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The Pain Management Mega Thread v2.0

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tricomb said:
How is everyone doing today, pain wise? I've gotten substantially better, from an 8.5 this morning to about a 4.5 right now!

I'm one happy camper.
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That is swell ! I took painkillers today for the first time in 4 days and it was great. The stupid capacian cream I was using made my wrist worse, that really pissed me off !!! Totally looking into cannabis salves, I had never thought of that ! =D Pain solidarity hugs for you all. x0x0x
 
*samsonite* said:
I'm struggling with a dilemma that I'm sure some of you guys are acquainted with; I'm going to run out of meds early this month :( I have enough to last 10 days of regular dosing. I don't get a refills for 16 days. My dilemma is whether or not to start a slow taper and conserve meds, which would leave me in pain for the whole 16 days but not withdrawl. OR take as usual and during the last week take a dive in dosing. Pros and cons for both considering my pain is severe. Being in pain for 16 days when I know I have meds on hand that would relieve me is miserable and almost impossible IME. But, while taking a sudden drop in meds those last few days is less days of suffering, I will be in withdrawl hell. Any thoughts on the lesser evil??
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I also have been short on my meds each month, I run out before I see the Dr too, I know the pain of withdrawl , so I just cut mine to 1/2 each day to stretch it out, so I go for that answer, but you are right there is no lesser evil they pretty much both suck. Funny I thought I was the only one that goes through that during the months, its nice to see I am not alone on that one. Thank You.
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Have you tried 600mg ibuprofen?? I know its not a narc but a narc is not always appropriate for the situation. They have both analgesic and antiinflamatory properties that open up the arterial pathway reducing the pain by providing oxygen enriched blood to that area.
 
Hello, I read your post and wanted to point out that your pain your describing is called neuropathic being that its caused from nerves. The best medication for you to be on would be neurontin 400-600mg 4 times daily. You can also add elavil 10mg 4 times daily taking them both together. These drugs are mentioned for siezure control and depression but the chemicals in the brain that. They work on is changed at the chemical level when dosed at those times and amounts. You shouldn't be having any burning, high sensitivity or shooting, throbbing pains.
 
Tri...sorry honey, just saw your post...The "Dirty South" is indeed an appropriate term right now, lol. It's been in the upper 90's to 106. Unbelievable.
Samsonite..Don't know if you have the luxury of a choice @ this point, but...
Cold turkey is obviously hell, and I found out recently that even a semi fast taper is nearly as bad for me . I'd go with the slowest possible taper, esp since you know you have a refill coming.
 
Thanks hazey and mac ;) Since the new oxycontin can be cut without really altering the rate of release I am cutting them in quarters and stretching out the dosing to about 60mg daily of that and cutting my BT 10mg percs in half and taking about 20mg a day. That brings my dosing from 120mg to 80mg. I'll cut it down again tomorrow. Hoping to cut enough to get me around 40-50mg oxycodone daily. If I can endure it, that will get me to my next appt. It's so hard to not dip into more when I'm hurting tho :(
 
I woke up about three hours ago a 5, and I'd say I've managed to bring that 5 down to a 4 without opioids, using cannabinoids alone. So yeah, things are great. The cannabis extracts I picked up this morning are excellent analgesics, I will be sure to stock up big time.
 
Nice! It'll be something to look into once our dispensaries finally open. I have to do UAs for my doc so I'll only be able to use them the first two weeks of the month but that's better than nothing!
 
A relative is taking 17 pills x 20 mg of oxycontin a day for his pain. He has real pain, cancer in remission, but a hole in his spine and lumbar has nerve bundles twisted around the spine somehow. He is barely able to walk, lives in a remote area of the US with his wife, who also is on oxycontin for MS. She already has lesions on her spine and brain, basically the final stages as she is losing ability to think and move on her own, and he is usually the caregiver for her. She called because she is concerned he will OD if taking that much. He is underweight quite a bit due to the cancer. This morning, he assaulted a young teen at a fast food place when they were in town. This is a first. He is a "God fearing" church going person who usually would pray and not attack. Can this behavior be from the amount of drugs he is taking? and what will happen if he continues to take that amount daily? I tried to get them to let a caregiver come in, but no go. Any knowledge would help. Thanks.
 
Oh wow. I can't imagine that is his prescribed dosage. If so, his doc is off his rocker. If those are the extended release OxyContin the Dr would usually give a higher mg rather than so many of a smaller mg. Dr are also supposed to comply with the "two OxyContin a day" rule with the new formula bc it is technically supposed to be a 12 hr release. If he metabolizes it faster than that, they prescribe breakthrough meds. Whether they are extended release or immediate, that is very excessive. If it is his prescribed regimen I suggest he sees a new Dr. If it isn't then I suggest he come clean with his doc so his symptoms can be reviewed and a new plan can be made. If he is up there in age I would suggest someone accompany him to the Dr and they express their concerns so the doc knows what's going on and can do a med change. I did this with my grandfather that is receiving pain mgmt. I told him I would give him a ride, took him to his appt and pulled the doc aside to discuss my concerns. The Dr adjusted his meds that day. That is a very troubling situation, especially with them both deteriorating alone together.
 
Has the family member with MS considered doing an ALL vegan, no sugar substitute diet? My cousin with MS did this and she has been symptom-free since Christmas.
 
I find naproxen the best nsaid for my pain too, it helps a lot with the swelling in my limbs even though they are still very swollen. Man I would love to be at a 5 not been in that little pain for nearly 3 years now but it is awesome news for tricomb :D
 
I hate doctors! they think ive been doctor shopping for my painkillers. just what I need, stress on top of pain.
All I did was see my old specialist while I was transferring my new pain clinic, I didnt even get any drugs, they must be paranoid as shit!
I hope some of you are having a better day than me =D
 
If you did not get anything prescribed it should not be considered dr shopping. My pm dr is quite aware I was seeing multiple dr for my pain; bone scans,MRI, meylogram, nerve mapping ect... They never gave me a hard time because I did not get a script for anything. Dr shopping is when you get the same script for the same problems.

If they are that concerned have the dr you saw send the records to your pm dr and let them know why you are sending it over, to clear things up.

Pm patients get a lot of crap for using pm meds and we are the ones guilty and drug seeking until proven different. It's not that way everywhere but you will find more pm horror stories than happy endings.

I'm sorry you had a rough day.
 
Just out of curiosity what are you guys suffering from that you need so many pain meds for?
 
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