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dilaudid help

nolagirl

Bluelighter
Joined
Oct 22, 1999
Messages
25
Location
New Orleans, LA USA
Hey all, it's been a long time since I posted, it's good to be back. I am in somewhat of a quandry. I have been in severe pain since September, and have had numerous surguries and see a new specialist every 3 weeks or so, but my family doctor always writes my scripts and yells at me for not treating my pain. I started off with the 4mg dilaudids, and have now advanced to taking 2 8mg every 4 hours for pain and it's not cutting it. I want a diffrent pain medication, that will actually get rid of the constant pain as well as have some fun effects on my being, but do not know what to ask for that would be stronger than all the freaking dilaudid I have to take. Since I know my doctor will wite whatever I want (as I have a valid reason, and he wants me to treat the pain). So what should I ask him for and what dosage and strength? He writes me 120 8 mg dilaudids per week, they'er just not working for me anymore? Is my tolerance just too high? Oh, and I haven't been taking them since September, I have been taking them for 2 weeks and not taking them for 3 hell filled painful weeks since February, as I have a fear of addiction, but I just can't take the pain anymore, and am tired of being poked at by one specialist after the other.
 
He'll write you any script you want?!!
Okay. Sure. Then ask him for 30, hell, why not make it 100 Oxycontin-160 a week. If he has "reservations" about prescribing such a powehouse, maybe settle for 100 Oxycontin-80 a week. I believe it would help you. If not, you could always IV your dilaudid, but then you might have more serious problems than your pain to worry about.
So demand an oxycontin script. then take all those extra dilaudids you're getting and sell them. You could make over $2000 a week selling off those dillies.
best wishes. and kill that pain. fast!
 
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lol, ari is jealous
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you could ask him for fenatyl patches, or numorphan suppositories (generic name oxymorphone). i would go with the fenatyl patches, as one of them lasts a couple of days. the oxymorphone is really strong...
 
You need to see a pain specialist..
Off hand - if you get NO RELIEF from 16mg Dilaudid, then you need to look into something such as OxyContin or MS Contin, the Duragesic patches may help... still, you might be headed for a morphine pump or something injectable ..
As a fellow CP'er (not even close to where you're at, I feel for you) - whats wrong?
Yes, I would keep the Dilaudid comming - an 8mg pills sells for $50...
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PACK.MY.BEAK
 
Mt reccomendation is Oxymorphone-Numorphan
Now you can read my story and what i do about my serious pain.
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I have a severe back injury, where i fell 7 feet straight on my back, it turned purple, and i couldnt walk for about a month and a week or so, at the time i was given percocets.
Back then, i had no tollerance, so i got real relief from just a few, now of course my back has gotten worse (cant do much now physically but cry scream and make faces)
I have to snort up to 70-80mg of oxycodone from the 80mg Contins at a time, and that actually helps, just now i have a huge tollerance as well. It has been the most effective thing ive had so far and per pill, you get a lot if you have no tollerance.
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My reccomendation for you if oral dilaudid doesnt work is to first inject it in a smaller amount, yes inject it this isnt junkie country your using them anyway you might as well get real relief from them.
oral dilaudid isnt too strong compared to IV, and you might end up with a PICC line anyway (permanent injection site so you dont make holes in your veins all day) so why not see if it will help?
I know your doc knows that IV works a lot better and is instant and more efficent so its not like your abusing it.
If you want a new med i say ask him specifically about OXYMORPHONE, better known as NUMORPH, this shit is so strong heroin looks like codeine, so ask about it and i guarantee it will help you.
Numorph must be injected as far as i know but you will be given a special IV with a port you inject into so you dont use veins, this way you pop in the syringe painlessly and inject and get instant relief.
I think oral is NOT the way you should be taking pain medication for something this bad, it needs to be INSTANT, you dont have to wait more than a minute and its gone.
With oral you wait an hour, and with me and my chrones disease (severe stomache pain and puking all day, to go with my severe back pain), i also would be puking at the time most likely, so i cant take oral shit anyway. Hows this for absurd, i cant take pills when i get sick so they give me my vomit meds in pill form, DUH get with it doc.
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My AIM: TheTripDoctor
[This message has been edited by TheTripDoctor (edited 08 July 2001).]
 
My story? Well about a year and a half ago I was walking across the street, in the crosswalk with the little walking guy, and this van hit me going 25 mph and I put a 4 inch dent into his hood. So off to the hospital I go. After being released from the hospital with vicodins, I was referred to a pain doctor, and a chiropractor, which I went to 3 times a week. So for 4 months I couldn't walk too well and couldn't move my right arm, and I still have a dent in my hip from the impact.
I'm getting very used to the vicodens by now, so I quit taking anything to lower my tolerance. A year goes by off and on vicoden and the suddenly one night I get a pain in my abdomen. I wait, thinking it will go away. My boyfriend makes me go to my doctor who refers me to a surgeon, and low and behold I have 400 cc's of blood in my abdomen from a ruptured cyst. So afterwards they give me tylox, talwin nx and eventaully liquid morphine suspension, as well as my daily xanax (trauma and anxiety from being hit by a van for no apparent reason). A month later I still have stabing pains in my abdomen, they give me more morphine, then decide to take my appendix out, and find abdominal adhesions and take some of those out. Yet I am still in excruciating pain and see my family doc, who gives me the dilaudids, starts out with the 4 mg then to the 8. I've told him they aren't working anymore so I stopped taking them, while I go see every specialist in the book, including massage therapy, physical therapy, accupuncture, pain management, gynocologist (who receommended a total hysterectomy and I'm only 28), and in a few weeks I'll see a gastroenterologist. But my doctor wants me to treat the pain, but I have a big fear of addiction, so he writes the scripts and they lay around the house until I scream and moan and break down and take some. The dilaudid just isn't cutting the pain anymore...
so from the consensus oxymorpone would be the way to go. The last time I saw my doctor he told me to do some research and come to him to tell him what pain management plan I wanted to go on since the dilauid wasn't working anymore. I know he doesn't sound very sophisticated, but he's a small town doctor with a small clinic, hell I make same day appointmnets to see him.
Since IVing dilaudid sounds complicated (I've never shot up, only had the pros at the doctors and hospitals hook me up with IVs.. how would I go about doing this for some pain relief? All of your advice has been great. Thanks so much!!
 
I don't think Oxymorphone is the way to go, as it provides short relife but nothing for chronic pain... it only comes as an injectable and suppository...
Personally, I would go for OxyContin or Duragesic first, keep the Dilaudid on hand for the breakthrough, if the Dilaudid doesn't help, then you could consider a mid to high dose of MSIR.. increase the doses as needed... still, if you're not responsive to 16mg Dilaudid, then you do NOT have an easy road ahead of you.. a morphine pump could be effective as well.. there is a lot out there, but the important thing is that you keep a STEADY LEVEL of the drug in your system, so be it MS Contin, Kadian, OxyContin, or Duragesic..
You say addiction is a worry - if you take your meds ONLY for their intended use, addiction shouldn't be an issue... you will become physically dependant, but thats ok, that is NOT addiction... don't freak if you go without your opiates and experience withdrawal, THIS IS NORMAL and NOT a sign of addiction.. so if you're not getting high, the risk is very small - question, you're in pain, does addiction REALLY matter that much? I know what pain feels like, and if you gave me the choice of "relife with addiction" or "not hooked but suffering" - sorry, I am going for the former.. DEFINITLY do not inject your narcotics as other have suggested, the "rush" can take you down a bad path... I do not understand how you can actually avoid taking narcotics - you lay around untill you're in horrible pain when there ARE drugs available - c'mon, addiction seems like the lesser ofthe two evils IMO..
Your doctor certinly is being cool about this, and I truely hope you find help... e-mail me if you need to talk..
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PACK.MY.BEAK
[This message has been edited by PhreeX (edited 12 July 2001).]
 
I didn't really read everything in the original post...or the replies, b/c I am lazy.
But just to clarify...are you swallowing the Dilly's, or using them the right way?
wink.gif
[IV] <~ Look at the [dork brackets]
 
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Okay. My puter must have been 0wn3d by j3w PhreeX...cuz I read the fuggen thing 8 times...and I still donno where you get that from.
But yes, I do need some hard drugs in me...soon.
biggrin.gif
 
Aww speedy i got a rig ready for you here lol, your coming to the meetup. Anyway, iv is going to be her route because she needs a continuous supply and thats the most efficient, oral morphine is fucking CRAP let me tell you that right now, duragesic i forgot about, that shit is so nice for chronic pain because it lasts over a day and you get a serious dose every hour, DEFINATELY ask about duragesic, as it is quite strong enough to help you a LOT.
I dont know if doctors will accept this as valid treatment, but i have read many studies and thesis about how opiate tollerance is caused by NMDA receptor agonism , and can be demonstrated by using an NMDA antagonist like ketamine with an opiate, and you will notice no tollerance and a MUCH greater pain relief, and this is probably THE strongest way of killing pain while still using opiates as they are the most effective.
If you want to try going drug free which is really what you would rather do if things are not working out well even with countless scripts for things i would die to have for my pain, you might see about physical solutions, they can deaden the nerves causeing you pain and such, all kinds of procedures can actually completely remove the pain and will let you live almost the same as you were before all this.
But in the mean time you need a long acting form of a strong narcotic and i reccomend duragesic fentanyl patches very much as phreex noted, ask for them and i promise if you use them right you will find so much relief.
Talk to me on AIM if you like i am almost always available since my back and stomache problems prevent me from leaving the house much, and in that time i am here, i am ALWAYS siting in my little custom chair in front of the computer, so i always can talk to people about things, i find my disability is actually a blessing as i can now help others when THEY need help and not when i can get around to it, so consider the previous reccomendations and best of luck to you.
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~The Recreational Pharmacist
Fuck Social, Screw you plur fucks, you dont need a forum for "ELMOvsTELLETUBBIES"
AIM: TheTripDoctor
 
Just an idea but if all/most of your pain is in your lower tummy (GYN area) and your back, has your GYN doc checked you for Endometriosis? Your situation sounds similar to mine, minus the van running you over. Anyway I had SEVERE pain in my lower abdomen and back for YEARS and I was told everything from you're just a drug seeker to it's all in your head to well Tylenol SHOULD take away the pain to it DOESN'T hurt THAT bad!!! So after dealing with that shit for about 5+ years, and going through 2 abdominal/GYN surgeries (#1: emergency surgery to remove 5 golf ball sized cysts from my left ovary & #2: to remove SEVERE pelvic adhesions [scar tissue] that completely covered my abdominal cavity from ribs to pelvic bone and partially blocked my bowel) I finally got a GYN doc that knew his stuff!!! Come to find out I have a not so common form of Endo-my Endometrial *implants* are clear, pink and red, which causes it to be very difficult to diagnose unless the doc is extremely well trained in the ins & outs of Endo. At one point I was hooked up to a PCA pump and was dosing myself with 30mgs of Demerol every 10 mins and earlier this year I was on home health care with severe vomitting and pain so I had a PICC line (long term IV) in and got to dose myself with my Zofran, Phenergan and Demerol (up to 250 mgs every 3-4 hours as needed).
Anyway, I've blabbered enough. Just a suggestion for you to think about. And please don't let them do a hysterectomy!!! Because if it is Endo, a hysterectomy IS NOT A CURE no matter what your doc tells you!!!!
Take care~
~Jae~ AIM: JaeNisse
 
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