I HAD to abuse my medicine, WTF do I do now!!!

it takes seeing a lot of different doctors and a lot of negotiating to get treated decently when it comes to addictive medications and as i said before taking your tolerance causing drugs everyday they will stop working well enough and if you find a doctor willing to increase your dose indefinitely to effectively treat your disorders your new therapeutic dose will likely be fatal

I have found that my tolerance to the painkilling effects of opiates leveled off more or less or atleast slowed down once i hit the right dose. I am prescribed 150mg's of morphine SR a day which is not bad at all for someone who has been on some type of opiate pretty much non stop except for a few breaks here and there since 2006. I have been on the same dose of morphine now for nearly 2 years and it's still working for my pain.

Now the dose of a opiate it takes me to get high is a whole other story as i can slam 54mg's of hydromorphone easy in a shot and not even look high. So my tolerance in terms of getting high is totally fucked altogether :|
 
As a long time medicinal grower and caregiver have you tried mmj as part of your pain relief.. IMO it is not the best suited approach for this type of pain, but I had clients that found considerable relief for muscular skeletal pain.

And you got hit by a train right?.. I would love to hear that story if it wouldnt traumatize you..
 
I have found that my tolerance to the painkilling effects of opiates leveled off more or less or atleast slowed down once i hit the right dose. I am prescribed 150mg's of morphine SR a day which is not bad at all for someone who has been on some type of opiate pretty much non stop except for a few breaks here and there since 2006. I have been on the same dose of morphine now for nearly 2 years and it's still working for my pain.

I feel like the tolerance issue is probably the hardest part to deal with if you are a chronic pain doc. They must know how to deal with it, but apparently my doc has no idea. From what I've heard, it's crucial for someone to have continuous pain meds and breakthrough meds. I have no breakthrough meds :(

As a long time medicinal grower and caregiver have you tried mmj as part of your pain relief.. IMO it is not the best suited approach for this type of pain, but I had clients that found considerable relief for muscular skeletal pain.

Oh yea, I live in Cali and have had my mmj card since I was 18, and some of the best clubs are within a block from my house. I recently gave the topical creams a whirl and those worked much better than I expected, but it's no opiate.

Oh... and they pushed up my surgery to next wed and I couldn't be happier, which is sorta fucked up. I'll be in so much that my pain dr will actually give me some serious medication. Maybe for a few weeks I'll actually be pain free!

And you got hit by a train right?.. I would love to hear that story if it wouldnt traumatize you..

Nope, not hit by a train. It is a pretty fucked up story though. It is a bit traumatizing, but I've been telling people instead of holding it in because it helps me deal with what happened:

When I was in college I got diagnosed with a rare but serious neurological disorder. It manifests itself through seizures (I've had more than 15 in 5 years!) trembling limbs, constant jerks, memory problems, etc. etc. I was already 20 when it happened. What really sucked was that I had just started to blossom socially. So it was truly, truly devastating. I started to become really self destructive and I ended up being a coke addict and a true alcoholic (1/5th a day, and beer in morning/afternoon) which was a really stupid thing. I would withdraw of the alcohol if I went a day without it and had seizures. So one day I was super, super drunk and I was playing barefoot soccer with some really good players. I was going for the goal and my buddy tried to block it and he ended up hitting the side of my knee with his knee. Thing is I was heading home to SF so I was just going to go back home and figure shit out. My buddy did some serious damage to my knee, he knocked some things loose, but my knee didn't shatter... yet. They didn't give me any pain meds when I went to the hospital, so I started drinking more than usual. When I was at home, I got so fucking drunk one night I climbed a tree and then had a seizure while up in the tree. I fell out of the tree onto some rocks. My knee slammed directly into a rock and literally shattered into about 10 pieces (there is still 1 piece they never got and it hurts soooooo much). I then started seizing more violently than usual on these rocks and no one could move me. The whole time I was smashing my shoulder on the rocks and they both popped out and kept smashing causing damage similar to what would happen if you smashed someone's shoulder with a hammer. I woke up in the hospital and after 7 days I came home with a script for 3x80mg of OC a day. I was pretty opiate naive too. For the first time in awhile I was not in pain, so I started just going through the OC like crazy. This about when I went into my OC/Heroin phase. I was so self destructive and I was still drinking so much, selling my klonopins for dope, got kicked out of my apartment, etc. I kept having seizures cause I wasn't taking care of myself, at all. I had to have surgery on both shoulders and my knee and each time I had a seizure the shoulders would pop out and the knee would smash against the ground. My surgeries all failed and I have to have to have 3 more. This is why I say it is all my fault, cause it really is. If I just dealt with the disorder responsibly I would have probably been alright. Oh well, I only ruined my life.

Oh, and btw. There must be a god because I found an unused patch and I have no idea where it came from.
 
If it means anything you inspired me to be more proactive about fixing my shoulder and stop hiding in the warm arms of heroin, my shoulder/knee/ankle pain is no where near yours and I still have issues going through days. You truly are an inspiration, whether you believe it or not
 
Really? Why is that? Cause I fucked my self up 10x worse cause I masked the pain with drugs instead of getting responsible medical care. Honestly, if my horror story can help anyone in anyway I will be really happy. Don't end up like me!

Oh man, today has been really hard. I popped out my shoulder in the middle of the night and I think this time I didn't put it back in totally right. My arm hurts so much today and I have no meds for breakthrough pain... Seriously Tomatalli, get your stuff fixed properly before you start dislocating your shoulder a couple times a week!

*Update*
I finally saw someone about the inability to treat breakthrough pain. They gave me percocet, which is slightly better than nothing. BUT and this is a big BUT... For the first time I don't feel like CWE my percs to get to the oxycodone. Maybe I'm getting better at life. Just the other day I was thinking to myself how much I would love to have some oxycodone - to get high - but now that I do, I really don't see myself abusing it like that. Good for me.
 
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^ Are they the 5mg percs or the 10mg ones? We only get the 325mg APAP/5mg oxycodone here in Canada and when i was on them for breakthrough pain i would often max out the acetaminophen dose on a bad day long before i got rid of the pain. Despite it's rep i don't find oxycodone to be that great of a painkiller but added to another opiate for breakthrough pain it's not a bad one. I had to switch the the oxy IR's after being on percocets for a short amount of time because i was afraid i was going to fry my liver.

I would suggest trying to keep the dose as low as possible and see if there is any improvement in your pain. Don't bother doing CWE's as that is not practical for anything other then getting high because you will burn through your script in no time. If you have to get by doing CWE's then that's a sign you need to be on a breakthrough med that only has a opiate in it. Personally i found the 30mg codeine pills to be better then the 5mg percs as atleast i could take as much codeine as i needed without fucking my liver up. 5mg's of oxycodone is not much but i guess it's better then nothing.
 
I took a few percs properly and then I caved and munched a bunch cause I dislocated again yesterday and I was in so much pain. I hate that I did that. And yes, they are the 5/325 percs which are essentially useless. The doc I saw said he can only prescribe that and nothing else, which has got to be bullshit. Considering he knew I was on fentanyl I don't see why he wouldn't, at the very least, prescribe 10mg percs. I was thinking about asking him that, or asking him for 10mg IR, no apap, but I realized it would probably be pretty sketchy.
 
so is this a different pm doc then the "hard ass russian"?? just kind of curious how that works where you are at... where i am they have a main frame data base where they can see which doctor's you have been to and for what along with meds. kind of nuts. i have noticed some docs really tune into it while others just flop their notes or med updates in at the end of the visit...

hope your feeling ok and your pain is in a "manageable" range!
 
Have you ever considered methadone dosed every eight hours. methadone had better pain control for me than oxys or fentanyl.. and WAY better than morphine.. but my pain was nerve pain combined with muscle bone pain and its analgesic effect are done after eight hours.
 
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I can't change docs cause of my current insurance plan, HMO to the max, and he's the only pain doc within public transpo (and I can't drive or get rides very easily) and other doc is super far away.

As for methadone, it does work well... too bad I od'd on methadone when I was a serious addict. To scared to try it again. Will NEVER touch that shit, ever, no matter what.
 
i see.. .

do you feel the the fentanyl will continue to hold you outside of brake through times? as far as methadone yeah it is a mother fucker but it also worked really well for controlling my pain. this past year my op dosing was at the point of 400mg of morphine er a day and 120mg of oxycodone ir a day... shit when i have looked back at notes my pain registration was climbing right with my dose.. it was not going any where once again, shit just sucked all around. my doc now wants me to go back onto methadone for p m as he feels there is very low risk for abuse in doing so. idk. i am right now going to PT and OT working on building up strength, mobility and a good program to "try" and stay up with. i totally detoxed off opiates this past winter only going back on for a surgery in the spring for a week or so.. super hard, painful times yes i am using other meds but no opiates/opioids... early this summer i started to really notice my pain levels and interpretation improving significantly. really nice to finally start to see and feel this after several months of absolute hell. i know our pains are different but fuck-en-a i never thought i would be so happy with reduction of opiates coming from the doc or me as the doc.

i know how pain can absolutely take over your life and take things from your life that once defined you and putting addiction in is the monkey in the middle!

man... i wish you could find a dose that worked for you or did a reduction- a reset of sorts and then re-evaluated your levels. would really suck for a min but might put you in a better place for a longer period?? just wanting less pain for you and some decent sleep!!
 
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