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Opioids In a great deal of pain, please help

M

mogwais

Greenlighter
Joined
Mar 22, 2011
Messages
29
Alright, so I've had quite a few dental problems due to genetics and acid reflux... So much so that by the age of 21 I had to have all my upper teeth cut out and now I wear dentures =\. I sort of have a low threshold for pain so needless to say this ended up hurting pretty bad. Now I've got an infected tooth that's being pushed on by an impacted wisdom tooth coming in. It's fucking killing me. The pain from this alone is so much more than any of the pain from my operation.

Luckily they gave me some meds for pain. Hydrocodone 7.5mg. Nothing too intense, I know.. But I'm a weirdo now in that a lot of drugs seem to induce anxiety. I've heard people say that HCs actually relieve their anxiety but it seems to increase mine significantly. It's almost as if I can't help but try to resist it '_- which we all know how that goes..

A bit ago I took one because the pain was unbearable, even though I was pretty nervous about doing it. I've got the irrational idea that it will somehow work out badly for me though =\. I think it stems from the fact that it alters my breathing and that bothers me. Obviously there are no ways to stop the breathing issue, and obviously the only way to truly get familiar and shit with these pills would be to build a tolerance but I personally don't like most prescription meds >.>', so I don't plan on using it more than I have to.

I understand this is a lame question and that it shouldn't be bothering me. Normally I'd probably be best off just not using them at all but honestly I'm in so much pain I NEED something, and NOTHING (ibuprophen, oragel, clove oil, ect..) else has helped me. Can anybody offer any advice for relieving my anxiety I'm getting from this drug? I would really appreciate it.

Does anybody else get anxiety from them? What do you do, if anything, to alleviate it? So far the only thing I do is try my best to take my mind off it (which is hard) and I also end up chain smoking cigarettes, which I'm willing to bet is counterproductive but it really feels like it helps.

edit-
May as well mention. It makes my palms sweaty/tingly too and this bothers me. I'm honestly not 100% if it's the HC or if it's the anxiety causing this o.O'.
 
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TAKE YOUR MEDS!!!

there is no reason for you to EVER be in pain, we have medicine now, we dont live in medevil times.
My docters in milwaukee always told me this and took good care of me during my operations, I dont know where your going but if your in as much pain as you say you are hydrocodone is deffinatly not going to cut it.

I would suggest both IR & ER morphine for you, talk to your doc about your pain & what your taking.
 
I don't have insurance so my mom is helping me as much as she can right now. I'd like to go to the ER and get more treatment but there's no way I could afford going. It seems I'm going to need another surgery so I've gotta save as much money as I can for that =\. I was worried that these wouldn't cut it though, but was hoping with my low tolerance I could take a somewhat high dose (maybe 15mg?) and that would do the trick for the pain. But as it stands with my anxiety issue, I can't bring myself to go through 15mg yet
 
mogwais said:
I don't have insurance so my mom is helping me as much as she can right now. I'd like to go to the ER and get more treatment but there's no way I could afford going. It seems I'm going to need another surgery so I've gotta save as much money as I can for that =\. I was worried that these wouldn't cut it though, but was hoping with my low tolerance I could take a somewhat high dose (maybe 15mg?) and that would do the trick for the pain. But as it stands with my anxiety issue, I can't bring myself to go through 15mg yet
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Call your doc and tell them your situation? & that your medicine isnt taking away the pain
 
habboz said:
TAKE YOUR MEDS!!!

there is no reason for you to EVER be in pain, we have medicine now, we dont live in medevil times.
My docters in milwaukee always told me this and took good care of me during my operations, I dont know where your going but if your in as much pain as you say you are hydrocodone is deffinatly not going to cut it.

I would suggest both IR & ER morphine for you, talk to your doc about your pain & what your taking.
Click to expand...

Uh what? He has an incredibly low tolerance to opiates. Hydrocodone is fine. He also is clearly asking to help get rid of the anxiety the drug causes him, not pain.
 
habboz said:
Call your doc and tell them your situation? & that your medicine isnt taking away the pain
Click to expand...

Prior to them prescribing I discussed it with them and told them that I would rather take something else. They told me this was the best they could do =S. I'd usually just say fuck it and go to another dentist, but this is the only place around here that is affordable without insurance.
 
trippytrojan said:
Uh what? He has an incredibly low tolerance to opiates. Hydrocodone is fine. He also is clearly asking to help get rid of the anxiety the drug causes him, not pain.
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He needs to talk to his docter not a message board then about changing his meds ( which i suggested)

and fyi hydrocodone is pretty much the same strength as morphine orally smart one
 
You should be taking antibiotics concurrently. If you are not, go to the doctor and get some! Penicillin is literally less than the cost of the pharmacy filling fee these days and may prevent you from dying of e.g. septic shock.

That said, 7.5mg of hydrocodone is very little. I suggest having a warm bath or shower, putting some relaxing music on, and trying your best to relax. I know how irritating it can be to have an inflamed tooth, but the hydrocodone will help more if you don't get all wound up. The anxirty will diminish over time as your body gets used to the drug. The worst that can happen is you'll make yourself dizzy or sick if you take too much hydrocodone - you're in no risk of stopping breathing at doses like that.

A great oral painkiller i have found to work well is cloves or clove oil. it smells nice too.

Oh - chain smoking is the most counterproductive thing you can do if you have anxirty issues.
 
Sounds like some solid advice and I'll try to apply it. And yeah I'm taking an anti-biotic too.

I don't know a lot about dosages when it comes to this stuff. Assuming that I get anxiety somewhat under control, what do you all think would be an appropriate dose? I just want to get rid of the pain as much as I reasonably can while not fucking myself up so much that I can't sit around and play some video games (rather not get sick haha). I'm hoping to figure out a good dose for tonight so I can get rid of the pain enough enjoy myself and maybe enjoy the buzz tonight. For what it's worth, I'll be smoking marijuana tonight as well, but only a little bit. I also only weight 130 lbs and these contain around 600mg acetaminophen.

And if I may ask, what about potentiation?

I know alcohol + HC/acetaminophen is frowned on by doctors (but it seems like every drug mixture is with them, so it's hard to take warnings seriously sometimes haha). I drink pretty often however I still have a low tolerance to the stuff. I was thinking maybe two or three shots on top of the pills to help with anxiety and maybe have fun. Would this be unsafe? Would this further slow my breathing?

And what about diphenhydramamine? I've actually heard doctors have recommended this. Would say 25mg + one 7.5mg HC pill be a good idea? Does it more enhance the "fucked upness" or does it significantly enhance pain relief too (I would assume the two go hand in hand but I'm just making sure). I'll admit I sort of have a bad history with DPH so I'd prefer to avoid it.. but since I'm so broke I'll have to tolerate this pain for a while so being able to stretch out my meds would be awesome. 25mg DPH doesn't make me sleepy, but would it probably knock me out when mixed with HC? Also, would this further slower my breathing?
 
Diphenhydramine is an excellent potentiator for pain relief. 25mg + 7.5mg hydrocodone, and marijuana on top, will leave you feeling much better.

You could even take another hydrocodone (or a half) bringing it to 15mg (or 10mg) if you feel comfortable at 7.5mg, or need a longer duration of action. 7.5mg hydrocodone is apparently equivalent to 5mg oxycodone in pain relieving power - not a ton, just enough for pain relief.

In general you shouldn't be worrying about respiratory depression until you exceed the normal theraputic dosages of opiates (for a naive user, generally more than 10-20mg of IV morphine equivalent - in your case about 20-40mg hydrocodone). Sickness, dizziness, and malaise will set in long before your breathing slows, and your gasp reflex will remain in place unless you are really doped out.

The best advice I can give you is to take a small amount of diphenhydramine alongside (or half an hour befo\re) your opiate, have a relaxing environment, and try to enjoy yourself. The anxiety should melt away :)
 
Yeah I decided against alcohol and DPH. Maybe once I get a better hold on my anxiety.

I'm on only 7.5mg but I have a steady buzz from it. Certainly rocking some anxiety though >.<'. My mind is fucking lame sometimes and I really get frustrated with it. I KNOW I'm okay, but I keep feeling like I'm not. I know of the danger signs when using opiates and I seem to convince myself that I'm experiencing them when I'm really not because they go away as soon as I stop thinking about it. Meh, anxiety sucks pretty bad, but I'm working on CBT to try to get over it because it's starting to really affect my life =(. I'm doing whatever I can to avoid anxiety meds though because I like the idea of developing the skills to cope myself, I think they're dangerous when relied on for periods of time... and well.. Because I'm so bad with panic that even that shit would probably cause me anxiety.

Haha, I feel lame as fuck rambling over such a trivial matter to a bunch of people who are familiar/experienced with this drugs and others like it. But it helps, so whatever
 
mogwais said:
Yeah I decided against alcohol and DPH. Maybe once I get a better hold on my anxiety.

I'm on only 7.5mg but I have a steady buzz from it. Certainly rocking some anxiety though >.<'. My mind is fucking lame sometimes and I really get frustrated with it. I KNOW I'm okay, but I keep feeling like I'm not. I know of the danger signs when using opiates and I seem to convince myself that I'm experiencing them when I'm really not because they go away as soon as I stop thinking about it. Meh, anxiety sucks pretty bad, but I'm working on CBT to try to get over it because it's starting to really affect my life =(. I'm doing whatever I can to avoid anxiety meds though because I like the idea of developing the skills to cope myself, I think they're dangerous when relied on for periods of time... and well.. Because I'm so bad with panic that even that shit would probably cause me anxiety.

Haha, I feel lame as fuck rambling over such a trivial matter to a bunch of people who are familiar/experienced with this drugs and others like it. But it helps, so whatever
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I remember when I was first prescibed Vicodin in the early 80's I would lay in bed at night thinking of a hundred things I would never have w/o it (definatley stimulating) but I never let it turn (into) anxiety...you know it's all in yer' head, now think of a way to lock it out.
 
Just ask the doc if he can add 2-5mg of Diazepam to the regimen and that should do the trick for the anxiety.
 
sekio said:
In general you shouldn't be worrying about respiratory depression until you exceed the normal theraputic dosages of opiates (for a naive user, generally more than 10-20mg of IV morphine equivalent - in your case about 20-40mg hydrocodone). Sickness, dizziness, and malaise will set in long before your breathing slows, and your gasp reflex will remain in place unless you are really doped out.
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Just caught this part. Hm, so if I'm understanding correctly, 20-40mg could be a potentially dangerous dosage? I was thinking about doing 15mg since I took 7.5 earlier and hardly felt anything o.O (which is very strange since it did quite a bit the night before). All it did was offer a tiny bit of pain relief and made me tired. But if 20mg would be potentially dangerous, I'm not sure I wanna get within 5mgs just for ease of mind.

Or am I misunderstanding and you mean 20-40mg hydrocodone via IV?
 
try taking half. If you still have a problem im sure if you call your doc he'd have no problem writing a script for say 5 2mg diazepams. Its a very very low dose and it can help with the side effects. Just tell them the hydro is causing panic and you need something else. not something stronger, just something different...
 
andrew.wiggin said:
Learn meditation. It helps with the pain threshold, also with anxiety. You won't feel results immediatly but I'd say that after one month or two with a daily practice of 20-40mins you'll start noticing changes.

http://www.youtube.com/watch?v=3H5Jufpm8sk
http://www.youtube.com/watch?v=kaNO09cPS6c&feature=relmfu
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do you have any idea how difficult it is for someone new to meditation to do 40 sustained minutes, it's just not going to happen man lol. I doubt many people who are new to meditation, learning how to meditate and what it is, they arent gunna have the will to sit there quietning their mind for 40 minutes. I agree awesomely effective though.
 
I believe he meant that the 20-40mg range was getting into the "dangerous" area when mixed with the Diphenhydramine/alcohol. The worst you can expect on 15mg is maaaaaaybe a little nausea, nothing dangerous at all. I think another half of a 7.5 will be just fine for you, once you take that and get your mind at ease try taking the other half.
 
What I meant is that 20-40mg is where side effects such as nausea, dizziness, confusion etc set in for most people who don't have a tolerance. I didn't mean it as in "your breathing will stop on 20mg hydrocodone" - I meant it as "if you push your dosages this high, be warned you may get nauseous." Do note that alcohol will generally make nausea and respiraroey depression worse, while diphenhydramine will alleviate itching and nausea without depressing breathing rate very much at all. (Diphenhydramine will make you more sleepy though.)

Some people are very susceptible to opioid nausea; others seem to have no problem even on big doses. Personal physiology is a big determiner.
 
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