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

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To anyone using Oxycontin CR (controlled release, same as ER) and you are taking them whole as directed, before you give up on them because of tolerance or the pills are found to not be broken down by your body you need to get some razor blades and cut the pills into thin slivers or slices and eat it like that...you WILL find a difference. This is why I recommend especially if in Australia you buy the Sandoz generics because they crush to a powder....much quicker absorption when taken as a powder. IR oxycodone will jack up your tolerance so try to limit taking them. In addition....to get more out of your ER/CR meds take a little IR dose about 15mins after your oxycontin dose and it works as a great "kicker". Keep in mind all my methods for pill tampering will ultimately jack up your tolerance but it will also mean your prescribed dose won't need increasing for a few more months. Everyone's a bit different but these techniques do work.
 
fk sakes, jus gambled away all my cash. swear, anyone with addictive tendencies should check themselves when it comes to games of chance. gonna have to pick up extra shifts and hustle hard to afford next script (and the working makes the pain worse). it's a cycle. i really gots to stop gambling. I can get by on my incomes but not when i gamble like this.

anyway managed to get some gabapentin 300 mgs, hopefully these will allow me to reduce my oxy intake.
 
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Whosajiggawaaa said:
fk sakes, jus gambled away all my cash. swear, anyone with addictive tendencies should check themselves when it comes to games of chance. gonna have to pick up extra shifts and hustle hard to afford next script (and the working makes the pain worse). it's a cycle. i really gots to stop gambling. I can get by on my incomes but not when i gamble like this.

anyway managed to get some gabapentin 300 mgs, hopefully these will allow me to reduce my oxy intake.
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Its tough, in this game of chronic pain. I do find joy in the little things. I'm sorry you lost money, but I understand the need for small victories. I know I should take my meds as prescribed, and I always had, until recently. And I ask myself, is it bad to enjoy taking my meds? I know it's the beginning of a slippery slope, though. But I know I can stop when I need to; always have, and have never run out. But it freaks my husband out. But I can't bear to be in horrible pain ALL the time...

Its hot as balls here today, so ice cream sandwiches for everyone!
 
Whosajiggawaaa said:
fk sakes, jus gambled away all my cash. swear, anyone with addictive tendencies should check themselves when it comes to games of chance. gonna have to pick up extra shifts and hustle hard to afford next script (and the working makes the pain worse). it's a cycle. i really gots to stop gambling. I can get by on my incomes but not when i gamble like this.

anyway managed to get some gabapentin 300 mgs, hopefully these will allow me to reduce my oxy intake.
Click to expand...

The Gabapentin will help as a add on medication and also when it's time to withdrawal they help as well. I just got a fresh 90, 300mg capsules, so I'm going to apply them to my situation. I sorta burned through my Percocet 5/325 IR's not on purpose, but pain management control. Fortunately I've learned from past mistakes and managed to hold onto enough to get me to next doctor appointment.
Point is, I'm going to be relying heavily on the Gabapentin to fill in for the 5/325's. If there is anything to report back, I'll post on this board.
 
I can't bear the 24/7 pain, either. It's a catch 22, since opiates prescribed hurt my mutilated GI system even more. MORE for me is not better, because it's difficult to tolerate even the prescribed dosing.

I'm seriously interested in experimenting with Cannabis for pain. Several folks have said this helps their Crohn's pain. I don't have Crohn's, but I do have Endometriosis (stage 4). It's a bitch of a disease with no hope of death as relief. I don't think I could smoke the stuff, but I'd like to try the tincture/oil with 1:1 CBD/THC ratio. I have to gain access to product before I can even "try" it. Something's gotta give before I GIVE UP.

It's HOT HERE too, Anna, but cooler temps are in the forecast. I once adored FALL, but I've lost all zest for life.
 
Hello Dixi, I feel for you. Do you think powdering up your med and say putting it in a drink and drinking it might help?
Second, I had a pain doctor tell me that cannabis mixed with pain pills is a 1+1=5 situation. I have absolutely no idea why I have not tried this myself. I just haven't had the correct connection ;). Anyway best of luck with the oil. I'm sure you would love it.
Somewhere on Bluelight, I'm sure you can find instructions to make your own hypothetical tincture/oil. Keep us posted.
 
Thanks, SK...My insides are mutilated, literally. This disease is wicked-EVIL, even 21 years after removal of uterus/ovaries. The opiates ramp up an already "potentially life-threatening" constipation issue. Yes, I have all the "methods" for BM that I alternate regularly (no pun intended) but opiates just SHUT me down. There are new meds for OIC (Movantik?) but very expensive. MOST PEOPLE can remedy the opiate-induced constipation. I'm NOT most people. My GI is altered drastically.

I'm researching the CBD oil, which I think is available in my state, but the THC isn't. That's why I'd like to try to make my own. I just can't find the ingredients I need. I'm told that a smidge of THC is helpful with depression, which is a constant companion of CP. Fucking shame, IMO.
 
Personally, I find the right strain of THC to be extremely helpful. I can only smoke a little bit right after my monthly urine test, though. Hopefully, my pain place will allow for medical Mary Jane soon.

Dixie, I feel for you. I take Senna Plus EVERY day, or I'm up shit's creek...not literally. And then my husband jokes that I'm full of shit. Humor! Have to try! Dixie, have you ever tried acupuncture for pain? It's expensive, but I've always found it useful. My insurance covers some, and when I was pregnant, I went to an Acupuncture clinic where students had to do X hours for their certification, and it was cheaper.

wish I could send you a lemon slushy. Is it always about food? Yes. Yes it is.
 
My husband enjoys telling me the SAME thing! He's right...and right.:p

As stated, I alternate methods to move bowels. Right now I'm using MiraLax twice daily, Senna and Dulcolax, enough for an explosive device. My tummy is so distended and painful RIGHT NOW, even though bowels finally moved today. I'm certain the residual disease is CHOKING my intestines. My body forms adhesions to stop the bleeding lesions. Yes, I've been basically "gutted" through 3 surgeries followed by chemotherapy.

Oh, Anna...I've tried ALL modalities (sans acupuncture) for pain relief, as I've been at this for fucking decades. I do get myofascial release massages, which have often been helpful. Those, sadly, have become too painful. It's SO BAD, I can't even endure a pelvic/rectal exam without anesthesia.

My pain specialist hasn't urine tested me (ever) in almost 2 years. He asked when he met me "HTF have you survived without opiates for all these years?" See, that's the problem...MJ isn't "legal" here. I'm not exactly rolling dirty @ 54 (or any other age for that matter...NEVER EVER used recreational drugs (sans JD/CR). I don't have the connections to even try Cannabis.

As I've said repeatedly...I don't need to get "high". I need to get "up" without feeling the need to stifle primal screams of AGONY.

Sux.
 
CfZrx- I have a connect for mj. He also makes "gummies" where he extracts all THC and leaves the pain killing properties of the MJ intact. They have been very helpful to me. He also makes amazing edibles with the THC. I tried one and had the best night of pain free sleep since my surgery in 2012 so it definitely helps me but my PM doc doesn't allow mj usage so I have to only use edibles right after my PM appt
 
*sigh* I've been a cannabis smoker for over 20 years, sadly as much as it helps with sleep, nausea, constipation and colds and flu it actually exacerbates by pain, both neuropathic and general pain. I used to think it helped pain but alas not for me. Dixi I reckon with your gut/bowel issues cannabis is definitely worth a try absolutely. For pain generally the indica strains are said to be best. I happen to be friends with a very famous/infamous cannabis breeder who many who are into their cannabis history would know, you would think I could find a strain that helps me. Admittedly THC extractions and hash are alot better for me pain wise but still not effective enough for me to say Yes this works well. But plenty of others have success.
 
Dixi, THC free cbd oil is made from hemp and 50 state legal. It is not cheap, but worth a try none the less. Just type CBD oil into your search engine, and what you need to know will follow. Personally/ theoretically, I'd find some decent MJ, but if you want, give the CBD a go. You can find it in head shops, but much better/cheaper online.
 
SMFH...SKR, wishing I could be friends with your friend! :( Yes, I think it's definitely worth a try at this point. I have no green grocer at my disposal. SK...Yep, I know the CBD oil is legal. My husband has some of that ordered for me. I'm afraid that without the THC as mood lift, it won't bring significant relief. Agreed (theoretically) I need to find some MJ that is the Indica strain from someone I can trust. Easier said than done, tho.
 
Jlosnow said:
CfZrx- I have a connect for mj. He also makes "gummies" where he extracts all THC and leaves the pain killing properties of the MJ intact. They have been very helpful to me. He also makes amazing edibles with the THC. I tried one and had the best night of pain free sleep since my surgery in 2012 so it definitely helps me but my PM doc doesn't allow mj usage so I have to only use edibles right after my PM appt
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your pm doesnt allow weed? Wtf? talk about a crappy doc ffs.
 
Jlosnow said:
Hi all, been trying different things to make my meds more effective: tagamet, tums, plugging my meds, etc but plugging doesn't seem to do anything and I have tried it three times with no relief. Maybe I am doing it wrong or maybe my tolerance is just well past my dosage even if taken rectally. :(

I wish my doc would switch me to oxy IR and ER to give my body a change, maybe that would work better since I have been on ms contin 30 and hydro 10/325 for 3 years. I don't know what to do, I am tempted to try to go score some oxy off the street to try it but afraid of getting in trouble. I feel so helpless, I have this pain to live with for the rest of my life, how am I going to live like this??? :(
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Are you timing your plug right after your done pooping for a long stretch of the day? And enema several times b4?? 60 mg always fucked me up :)
 
Jlosnow...I'm glad you have access to the edibles, and that they work to give you relief. I wish I could be so lucky to have a "connect". Lord knows I've tried EVERYTHING ELSE through PM. He doesn't test my urine, so I'd be okay to try some MMJ if I can get it.
 
In my dreams, SK...It's difficult for me to make the 1 hour round trip to my PM doctor. I'm in rural MS, so Colorado is MANY states away. It's just not geographically possible. A surgeon specializing in Endometriosis is reviewing my surgical records. He will determine if additional surgery is indicated.

HUGE FEAR: I awaken with resected colon and permanent colostomy bag. I don't think I can handle that very real possibility. That surgery would take place in St. Louis, MO which is 6.5 hours away. I honestly don't know how I'd survive the commute, much less a 4/5th major surgery.

I fantasize about even a brief escape from the gut/bone wrenching pain I endure. It never comes to pass.
 
Dixi, have you ever used fentanyl? That is probably my favorite opioid. Best when IV'ed and mixed with IV midazolam. You won't feel shit! At least that's how it was in my case. 150mcg fentanyl IV is strong. I'm just trying to help. Seriously, high dose fentanyl is the best, IMO.
 
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