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Doctors and Prescription Pain Pills

Brilliant_Frenzy

Bluelighter
Joined
Jul 23, 2001
Messages
262
Location
home in the summer; somehwere else for college
I see a neurologist once a month for migraine headaches, a problem that I seriously do have. When I went to see her on Friday, we were discussing a different way to treat my migraines. Now, you should take into consideration that I have no more than about 3-4 migraines a month and that I also take Effexor, a medication for depression that effects serotonin, dopamine, and norephinephrine, rather than just a standard SSRI like Prozac, mainly b/c SSRI's don't seem to work for me. Anyway, when we were discussing ways to treat my headaches, she told me I would not be a good candidate for Imitrex--a prescription medicine for migraines--because it affects serotonin and that she didn't feel it would benefit me b/c SSRI's have not worked in the past and b/c of the strength of Effexor. When I asked her what else she could prescribe, she mentioned hydrocodone, such as Vicodin 5/500 or Lortabs, but that she didn't want to use those as a first line of defense. She said she'd rather try certain blood-pressure medications which can sometimes help relieve migraines. The purpose of this post is to see if anyone else is sick of doctors refusing to prescribe prescription opioid pain killers b/c they're afraid of loosing their licenses if their patients were to become addicted? First of all, the neurologist I see doesn't know that I use drugs recreationally, but does know that I have a problem with moderate to severe migraines. Also, she was the one who mentioned the hydrocodone; I wasn't the one who brought it up. I guess I'm just posting this to rant about how absurd I think it is for doctors to let their patients suffer in pain when they ACTUALLY DO have a need for the medications. I mean, I could understand it if someone came into a doctor's office asking for a 30 day supply of 40mg OxyContin for something like back pain or something. But I mean, my god, I'm not expecting her to prescribe me that. All I want is for her to prescribe me a reasonable amount of Vicodin or Lortabs--or hell, even Tylenol III's--for when I have really really bad headaches. Ever since the OxyContin media scare and all the publicity that's been going on with it, it seems like doctors are just out right refusing to prescribe pain pills to people unless you're a cancer patient in extreme pain. For instance, about three months ago I went to my dentist b/c I had an impacted wisdom tooth that needed to come out. That time I did ask about what would be prescribed to me b/c I have a low tolerance for pain and b/c I knew he would have to basically cut the damned thing out of my mouth. He simply told me to take a tylenol. I was like WHAT THE FUCK! I agree, I didn't need heavy-duty prescription meds to cope with that, but I mean, my god, at least give someone a few days worth of Tylenol II's or III's. So, I had the surgery done, and since the dentist was unwilling to give me anything for it, I went out and purchased some oxy from a street dealer, not the safest thing to do mind you. I agree, I didn't need the oxy, but if I'm in pain, and that's the only thing I'm going to get my hands on, then damned right I'm going to take it. I guess I'm just saying how sick I am with the medical profession and they're unability to determine patients who need pain pills. I mean, it's not like people are going to become addicted to a prescription for 10 5/500mg Vicodins, used only for migraine headaches. I hate doctors, 1.) if you even mention pain pills, they look at you like you should be at NA, and 2.) they obviously care more about themselves than their patients who are in real pain.
 
BF-Very simple..Express to the doctor your ongoing pain and NEED for painpills to relieve these headaches. Imitrex is bs, and since she is the one who brought this up (Vicodin), then GO WITH IT. Simply go back in a week, tell her that whatever she gave you isn't working, and your are sick and tired of dealing w/ these migraines. Say you have a friend w/ the similar situation, and she took something called Hydrocodone (make believe you don't know what it is) and it helps her through her TOUGH TIMEs, not a daily habitual use. Go with it BF, and I know exactly what you mean by these docs being relucetant to pescribe-but hey, she brought the hydrocodone to the table, now go let her know that is the *only* option at this point in your so pain lavished life.......
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Here's just some information you might find useful.
My girlfriend suffers from severe migraines.. she used to get prescribed various forms of hydrocodone and percocet, on top of fioricet.
She developed problems and actually she was the one who told the doctor she didn't want those anymore.
She also became VERY dependant on Fioricet and has been struggling with it because when she gets a migraine it is SEVERE but she's been trying to fight them as much as possible without having to turn to drugs like that. Her doctor has worked with her on lowering the amounts she is prescribed and limitting her to 15 per every few weeks so she has to ration them.
Just thought that might be useful.
 
I also have suffered from severe Migraines all my life. I was given many many drugs and was given opiates very early and given them freely, My advice is if you want to actually treat your headaches try everything else before the opiates.
My tolerance grew rapidly and very quickly, I needed more and more pain meds to treat even the most mild headache and usually ended up in the doctors office/Er to get Demerol injections.
Vicodin,Percicet, Percodan are all not intended for long term pain management and will actually cause rebound headaches after time.
I finally saw a pain management specialist who informed me of all this and then put me on Morphine and Depakote, which is intended for long term pain management.
Depakote is a used to treat epilepsy, manic depression and migraines and soon enough I know longer was having headaches even when I stopped the Morphine.
If I were you try the damn beta blockers that rarely seem to work and then see what happens then ask your neurologist for a referal for a pain management doctor, these doctors are anesthesiologists who have studied medications in depth and will prescribe opiates!
Id also ask about the depakote, if it works you can say it only helpes a bit and still gets opaites and have no headaches.
 
A doctors motto: First Do No Harm.
Think about this. Getting someone hooked on pain pills is generally not going to help the condition you are trying to treat. Therefore, when a doctor is thinking about a line of treatment for long term or chronic pain management they are going to use addictive recreational/type meds as a last chance treatment. If there is any other drug which is non-addicting, or sedative that will cure or reduce your pain they will use that first. They are not in the business of getting people strung out, and will avoid this. Now short term injury, types of pain are a whole other story and doctors will prescribe for these because there is not the presumption that the patient will be using them for an indefinite period. You must make the distinction in your mind about what you want to do to help out your migraine and what you want for fun. Trying to match the two might get you into trouble in the long run.
 
I agree that doctors are to scared to prescribe proper medication in many cases, but I gotta take yer docs side with this one - there are a LOT of drugs that are 100% effective for headaches, and these are drugs like Imitrex, NOT NARCOTICS ... so try those, see if they work, then go back and complain to get something more..
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# unzip ; strip ; touch ; finger ; mount ; fsck ; more ; yes ; umount ; sleep
 
I can really relate to this one. I've had severe migraine headaches for many many years. Went through all the neurological testing, etc. Have been prescribed so many different drugs in an effort to find something that not only works to provide pain relief and/or decrease frequency but that doesn't have miserable side effects, etc. Used to get headaches every week and a half and did I ever suffer with them. For the past several years, I've been on amitryptyline (elavil) 75 mg a night and this has helped reduce frequency of headaches; I'm down to one or two a month. As far as pain managment goes, I am very lucky to have a doctor who cares and is able to empathisize as he also gets migraines. Through trial and error and patience, it comes down to all that I can take to relieve my headaches is injection of Demerol 150 milligrams. This is very strong especially as I am quite small, 5'1" and 102 pounds but you definitely do build up a tolerance and, yes, this is something of concern because there's a strong risk of physical dependancy. Also I would think that there's an awareness on your doctor's part that prescriptions in the form of pills are going to end up on the streets (this can't happen though if they inject you !! ). So I completely understand that docs have to be careful not to lead their patients on a road that may end in addiction but they also have to have a bit of heart. If you're really suffering, they can usually tell. Problem is that I suppose the symptoms of migraine could be easily faked. But anyone who's ever had a true migraine will be severely pissed at a faker because we know what we go through !!! Many years ago, I had a doctor who was hardly ever in and I did go to emergency room in hospital. It's the worst feeling in the world when you're in pain to begin with and they accuse you of being an addict. I just cannot describe how that makes you feel. I agree that a doctor shouldnot use narcotics as a first line of defence. There's so much out there (such as the blood pressure drugs, etc) that can possibly be the answer for certain patients. Be agreeable with your doctor in that if she suggests a new course of treatment, TRY IT. If you seem resistant to anything but a script of narcotics, then it's obvious what they're gonna think. If you truly have worked with your doctor and you have honestly made a good go of it, then she should reasonably then consider the more potent analgesics. I hope you have been able to build a relationship with your doc where you can speak freely and comfortably (where I live, a lot of the docs really push Tylenol. I've bypassed that by saying I'm allergic). Anyway I know how you feel. A true migraine is hell and when you have one, all you want is relief. Good luck and I'd be interested in hearing how you make out. Would also like to read about any other bl's with migraine / demerol stories.
 
That time I did ask about what would be prescribed to me b/c I have a low tolerance for pain and b/c I knew he would have to basically cut the damned thing out of my mouth. He simply told me to take a tylenol.
When I got my wisdom teeth out, I had the same problem. Because I'm really petite, my doctor didn't want to give me the usual pain medications...they wanted me to take tylenol, but eventually I complained enough and he gave me several "free sample packets" that he had of very low pain reliever. Same thing happened when I had an abysess in my tooth.
 
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