"Because of the many junkies lately simulating pain just to get their hands to the narcotics, now these pills are much harder to prescribe to people like me who really needs these kind of medicine. I had to go to 5 different doctors to finally someone believes me that my pain is real and give me pills that help for my pain.
If you really have sharp pain that OTC or Tramadoll pills can't help with I really recommend Nucyntia. If not and you are trying to get high find another medicine, but please don't say it's shit, because it ISN'T !"
Okay...first of all, if you are truly a "pain management patient" then you should know already that PAIN IS SUBJECTIVE! Secondly, it takes many sessions with your PM doc, as well as numerous changes to meds to find the correct medication, as well as dosage of said medication! I have been on MS contin 30mg 3x per day in addition to 10mg percocet 3x per day and 800mg 3x per day for over 7 years. This was managed by my primary. I started going to a PM clinic this past February. They said that they can't do the prolotherapy that they suggest because my insurance finds it to be "too experimental" and I have already tried cortisone injections with lidocaine and PT so many times that I basically live there. I jump through EVERY HOOP they ask me to jump through. I do my urine tests that ALWAYS COME BACK CLEAN! Recently I had a test come back positive for suboxone!! I wouldn't take subs, because it would put me in WD so I plainly told my doc that that was impossible. At my clinic they always send the specimen into lab corp to be re_tested. Luckily for me it did not test positive at the lab! So it was a true "false positive" but then my doc was looking through my old lab reports and said my metabolites for the ms contin were "off" one was showing 12,000 which is correct but the other was showing ZERO, and she said that is what happens when you sprinkle the drug in your urine...so I asked her if she thought I was doing that. She replied "well, no but what am I supposed to think?" I simply said "have you ever seen the inside of a Ms contin? It is waxy. I think the lab tech would notice chunks in my urine!" She said "let me talk to my lab director" So she had me come back in a week, at which point my DH came with. The lab director was there and said he thought that maybe I have this genetic disorder that makes me metabolize morphine and other meds too quickly. I did the buccal swab and 2 weeks later it came back positive for the disorder. My doc was thrilled that she wasn't dealing with a "junkie" So at that point I was switced to Nucynta ER Started at 100mg twice daily. It want working, and even though I was assured I wouldn't withdrawal from morphine...SHE WAS VERY WRONG! So I felt ZERO relief...came in early for my next appointment. She upped it to 200mg 2x daily. It NEVER killed my pain. Yes there was a euphoria with it, and there was no constipation (there is miralax in the pills) but I had a headache for 6 WEEKS and became incredibly irritable. So they DCd the Nucynta and put me back on the morphine until my surgery then we are gonna try buprenorphine. I am not a junkie, I have a few legitimate diseases. I have a knee that Brenda backwards 40 degrees all of my joints are hyperflexible and are prematurely arthritic. I also have hemophilia b and celiac disease. Which is ruining my life! I love my family and friends but hate my life! Every day Is filled with pain! The regiment I am on now takes me from a 7/10 to a 4 or 5/10. The nucynta did NOTHING for my pain, it actually felt like it increased my pain. So that is my$ .02 ! And just because people get addicted to pain meds...doesn't mean they don't have true pain! Getting all judgy doesn't make you high and mighty...it just makes you a judgy person that nobody wants to talk to!! Ifbyou have a decent PM doc, they will work with you, if you work with them. You HAVE TO JUMP THROUGH THEIR HOOPS! ALL OF THEM!