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Opioids Need advice on medication and my route of action...please

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Junks

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Feb 24, 2013
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Hey guys, I am in need of some advice regarding pain medication. I am from Australia, but decided to post in this part of the forum in order to get more responses/views.
I have had a bad lower back for about three years now. My work is very labor intensive and I end up sore and uncomfortable during the day if I do not take medication. I have been using OTC Codeine/APAP and Codeine/Ibuprofen medications myself for a very long time, and am under-pressure from my pharmacy to slow down as they record my name when I buy them.

I recently went to my doctor to get better medication and he sent me to a CT scan. My results came back and I do indeed have a “minor Disc bulge at the L5 para-central level”. I know it says minor, but the pain is very annoying and also gives me these moments of weakness where I have no strength to lift things without grimacing. Having used these OTC medications for a long time, I am scared for my kidneys and liver, also I am tolerant to the Codeine now and need a large number of tablets per day to feel some relief. I only use the medication on my work days, and don’t use any for about the other three days of the week.

Anyway, I go back to my doctor and he prescribes me Tramadol. I HATE IT. I get nervous, I get these weird shakes and I feel like I have had way too much caffeine. I feel jittery and at night I can’t sleep. I feel very wired, and I am generally a nervous/anxious person and this has made it way worse. Sometimes I am so wired, it overwhelms me and I have to sit down.

I return back to my doctor, and he tells me “badluck, there is no more medications available”. He tells me I either use the Tramadol, or go back to using my OTC pills. I know these OTC methods are killing my insides and I also need lots of pills/more packets than the pharmacy allows me to get. I tell him I am willing to get a police check up or whatever else is necessary. All I want is medication that I can use about 2 -4 times a week, and not take 8 pills for it to work. I asked him if there are other options besides Tramadol and Codeine, and he said no, there is not and badluck.

What do you guys think? Is there more medication he can prescribe without much trouble? Is there anything else besides Codeine and Tramadol that he can prescribe without him getting into trouble for some reason? Should I find another doctor? And is this worth chasing up to get better level medication? I have all my CT scans and my results to prove that I do have lower back problems and without medication, my job becomes very annoying and uncomfortable to the point I dread thinking about it. The morning after work, it is just so hard to stand up straight I am so sore and then I have to go again. I need some form of medication or I can not work, that is certain.

Thanks.
 
Shouldn't be any trouble getting some oxys, or morphine with your back condition. Make appointments with a lot of doctors. We call this doctor shopping, but you in fact have a medical condition that warrants being prescribed stronger opiates. Just make sure you have the balls to not get into full addiction mode. I've heard of people simply saying they have back pain, with no CT scan, and are successful getting strong opioids.
 
Hey illn3ss, thanks for your reply man. The thing is, all the doctors I have been too are so scared of prescribing things man. They literally tell me "they don't exist". It is not fair that other people get them without evidence, and I am suffering with legit paper in my hands lol.
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The thing is, it says minor disc bulge, in which I think they may say it is not severe enough? I was under the impression that doctor shopping was purposefully going around and getting prescriptions from different doctors? I am not after breaking the law, all I want is one pack per month or something...and I will not abuse because I need these to not feel pain and dis-comfort during the entire work day, not abuse them once and finish them.

I am thinking about going to a different doctor. Do you know if they can easily prescribe something better than Tramadol? Like they don't need government authority or to send me to a special clinic or something like that, along with mass amounts of paperwork?

Thanks.
 
Welcome to the wonderful (not) world of pain management!

I can't answer any questions that are specific to Australia but I do know you are correct in that "doctor 'hopping" is when you try to get meds from several doctors. Also, the above poster is wrong (sorry). It probably won't be all that easy to get something a lot stronger than tramadol but it could happen if you find the right doctor. I know they are pretty strict over there and here in the US with the new laws and all the interference from the DEA the days of easily getting stronger narcotic pain meds are nearly gone when you have something as minor as you do. (Don't get me wrong..I know how miserable it can be,..I'm not making light of the injury you do have..I just mean as how a doctor will see it).

I'm sure that someone from your country will jump on and be able to give you some more specific answers about how that works there. I personally would go see another doc. He may tell you the same thing but it won't hurt to try.

Good luck to you.
 
Three words: pain management specialist!

I am completely unaware of how the health-care system works in Australia, but I never found any consistent or effective help until I was referred to, and accepted by, a pain management group. The fact that your source of pain shows up on film (unlike mine) bolsters your case, as does the by-now very well known danger of taking large doses of APAPs long term. Interviewing multiple doctors looking for the right fit isn't the kind of "doctor-shopping" that's illegal if you don't come away with prescription(s) from more than one. When talking to a new practitioner, have them write in the patient records whether anything was prescribed. In the U.S., one completes and signs a "contract" vowing to obtain prescriptions for analgesics only from the practice with which you ally. If you stick with that, no worries.

There ARE more effective, less organ-shredding meds out there. I hope you find an appropriate and up-to-the-minute in treatment modalities--and SOON! It can be done! All best luck from MrsM
 
I'm from the u.s. but in all honesty it really depends on the doctor.

I was in your boat (minus the otc codeine..I'd kill for that!) And had been to 3 doctors and had mris and all.
The first two pretry much ignored the fact the results indicated chronic arthritis.
Finally I went to an old doctor who was very nice and understanding and actually LISTENED!

He gave me 60 10/500 hydrocodone which has helped immensely. I didn't even have to ask!!
Although I do have a problem with taking an extra pill or 2 here and there, once I get my abuse under control I can see this working out really well.
My family has already noticed a huge difference in my motivation and I'm no longer a shut in prick writhing in pain all the time.

Good luck man, pain sucks. Just find an understand doc that listens and is not afraid to do his job and give you what works.

Peace out..
 
Personally, I'd rather move to a country US where money talks as far as pain relief is concerned; almost every doctor in the UK is extremely reluctant to prescribe drugs with potential for abuse. My mum, for example, has 3 slipped discs and sciatica; she's prescribed 100 mg of tramadol a day, which is inadequate, and consequently she is in pain constantly. I'm not sure how things are in AUS, but by the OP's post, I'd say it sounds quite similar. Are there such a thing as pain clinics in Australia? If so, it may be worth contacting one of these; these guys are pain specialists and tend to be more sympathetic towards chronic pain sufferers.

I'd say don't be in a rush to score strong opiates; you may be using it for legitimate purposes, but addiction to opiates is something nobody should have in their life. By the sound of it you're not in severe pain constantly, it may be worth exploring non-opiate solutions. Opiates aren't the only effective painkillers, after all- there are some highly effective NSAIDs on the market many times the strength of ibuprofen. (Apparently, 300 mg of ibuprofen is equivalent to 10 mg of morphine).
 
We can't tell you what your doctor can or can't prescribe, and threads discussing how to get medication off of doctors are explicitly disallowed.

If your doctor is unwilling to prescribe narcotics, that's the end of that road. The fat lady has sang. Trying to convince him otherwise will just make you look like a drug seeker.
 
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