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Long term opiate pain therapy. Is it always doomed to failure?

W

WesselS1

Greenlighter
Joined
Apr 13, 2015
Messages
2
I am guessing this is an old story but bear with me. Chronic pain, it's real. Using Vicodin 3 to 4 number 10 a day. I am trying OxyContin now..not in addition, but as a substitute for Vicodin.this has only been going on a week.

My concern is the diminishing effectiveness of the drugs. I understand that this is how it goes, but the way I have used these drugs have been pretty darn effective in that I have maintains good employment and healthy relationships For the last 3 years. . I say that because when I was in my 20's and 30's I wasn't healthy psychologically and I know the difference. Here is my concern. Am I on a hopeless trail? Will the drugs become less and less effective and I will need more and more. I don't go over my limit but I feel a pull to take more.

I just dont don't know what I would do without pain relief. Maybe it's just pain addiction and the pain is fake to get the drugs. I just don't think that's what's happening unless I really am fooling myself. Is long term opioid therapy realistic? I have had success for almost 3 years now..in that I dont abuse. However everything I read says no way long term opioid therapy works. You will grow tolerant and need more, hormones will run low Yada yada. Awaiting replies.

I actually think the Vicodin is more effective then the oxy.
 
Hi, Welcome to BL!

I have chronic spinal pain and am an x opiate user. The specific drugs above ... with tolerance will become less effective, yes - as you mention.
You could go onto a longer acting opiate or try another pain remedy perhaps. There are solutions, and they do vary depending on each individual. Best of luck to you with your pain! :)
Please let me know if I can answer any questions about the site.

Best,
Smoky
The Pain Management Megathread (Chronic and Acute Pain Discussion) Version 5.0 ~ V <<< --- you might be interested in for starters.
Check out Other Drugs too…
 
Thanks smoky! What's your story briefly? You used to use opiates for pain but no more. What do you do now?
thanks,
Jimmy
 
Hi Jimmy,

I initiated opiates in a pain management program. They worked for a while to minimize my pain, then stopped working months later, as tolerance increased physiologically. I'm a functional user with an elaborate using history, thus for me this is considered a relapse. I was dependent on the opiate family of drugs (I had a few scripts), to function while I continued to work ... until I made a decision to quit. Not to say I was functioning at my best. :\
I wasn't happy anymore in any way shape or form. I made a switch to using heroin eventually, then onto methadone to taper off.

Opiates actually increased my pain in the long run as well other medical complications.

Studies point to opiod therapy not working long term for most folks. They are best for acute temporary pain.
I now take ibuprofen 800 mg x 4 a day, receive acupuncture and see a PT weekly for pain.

Life for me is much better now!

~ Smoky :)
 
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.. in my experience long term opiate anything will fail every-time. it suks.

but, welcome.
 
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