Doctor Will Not Prescribe Pain Meds

[TeamKronos]

I was diagnosed with Mixed Migraine Syndrome over a year ago and my doctor and me have yet to find a solution that fully helps relieve the problem.
He insists that I should not go on any really strong pain medications, and insists that I should only use things like acetaminophen. This bothers me because I don't think he fully understand the amount of pain I am in. I just need something to help when things get extremely bad.
Edit: The following is in violation of the BLUA and forum rules!

I assume there are some people on Bluelight that have convinced a doctor to prescribe them pain meds, and I would like to know how to do that without sounding like a junkie. (I am not asking for a source, but rather how to get my doctor to do this for a legitimate reason, without setting off some type of "red flag.")

​We do not give advice on how to scam your doctor! Future posts of this nature are subject to deletion and/or infraction. This is a warning.

I appreciate any help that comes my way,
- Respectfully, Kronos

 

[cduggles]

Dear Kronos,
Could you please describe what your chronic, possibly daily headaches are like as opposed to the more migraine-like ones?
Also could you provide the frequency of each type of headache (daily, x times weekly or monthly).

Best, CD

 

[TeamKronos]

Most people describe headaches as throbbing and things along those likes, but for me its almost a constant straight pain with no relief. Almost once a day it peaks to at least a pain of 6/10 or higher. Sometimes I'll get lucky and will go a between 1 and 2 days without one peaking that high.
For the ones that are worse off, its extremely intense, and debilitating to say the least. I don't move or get out of bed when these happen, I lay there and do not move, and they can last for hours. At this point crying is even painful, and it is very hard to continue like this as someone who wants to live a social and healthy lifestyle.
From February of 2016 until April 2017 I had not had a single moment without pain (Yes, you read that right. I was in literal constant pain for over a year.)
To be a little more explicit in how it feels, its like this: The pain can be anywhere in my head (no specific placing), but there is no throbbing. It is a constant ache. It does not feel like pressure, and it isn't dull by any means. While riding in a car, sometimes along the top of my head, it'll burn like your skin against hot water. One of the weird things is that most of the time, I am not extremely sensitive to light. However loud sound is one of the worst things that can happen during one of these episodes.
Kinda strange, right?
From June 25th until July 1st I had the pain peak to at least what I would call an 8.5/10 at least once a day. This make me slightly depressed and I didn't know if I wanted to keep going like that, or if it was worth it. However, I have felt like that before and I knew that I would be able to continue on once the pain had subsided.
I have only ever had one time where I would have called the pain a 10/10. My longest episode of pain above a 6/10 lasted for 4 days straight.
To attend school during these 4 days, I was allowed to lay down in the complete dark in a room next to the main office. This was just so I was not counted as missing, in fear of getting truancy (which I later went to court for.)

 

[cj]

The current atmosphere around opiates makes getting pain relief damn near impossible. Your doctor is covering his ass most likely.

 

[LucidSDreamr]

because of 20 something year old heroin users overdosing on fenanyl at high rates....you can't have pain relief for your chronic illness. Thats what its come to plain and simple.

learn how to get your own pain meds illegally if you want any semblance of dignity and a normal life.

 

[Jabberwocky]

I was diagnosed with Mixed Migraine Syndrome over a year ago and my doctor and me have yet to find a solution that fully helps relieve the problem.
He insists that I should not go on any really strong pain medications, and insists that I should only use things like acetaminophen. This bothers me because I don't think he fully understand the amount of pain I am in. I just need something to help when things get extremely bad.

I assume there are some people on Bluelight that have convinced a doctor to prescribe them pain meds, and I would like to know how to do that without sounding like a junkie. (I am not asking for a source, but rather how to get my doctor to do this for a legitimate reason, without setting off some type of "red flag.")

I appreciate any help that comes my way,
- Respectfully, Kronos

What kind of doctor have you been working with on this? Your GP, a neurologist, pain management doctor, etc?

You probably want to get an assessment by a different one from your current doctor, someone who specialized in treating you condition. If necessary and there aren't any non-opioid options that might work well for you, you could then easily get a referral to a pain management doctor.

 

[cj]

Floricet might work as a compromise OP. It's a barbiturate mixed with caffeine and Tylenol.

 

[Jabberwocky]

And there is also Fioricet #3 w/ Codeine if plain the plain old Fioricet isn't cutting it. I'd imagine other stuff like gabapentin, pregabalin and tramadol could also be worth exploring, especially when also finding non-pharmacotherapies that work for you.

 

[zephyr]

I know someone who had fentanyl patches nd still does but has been treated for this for years with pethidine and morphine.

Unfortunately she is hopelessly addicted which is attributing to the symptoms but the underlying cause of it was actually rotten teeth which had infected her jaw.

So get your teeth looked at as they might not hurt but the pain is radiating from your jaw.

Its pretty common.

Panadeine forte works somewhat.

Also sometimes simply lying in the dark with a cold cloth.

But get your teeth checked and also neck alignment.

 

[David Wooderson]

I get cluster headaches and what you're describing sounds similar.

I've done all the Rx opiods and some of them would make the headaches worse, some better but opiods in general will not help in the long run.

The only feel good drug that ever did anything was fioricet.
Have you looked into sumatriptan?
Have you tried psychedelics?
They work for me for long term treatment.

 

[TeamKronos]

I have talked to multiple GP's, and I have switched who I talk to multiple times. I have also talked to two neurologists.

I have tried everything over the counter,and also Amitriptyline, Imipramine, Eletriptan, Rizatriptan. I tried a lot of stuff before that, which I do not remember the names of. I was put on 4-5 different meds, by doctors I assume had no idea what they were doing. This concoction made it worse and I felt like a zombie with all of them in my system.
Everything they are trying to do is prevent the pain, but they won't give me anything to help treat it.

I have gotten my teeth checked, and everything is okay with them.

I have thought about attempting to seek relief illegally, but that's a very hard thing to do where I live. And if I were to find anything that would help, it would cost a very great amount per pill and I sadly don't have that kind of money.

 

[TeamKronos]

Thanks for everyone trying to help, I truly do appreciate it.

 

[ShroomySatori]

I feel your pain man. I have had chronic spinal pain for 7 years in the middle of my back. It is agony, and not much can be done. I'm still trying but nothing at all helps other than opiates. I got a little oxy, but enough to relieve the pain for the morning and full of APAP which I detest. They don't listen to me it's like in one ear out the other and they are supposed to be smart. Like it works, I know I just need more and it's because they are so stuck up about it. And then what do you do? I'm not rich at least not yet, and opiates sourced elsewhere are really expensive. To work, I need them even for an office job. I'm in a really tough situation and it feels hopeless. You are not alone. I'm sure it's because a male in my 20's. I think our fuelling testosterone doesn't help in terms of addiction risk, but after two years I began to have panic attacks so severe that I ended up going to the ER so many times that they gave me benzos and I just took them because I couldn't handle the panic. I needed the pain relief and it's not like I can't try detoxing and see how my pain is doing (it's horrible, I need massage and physiotherapy but I'm staying on my tamper proof oxy's. That is not anything remotely like heroin.

I'm on kpins now from all the stress and I'm not too happy about it as otherwise I'm a healthy vegetarian and yogi. It's tough but a lot of people have it worse and there is still hope for me. I'm young and I'm 2 weeks clean from heroin. That's something right. It was the cheapest opiate and I have school to pay for. I mean, student loans on hold for now until I start working I hope, but I still really want to be working. I know I fucked up and did H though, and that I will eventually feel much better. My mind is so insanely clouded and my body weak and it has been a whole two weeks. Smoking dmt yesterday helped since it was like getting a cosmic brain massage.

 

[TeamKronos]

I feel your pain man. I have had chronic spinal pain for 7 years in the middle of my back. It is agony, and not much can be done. I'm still trying but nothing at all helps other than opiates. I got a little oxy, but enough to relieve the pain for the morning and full of APAP which I detest. They don't listen to me it's like in one ear out the other and they are supposed to be smart. Like it works, I know I just need more and it's because they are so stuck up about it. And then what do you do? I'm not rich at least not yet, and opiates sourced elsewhere are really expensive. To work, I need them even for an office job. I'm in a really tough situation and it feels hopeless. You are not alone. I'm sure it's because a male in my 20's. I think our fuelling testosterone doesn't help in terms of addiction risk, but after two years I began to have panic attacks so severe that I ended up going to the ER so many times that they gave me benzos and I just took them because I couldn't handle the panic. I'm on kpins now for that and I'm not too happy about it as otherwise I'm a healthy vegetarian and yogi. It's tough but a lot of people have it worse and there is still hope for me. I'm young and I'm 2 weeks clean from heroin. That's something right. It was the cheapest opiate and I have school to pay for. I mean, student loans on hold for now until I start working I hope, but I still really want to be working. I know I fucked up and did H though, and that I will eventually feel much better. My mind is so insanely clouded and my body weak and it has been a whole two weeks. Smoking dmt yesterday helped since it was like getting a cosmic brain massage.

You're not alone either. I am sorry for the pain you are going through, and I am sorry that you've had to resort to heroin. I sincerely hope it gets better.

 

[TeamKronos]

I am scheduling an MRI with my doctor in about 15 minutes, once that is done maybe they'll stop worrying about me faking an illness or something, and actually help. If not, I'm going to see what I can do to get to a pain management clinic.

 

[I-amoff4life]

Just to chime in-
Just had 2 tooth extractions and some bone work yesterday. Typically from this dentist I will get 24 7.5mg hydro's and a refill if I call back later. Well, this time was different, my parents were paying for this visit. So they came by to drop off a check while I was in surgery. I came out and the nurse says, we can't give you any pain meds because we know that you used to have substance issues. All from her asking my parents "why is he missing so many teeth", and they said substances. Which isn't even true as to my teeth problems. So after some conflict in the office I made my way out the door with 13 pills. Lol. I have a huge tolerance and love the hydro so I have to take 10 at a time to get a good buzz. So, one buzz and no pain relief lol. My own fault but shit is crazy. Say to the doctor you have NEVER had any substance issues. If you say you ever did then you won't receive and relief from that doctor. Time to change. But yes, go to a pain management clinic if you can prove anything on an x-ray. Still it may take a few months to get anything other than tramadol. But you could find your way to some 5mg vikes that might give you a little relief if you take a few of em. Sorry, I know that sucks.Good luck!

 

[keeping]

because of 20 something year old heroin users overdosing on fenanyl at high rates....you can't have pain relief for your chronic illness. Thats what its come to plain and simple.

learn how to get your own pain meds illegally if you want any semblance of dignity and a normal life.

actually no, us heroin addicts didn't contribute to the opiate crisis. we've always been around, but its only recently we're seeing the crackdown on pain meds, around about the time PErdue were pushhing Oxy out there as a non-addictive pain med. junkies, we weren't diverting medicine (well, not if we had smack) we were just using street heroin grown by terrorists.
it was doctors prescribing ridiculous amount of strong painkillers for minor conditions - big pharma and greedy physicians are to blame, not the homeless guy sleeping in a bin

I am scheduling an MRI with my doctor in about 15 minutes, once that is done maybe they'll stop worrying about me faking an illness or something, and actually help. If not, I'm going to see what I can do to get to a pain management clinic.

how did the MRI go?
sorry to hear about your issues

 

[cj]

actually no, us heroin addicts didn't contribute to the opiate crisis. we've always been around, but its only recently we're seeing the crackdown on pain meds, around about the time PErdue were pushhing Oxy out there as a non-addictive pain med. junkies, we weren't diverting medicine (well, not if we had smack) we were just using street heroin grown by terrorists.
it was doctors prescribing ridiculous amount of strong painkillers for minor conditions - big pharma and greedy physicians are to blame, not the homeless guy sleeping in a bin



how did the MRI go?
sorry to hear about your issues

I tend to agree. Prescription opiates have been scapegoated as the cause when it's a very complex issue. I don't think it's a coincidence that heroin became cheap and readily available right when we invaded Afghanistan the number 1 producer of poppies in the world. Throw in a massive financial crisis with huge youth unemployment and a myriad of other factors.

 

[losangeles1993]

Go to a diffrent doctor until you strike Gold man ...cmon i would of did that a long time ago ..srry your in pain but you dont have to be..i once went to a dr who wouldnt give me subs and now i get 60 a months lmao of the 8Mgs

 

[cduggles]

^^Ignore all but Dave Wooderson and Zephyr about opiates and heroin in the sense that opiates are NOT going to help you long-term. These folks are clearly not familiar with your condition or headache treatment.

If you're just trying to scam narcotics (sorry if not but a lot of people think Bluelight will help them- we're actually not supposed to do that), they aren't the best treatment for you and please don't waste knowledge people's time here. I spent a lot of time writing this post, for instance.

To start, I am not dismissing your pain. I had bone cancer and invasive bone surgery, both of which are extremely painful. So...yeah I understand.

Back to you, please let us know if are you seeing a specialist, like a neurologist, or a general physician (might be called a general practitioner, GP, or Primary Care Physician, PCP)? What country are you in? (I have reasons for asking but post is already long.)

The good news is that there is effective preventive and 'abortive' treatment and for what is is now called "transformed migraine", "chronic migraine and chronic daily headache" and "coexisting migraine and tension-type headaches." The bad news is you aren't getting it.

Important: Taking more than the maximum dosage of acetaminophen (conservative is 3,000 mg up to a maximum of 4,000mg per day) because you can damage your liver permanently.

Pain medication: if you mean opiates like oxycodone or hydrocodone, they aren't going to help to lessen your pain like the appropriate medications, prevent your headaches or lessen their duration or frequency.

(I'm a researcher and am very familiar with literature on migraine and tension headaches and have personal experience with migraine and tension headaches.)

By the way, sensitivity to sound (hyperacusis) is not an unusual migraine headache symptom.

Also, it's not clear to me why you were diagnosed with tension headaches except that they are very common. Do you have any type of muscle pain in your neck, head including jaw or scalp? If not, do you know why you were diagnosed as having tension headaches?

Do you take any other medications or use any legal (cigarettes or tobacco, possibly cannabis, alcohol) or any illegal drugs?

Important: If you don't want to post that info, at least check that you aren't taking acetaminophen in other medications like Vicodin (hydrocodone and acetaminophen) or anything else.
You can also send a private message (PM) to me.

Otherwise, you need to do two things:

1. Get referred to a specialist (a neurologist or pain management specialist who has experience managing this type of headache syndrome). A neurologist should have a lot of experience with this. If you are seeing a specialist, you need to dump that physician and change specialists immediately.

2. Read up on your condition. Here is a good starter link with a good explanation and treatment options.

http://www.headaches.org/2007/10/25/coexisting-migraine-and-tension-type-headaches/

Please post your answers or you can PM (send a private message) to me.