to rotate back if it's not effective analgesia once titrated.

That damn tolerance issue.

Or wean down & suck it up for a period of time, & pretty much start over with opiates.

I've always said no to methadone because of the stigma & ignorance of but not limited to the medical community. Not understanding tablets are for chronic pain & not because I was banging my pills.

Us Cpp's are used to labels, judgement & scrutiny. The amount of times my doctors been away & the software at my clinic flags me as a dr shopper or drug seeker purely because of my high opiate requirements & I'm denied my regular scripts & treated with contempt is beyond ridiculous now!!

I imagine if I change to methadone it will purely become much more difficult to be taken seriously as a pain patient.

That aside, has anyone successfully tapered down & titrated up to a lesser dose afterward? I understand tolerance never really goes away, it just goes straight back to where you previously were after a few doses. So, I don't feel it's a feasible option, but the Boss Dr seems to think it's worth a shot.

Opinions welcome

Rtp

 

[Cliffy78]

Rotfflmfao!!! But Laurence fishburne said I was the 1, wtf! Oh well I guess, the force is too strong with this 1. He's so enlightened that I feel heat radiate from his core as he explodes into supernova. What are we to do except bow before the greatest physician in our realm, the incomperable dr. Jebediah! Lmfao!
I'm toasty guys, sry. Lol

 

[Cliffy78]

^Ignoring this fucktard is likely the best policy. This threads amusing but getting off topic.

So...I recently had a lengthy admission to hospital for acute pain, totally separate to my chronic pain.

After eight years of oxy my tolerance is jacked, & after round the clock iv fent on top of my usual dose of 200mg oxycontin/codone I'm finally discharged. Still sore, but thankfully ok.

My concern is that even prior to this incident, that dose of opiates was really not working well for my day to day pain, & I've rotated to every other available equianalgesic med with no noticeable relief.

Except methadone.

Hence my PM feeling I have two options now. It's not realistic to ever think I'll improve or be pain free, so switch to methadone which is also an NMDA antagonist to hopefully also help my neuropathic pain,- but then I don't have the option to rotate back if it's not effective analgesia once titrated.

That damn tolerance issue.

Or wean down & suck it up for a period of time, & pretty much start over with opiates.

I've always said no to methadone because of the stigma & ignorance of but not limited to the medical community. Not understanding tablets are for chronic pain & not because I was banging my pills.

Us Cpp's are used to labels, judgement & scrutiny. The amount of times my doctors been away & the software at my clinic flags me as a dr shopper or drug seeker purely because of my high opiate requirements & I'm denied my regular scripts & treated with contempt is beyond ridiculous now!!

I imagine if I change to methadone it will purely become much more difficult to be taken seriously as a pain patient.

That aside, has anyone successfully tapered down & titrated up to a lesser dose afterward? I understand tolerance never really goes away, it just goes straight back to where you previously were after a few doses. So, I don't feel it's a feasible option, but the Boss Dr seems to think it's worth a shot.

Opinions welcome

Rtp

personally I would avoid the methadone for the exact reasons u mentioned. If u went the 'done route that'll be in your records and u know they don't care if it's for pain or if u were shooting 5 bundles a day and were using it for maintanence. It'll be over for u, medicine wise anyway. You'll never see a script again. U think your treated poorly now, imagine with the big 'done staring every er dr, pharmacist, psychologist, shit even podiatrist in the face when they look at your chart. It's so damned tough for us cpps man, idk what to tell u really that's one hell of a quandary u got there. Have u tried that opana shit? I've yet to even see it, would u be able to talk to ur dr about that or would that just be more red flags? Wow man that really sucks bro, it's unreal all the shit we have to take into account when just thinking about even just talking to drs about a med adjustment. It's really unfair...

 

[bruceolee]

I have been prescribed Zanaflex (tizanidine) for my muscle spasms and tightness. It's the first muscle relaxer I've used that works. Has anyone else tried it? Also did anyone else expeirence intense nausea?? It really is amazing, especially with my hydrocodone, but the nausea/dizziness was killing me earlier at work.

I hope you all are having low pain days!

I recently had to use zanaflex (on the job injury) with cervical and mid-thoracic pain and the stuff did wonders to help me sleep at night. It'll make you super drowsy and relaxed for sure. I was prescribed 4mg and learned the hard way that while working I would cut the pill in half and at bed time I would take a whole one.

 

[bruceolee]

Hello everyone I am on oxycodone 10mg 4-6 times a day for herniated disc,ruptured disc,and degenerative disc disease. Anyhow I've been on the oxy and somas for 4 years through my family doc and every 6 months I take a drug screen. Last drug sceen I took cameback negative on all drugs and I was quite surprised. I found out the test he ordered is a 5 panel drug test and doesn't look for oxys but when I brought this to his attention he said that opiates should have popped up and that I was wrong.Anyhow he ordered me a gc/ms test but before the results were back(it takes at least a week) my script ran out and they wouldn't refill it.I finally got them to fill it but now he's kicking me out and wants me to go to pain management. Is this common doctors not knowing the tests they are ordering? I've been calling pnmgt docs and all of them are sounding skeptical on why my doctor would stop seeing me after 4 years and a few wouldn't even schedule me. Has anyone else been through anything like this?I'm afraid I'm gonna lose my script even though my doc(that magnanimous prick) is willing to write me one more(wow I get 120 which is a 3 week supply) until I can find an office to take me. I also want to hear the results of this gc/ms test because I want an apology(ill hold my breath) and it sucks when they make you out to be a fiend. Hope I don't get in trouble for moving my post but need to know if anyone else has been treated this way and if I have any recourse! Oh and I just mentioned the tests as being pertinent to my story I want no replys about the tests specifically(did my own research on them)​

I have a funky metabolism that will not show a positive drug test. A drug test usually has several parts to it where they test for opiates in general and if you fail this part most labs won't go on to test for drug confirmation. What I had to do is make my pain doc write on my lab script specifically to test for oxymorphone or in your case oxycodone. Failing the first part is not as uncommon as you think and if I were you I would also request a blood test as well. As dexter will tell you "blood doesn't lie"

 

[namnoc16]

My doctor has to keep rotating my muscle relaxers because I build a tolerance to them so quick. I go from soma to flexiril to tizanidine and back again. But recently my insurance company called me and told me I need to be on tizanidine and I should also be on either morphine or oxycontin not my oxycodone or other muscle relaxers. I found out they(insurance company) have a contract with zanaflex and I was wondering is it legal for your insurance company to tell you what meds you should be on? They aren't doctors they are middle men,right? Needless to say they won't cover my other muscle relaxers and only cover every 3rd script of oxycodone. Oxycodone metabolizes into oxy morphine.

 

[namnoc16]

I have a funky metabolism that will not show a positive drug test. A drug test usually has several parts to it where they test for opiates in general and if you fail this part most labs won't go on to test for drug confirmation. What I had to do is make my pain doc write on my lab script specifically to test for oxymorphone or in your case oxycodone. Failing the first part is not as uncommon as you think and if I were you I would also request a blood test as well. As dexter will tell you "blood doesn't lie"

Well he did a gc/ms test(after the 5 panel test) and he wrote oxycodone/oxymorphone but he didn't have results back before my script was up(test takes awhile to come back,like a week) I've already been referred to pm doctor and seen him! Please don't post any specifics about test(I know them looked them up) because it's against the rules and don't want you to get in trouble,or me!Oxycodone metabolizes into oxymorphone like heroin metabolizes into morphine.It's amazing but I probably learned more about the tests then my doctors know.

 

[Runtoparadise]

personally I would avoid the methadone for the exact reasons u mentioned. If u went the 'done route that'll be in your records and u know they don't care if it's for pain or if u were shooting 5 bundles a day and were using it for maintanence. It'll be over for u, medicine wise anyway. You'll never see a script again. U think your treated poorly now, imagine with the big 'done staring every er dr, pharmacist, psychologist, shit even podiatrist in the face when they look at your chart. It's so damned tough for us cpps man, idk what to tell u really that's one hell of a quandary u got there. Have u tried that opana shit? I've yet to even see it, would u be able to talk to ur dr about that or would that just be more red flags? Wow man that really sucks bro, it's unreal all the shit we have to take into account when just thinking about even just talking to drs about a med adjustment. It's really unfair...

I'm in Australia, Opana's not available here. I've been on Tapentadol, fent patches, hydromorph ER & IR, morphine... But oxys always been the better analgesic option.

However, even self medicating it's really not doing the job any longer.

Completely agree with your view, that's why I've so far rejected any thought or offer to get onto methadone. Fucking fear of being scrutinised & judged.

As a cpp though, the thought that once on a stable dose never having to adjust the mgs due to methadones mechanism of action is tempting.

I'm planning on having a lot of years left, so, yeah, it's a difficult situation :/

Rtp

 

[namnoc16]

Is tapentadol available there? It affects the same receptors(mu) as opana and is effective in treating pain. I had it but I had bad side affect where I couldn't keep my eyes open on it. I'd nod but usually opiates/opiods have opposite effect on me.Anyway I have a friend on it and he thinks it's miracle drug it crosses the blood brain barrier but very minimally,more about pain relief then high.
Sorry should have made it clear talking to runtoparadise!

 

[tnvol44]

JEB YOUR statement was abuse to everyone in chronic acute pain.You have no understanding of what it means and how hellish chronic pain can be.You're a troll and that's all,you have nothing to offer but tend to go on a pain management thread and say pain is just a word.It's a fine line for some to deal with unrelenting pain that destroys your life and takes any thought of happiness or joy from your day for years.I don't mind freedom of speech,Jeb,I would fight for your right to it the same as my own.Just because we have freedom of speech doesn't mean making dumbass comments will gain you applause for you enacting your right.My pappy used to tell me if I didn't have anything useful to say to keep my mouth shut.I've always learned more from listening and I haven't learned a whole lot from talking about things I knew nothing of.I never threatened to beat you with a bat it was just your understanding that I would.That being said,grow up,expand your mind,learn some things,and be a better person,life is short and understanding and caring for your fellow man will always be rewarded.

 

[namnoc16]

People you are giving this fucking dildo jeb way to much power don't even acknowledge this dickhead! You are letting him hijack the thread.I have put him on ignore but still he pops up vicariously through everyone else. Fuck him he's a piece of pickled shit don't respond and hit ignore!

 

[tnvol44]

DixiChik that's a great statement,it's all on point,and I recognize your feelings as they are very familiar to me.I wish everyone could stand in the shoes of someone with chronic pain for a week.I would give anything to not be in constant pain,so many doors would be open for me right now.Sometimes it is a battle to not just walk in front of a bus.I am sorry you go threw this too but am grateful that I know someone going threw the same thing as myself!