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The Pain Management Mega Thread v2.0

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tricomb said:
I use california medicinal cannabis concentrates, THC rich for pain and CBD rich for the antipsychotic.
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I wish my current PM doc would allow me to continue smoking, especially since I just got cut open 7 days ago. Do you go with hash, keif, oil or even those gell caps? I love the ridiculous variety...california love.
 
^ that just reminded me, i watched super high me last week on netflix and they were going around a few of the dispensaries, it amazed me at just how many different strains and products you could get in california. I don't understand why more places won't make it legal to prescribe seeing as how many different conditions there are that benefit from it. Not only that, but it could create a whole new job market from production, transportation, sales etc.

Biggdirty is it a case of you can either have medicinal mmj or opoids but not both with your pm or is your pm just a dr that doesn't agree with mmj?
 
BiggDirty01 said:
I wish my current PM doc would allow me to continue smoking, especially since I just got cut open 7 days ago. Do you go with hash, keif, oil or even those gell caps? I love the ridiculous variety...california love.
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Yes, I smoke concentrates pretty much exclusively. Sometimes smoke actual cannabis but that's usually just social. I don't know, I've been smoking cannabis with my buddies since we were in middle school, so it's kind of a ritual for us. I guess you could call us stoners but I really don't smoke really use cannabis for recreation when I'm alone.

I enjoy Hash and Keif (I make my own cold water hash and butane hash and keif, my buddies have epic grow ops, they sell to Clubs/Dispensaries, so they have amazing products and totally professional grow houses, and they give me cannabis and I extract the cannabinoids. They have lots of strains that get tested so I know the THC/CBD %) it is extremely helpful for analgesia. I pretty much smoke my own hash exclusively, so I don't have to go to a fucking dispensary.

Why won't your PM doc allow MMJ? My PM doc did, all he wrote down was the expiration date and asked me to let him know when I renew my card in like a year. I just straight up told him that it helps me use less opioid medication and he seemed to recognize this. He didn't say "oh yeah cannabis is great, it's totally chill that you smoke bro" he didn't even really have a reaction when I told him. He just asked for the expiration date, so I pulled out my wallet and showed him my card.

Doomed2pain said:
I find cannabis helps bring my pain down a point if i smoke enough but unfortunately it isn't available medicinally here and i cannot afford to smoke enough as and when i need it.

I just keep taking my meds, doing my physio and meditating in the hopes it distracts me for a while.
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That sucks! Where are you located? Can you grow your own?

Doomed2pain said:
^ that just reminded me, i watched super high me last week on netflix and they were going around a few of the dispensaries, it amazed me at just how many different strains and products you could get in california. I don't understand why more places won't make it legal to prescribe seeing as how many different conditions there are that benefit from it. Not only that, but it could create a whole new job market from production, transportation, sales etc.

Biggdirty is it a case of you can either have medicinal mmj or opoids but not both with your pm or is your pm just a dr that doesn't agree with mmj?
Click to expand...

California is awesome in terms of potency and variety of cannabis, so is Colorado.
 
He seemed to just not want to deal with the responsibility of his rx's mixing with the medical marijuana (and any health-related issues that may arise).

I've only been tested once and am open to it but right now he is seeing me every 2 weeks and I cant rationalize the risk/reward right now (especially with a fresh incision on my back).

But I know mmj can treat extremely painful conditions as I got my mother, who has pancreatitis, off of morphine/demerol 7 years ago with mmj.
 
I never found MJ to be very good for pain, or atleast the pains I have, but in combo with opioids I do notice an increase in relief. Honestly I wish I had the chance to have medical MJ to help me sleep instead of benzos. Opioids really aren't great for sleeping, but I need to take them for the RLS. MJ works well in combo with the opioids in relieving my RLS and helping me sleep like a baby.
 
Yeah that's what I'm talking about, opioids and MMJ together. I don't get adequate pain control for MMJ alone. Certainly helps me with nausea and appetite though, two things I struggle with constantly due to my fucked up GI.
 
Question BL:

I am noticing, with my ER medication change from methadone to fentanyl, that the onset of analgesia and euphoria of my oxycodone is a lot longer. The duration of these feelings to me appears the same; It is just the time it is taking for the onset to occur.

Has anyone else experienced something like this? I am not sure which combo is better on my back right now (only been on the fentanyl for a week or so), but the long wait for the oxycodone onset (as my breakthrough med) is somewhat disturbing being so fresh from surgery and not really wanting to wait so long to feel its effects.
 
You guys have any experiences with chronic dosing of IR meds besides methadone?

Please tell me in my thread here.

@Dirtyyyy, I have noticed that when wearing a patch, it takes longer for other opiates to kick in also. My experiences were similar to yours I think, fentanyl w/ oxycodone for BT.
 
If you are referring to a spinal fusion, which I've had 3 as of today, then the recovery is about as brutal as one can imagine from having your spine sawed and then fused together with titanium rods and screws. Depending on which route the surgery is conducted (anterior-through stomach, posterior-through the back) the pain you will experience will vary somewhat in terms of incision pain.

To me, the most painful aspect of the 3 fusions has been the 2nd day when the physical therapy department would come to my room to get me out of bed and walking. Now the two times I've been fused from the back, getting up has been difficult and painful...but not impossible. The one time I was fused through my stomach, I seriously thought I was going to die as I had serious back pain combined with my stomach screaming in agony from the fact a vascular surgeon had moved my guts around the day before.

Once you get to day 3 and the pain is better controlled, you find a way to get around and do things in a way that don't provoke the pain to flare up. In my experience it takes 4-5 months to get to a point of beginning physical therapy and starting to decrease on the narcotics.

With that said, I still think it has been worth it. Even being 9 days out from surgery #3 and still in agonizing pain, I realized the few months after my first surgery when I was off the pain meds completely and doing yoga everyday that it is possible to make it all the way back from surgery. Don't discount the possibility of what you can accomplish with less back pain simply because surgery will be painful and difficult.

Please feel free to PM me if you want to talk more about this, unfortunately it has become something of a semi-expertise for me.
 
That sucks! Where are you located? Can you grow your own?

I am in the uk, and I had been throwing the decision around for a while. Finally decided to, just waiting for my light to be dropped off, got my babies yesterday :)
 
Fuck me this is a bad day of pain for me. Still reading what many other bluelighters on here are enduring it makes me feel lucky.

On 55mg of methadone with 25 of amitriptyline (elavil) & 3 hours in i'm not sure it's killing the pain. I could go for a breakthrough opiate but after trying 200 mg of codeine recently with only very short efects; it was weird, ive taken codeine twice for pain in the 3/4 weeks since ive been on methadone & everytime it comes on very very fast, as in 5 mins, then dissipates at 15 & all effects except a mucky headspace from the 'interction' between methadone plus codeine.

I am however curious as to how a mix of opium poppy tea plus methadone may effect me. Too strong? Not worth it? Very good? Minimal effects?:?
 
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i just had to post what my pain specialist said to me yesterday!

"You can't mix tramadol with DHC as they cancel each other out and neither will work"

Umm, what? You have been prescribing this combo to me for over a year! Absolute lies!
 
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Brighton do you think he is referring to the fact that they both seem to get metabolised by CYP 2D6 and UGT 287 so to the extent the liver is dealing with one, it can't deal with the other? I don't really understand this because from my own experience (aside: it's 3am and I have work in a few hours, fuck chronic pain), they definitely do seem to work together and if anything have a synergistic effect.
 
StretchOutAndWait said:
Brighton do you think he is referring to the fact that they both seem to get metabolised by CYP 2D6 and UGT 287 so to the extent the liver is dealing with one, it can't deal with the other? I don't really understand this because from my own experience (aside: it's 3am and I have work in a few hours, fuck chronic pain), they definitely do seem to work together and if anything have a synergistic effect.
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Nah, he was just making stuff up as he didn't want to write me a script =D
 
Hey brighton been a while. as for drs and making it up as they go along, my pm dr prescribed me 3 drugs together that cause serotonin syndrome when used together...and another dr nearly killed me by prescribing the wrong meds so I really do wonder where they obtained their degrees from at times.

How has your pain been dude?
 
Doomed2pain said:
Hey brighton been a while. as for drs and making it up as they go along, my pm dr prescribed me 3 drugs together that cause serotonin syndrome when used together...and another dr nearly killed me by prescribing the wrong meds so I really do wonder where they obtained their degrees from at times.

How has your pain been dude?
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Hey guys, im a new member, and a long time lurker here and had to jump in on this one. Why do you think it's called PRACTICING MEDICINE and not performing it?? Sometimes (ok most of the time) DR's have no clue!!

A little about my self, im a 40y/o man with RSD of my left foot secondary to a 3 column Lis Franc Fracture and compartment syndrome. After multiple surgeries my foot Dr tells me there is nothing else he can do for me so I went to a PM last year. Love this place I am going to, they combine sympathetic blocks every few months with med prescriptions. So far so good, at least I can walk again on most days. We are now looking at a spinal Stim.

Well that's enough about me. Glad to be here as a member and participate.
 
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