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Opioids Dangerous RX Drug Combos

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Are you in a position so that she does not administer and store the drugs herself?

Patches or timed release opioids will be best since at the correct dose they're hard to abuse, whilst providing a therapeutic dose of the acquired pain relief.

As for the benzo's it's best to stick to Diazepam and not Xanax since Diazepam isn't as potent but much longer lasting so you wouldn't really need to take more than 1 dose in a day, meaning they can be kept and administered by somebody else.
 
If what you are looking for is pain relief without the use of opiates or benzos I guess Gabapentin or Lyrica are the best things to try (I won't be surprised if she already on 1 of the 2). They are not highly abused and they have a much lower risk for dependence/addiction than opiates/benzos. Some people do use them recreationally, though, just not anywhere near as bad as opiates/benzos. But you can't expect them to be replacements to those meds, there really is not replacing them, except maybe barbituates for benzos (no doctor will suggest or prescribe that anyhow, since benzos basically replaced barbs because they have a lower OD risk).

In your mom's situation she obviously has issues with addiction so its going to be hard for her to have an abundant amount of these strong medications (that is opiates/benzos to not confuse here) and not abuse them. Thing is, if she cannot live without them the best option I can think of is having someone (you?) be in full control of her medications and when she gets them. If she truly needs the medication to live a life with a tolerable level of pain, then I wouldn't put so much pressure on her to eliminate them from her life.
 
We have been holding onto her meds since she was in the hospital, but we live an hour away, so it's kinda been a pain to give them to her, and it really isn't a long term option. She is currently taking 2mg of valium THREE times a day, is that ok? She only has two more days of it and then she is supposed to be done with it all together anyway...
Is there a certain antidepressant or non-narcotic anxiety med that will help her with her depression/anxiety better than others...I know there are certain ones to take for meth addicts, but I am unsure of what opiate/benzo users find beneficial.
The problem we have with her fentenyl patches are again, she abuses them. She may have one on, she may have three on, you just never know. She od'ed about 5 years ago on them, the paramedics pulled 16 of the dang things off of her...we just want her off the narcotics period. She wants off of them, she came to us for help to get her off of them, I am just at a loss of how to help at this point. All I can do is get her off of them, I don't know how to help with the side effects of being off of them.
 
And as far as her pain goes, even on massive amounts of xanax, viciden, soma, and the fentenyl she was still in unbelievable pain, so they we not helping with that anymore...she is going to look into physical therapy. I am hoping her just getting out of bed and moving around will help with the pain, as she stays in bed 85% of her day and I am thinking that is part of the problem.
 
2mg of Diazepam three times a day is perfectly fine. That's a very small amount.

To be honest, I don't see how much can be done. If she's in THAT amount of pain, then she's going to have to have very strong painkillers to combat the pain. If she chooses to abuse her painkillers then that's her own fault. Let her ride out the remaining days in agony without painkillers.

I hate to say it, but I have no sympathy for those who abuse painkillers for fun when they're in that amount of pain.

There's no other solution here IMO.
 
so there isn't an antidepressant or an anti anxiety drug that is non narcotic that seems to help benzo/opiate users more than the rest?
 
Subutex or methadone sound like they might be reasonable options. Both are quite effective painkillers and have very long half lives so would only need to be taken once daily (the same reason they are used for opioid replacement/addiction therapy).
 
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