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Pain Butrans bupe/opiate addict help

lazygit

lazygit

Bluelighter
Joined
Mar 27, 2007
Messages
625
So It’s safe to say I'm fairly addicted to opiates and have been for many years. It was when I had a bad headache when I was a kid that my mum gave me 2x30/500 Co-codamols and not only did it release the pain but gave me the nicest feeling that I wish I could obtain to this day! 60mgs really got me opiated! Since then I've not turned back and tried alot of opiates/oids, from Codeine to Heroin.

I suffer with severe, chronic backpain since I had/have shermann's disease that went undetected until my late teens, 19 probably! Despite complaing of pain to my family and GP it wasn't after many visits, and an MRI scan until they had made the diagnosis!

This was my Dr's prognosis in 2010:

Scololiosis of the mid back(Thoracic veterbrae) aswel as kyphosis and wedging, exaggerated lordosis of the lower lumber region. Lesions at C2,C3 at T3,T4,T10 & L2,L3 with corresponding spasm in the sternomastoid, trapezius and sacrospinal muscles.
Clinically, I think he has got facet dominant mechanical backpain, secondary to hyper-lordosis and this secondary to a previous Sherman's disease

I don't fully understand all the lingo but basically know my back is quite literaly screwed?! Not as badly as others i'm sure but the pain is so debilitating.

After numerous requests of painkillers I have had co-codamol 30/500's, 8 a day, lot's of NSAID's, and currently Tramadol which was 8x50mg a day but they have wierdly reduced most peoples intake (including people I know) down to only 3x50mg! and to top off the piss take 3x10mg Baclofen a day! Is it even worth taking?!

Since seeing my osteopath about my ongoing back pain (awaiting MRI results) she had told my Dr to increase/change my pain medication to something stronger so I can rehabilitate. He referred me to a pain specialist where I thought, great I'm going to be taken seriously!

She said she was going to give me butrans patches, in my head I thought hopefully fent or something but not bupe! Of course it turns out to be buprenorphine patches! And I expect she will start me of at the lowest dosage of 5ug/hr which will do fuck all! I know this as even when opiate intolerant I stuck on 3 10ug patches and it was only with 8 tramadol that I felt pain relief/high! She also said she was going to give me a low dose anti depressant for sleep-I cannot tolerate antideppressents and they also fuck with the tramadol! Which I believe she is going to take me off as I said the prescribed amount dose fuck all which is true. She mentioned pregabalin earlier on but I said I tried them before as I was holding out for opiates.
1
If I take the bupe patches I'll have to cold turkey everything which isn't too much at the moment but I need pain relief! Currently take 600mg codeine,400mg Tramadol and recently poppy tea- been having 10-15 gigantiums in one tea on top of everything else. Oh and I also have a silly diazepam habit where I take handfuls I was taking 120mg which was an improvement! I'm tapering off by myself and am taking 60 mg's now.

Any advice? I know I need to sort out the opiate/oid addiction and having them for pain relief might not be a good idea since I probably will abuse them but I'm just in agony sometimes even with what i'm on now!

Hope to get the MRI results of my WHOLE back not just lumber this time and see whats going on, maybe then the Dr's will be more helpful.
 
lazygit said:
She mentioned pregabalin earlier on but I said I tried them before as I was holding out for opiates.

Any advice? I know I need to sort out the opiate/oid addiction and having them for pain relief might not be a good idea since I probably will abuse them but I'm just in agony sometimes even with what i'm on now!

Hope to get the MRI results of my WHOLE back not just lumber this time and see whats going on, maybe then the Dr's will be more helpful.
Click to expand...

It be can very effective for pain. Also it's forgiving and not very finnicky, addiction-wise.
 
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I told her I had tried it and it didn't work! regret it so much!! I wanted to phone her up and ask for it but know that would seem addict behaviour so iI think I sjould wait for her to send the info to my dr's then say...'eh didn't we talk about pregabalin' or say I got confussed and that it would help my anxiety. Prob say I'm still in pain can I have pregabalin like you suggested. Any money I get refused when asking for it! drs etc are like that! My mate treacle rates it too.

I deffo want to try pregabalin and maybe the bupe is a good thing to come off opiates as im so tolerant! I'm just so fed up of being in pain I broke down yesterday emotionally because of it and other things and said silly things to people.

I just can't keep on knowing i'm forever going to be in this pain! The weather has got really cold and with being emotional etc has really set my back off. I thought I would be able to get rid of my condition but the woman said she couldn't fix me I will always have pain and have to deal with it!

I've had 15 gigantium poppys in a tea, 600mg codeine, 400mg tramadol,80mg baclofen and 25mg phenergan and the pain is still there!?!

Apart from opiates and benzos I don't use anything else lately. People say I have a drug problem..my problem is that I can't get any fucking decent ones!!! I used to get fent and oxy etc briefly and they helped but I can no longer get them. If i'm going to stop opiates I want to have a last bender with them...do some oxy. heroin etc. Otherwise the whole time I'm on bupe i'll be wanting to try them.
 
Saying you would like to try pregabalin is not addict behaviour. Its just changing your mind on a medication, your being paranoid.

I've been in same situation, people are allowed to change their minds,
 
^^ Hopefully you are right :) People should also have a say on what they do or don't want to put into there bodys but that doesn't happen here!
 
i have 20 to disc protusion. collapsed vertebrae, DDD, i am on 20mcg of the butrans patch, plus 50 amtriptyline,30mg baclofen. for me i find to butrans patch a god send. yip at times i feel like its not working, all i know it blows dihydrocodeine out of the water for pain releif! i was reading this last week on a u.s.a. site that the butrans 20mcg per hour. is roughly the same as 14mg-16mg orally buprenorphine. which i was suprised to read!! but bupe is good for pain releif!! i think some people dont like it as it doesnt reward the pleasure bits. but for chronic pain its good.
 
Sorry to hear that mate. I have quite a stockpile of baclofen and a few pregabalin so should be okay for awhile if they want to take me off the baclofen or not give me the pregabalin. If the amitriptyline helps I'd have no trouble getting this as they chuck anti-depressants out like candy! Only thing is they seem to mess with Tramadol probs as tramadols an SNRI.

May I ask what dose of baclofen you take? My doc prescribed me 10mgs x 3 a day! Which my pain specialist laughed at and said there’s no point taking that amount! As well as only 3 tramadol daily! Reduced from 8! Of course I know 1x3 tramadol won’t do anything so take what I used to be prescribed…8 tramadol!

Are the bupe patches really better for pain relief than DHC? Like 600mg odd? Was addicted to DHC for awhile, guess I liked the euphoric effects definitely more recreational imo. Stuck 3, 10ug patches on once in my opiate naïve days and found it made me fall asleep randomly too! Despite feeling tired, I’d just randomly drop off! Also was in a better mood but quickly wanted something hard hitting in my addict state since you quickly get used to bupe and it feels like your not taking anything. I guess this would be fine now as I don't want to be addicted to opiates anymore!

I just hope I don't get the 5ug/hr patches! I'd be OK with 10ug, better with 15, great with 20! I thought the release rate of the patch was the equivalent amount of bupe only spread out over 7days (not sure if this is correct or where I read it, anyone?) So a 10ug patch would be 10mgs of bupe, spread over 7 days, 20ug = 20 mg etc. Not too sure now?


snowballs i miss u said:
i have 20 to disc protusion. collapsed vertebrae, DDD, i am on 20mcg of the butrans patch, plus 50 amtriptyline,30mg baclofen. for me i find to butrans patch a god send. yip at times i feel like its not working, all i know it blows dihydrocodeine out of the water for pain releif! i was reading this last week on a u.s.a. site that the butrans 20mcg per hour. is roughly the same as 14mg-16mg orally buprenorphine. which i was suprised to read!! but bupe is good for pain releif!! i think some people dont like it as it doesnt reward the pleasure bits. but for chronic pain its good.
Click to expand...
 
It's a pisstake getting good pain relief on the nhs. My mum has chronic back pain (3 slipped discs, sciatica) and she's on 100mg of fucking tramadol a day. Any so-called healthcare professional should see this is blatantly insufficient.If it wasn't for the mail order codeine linctus, her pain would be unbearable.

Right now, we're in the process of trying to get a consultation with one of these new online doctors; we're hoping they will give her the relief she needs. Fingers crossed...

Btw why is it the nhs are so reluctant to prescribe opiate painkillers to genuine pain patients? Sure, they're addictive. But you could argue ssris are, too, and they hand those out like jelly tots for a wide range of symptoms.
 
GPs aren't allowed to prescribe opiates or benzos.

I dunno if its anything to do with Dr Death Harold Shipman but GPs seem to be so so concerned about covering their own backs. This seems to be far more important to them than their patients well-being. That's the impression i get.

I am not impressed that they arent prepared to exercise the tiniest bit of discretion/leeway/they wont even prescribe things for off label use if its not licenced. Although if youd known that before hand and said you had the symptoms that the drug is licenced for you could have got it.
 
^^^Yup they do indeed sadly. My practice seems more foccused how many patients they can see a day. Your lucky to get 2minutes with them!

My GP has prescribed me Diazepam. Zopliclone, Codeine phosphate tabs, DHC, But anything stronger than that they deffo have there backs covered. This seems especially true now days! They also switched the majority of people on Codeine onto Tramadol- a semi synthetic opiate (probs to cover there fat asses?!

Received my pain clinic letter days ago, rang my practice up to speak to my G.P but he was busy! So I asked if he had made my new prescription of the bupe patches only to find out he's keeping me on Tramadol and put me on Diclofeniac (SP?) which I've not been on for years and he knows NSAIDS don't work well with me.

Have to ring early morn tomorrow as this is the second time I've tried to speak to him. The receptionist was even reading the same letter I was reading off saying what I should be put on! I doubt my GP even read it tbh! :(
 
snowballs i miss u said:
i have 20 to disc protusion. collapsed vertebrae, DDD, i am on 20mcg of the butrans patch, plus 50 amtriptyline,30mg baclofen. for me i find to butrans patch a god send. yip at times i feel like its not working, all i know it blows dihydrocodeine out of the water for pain releif! i was reading this last week on a u.s.a. site that the butrans 20mcg per hour. is roughly the same as 14mg-16mg orally buprenorphine. which i was suprised to read!! but bupe is good for pain releif!! i think some people dont like it as it doesnt reward the pleasure bits. but for chronic pain its good.
Click to expand...

This is incorrect. I am on Butrans 20 patch and it is a micro dose compared to what people take bupe for blocking effects. It doses .2 mg per hour...which equals (.2 times 24 hours) approx .48 mg per day. This is like taking a half a mg of bupe a day...nowhere aclose to 16mg. The whole patch only contains 20 mg...and the patch release over a 7 day period.

At this rate of dosage the bupe does NOT block other opiates/opioids.
 
So I was right that a 20patch contains a total of 20mgs, 5-5mgs etc but didn’t do the math to know how little would be dispensed a day

On 3 10ugs I found I didn't get anything from codeine etc? Half a mg is nothing, damn! Fuck getting 5ugs then as that would be patchetic with my tolerance!
Thought my pain specialist was going to take me serious! I expect I'm better off on codeine and Tramadol than the patches,(Which she wants to take me off!) great if the patches wouldn't block anything mind. Have taken over 10mg bupe pills daily for an opiate taper (was a bit overkill I know)

You sure 20mgs a week wouldn’t have some noticeable blocking to opiates/oids?! If not then it would just be a bonus for constant little pain relief.


missmeyet? said:
This is incorrect. I am on Butrans 20 patch and it is a micro dose compared to what people take bupe for blocking effects. It doses .2 mg per hour...which equals (.2 times 24 hours) approx .48 mg per day. This is like taking a half a mg of bupe a day...nowhere aclose to 16mg. The whole patch only contains 20 mg...and the patch release over a 7 day period.

At this rate of dosage the bupe does NOT block other opiates/opioids.
Click to expand...
 
I'm either getting 5ugs or 10, probably 5..this isn't going to hold me atall! GRR!
 
Yes...there is no blocking at these doses...PM frequently prescribe a breakthru pain med with it such as oxys and they still work. (I find I might need a little more oxy than I normally would without the patch but it definately doesn't block it).

The other thing is, though this is a small amount of bupe compared to what they dose for subs, it is more effective than you might think. In the case of bupe, less is often better. It does help some with the pain for me, not the best in the worl...but some people say it is extremely good.

Edit...

But I agree, with a habit, the 5s or 10s probably won't be sufficient...so maybe take them if offered..try them and tell them you think you need to go up in dose after a week (takes 3 days to really kick in). In the meantime, you will probably need to supplement it with other meds to hold you. Tramadol is often prescribed with the patches as breakthrough because the docs say they are supposed to work well together. (I am one of those people that do not feel tramadol at all...I hate it).
 
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