Coraline
Bluelight Crew
My step daughter was on it for migraines. She said it did not work at all. No relief.
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OD Moderators: Keif’ Richards | negrogesic
The Pain Management Mega Thread v2.0
- Thread starter Captain.Heroin
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My step daughter was on it for migraines. She said it did not work at all. No relief.
doppelganga196
Bluelighter
I'm going to the docs on wednesday. Last time i requested some codydramol he paused for ages & said 'i'm getting worried about you & the things you are asking for'.
Well goddamnit i'm kinda worried that he gave me 30 tramadol just after i'd started venlafaxine as i read they have a serious interaction...
I'm done with antidepressants. On wednesday i'm gonna tell him 'okay i'm coming off the venlafaxine, forget the cocodamol & or codydramol I want a slow release painkiller so i dont have to pop 6 -8 pills a day on top of my diazepam reduction ( down to 12 mg per day now )
What do you lot think my options are? I'm in the u.k. I know there's slow release dihydrocodeine but i dont reckon he'll give me those, but hey worth asking right? Then there's those slow release tramadol. I'm just gonna be straight with him & tell him i want an analgesic that i just have to take once or twice a day.
Well goddamnit i'm kinda worried that he gave me 30 tramadol just after i'd started venlafaxine as i read they have a serious interaction...
I'm done with antidepressants. On wednesday i'm gonna tell him 'okay i'm coming off the venlafaxine, forget the cocodamol & or codydramol I want a slow release painkiller so i dont have to pop 6 -8 pills a day on top of my diazepam reduction ( down to 12 mg per day now )
What do you lot think my options are? I'm in the u.k. I know there's slow release dihydrocodeine but i dont reckon he'll give me those, but hey worth asking right? Then there's those slow release tramadol. I'm just gonna be straight with him & tell him i want an analgesic that i just have to take once or twice a day.
muvolution
Bluelight Crew
Is no fun. I don't know what is available in the uk, but the "pain rollercoaster" caused by lots of ir medication really sucks.
Tramadol er really doesn't last much longer than ir. I can't comment on dhc
Tramadol er really doesn't last much longer than ir. I can't comment on dhc
tricomb
Bluelight Crew
Tell me about it, right now my DR has temporarily put me on a pure IR regimine. Wake up in withdrawals every morning.
Today's no different. bout to drive to oakland to my clinic!
Today's no different. bout to drive to oakland to my clinic!
If you want anything other than tramadol/codeine or occasionally dihydrocodeine you usually need to see a pain specialist in the UK.. GPs are incredibly reluctant to prescribe opioids, as are surgeons and most hospital doctors. They also tend to be unaware of tramadol's seizure risk
You take gabapentin, don't you? Have you tried all the non-opioid options (amitriptyline, pregabalin, NSAIDs, non-pharmacological measures)? I think if your GP is not keen to prescribe dihydrocodeine (or stronger), and cocodamol 30/500s are not good enough, then seeing if you can get referred to a pain specialist is going to be your best bet..
doppelganga196
Bluelighter
effie no i no longer & will never again take gabapentin or pregabalin as along with zolpidem they're the only drugs that have ever made me go literally insane & are the only drugs on my "never, ever again list"
I'm gonna try for the dhc but unless there is a 30 mg sr dhc pill he wont script me any. Back in 2009 i had the most jolly old doc ever & he used to give me a 56 count script of 60 mg dhc every month.
Now my doc, although he's my favourite at the clinic, he's a bit jaded since he's been there since 1978. Also he doesn't know a fuckijg thing about benzo equivalency since when i came off 20 -30 mg of oxazepam, by my calculations i should have gone onto 5-10 of diazepam but he wanted to start me off on 20! I said i'm good with 15 to be honest doc.
Also he scripted me tramadol just weeks after starting venlafaxine! You're right docs dont seem to know a damn thing about the seizure risk.
p.s i'm now off antidepressants comepletely : )
I'm gonna try for the dhc but unless there is a 30 mg sr dhc pill he wont script me any. Back in 2009 i had the most jolly old doc ever & he used to give me a 56 count script of 60 mg dhc every month.
Now my doc, although he's my favourite at the clinic, he's a bit jaded since he's been there since 1978. Also he doesn't know a fuckijg thing about benzo equivalency since when i came off 20 -30 mg of oxazepam, by my calculations i should have gone onto 5-10 of diazepam but he wanted to start me off on 20! I said i'm good with 15 to be honest doc.
Also he scripted me tramadol just weeks after starting venlafaxine! You're right docs dont seem to know a damn thing about the seizure risk.
p.s i'm now off antidepressants comepletely : )
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My doctor has put me on hydromorphone. Between 12 and 16mg per day. Occasionally I can get an oxycontin and have some relief from my pain (not complaining just explaining). Recently they have started a pain meds contract. You can't use anything other than what is prescribed. I had taken a oxy on Monday and had my drug test on Friday-will i still be good? Also what meds can you take that will mimic hydromorphones' drug test. So I could also take something else? Thank you.
Neither of those questions can be answered here due to the bluelight user agreement (BLUA). And there's really no way to mimic any drugs drug test as each drug has it's own set of metabolites and the parent drug can be assumed from it's metabolites...(i.e. if 6-MAM (which is converted into morphine within 24 hours) is found in ones system than it is known that heroin was the drug used)
tricomb
Bluelight Crew
I had a great time at my pain management clinic, it's amazing the support you get from hanging out with people who deal with pain, people you don't need to explain shit to.
doppelganga196
Bluelighter
Bad doctors appointment today. My primary doc was on annual leave si i saw this irish twit who studied medicine in China.... anyway i explained what i would've my normal doctor today had he been there: ' I wan to come off venlafaxine altogether + instead of 1 or 2 10/500 apap/dihydrocodeine 4 times daily ( oft taking up to 90 mg cwe at once ) come down from 6 two (2) mg diazepam daily, to just 8 mg or maybe the lowest dose of librium (clordiazepoxide) once at night & two (2) SR analgesics per day, i.e tramadol 100mg sr once in the am once at night or dhc 30 mg twice daily (is there a 30 mg sr dhc here in the u.k? i used to get 60 mg sr in 2009)
So the doctor wound up giving me a damn lecture, antibiotics for my cyst pain & flatly refused to give me any painkillers, called me "bonkers" & told me to wait to see my usual doc next bloody week! I was sue a refill of codydramol today & all i have left is 600 mg of tramadol ( i need 300 a dose to feel any releif ) #
Soooo ive taken 30 mg of oral morphine today, some doxycycline, 60 mg of codeine (got 90mg left) & have smacked a little heroin in my butt...
So the doctor wound up giving me a damn lecture, antibiotics for my cyst pain & flatly refused to give me any painkillers, called me "bonkers" & told me to wait to see my usual doc next bloody week! I was sue a refill of codydramol today & all i have left is 600 mg of tramadol ( i need 300 a dose to feel any releif ) #
Soooo ive taken 30 mg of oral morphine today, some doxycycline, 60 mg of codeine (got 90mg left) & have smacked a little heroin in my butt...
tricomb
Bluelight Crew
I'm sorry. I just called in my oxycodone refill. There's nothing worse than not getting your scripts filled due to someone with an MD, but no compassion.
brighton
Bluelighter
Had the most bizarre doctors appointment last week.
My usual GP was away so I saw some student doctor and her supervisor.
I think my favourite quote was "Oh I don't prescribe benzo's. Heres your script for oxycontin"
Finally having some time off from the 9/10 pain. Its great!
My usual GP was away so I saw some student doctor and her supervisor.
I think my favourite quote was "Oh I don't prescribe benzo's. Heres your script for oxycontin"
Finally having some time off from the 9/10 pain. Its great!
Hey guys, I have an upcoming appointment for some more ganglion impar blocks/steroid injections to hopefully lessen the pain without having to up the narcotics.
I'm currently taking percocet 5/325 every 6 hours and it has been helping greatly, but I was considering asking my doctor to prescribe me some lidoderm patches just so I can "numb away" the pain. Has anyone had success with these patches for non-neuropathic pain, because I understand they're prescribed a lot for post-herpatic neuralgia.
I'm currently taking percocet 5/325 every 6 hours and it has been helping greatly, but I was considering asking my doctor to prescribe me some lidoderm patches just so I can "numb away" the pain. Has anyone had success with these patches for non-neuropathic pain, because I understand they're prescribed a lot for post-herpatic neuralgia.
Both my EMG tests and muscle biospy have come back as normal or as written in the letter do not suggest anything different. Seeing Doc on thurs so maybe she will have a better explaination. I doubt this will mean anything new on the medicines / treatment front.
muvolution
Bluelight Crew
Gabaking - I use them and they are tits. Really good, man!
doppelganga196
Bluelighter
Hello folks. Recently i've had a really hard time on so many medications that i hit a major rough patch.
Okay so ive smoked heroin in the past & injected pharm grade morphine - pills (mst) & ampoules.
About the start of april i went thru the worst withdrawal of my life - running out of my diazepam taper early, coming off venlafaxine with horrid side effects like brain zaps, being in withdrawal from oral morphine plus my scripted dhc & codeine. This was all happening the same day i had a really bad hangover, so yeah, never felt better.
I wound up buying some smack & even tho this was good quality turkish H i still didnt get "high" just good relief, even with 200 odd milligrams.
So i was at my doctors appointment, fortnightly checkup, & the doc spots i.v marks, even tho the were partially hidden behind the watch on my right arm.
The doctor cuts off my analgesics & leaves me with my usual diazepam & gave me amitriptyline & referred me to the local addiction specialists that day.
I saw a nurse & doctor & tuesday i was put on 25mg of methadone. The next day i was still in bad withdrawal (my chronic pain was like 10 x worse than usual, all my muscles ached, shitting mist etc) so they upped me to 35 mg, the next day 45 - which was so incredibly effective i phoned the clinic & told them i think i can manage on 40 mg.
Must dash but i have more to add so i'll edit tbis post later. But wow, what a painkiller, i'm scared tho - i dont want to be on this high a dose for more than a couple weeks.
Okay so ive smoked heroin in the past & injected pharm grade morphine - pills (mst) & ampoules.
About the start of april i went thru the worst withdrawal of my life - running out of my diazepam taper early, coming off venlafaxine with horrid side effects like brain zaps, being in withdrawal from oral morphine plus my scripted dhc & codeine. This was all happening the same day i had a really bad hangover, so yeah, never felt better.
I wound up buying some smack & even tho this was good quality turkish H i still didnt get "high" just good relief, even with 200 odd milligrams.
So i was at my doctors appointment, fortnightly checkup, & the doc spots i.v marks, even tho the were partially hidden behind the watch on my right arm.
The doctor cuts off my analgesics & leaves me with my usual diazepam & gave me amitriptyline & referred me to the local addiction specialists that day.
I saw a nurse & doctor & tuesday i was put on 25mg of methadone. The next day i was still in bad withdrawal (my chronic pain was like 10 x worse than usual, all my muscles ached, shitting mist etc) so they upped me to 35 mg, the next day 45 - which was so incredibly effective i phoned the clinic & told them i think i can manage on 40 mg.
Must dash but i have more to add so i'll edit tbis post later. But wow, what a painkiller, i'm scared tho - i dont want to be on this high a dose for more than a couple weeks.
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gromit12
Greenlighter
- Joined
- Oct 31, 2011
- Messages
- 34
I have a question that seems to be brought up here often, so I'm trying to get some clarity on one aspect on it.
I don't intend to this to be a drug testing question per-se as I'm not trying to evade it, I just am trying to gain further understanding.
I had been seeing an orthopedic doctor who was working some sort of pain management situation with me for the problems I have (deteriorated disc in C2 and a painful bone spur on C4 which has caused nerve damage/pain) but as I am young, she was starting to get wary of treating me as a chronic pain patient. I'm oddly sympathetic to this situation, but it's tough because I know my condition isn't going to improve, it's more of a management type situation.
I go to physical therapy regularly (2-3 times a week) and it helps a great amount and I love my therapist. He's very helpful and spends a lot of time with me. However he agreed with me on the severity of my condition and has referred me to a pain clinic.
Now to my question (sorry) I was working on the new patient packet and it of course contained a pain management contract. I've come across these before, and this one actually wasn't all that intrusive (i.e. nothing on there in terms of having to consent to pill counts, etc.) but it did say that I would have to consent to random drug tests. I have a medical marijuana card and have marijuana as an alternative to narcotics for pain, but frankly I don't find it to be all that helpful. All it seems to do is make me more focused on how much I'm hurting, and sort of in a weird way makes it worse for me.
So my FIRST appointment is in a week from today (next friday.) Is it typical for a PM doctor to drug test on the first visit? I realize this is a near impossible question to answer, but it has been running around in my head quite a bit because I really have no problem not smoking weed anymore. I think the last time I smoked was almost two weeks ago to sleep through the night as it was a particularly pain-a-riffic day/night.
I sincerely apologize if this question is breaking any rules, or really even skirting them, just trying to gain some peace of mind.
Thanks!
I don't intend to this to be a drug testing question per-se as I'm not trying to evade it, I just am trying to gain further understanding.
I had been seeing an orthopedic doctor who was working some sort of pain management situation with me for the problems I have (deteriorated disc in C2 and a painful bone spur on C4 which has caused nerve damage/pain) but as I am young, she was starting to get wary of treating me as a chronic pain patient. I'm oddly sympathetic to this situation, but it's tough because I know my condition isn't going to improve, it's more of a management type situation.
I go to physical therapy regularly (2-3 times a week) and it helps a great amount and I love my therapist. He's very helpful and spends a lot of time with me. However he agreed with me on the severity of my condition and has referred me to a pain clinic.
Now to my question (sorry) I was working on the new patient packet and it of course contained a pain management contract. I've come across these before, and this one actually wasn't all that intrusive (i.e. nothing on there in terms of having to consent to pill counts, etc.) but it did say that I would have to consent to random drug tests. I have a medical marijuana card and have marijuana as an alternative to narcotics for pain, but frankly I don't find it to be all that helpful. All it seems to do is make me more focused on how much I'm hurting, and sort of in a weird way makes it worse for me.
So my FIRST appointment is in a week from today (next friday.) Is it typical for a PM doctor to drug test on the first visit? I realize this is a near impossible question to answer, but it has been running around in my head quite a bit because I really have no problem not smoking weed anymore. I think the last time I smoked was almost two weeks ago to sleep through the night as it was a particularly pain-a-riffic day/night.
I sincerely apologize if this question is breaking any rules, or really even skirting them, just trying to gain some peace of mind.
Thanks!
muvolution
Bluelight Crew
You need to let your doctor know that you have a medical marijuana card. As long as you are upfront and don't try to hide anything, there shouldn't be an issue. If they make you choose between mmj and them, you should find somewhere more sympathetic.
gromit12
Greenlighter
- Joined
- Oct 31, 2011
- Messages
- 34
Thanks, if it comes down to it I'll let him know!
BiggDirty01
Bluelighter
Usually, for me at least, I have informed the pain doc that I have a mmj card and use it frequently. Some really dont tend to care while others have done the "pick this or that" deal. But at first appointments when you let them know you have a card and use it they expect you to test positive for the mmj and I would think if you informed them that you do and didn't test + for it that that might be more of an issue than being upfront and honest.
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