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  • TDS Moderators: AlphaMethylPhenyl | paranoid android

my worst fear came true.. seems i got the Boot from pain management and im scared.

Norco 120 per month, MS Contin, fentanyl, Opana and new shitty Opana
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So are you coming off of just the Opana, or the combo of all 4 of them? In other words, was the Opana the only med you were on at the last before cut off 100%?

Last year I was on 120mg - 180mg Oxycodone a day. When I ran out I tried Kratom and it helped a little. I also used Tramadol, which I hate, but it helps with WD's.

At the first of this year I was on 10/325 Oxycodone @ 4 a day. Five months ago I got my headaches under control, so I had my doctor switch me to 10/325 Hydrocodone @ 4 a day. It's nowhere as strong as the Oxycodone, so I end up running out early every month taking 5-6 a day. The last month I ran out I tried Kratom & KavaKave together. The Kratom took the body WD's away and the KavaKava kept the mind happy. No WD's and I was even sleeping up to 9 1/2 hours a night. Nowhere close to pain meds, but the Kratom & KavaKava even helped a little with my chronic pains.

So depending on how much Opana you were on, maybe the Kratom & KavaKava would help with the WD's. KavaKava isn't additive, but the Kratom is, so only use it long enough tapering down and stop taking it ASAP.

Do some research before taking that or anything!!!

Leaping Gnome
 
What in the blue hell is wrong with our medical system? Just when I think I have heard it all, something like this comes along. I hope for your sake OP, that you can get someone to pay attention to what they are attempting to do to you. Unreal. What happened to the hippocratic oath?
 
DrinksWithEvil said:
in a way she is right you dont want to be on opiates the rest of your life, and you are still young. shes just trying to get you on a non-opiate alternative, if given a chance might work, and you wont need to be dependent on opiates. Dont lie , you know you miss getting alittle buzz from the opana also. im not trying to be a dick.
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Total bullshit. I've been on every non opiate pain medication in the books, nothing works as well as an opiate analgesic unless you have fibromyalgia. You sound like someone who has no medical condition or first hand account of what it's like living with debilitating pain, which is the primary flaw with most of the pain management docs out there. They think bullshit medication like "Topamax" can effectively relieve severe pain because it's not a schedule II narcotic and won't get their ass in trouble. See the logic?

Yeah, you get "high" from the meds. Better than fucking being miserable and bed ridden all day.

OP, find another doc. I had my original pain managemant doc yank me off Oxycodone for a similar reason (you're too "young" to be on opiates, COMPLETELY ILLOGICAL and I damn well let him know it, because I'm damn sure too young to be stuck in bed all damn day unable to work). I kindly told him to go fuck himself, demanded my medical records, and found another doctor. Plenty of fish in the sea. The second a doctor begins to patronize you or shows obliviousness to the extent of your pain, you move on. All you need is your MRI for most places, and your records for a few more. Upon arriving at your new doctor, explain the situation in full to them. A good doctor will understand, just as mine did. I'm not overprescribed either, I don't see a "script mill" pill pusher, I see a normal, experienced, sympathetic pain doctor who tries his damn hardest to make my life manageable. Any changes to my medication are discussed at least two appointments prior to it being enacted, and he always asks for my input, like a good fucking doctor should.
 
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phenethylo J said:
That too young to be on pain meds is by far the worst excuse they could give; what about being too young to be bed bound which what allot of us pain patients would be without are medications.
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I agree, but its really a delicate balancing act. If a person is young, you're doing them a huge disservice by starting them off with strong opiates... as a general practice, you want to start them off with the mildest possible treatment that retains effectiveness because they have a whole lifetime of dosage escalation in front of them (if they do indeed have serious chronic pain issues), giving them a headstart on that and jacking their tolerance through the roof is just foolish. Opiates are really the only good option for serious pain, so you want them to still be effective as time goes on and the pain gets worse.
 
Roger&Me said:
I agree, but its really a delicate balancing act. If a person is young, you're doing them a huge disservice by starting them off with strong opiates... as a general practice, you want to start them off with the mildest possible treatment that retains effectiveness because they have a whole lifetime of dosage escalation in front of them (if they do indeed have serious chronic pain issues), giving them a headstart on that and jacking their tolerance through the roof is just foolish. Opiates are really the only good option for serious pain, so you want them to still be effective as time goes on and the pain gets worse.
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Right, which most of us have been through. I was started by being told to take OTC ibuprofen. The next visit when I had to crawl into the dr. office and then be wheeled in with a wheelchair, that changed quickly. Any qualified dr. can read an MRI and determine the level of pain a person is likely to be experiencing, and even then that doesn't do it 100% justice. My spine looks like a cherry bomb went off next to it. And spinal injuries are notoriously painful.

Most pain management doctors don't start people off on Opana. That's just ridiculous. You get escalated on a case by case basis, depending upon the individuals level of pain. If I could get by with Tramadol and Lyrica I'd be happy to do that and be able to actually just take Oxy for recreation. Sounds fun to me. Ain't reality.

Fortunately my pain always responded well to Oxy, so I never had to get escalated to Opana like many do. I don't know of any doctor that just doles out high strength narcotics upon their first visit (except for illicit doctors which are fairly numerous in my area).
 
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Total new Dr. I wonder what will happen today? If I am patronized, ignored & told false statements I will stay there until I get some answers. Like, why does my discharge paperwork always have a different prognosis!? Last Tim with young ms dr H I had a herniated disk. No x ray or MRI to confirm this. Prior I had preformis syndrome, prior sciatica, prior- pinched nerve.. Etc. the issues get worse but medications become less.
 
Been there, have found few experiences in life more humiliating. Hurting so bad and being treated like a lying junky - you're desperation for pain relief and lead a normal being viewed as desperation to get high. Sometimes it's best to just give up and start taking meds that Dr's view with less scrutiny - saves one a lot of stress in the long term if you can make it work.
 
^Probably will help some, but its not the best painkiller being only a partial agonist. Some people find methadone maintenance to be a good choice if they have pain issues, because its a pretty strong analgesic.
 
Roger&Me said:
^Probably will help some, but its not the best painkiller being only a partial agonist. Some people find methadone maintenance to be a good choice if they have pain issues, because its a pretty strong analgesic.
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I was offered methadone or suboxone but was told they would talk it over with management and call me back. I got a call same night. I heard that methadone withdrawals can be worse than H withdrawals but not as fun to abuse. Now, while on subs I cannot use an opiate because I can get sick? I'll have to look into that. I'll hold my script till I'm ready to really quit. Which I'm sure will be soon. It's very hard for me to maintain my habit without drs. I don't hang out with users. And don't have hardly any street contacts... Besides someone who just had surgery and refuses to use them.
 
My suboxone doc says sub works well as a painkiller. I'm not so sure. When I broke my arm suboxone helped a bit, but I ended up taking tramadol on top of sub, which did the trick.
 
[QUOTE
Subs won't make you sick if you take other medication after them but they will prevent you from getting high. Your best bet is probably methadone and you can even get high on it[/QUOTE]

Subs with hydros will put you into acute withdrawal syndrome so I have to clean out from either one before I use one or the other. So, yes. Taking subs and other opiates WILL make u sick.
 
These fuckin doctors who are so afraid of being scrutinized by the DEA, are a bunch of gutless wonders. I've always wondered why these drugs were ever invented if docs are so scared to prescribe them. If these narcotics were meant to be used for people in pain, WTF is the big deal in prescribing them?
I have spinal-stenosis & my pain management doc is the best!! He's 1 year older than me (I'm 58, he's 59) & has no problem with prescribing narcotics for PM. I'm taking 100 mgs of Methadone daily, along with 1800 mgs of Neurontin. Thank goodness for Medicare Part D, which makes my Rx's = $5 for anything. The Neurontin alone would be over $200 monthly. I have a feeling that some (maybe most) drs get kickbacks from various pharmaceutical companies for prescribing their medications. My opinion is that 75% of doctors could give a fuck about their patients & are just in it for the $$$!!:X
Luckily, I'm old enough (age shouldn't matter) to where docs don't mind prescribing me narcotics, if that's what works best. I was even thinking about asking my doc about that Opana. Is that as effective as Methadone for chronic pain? I've been on 100 mgs for 7 yrs now & am not sure how high of a dose the doc will go to before switching me to something else.
To the OP -- I hope you get your situation back to where you need it to be & get some pain relief from these heartless bastids who call themselves "doctors". Those kinda docs aren't looking out for their patients...they're more concerned in keeping federal agencies off their backs. Hippocratic Oath? Should be the Hippocritic Oath!!:p
 
Subs with hydros will put you into acute withdrawal syndrome so I have to clean out from either one before I use one or the other. So, yes. Taking subs and other opiates WILL make u sick.
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The first time I went on Suboxone I was on 120mg-180mg Oxycodone a day. I was in the doctor's office and did the COWS test about 8-10 hours after my last dose and was ok'ed to start on the Suboxone @ 24mg a day...then even up to 32mg a day if I needed it. (TALK BOUT PAIN MANAGMENT BEING WORRIED ABOUT OVER PRESCRIBING MEDS!!!) Anyway, I felt fine after taking it.

BTW, from reading here I only took maybe 16mg the first day and then 8mg-10mg a day after that.

After about 3 weeks I was put back on Oxycodone 10/325 @ 4 a day. I started back on them the next morning instead of the Suboxone. I didn't feel great from kinda WDing from the Suboxone taking such small doses of Oxycodone, but I was not sick in the least!

I've used the Suboxone a few times when I've ran out of my scripts of Oxycodone, or now Hydrocodone 10/325. I have never been thrown into precipitated withdrawals going either way. Now I'm only talking about my experiences with short half life drugs like Oxy & Hydro. Now if you were to take Suboxone a couple of hours after Hydrocodone, then yes, you would probably be thrown into precipitated withdrawals.

Leaping Gnome
 
squidhead said:
I was even thinking about asking my doc about that Opana. Is that as effective as Methadone for chronic pain? p
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Old stop sign crushable snortable opana's are fantastic. The new re formulated crush proof plastic one are garbage. That's what got me in this mess to begin with. I was taking my new opana's as prescribed and I was getting horrible stomach aches, gas, bloat, cramping. No pain relief. I complained and of course that was a red flag since nothing they gave me worked. The Drs. Acted like they were not aware of the pill's change.
 
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