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Opioids Does anyone else think that opiates aren't actually that good painkillers?

i saw my mother die of cancer. it started as ovarian cancer but soon turned into, well, cancer of everything. when the cancer metastasized into the bones, the pain turned from just being agonizing and unbearable into... well. i don't know, since i didn't feel it, but the only thing that helped were intravenous injections of morphine every 4 hours. and at this point she'd been on various painkillers (oxycodone, buprenorphine, fentanyl, tramadol) for close to a year.
they do not lose their fucking effectiveness. if the dose is sufficient, no matter how high the tolerance of the afflicted, it will help. granted, different painkillers work better and worse for different people, but i concur that morphine is still the best one, and the one every other opioid is measured against.
 
That's because morphine has such a generous dose-response curve. The analgesic power is basically as powerful as the patients ability to tolerate the side effects.

And most of these side effects go away very quickly after you've been on morphine for a while.
 
If you dont think opiates are a good painkiller than right now go tape your foot down so no matter what it wont move, then twist your whole body around so you do a 180 while your one leg is still stationary and your kneecap pops out and dislocates, now wait a good agonizing 20 minutes for the emts to arrive, and if you tell me that first shot of morphine dosent feel like a bunch of angels giving your leg a handjob you're flat out lying. I guess the name painkillers can be somewhat misleading they wont make the pain completely go away but they definatly will make it a hell of a lot more tolerable.
 
I find that painkillers work well to decrease the pain but at the same time they sort of detach me from the emotional and mental effects that pain has on me. Sort of like how ketamine or methoxetamine numbs you and distracts you from the pain, I find that opiates do that but also come with that lovely warmth and apathy. Which comes in so fucking handy when I have been in alot of pain for a while and manage to get my hands on some painkillers.
 
When you go along with doctors prescribing 30 other types of meds' and then have to resort to the emergency room to find out that only opioid based analgesics are the only thing that bring yer' pain from a 8+ down to a 3 or 4, you tend to not want all the other worthless "give it a good 3-4 weeks, and it should start working well" bullshit speeches, and use what works in half an hour.
Tolerance is the only drawback...
 
burn out said:
Now there are drugs which actually kill pain. For instance, ketamine, nitrous oxide and large doses of alcohol are capable of rendering you numb such that you would not feel the pain of a burn on your hand. I think if was really desperate for pain relief, I would reach for the K and not opium. The problem though, is the duration.
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well ketamine is not so much an analgesic as it just makes you forget about the pain. also you cant function AT ALLwhile on ketamine, whereas on prescribed doses of opiates, you can function to some extent. also ketamine only lasts something like 30-45 minutes depending on ROA, whereas opiates typically last longer. the same goes to nitrous oxide x10. With DXM, MXE, and PCP, the dysfunction just gets worse, and same with alcohol, as well as the fact that they are more damaging to the brain in anesthetic doses than with opiates.
 
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Your understanding of the term "painkiller" is a bit confused; Painkillers help relieve the sensation of 'pain', they don't eliminate the signals your nerve sends to your brain. That is why doctors perform nerve blocks or epidurals, to in fact block the signal from reaching your brain.
 
Fire&Water said:
When you go along with doctors prescribing 30 other types of meds' and then have to resort to the emergency room to find out that only opioid based analgesics are the only thing that bring yer' pain from a 8+ down to a 3 or 4, you tend to not want all the other worthless "give it a good 3-4 weeks, and it should start working well" bullshit speeches, and use what works in half an hour.
Tolerance is the only drawback...
Click to expand...

Word, and also the effects on testosterone, that's my biggest complaint with opioids.
 
My mum keeps trying to get me to try holistic approaches to pain management like having a good mental attitude and eating bullshit from holland and barratt because opiates are somehow not natural. God the relief brought from opiates is unmeasurable sometimes.
 
opiates are good for muscular pain and bone pain (broken bones etc) and sprains and strains, not good for nerve pain or burns. though they definitely help. but heroin is not the best pain killer, one thing, H is usually not very pure and has alot of other shit in it, also, it really is more sedating than anything else.

H doesn't do shit for my back pain, I would MUCH rather have some oxy or some morphine.

IME H just isnt a good pain killer
 
I think opiates should still be prescribed for those with nerve pain sometimes, because they will provide relief of some sorts. Or at least make life more bareable.
 
I'm pretty sure that opioids are prescribed for nerve pain and also burns basically for any pain if a doctor thinks that's the best line of treatment.

Im pretty sure that most burn victims are on an IV morphine continuous slow drip.
 
I get very annoyed that they say opiates such as morphine or oxycodone dont work for whatever i have. But I dont want to tell doctors what i use at any cost because it would be more then detreimental.
 
Well you just said it yourself, you shot up heroin. You likely have a high tolerance, and thus have become some what immune to the pain killing effects of opiates. If an opiate niave person shot up heroin I'm sure they'd be pain free lol. I think opiates
are overprescribed for long time use, because the outcome is always the same, eventually you build a massive tolerance and wind up completely fucked. Unfortunately for long term chronic pain patients , this is really the only "solution" when multiple surgeries haven't fixed the problem.
 
pbuilder said:
Well you just said it yourself, you shot up heroin. You likely have a high tolerance, and thus have become some what immune to the pain killing effects of opiates. If an opiate niave person shot up heroin I'm sure they'd be pain free lol. I think opiates
are overprescribed for long time use, because the outcome is always the same, eventually you build a massive tolerance and wind up completely fucked. Unfortunately for long term chronic pain patients , this is really the only "solution" when multiple surgeries haven't fixed the problem.
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I think that they are really underprescribed, that's why some chronic patients turn to drugs like heroin in the first place, because they can't get prescribed what they need from their doctors.
 
i gotta giant knot in my back. i saw my normal doc and then eventually an orthopediac doctor where i got 2 5mg roxi scripts, shots in my back. this shit still hurts and the only thing that helped was physical therapy but i lost my insurance. it isnt nothing to b e in pain management for but the other day i was on 50mgs of hydro and could still feel the knot. i think opiates help cuz i would obviously be in more pain but they just tend to mask the problem and cover your pain which could lead to further injuries(since you dont feel anything)
 
It helps for pain, for sure.

When I had my c section though, funny enough I had not taken anything stronger than a 500mg tylenol in years, and the dilaudid drip did absolutely nada for me painwise. It just made me paranoid as hell and I think slightly demented.

When they took me off of it and gave me percocet 5/325 and ibuprofen 800 at regular intervals I felt much better. The pain was horrible, but at least I wasn't afraid that the nurses were going to steal my baby anymore. I think when you get to a certain level of pain or type of pain nothing will really help take it all away. It is more a matter of making it tolerable for the patient.
 
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