BeachBum4u
Bluelighter
For me it has to be oxymorphone then oxycodone and luckily (and by the grace of God, there go I) I'm currently prescribed them. I have to admit I've never tried dilaudid or H before, so for the time being, that's it.
morphine for parentheral use is the true and real opiate, and this comes from a heavy oxy addict back in the day.With no tolerance, a 2mg line of subutex has me in ducking heaven. Better than smack in my opinion and I love smack.
Also of note are dhc (my first love) and methadone and oral morphine (in the 100mg ER tabs chewed, the itchy, fluffy buzz lasts aaages!)
I’m a chronic pain sufferer, I’m young and I will need opioids for the rest of my life. They are a medication I will never abuse because they will be something I will need badly in later years as my condition is degenerative.
You know I actually have been looking into that within the last few months. To be honest though, I’m really good with managing my tolerance. I take my own tolerance breaks without drs guidance and just move myself back to cocodamol for a few weeks which is codeine and paracetamol. It can be a bitch because I have more pain but it’s meant that I’m on a really low dose of tapentadol for my issues. People who have my condition and have the same dislocations as me are already on fentanyl lollies and I sure as shit don’t want to be getting to that stage for a long time yet.@PrincessDiz Did you ever try NMDA antagonists? Specially when you're young and got to take the meds for life, anything which helps to limit tolerance development, withdrawal and increase efficacy might be worth a try
I like the acute effects of morphine, when taken without tolerance or increasing dose but don't like how it feels on the long term.
If we assume that the pain killing features of opioids against mental and physical pain share the same mechanism (!= euphoria) and your origin of pain isn't something that increases steadily like a tumor then nmda antags might at least heavily extend that period of time. I know too little about the mechanisms of physical pain, but they seem to be able to prevent or even reverse pain memory so a combo with something anti-inflammatory sounds promising to me.People who have my condition and have the same dislocations as me are already on fentanyl lollies and I sure as shit don’t want to be getting to that stage for a long time yet.
I already commented on the LDN thread I think it’s definitely something I’m gonna mention to my dr.If we assume that the pain killing features of opioids against mental and physical pain share the same mechanism (!= euphoria) and your origin of pain isn't something that increases steadily like a tumor then nmda antags might at least heavily extend that period of time. I know too little about the mechanisms of physical pain, but they seem to be able to prevent or even reverse pain memory so a combo with something anti-inflammatory sounds promising to me.
Nmda antags don't come without a price, I'm completely researching about their long term effects in regard to receptor upregulation but as the dosages required against pain are very low, way below what K addicts use for example, things don't look that bad. The most side effects will be initial, pain relief is instant but they can induce confusion, motor impairment etc. which fade away after some time.
Another thing you might already have read about is ultra low dose naltrexone, in the range of maybe 1mg. There are some good reports and publications about and it doesn't interfere with opioids like higher doses do.