OntarioGuy
Greenlighter
I dont know where this would fit best,so I'll put in OD since this is where I spend my time.
So here's the scoop,my Father has been on kidney dialysis for a couple of years now,which causes him intense pain in his shoulders,back,neck arms and legs.
I occasionly give him a small amount of my morphine which helps alot,he also buys a few percocet or a little bit of methadone,just to kill the pain for a few hours so he can sleep.
His doctor refuses to presribe him any opiate medication and claims ALL opiates cause toxic metabolite accumulation.So instead my father takes HUGE doses of naproxen several times a day,along with NSAID cream/rubs.
My doctor gives me Morphine as a maintenence drug,and I spoke to him about this the other day.He says my dad's doctor is full of shit.he doesn't understand why they wont script pain meds to a man who was told he has 2-4 years left to live.
He said the NSAID's will cause far more damage then opiates/opioids would.he said there would be ones to avoid like demerol for instance.but I hate seeing my father in constant pain.
My doctor told me to go into my dads next appointment and tell that doctor his opinion.And I know my dad,he wouldn't take pain meds everyday.even when someone gives him a handful of percocet,he only takes 2 every 3rd night or so.
(Those are the nights he sleeps like a baby)
So basically I was wondering a few things:
-Do you guys think his doctor is full of shit and simply doesn't want to prescribe narcotics to an abopriginal man (opiate dependency in the native population is an epidemic around here)
-If the guy is full of shit,which narcotic do you think would best suite a patient with renal failure?(Demerol obviously out,heard Bupe would be a good choice)
I found this: “Opiates - the effects of almost all except for fentanyl are very much prolonged in renal failure and there is a great tendency to accumulation. Use with caution.” I dont know if fent would be a good idea given he has little to zero tolerance.
My Dad uses a medication called icodextrine.which is a clear liquid in an IV bag,he pumps it into his kidney's and drains it and it comes out yellow looking,so it must be removing some toxins.
I personally can't see why they can't give him some Oxycodone or morphine,toxic metabolites or not,the guy doesn't have long to live,and I'd like the time he does have left to be comfortable.
Thanks guys,
OG
So here's the scoop,my Father has been on kidney dialysis for a couple of years now,which causes him intense pain in his shoulders,back,neck arms and legs.
I occasionly give him a small amount of my morphine which helps alot,he also buys a few percocet or a little bit of methadone,just to kill the pain for a few hours so he can sleep.
His doctor refuses to presribe him any opiate medication and claims ALL opiates cause toxic metabolite accumulation.So instead my father takes HUGE doses of naproxen several times a day,along with NSAID cream/rubs.
My doctor gives me Morphine as a maintenence drug,and I spoke to him about this the other day.He says my dad's doctor is full of shit.he doesn't understand why they wont script pain meds to a man who was told he has 2-4 years left to live.
He said the NSAID's will cause far more damage then opiates/opioids would.he said there would be ones to avoid like demerol for instance.but I hate seeing my father in constant pain.
My doctor told me to go into my dads next appointment and tell that doctor his opinion.And I know my dad,he wouldn't take pain meds everyday.even when someone gives him a handful of percocet,he only takes 2 every 3rd night or so.
(Those are the nights he sleeps like a baby)
So basically I was wondering a few things:
-Do you guys think his doctor is full of shit and simply doesn't want to prescribe narcotics to an abopriginal man (opiate dependency in the native population is an epidemic around here)
-If the guy is full of shit,which narcotic do you think would best suite a patient with renal failure?(Demerol obviously out,heard Bupe would be a good choice)
I found this: “Opiates - the effects of almost all except for fentanyl are very much prolonged in renal failure and there is a great tendency to accumulation. Use with caution.” I dont know if fent would be a good idea given he has little to zero tolerance.
My Dad uses a medication called icodextrine.which is a clear liquid in an IV bag,he pumps it into his kidney's and drains it and it comes out yellow looking,so it must be removing some toxins.
I personally can't see why they can't give him some Oxycodone or morphine,toxic metabolites or not,the guy doesn't have long to live,and I'd like the time he does have left to be comfortable.
Thanks guys,
OG
