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The Pain Management Mega Thread v2.0

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@Brighton, I'm not only talking about using pharmaceuticals to potentiate although that is also covered. My pain clinic is very liberal. I didn't mean they say "mix this with that" but they do discuss how many medications that pain patients often take (benzos, muscle relaxers, etc.) can have a profound effect, and that when medications are respected and used responsibly the drugs can work together.

HOWEVER, I was referring to using things like Guided Imagery and self hypnosis to increase the efficacy of the opiates.

I practice this right after I dose my opiates, and as I'm waiting for them to start working. I give myself about 20 minutes and by the time the 20 minutes are up I'm usually experiencing some pain relief.

Other pain clinics I've been a part of are SO much more conservative, and you can feel the DEA looming over your shoulder. The discussion of opiates at pain clinics being shunned makes NO sense to me.

At my clinic, they seem to accept and embrace opiates. They don't throw them at you, not by a long shot, but this is by far the most compassionate team of doctors, pharmacists, and psychologist I have ever seen.

I just got off the phone with my pain psychologist, he called and asked me how I was doing. I just broke down and cried. Never before had a doctor who knew about my pain took the time out of their day to check on me.

I had lost all hope in healthcare before this pain clinic, and for the first time in my life seriously contemplated suicide.
 
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Let's keep the thread focused on dealing with medication issues which and pain, not what to do to get your doctor to prescribe you drugs. Simply follow their advice, it is the best thing you can do for yourself.
 
HI, I am a 15 year old male with Spondylolisthesis, Scoliosis, fractured bones, chipped bones, muscle spasms, located in my lower back. For the past few months my doctor has been prescribing me 90 Percocet 10/325s each month.
Today I had my monthly appointment for my refill. Well my doctor suggested that I take 120 Lortab 10/325s because they are a scheduled class 3 narcotic instead of class 2 which are what Percocets are. he said its more fitting for my age because I'm so young. I agreed.
Earlier, I took my first dose of them (DOCTOR says take 1 every 6 hours but I take 3-5 when i took percocets). I took 4. After waiting 30 minutes I didn't feel any euphoria or any pain relief. MY QUESTION IS HOW MUCH DO YOU RECOMMEND ME TAKING TO EQUAL THE SAME TO THE PERCOCETS????
 
96chanz said:
HI, I am a 15 year old male with Spondylolisthesis, Scoliosis, fractured bones, chipped bones, muscle spasms, located in my lower back. For the past few months my doctor has been prescribing me 90 Percocet 10/325s each month.
Today I had my monthly appointment for my refill. Well my doctor suggested that I take 120 Lortab 10/325s because they are a scheduled class 3 narcotic instead of class 2 which are what Percocets are. he said its more fitting for my age because I'm so young. I agreed.
Earlier, I took my first dose of them (DOCTOR says take 1 every 6 hours but I take 3-5 when i took percocets). I took 4. After waiting 30 minutes I didn't feel any euphoria or any pain relief. MY QUESTION IS HOW MUCH DO YOU RECOMMEND ME TAKING TO EQUAL THE SAME TO THE PERCOCETS????
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Getting 120 Lortabs means you should be taking 4 a day..........thing is your body & mind are used to the stronger percs, hence you not feeling the effects of the Lortabs. You will need to take like 6 Lortabs but I dont recommend it. Im surprised 4 Lortabs didnt at least help with your pain.
 
Hello Doomedtopain yeah i'm doing okay actually. Have an appointment for sugery consult later this month.

I'm now on 120 30/500 co-codamol every two weeks along with 112 2mg diazepam & 28 25 mg pregabalin - which today (the pregabalin) i've just tried for the first time in combination with leftover dihydrocodeine & erm, i'm soooo pain free! must admit although its not exactly "fun" like marijuana or ecstacy etc i do feel pretty high! Part of that though is just out of breathing a huge sigh of relief not to be in constant pain & agitation : )

How you doin baby? Forgot what meds you're on...
 
I actually think pain management can be highly efficient. It depends on your pain level. For extreme pain, muvolution is correct, a 20% reduction is about all you can expect, even from hefty duty pain killers. No doctor is going to let you be on an anesthetic dosage of a pain killer without having to go through surgery, etc.

However, some pain patients do administer large combinations of various drugs to get more pain relief than (what some people would say) "they need" (I'm not one to judge how much pain relief someone desires in life).

However, for my level of pain with chronic tendinitis, I notice that just buprenorphine, cannabinoids (whipped butane hash oil aka WAX), and hydroxyzine is an incredibly good combination. I could safely say my pain is reduced by more than 20% for sure. I would say that I'm not experiencing severe pain anymore though, just mild pain.
 
I admit I often try to get more pain relief than my doctor wants. It's hard NOT to want to COMPLETELY stop the pain even if it's just for a short time, when you have the resources to do so.

The thing that keeps my usage in check is the NEED for the medication to work tomorrow, and the day after that.
 
^^ I totally understand what you mean. I try to keep my tolerance down too. I find keeping my tolerance down makes the medicine work so much better. Also taking breaks and naps if you can helps too.
 
Which drug does one think would work better for pain?

Tramadol (50mg) or Tylenol 4 w/ codeine (60mg codeine/300mg APAP)

I've been taking 8 tramadols a day for a year, and if I were to try to switch to T4's, do you think the codeine would work better?

edit: I average a 5-6 on my meds, so something needs to change...

it probably doesn't help that I buy morphine and will take around 120-150mg in a day if possible...
 
Tramadol would most likely work better for pain with some associated non-nociceptive pain than codeine. the NMDA-antagonism and SNRI action of tramadol can help with say neurological pain better than just a pure mu-opioid agonist in a lot of individuals. If you just have general somatic pain, and don't have a problem with large amount of side-effects from codeine (slow/rate-limiting metabolism of codeine to morphine and other metabolites plays a huge role in this). Codeine it self is a ultra weak opioid analgesic, with excellent anti-tussive effects, and large histamine release, as well as strong emetic effects in some individuals. With efficient metabolism from codeine to it's active metabolite the analgesic potential greatly increases, and there are smaller amount of side-effects. Some people poorly metabolize it and they get the large amount of side-effects seen with codeine. I personally get decent effects from codeine with little to no side-effects.

If you are taking that much morphine a day though, codeine will probably be worse than tramadol for pain.
 
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well I'm poor now and haven't had any opioids in over a week...it's been rough as hell...2 weeks without my trams...they just don't do it; i ran through my script in less than 15 days...
 
tricomb said:
I admit I often try to get more pain relief than my doctor wants. It's hard NOT to want to COMPLETELY stop the pain even if it's just for a short time, when you have the resources to do so.

The thing that keeps my usage in check is the NEED for the medication to work tomorrow, and the day after that.
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Yeah... and to not have it wear off after the first hour/day/week. That's why I like buprenorphine so much for my tendinitis.
 
Hey guys, I have coccydynia that's unresponsive to steroid shots, nerve blocks, etc. The coccydynia is caused by 2 prior surgeries that left a lot of scar tissue and an anatomic deformity in my coccyx (I have an extra 3 bones in my tail bone).

My PM physician has me on 120 5mg pers a month. He told me that b/c I wasn't responding well his interventions, I should maybe consider a coccygectomy (tailbone removal). I'm not totally sold on the idea, but I made an appt with the surgeon anyway.

I was wondering if anyone here has had a coccygectomy/knows someone who did and if it offered them relief? It's a pretty uncommon surgery so I'm not finding a whole lot of info online
There's a risk in this surgery of permanent neuropathic pain. I don't wanna get rid of my somatic pain only to develop a different type of pain....
 
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I'm back on tramadol now - the pregabalin made me go insane, just like gapapentin. I literally wound up checking into a hotel & spent the entire night binging on them & ran up a bar tab at 3am & left before check out time. I reckon i did this (check into a hotel) because i wanted to hideaway as i was soooo fucked up.

I also experienced amnesia as for the past few weeks i've believed that i lost a mobile that weekend & today i found a 28 day buyback agreement that says "mobile phone"

I have no bloody memory of pawning it on a buyback whatsoever! It is actually frightening how pregabalin & gabapentin made me behave. I can hold my drink better than most people & thats one thing that most people do experience "out of character" but those drugs made me go mad. I know i should have used them more responsibly but along with ambien those are going on my "never again & i mean never" list of drugs.


The co-codamols are too weak at the prescribed dose & i wind up cwextracting them & only one dose a day seems to work. Codydramols are okay, they work if used multiple times daily, however tramadol seems to be the best thing for me right now as i need a painkiller that lasts a good amount of time.
 
I had one at birth (as well as having part of my sacrum removed) due to a 1.5 lbs (3.3kg) spinal cord tumor. While the circumstances are much different (The tumor was wrapped around the bones and nerves), the surgery was similar. I do suffer from some increased sensitivity, the surgery did save my life, for which I am eternally grateful. I wish I had more to offer, but I will say that the side effects directly from the surgery have been few and none have been anything other than minor. Remember too that my surgery was over 30 years ago and I was a 4lbs infant at the time. I would imagine that now these surgeries are much more common, so if you have a chance of relieving your pain, I would seriously consider it. If you have any questions please message me anytime, and I will do all I can to help. Good luck!!''
GABAking said:
Hey guys, I have coccydynia that's unresponsive to steroid shots, nerve blocks, etc. The coccydynia is caused by 2 prior surgeries that left a lot of scar tissue and an anatomic deformity in my coccyx (I have an extra 3 bones in my tail bone).

My PM physician has me on 120 5mg pers a month. He told me that b/c I wasn't responding well his interventions, I should maybe consider a coccygectomy (tailbone removal). I'm not totally sold on the idea, but I made an appt with the surgeon anyway.

I was wondering if anyone here has had a coccygectomy/knows someone who did and if it offered them relief? It's a pretty uncommon surgery so I'm not finding a whole lot of info online
There's a risk in this surgery of permanent neuropathic pain. I don't wanna get rid of my somatic pain only to develop a different type of pain....
Click to expand...
 
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