My doc prescribes me methadone, forty mg pills, for chronic, severe spine pain. He knows I take from two to four pills a day, depending on pain level. A few times a year, I get flare ups so horrible I need to go to the er for something stronger. Now that I live in Mexico, an ER isn't an option. I don't take anything else.
At his office yesterday, I'm crying from the agonizing pain due to a two week bad flare up, and ask, " is there anything I can take to help with break through pain because I'm losing my damn mind, and the methadone isn't enough."
He suggests injectable nelbufrine. Never heard of it. He explains it's both an antagonist and agonist, and the antagonist part means it may somewhat reduces the effect of the methadone in my system. I figured, no prob, I'm desperate, and if that happens I'll at worst be in more pain. Worth a try.
He injects ten mgs. And within two minutes one of the worst physical and mental experiences of my life commences. I was convinced he poisoned me, or the nelbufrine was contaminated. My body felt like every inch under my skin was set on fire. Same with my throat, sensation that it was on fire and vomitus taste of heavy metals. I was in absolute agony, I've experienced WD before, when I couldn't get a script filled on time, but it paled in comparison to this. For five hours I was rolling and flopping on is bathroom floor. Screaming at max lung capacity. Punching the tile floor and walls and banging my head against the wall desperate to get rid of the fire, pain, tremors. I hallucinated terrible things. I was absolutely convinced I was dying.
I begged for an ambulance but he refused. (he claims because the hospital couldn't do anything for me, which is probably true, but maybe he was also scared shitless because I kept screaming, "why did you inject me with that, what did you do to me?!")
What makes me even angrier, is he blamed me. He insisted, "I simply gave you what you asked for." NO, fucker, I had asked if he knew of anything to help with breakthrough pain, and never even heard of nelbufrine. Then he claimed it was my fault because I don't wait twelve hours in between each methadone pill. Huh? Why then did he inject me knowing the last pill I took was only four hours prior? (He specifically asked me.). And he if knows I take up to four pills a day, obviously I can't wait twelve hours in between pills. I have always been honest with him With what i take (only methadone) and that I've been taking it for seven years.
He insisted that while nelbufrine is both an agonist and antagonist, the agonist part should've still given me pain relief. I did some quick research later and discovered the antagonist in nelbufrine stopped my opiate receptors from receiving any benefit from the methadone in my system....and wouldn't the antagonist portion of the nelbufrine prevent any benefit from its agonist portion?
There is no way I can convey how horrible, humiliating and traumatizing the experience was. I truly felt I was dying, the pain was pure torture, I'm covered in bruises from banging up my body, and I am so ashamed for what he saw. It lasted six hours. I blacked out numerous times.
I thnk he truly didn't have any clue about the effect of nelbufrine on someone like me. He now changes his story (first story was it was my fault because I overlap methadone and dont wait twelve hours in between doses, and, that I simply "asked" for nelbufrine, which is preposterous. I asked for a pain reliever, and I pay him for his knowledge and expertise. I should be taken heed of that internal red flag that went off when I saw him using Wikipedia to search for drug interactions and correct dosing.
Now, he claims my reaction (which was an instantaneous, severe withdrawal packed into a five hour period) on his belief that my reaction was not foreseeable and very very rare.
So, question: why on earth would he inject me with an antagonist knowing I have a heap of methadone in my system, causing instant withdrawal from the ninth circle of Dante's hell? He had offered to let me inject myself at home. Glad I didn't. I likely would've attempted suicide. It was that bad.
Your take? I appreciate any response. I take my meds as prescribed and suffer from horrendous spinal pain, and for him to accuse of of taking my meds wrong, or, at one point during that five hour period, demanding to know "what else had I taken that I had not disclosed" (nothing) feels as if he is treating me like a junkie.
At his office yesterday, I'm crying from the agonizing pain due to a two week bad flare up, and ask, " is there anything I can take to help with break through pain because I'm losing my damn mind, and the methadone isn't enough."
He suggests injectable nelbufrine. Never heard of it. He explains it's both an antagonist and agonist, and the antagonist part means it may somewhat reduces the effect of the methadone in my system. I figured, no prob, I'm desperate, and if that happens I'll at worst be in more pain. Worth a try.
He injects ten mgs. And within two minutes one of the worst physical and mental experiences of my life commences. I was convinced he poisoned me, or the nelbufrine was contaminated. My body felt like every inch under my skin was set on fire. Same with my throat, sensation that it was on fire and vomitus taste of heavy metals. I was in absolute agony, I've experienced WD before, when I couldn't get a script filled on time, but it paled in comparison to this. For five hours I was rolling and flopping on is bathroom floor. Screaming at max lung capacity. Punching the tile floor and walls and banging my head against the wall desperate to get rid of the fire, pain, tremors. I hallucinated terrible things. I was absolutely convinced I was dying.
I begged for an ambulance but he refused. (he claims because the hospital couldn't do anything for me, which is probably true, but maybe he was also scared shitless because I kept screaming, "why did you inject me with that, what did you do to me?!")
What makes me even angrier, is he blamed me. He insisted, "I simply gave you what you asked for." NO, fucker, I had asked if he knew of anything to help with breakthrough pain, and never even heard of nelbufrine. Then he claimed it was my fault because I don't wait twelve hours in between each methadone pill. Huh? Why then did he inject me knowing the last pill I took was only four hours prior? (He specifically asked me.). And he if knows I take up to four pills a day, obviously I can't wait twelve hours in between pills. I have always been honest with him With what i take (only methadone) and that I've been taking it for seven years.
He insisted that while nelbufrine is both an agonist and antagonist, the agonist part should've still given me pain relief. I did some quick research later and discovered the antagonist in nelbufrine stopped my opiate receptors from receiving any benefit from the methadone in my system....and wouldn't the antagonist portion of the nelbufrine prevent any benefit from its agonist portion?
There is no way I can convey how horrible, humiliating and traumatizing the experience was. I truly felt I was dying, the pain was pure torture, I'm covered in bruises from banging up my body, and I am so ashamed for what he saw. It lasted six hours. I blacked out numerous times.
I thnk he truly didn't have any clue about the effect of nelbufrine on someone like me. He now changes his story (first story was it was my fault because I overlap methadone and dont wait twelve hours in between doses, and, that I simply "asked" for nelbufrine, which is preposterous. I asked for a pain reliever, and I pay him for his knowledge and expertise. I should be taken heed of that internal red flag that went off when I saw him using Wikipedia to search for drug interactions and correct dosing.
Now, he claims my reaction (which was an instantaneous, severe withdrawal packed into a five hour period) on his belief that my reaction was not foreseeable and very very rare.
So, question: why on earth would he inject me with an antagonist knowing I have a heap of methadone in my system, causing instant withdrawal from the ninth circle of Dante's hell? He had offered to let me inject myself at home. Glad I didn't. I likely would've attempted suicide. It was that bad.
Your take? I appreciate any response. I take my meds as prescribed and suffer from horrendous spinal pain, and for him to accuse of of taking my meds wrong, or, at one point during that five hour period, demanding to know "what else had I taken that I had not disclosed" (nothing) feels as if he is treating me like a junkie.
