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The Pain Management Mega Thread v2.0

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Tell me about it, I haven't gone more than a month without opiates in 10 years. Tried finding a doc about 7 years ago... I asked for OCs (ha, I was stupid) and got xanax instead (what?.) I've seen 2 orthopedics, and am on to the third one now, as part of my latest determination to find a doctor who will help. I've seen the most retarded people, who have no medical problems, get scripts for ridiculous medications... the system does suck for sure.
 
I get enough drugs to manage my pain most of the time, but the problem is my headaches come on like a motherfucker out of no where and it takes an hour or more for the pills to kick in, another poster in this thread mentioned getting inject-able dilauded, how is this done? given a little bottle and a syringe? or do they give you a few pre-measured syringes per month?

I wondering if they do it for demerol, I already get it in pills but I know you can just inject demerol IM, as opposed to IV, which I don't think I could do.

has anyone ever gotten demerol like this for home IM injection?
 
brain trauma said:
Still no relief and the only thing that happened from that was that in the month between doctor visits I think that I only used the bathroom 4 or 5 times and constantly felt awful because of it.
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Hey, this stuck out and i wanted to address it. Your doctor should have, go to walgreens and get moderate stool softener. The opiates are causing digestion to slow down, and a loss of appetite this cause you stool to compact in hard plugs that back you up until they come out painfully once or twice per week. At the height of my Oc addiction (6oo mg-1000mg daily, at least 6oo to get up and out of bed) sometimes i felt as if that time on the throne would be my last for certain defecating had become that painful!
 
Pain managment or addiction? how to be careful

:\The question:
I had very bad crush injury some time ago. I have been on long term pain meds during this time. I only take pain meds when i need to function in the everyday world, for example when i have to leave the house to go have PT, go shopping, or house work/take showers etc.
Typically I have to take about 30-60mg per day of Morphine IV or I have to take 30-60Mg of oxycodon per day oral to function with the pain.

I take this dose for never more than two days in a row, usually just one day here and there. Then i stop for at least 3 days after i use. I have been repeating this cycle for nearly 3 months now. The reason Im doing this, and then of course the question I’m getting to, is that I do not want to get physically addicted, and I do not want to build any more tolerance than i already have. Will this work? It seems to work for me but I’m not 100% sure. Usually by the 2nd day of not using I get allergy attacks (sneezing bad) and some RLS(restless leg syndrome) at night, by night 3 I’m just restless, but feel fine. I have on occasion stopped for 5-6 days and nothing bad had happened, just some loose stool.

Since this is the longest stent i have been doing this cyclic dosing, I’m prepared to stop but not before i get some advice. Will i go into full blown WD ? I’m a bit worried. Has my body gotten used to the cycle on then off possibly? Thanks for your help and sorry for the long post, I'm new at this.:(
 
Hey, i have a really bad crush injury, too.

Yeah dude, to be honest you are probably somewhat dependent on the opiates, but your dose isn't huge, and it sounds like you aren't too bad off...
If you can stop for a week or more at a time you probably aren't going to have acute WD's, but you may experience Post-Acute Withdrawal Syndrome which is just kinda an uncomfortable feeling, really hard to explain.

If at some point you want to stop completely, I would highly recommend seeing a psych who does suboxone treatment and just be really honest and it will help tons.
 
Cane2theLeft said:
^Simple office piss tests can more easily confuse drugs that are similar (and many will only show use of a CLASS of drugs rather than a specific) but the gc/ms testing that labs do will not make these mistakes. They will determine the exact metabolites you excrete and so not only will your doctor know that you used, but he'll know that you lied to him.

Legally I don't see a reason why he couldn't keep prescribing but why would he administer a test if he didn't care what you consumed? He might not want the personality liability of prescribing controlled substances to someone you uses other controlled substances... and why would he? If you dropped 200k and a decade of your life to get a medical license, would you risk it on giving a drug user a bunch of controlled substances?

With all that said, I have to hypocritically say that drug testing discussion is not allowed so I can't let this proceed any further. I just wanted to inform you of the above. If you have any questions about forum policies, please feel free to PM me.
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this makes me feel sick!!!!! i have to try have to keep from barfing while reading this in a chronic pain thread!!!!!!!!!

suffering for many years, transformed my life ten times over. i've done without for many many years because of degenerates taking advantage. everyone suspect. everyone is in the hole, trying to get out.. since treatment finally started it's like life is livable , and i want to live it to the best of my ability!

i hope no one posts stories like that here ever again.

take care all, your all in my mind and in my heart! <3

-Pain :|
 
Need advice ASAP!

I don't know if this is the place to ask this, so if it is not, please move it:) I will try to make this short and sweet.
To start, I have been seeing a new GP for about four months now and she has been treating me for chronic pain. At my last visit, I mentioned that I had a bladder infection, so I gave a urine sample and her nurse said she would call with the results. A few hours later, she called and said the test was positive and that I could go to the pharmacy and pick up a scrip for Bactrim.
I took the meds and after three days had an extreme allergic reaction, which sent me to the emergency room. I have missed 3 days of work over this already, and am still nowhere close to being able to go back.
Now here is the kicker: in my chart it says I am allergic to sulfa, I have been allergic to it for 15 years, and at each appointment the nurse will ask about allergies and I tell them about being allergic to sulfa. I found out through the pharmasist that BACTRIM IS SULFA, PURE SULFA!!!!
I am thinking about suing for malpractic. My question is: since I plan on suing, is it safe to find another doctor before I drop her, or since I signed a contract, would that be doctor shopping? What should I tell a new doctor about the need for a sudden change? I need these pain meds, and I am scared that a new doctor will not honor the meds that my current doctor sees fit to give me. Any opinions would be appreciated. Sorry this is so long, but I am scared, angry, and pretty discouraged.
 
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i think more people need to start filing lawsuits to bring attention to the medical community. it seems though a majority of practicing doctors these days do not know what they are doing (in western medicine at least). They falsely believe certain pharmaceuticals cure a condition when they are just covering up the symptoms.

I would be dead or terminally ill (more so than I already am) if I continued on a path of Western medicine. Herbs have saved my life and eastern medicine (chinese, ayurvedic, anything nature based) I believe is the answer to our societies overwhelming medical problems.

I am prescribed hydro and oxy for neurological lyme disease and I cannot tolerate them anymore. I get a allergic reaction and my lymph nodes swell up, and I get a migraine (after taking the painkiller; when they are supposed to be treating that).

I have since been using kratom and my lymph nodes have been the smallest in a long time. I hear its a natural anti-biotic, anti-parasitic, anti-inflammatory, anti-anxiety, and anti-depressant. I really wish more chronic pain patients knew about this but it could be banned if it becomes too popular.

Just my $.02.
 
600mgs oxycontin

does this sound insane to any one else .600mgs of oxycodone and nothing not even pain relief.anyone?:X
 
hell yes that sounds insane. what a tolerance, wow.

... assuming the "." was not meant to be immediately before the 6, hah.
 
yes, people can acquire huge tolerances... what exactly are you looking for here?
 
Certain types of pain aren't as responsive to opioids. Are you prescribed these? Has your medical problem been properly diagnosed? Have you tried other therapeutic interventions?
 
ya its all legit. artritis all over body, they say fibermialga severe back problems.i think fiber is an excuse when they cant find real problem.
 
Were you diagnosed as having fibromyalgia by a rheumatologist and did you experience pain at 11 or more of the 18 tender points?

FMS has become somewhat of a catch-all Dx and is probably over-diagnosed improperly by GP's and PCP's but if you're properly diagnosed, it certainly is a very real condition.

If you are not receiving enough pain relief from the opioids, than you need to push your doctors to try other interventions... large doses of opioids are not the end-all and be-all of pain management.

Is it rare for pain patients to not feel any relief from 600mg? Yes but what good does it do for you or this community to have us marvel at your doses.

I'm going to send this over to the Pain Management mega thread in OD.


BDD--->PM Mega Thread
 
Hey guys sorry to interrupt.... but lately I have had the worst pain in my feet. Doc.'s won't prescibe anything because they know I'm a junkie. Have had a bunch of test to check for neuropathy and stuff like that, but nothing. Junk is the only thing that helps. Anyone think pain mananagement clinics would help me? Or do they usually throw you out if really have no proof that something is wrong. Thanks for any input
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took me years to get help, they did nothing until several specialists made same DX. before they knew for sure, they did nothing. my condition is severe in relation to some unknown foot pain, and it took YEARS.. of suffering.. even if they find out what your deal is, doesn't mean that you get such treatment that moderate-severe pain is for. coping skills is your best bet for dealing with this minor pain (seems petty). even if you were not labeled a drug abuser and they DX the foot pain, the most potent drugs they give for that little stuff is like vic's (hydrocodone APAP).

good luck, keep your head outa the gutter..
 
does this sound insane to any one else .600mgs of oxycodone and nothing not even pain relief.anyone?
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the insane part is that you get all these meds legit. doesn't anyone know the true consequence of chronic pain anymore? or are all of you thinking that your going to get 100% pain relieve and feel like your on top of the world........ i take the lest amount possible, and suffer the rest. it's better then the full blown suffering.. the kind that melts your mind!

give your treatment TIME. chronic pain is a TIME matter.. changes your life in time. let the little relief from meds make changes over TIME.
 
Whokid? said:
Hey guys sorry to interrupt.... but lately I have had the worst pain in my feet. Doc.'s won't prescibe anything because they know I'm a junkie. Have had a bunch of test to check for neuropathy and stuff like that, but nothing. Junk is the only thing that helps. Anyone think pain mananagement clinics would help me? Or do they usually throw you out if really have no proof that something is wrong. Thanks for any input
Click to expand...

The best advice we can give you is to keep pursuing both a diagnosis and relief and don't discard treatment options... try whatever they suggest, this is how you convince them that you're serious and not just looking to score pills.

Pain management clinics will be more willing to help but they'll also be stricter with urinalyses and such so you have to willing to comply and accept the consequences if you don't.

Don't worry about "interrupting"! This thread is here for the exact reason why you posted.
 
I dont understand how doctors can misjudge the ones who are in pain but prescribe drug abusers so quickly. Ive been searching for ANY sort of relief for a year and a half now, and i probably visit the ER with pain once a month at LEAST. The hospital understands and trusts me, but the 5 different doctors ive seen dont.

Let me explain. After I had my daughter my PCOS got severely worse, and the labor itself caused a L-4 bulged disc. Ive done PT, and ive learned everything i needed to and continue to implement it in my daily life. I bought a TENS machine which is wonderful...when its on! the moment its off, the pain returns. The ONLY thing that works for quite a few hours is vicodin and ibuprophen together. Then I feel good enough to well...carry and play with my own child. However, you explain that to any doctor and they look at my young age and think im ABSOLUTELY 100% full of shit. One time i ended up hobbling out the exam room crying and puking because the doctor said that i should be ashamed of myself for trying to abuse the system and i have a child to think about.
Thats exactly it, i have a child to think about. I cant work. I HAVENT worked since she was born. Im going to college but the pain is at an all time worse, i probably might have to just skate by with C's. How can i function as a mother when i cant function as a person? Ive never been to a pain management clinic because the whole cant work thing. insurance doesnt cover pain management, and i cant at ALL COME CLOSE to affording anything like chiropractic or acupuncture or anything!

So basically im asking is how did you guys get someone to FINALLY listen to you, or what other methods can i try thats affordable without any insurance coverage (as far as any sort of treatment goes).
 
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