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OD Moderators: Keif’ Richards | negrogesic
The Pain Management Mega Thread v2.0
- Thread starter Captain.Heroin
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tricomb
Bluelight Crew
Yeah, I've been on it for years, way before it was controlled. Honestly, I'm surprised it wasn't scheduled to begin with, it is extremely abusable and to non-tolerant users, euphoric and noddy.
IMO recreational use of soma: It takes like 1 hour to begin to feel, and then it will hit you like a freight train and you're enjoying it, then all of a sudden, you're completely sober.
It's great for pain and spasms though, ever since they got rid of Miltown.
IMO recreational use of soma: It takes like 1 hour to begin to feel, and then it will hit you like a freight train and you're enjoying it, then all of a sudden, you're completely sober.
It's great for pain and spasms though, ever since they got rid of Miltown.
tricomb
Bluelight Crew
Yeah I've always used soma in conjunction with opioids to reduce doses of both. I think I have a Baclofen script waiting for me at the pharmacy, along with my desoxyn and ambien (???? I have no idea why this got sent to the pharmacy, but I guess I'll pick it up...) but I have to go pickup my paper triplicate prescription for my increased percocet dosage, so I won't go to the pharmacy until I will be getting my pain meds, haha. I'm not going to drive to the pharmacy just for desoxyn, and ambien that I didn't even ask for? hah.
I kind of want to ask them for the 10/325s instead, I hate all this extra tylenol and will not do a CWE and lose some active ingredient, I can't afford it with doses this low.
I would be most happy if they just gave me back the 60mg Morphine ER, w/ norcos or MSIR15 for BT.
I kind of want to ask them for the 10/325s instead, I hate all this extra tylenol and will not do a CWE and lose some active ingredient, I can't afford it with doses this low.
I would be most happy if they just gave me back the 60mg Morphine ER, w/ norcos or MSIR15 for BT.
gromit12
Greenlighter
- Joined
- Oct 31, 2011
- Messages
- 34
Yeah, I'm in a relatively low place....what's also frustrating is that my insurance is pretty crappy, and I'm allowed coverage of two doctors visits per quarter....so I can't go to another doctor (short of paying out of pocket) until July....so annoying and such a waste of time.
I really, really, really just don't know what to do.
Also, I'm starting to think that a lot of it has to do with my location (as far as scrutiny is concerned). Orange County is such a mess in terms of perscription pill abuse, and to add insult to injury I'm young and so I get treated as if I'm naturally going to abuse/sell something.
GABA....My heart is really with you.
What was annoying was sitting in the waiting room and seeing two younger kids walk in, get perscriptions and leave....It's pretty obvious that I'm in pain because you can see it in the way I carry myself, but these two seemed awfully spritely... maybe they're getting the medications they need 8)
Also, doctors ordering this many tests needs to be cracked down on. It's getting pretty disgusting.
Blah...
tricomb
Bluelight Crew
My heart goes out to you too brother. I know what you mean about being young and in pain, and clearly, visibly in pain. I've gone in there with so much weight loss looking like I have HIV and I complain of losing over 20 pounds yet they thought I was drug seeking.
IMO it's like, if your under 16, doctors will be very nice to you and compassionate, more liberal with scripts NEEDED for pain.
But once you hit the 16-25 age range, you're just a drug seeker.
IMO it's like, if your under 16, doctors will be very nice to you and compassionate, more liberal with scripts NEEDED for pain.
But once you hit the 16-25 age range, you're just a drug seeker.
gromit12
Greenlighter
- Joined
- Oct 31, 2011
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I couldn't agree more.
tricomb
Bluelight Crew
Yep. They're thinking "oh well if he really needed them, he would have been complaining at the doctors more".
They've pulled that card on me when I had been off of my meds for 1 month, because my GI doctor said he wanted to see if the opioids were hurting me more than they were helping. Some of the most miserable 30 days of my life, and had a very hard time getting my RX back after being off it for 30 days. They were like "Well if your GI doctor took you off them, he should put you back on them" and my GI doctor never wrote me any narcotics, so of course when I call him up and tell him that now they won't give me my meds back, will he write the script, since my pain obviously only got worse.
He was like "Nope, I didn't support you being on them in the first place, you're too young" So basically I felt like they tricked me into getting off it. -____-
gromit12
Greenlighter
- Joined
- Oct 31, 2011
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- 34
TC....it really, really is incredible isn't it. What a bunch of turds.
tricomb
Bluelight Crew
I never had a problem with our healthcare system until I became a chronic pain patient.
BiggDirty01
Bluelighter
Whattup guys,
As expected took a trip through gnarly memory lane and had spine surgery last week. FUCK! Needless to say I ended up in the ICU in post op. They started me on dilaudid/ketamine in the PCA pump and it might as well have been water because I could feel no relief. This went for 20 hrs in the imeediate post op.
Hour 20, the pain management department (yes the hospital has a separate unit for managing pain-are you guys familiar with this?) sets me up with fentanyl in the PCA, something like 20 micrograms per push with like 6 possible per hour (math may be fuzzy). Now I am expecting serious analgesia with this being the BIG DADDy of opiates and while I can admit some relief, it did not hit me like a ton of bricks (which literally might have been favorable with the pain I was in).
For the next 2 days I experience pain relief that I can only describe as something like going from a 9-10 to 7-8...decent but not spectacular. As they began taking me off the PCA to the oral meds my pain started to go back up (!!!!?) I was freaking and at this point they are feeding me 30mg oxycodone every 2 hours with a 75 mc/g fent patch.
Again not really working. I am seriously stressing, its been like 4 days and I havent been able to close my eyes for 20 minutes. The pain team comes to me with this: "We are going to lower your meds because we gave you hyperalgesia with the 2 days of IV fentanyl" Hence why my pain relief was sucking with disgusting quantities of opiates (I love my Oxy but 360 a day is too much for me).
Now I'm familiar with hyperalgesia as I am sure most of us chronic pain sufferers are. My issue though is that it is an ACQUIRED phenomena; to acquire it in 48 hours seems utterly incomprehensible and simultaneously frightening--there are absolute limits of pain relievers. I went from a regiment of 30mg Roxycodone every 4-6 hours and 60mg of methadone giving good analgesia to 360 roxy and IV Fent and cant achieve more than a 1-2 point reduction on a 1-10 pain scale.
Sorry for the rant, but as I got home today I find myself in disbelief of what just transpired and cant wait to hear some feedback from my fellow BLers because I am fascinated...
I will try and post something here later on in the week, just wanted to post here in the PM thread since I've read through both versions and it definitely gave me some support.
'[/QUOTE]
As expected took a trip through gnarly memory lane and had spine surgery last week. FUCK! Needless to say I ended up in the ICU in post op. They started me on dilaudid/ketamine in the PCA pump and it might as well have been water because I could feel no relief. This went for 20 hrs in the imeediate post op.
Hour 20, the pain management department (yes the hospital has a separate unit for managing pain-are you guys familiar with this?) sets me up with fentanyl in the PCA, something like 20 micrograms per push with like 6 possible per hour (math may be fuzzy). Now I am expecting serious analgesia with this being the BIG DADDy of opiates and while I can admit some relief, it did not hit me like a ton of bricks (which literally might have been favorable with the pain I was in).
For the next 2 days I experience pain relief that I can only describe as something like going from a 9-10 to 7-8...decent but not spectacular. As they began taking me off the PCA to the oral meds my pain started to go back up (!!!!?) I was freaking and at this point they are feeding me 30mg oxycodone every 2 hours with a 75 mc/g fent patch.
Again not really working. I am seriously stressing, its been like 4 days and I havent been able to close my eyes for 20 minutes. The pain team comes to me with this: "We are going to lower your meds because we gave you hyperalgesia with the 2 days of IV fentanyl" Hence why my pain relief was sucking with disgusting quantities of opiates (I love my Oxy but 360 a day is too much for me).
Now I'm familiar with hyperalgesia as I am sure most of us chronic pain sufferers are. My issue though is that it is an ACQUIRED phenomena; to acquire it in 48 hours seems utterly incomprehensible and simultaneously frightening--there are absolute limits of pain relievers. I went from a regiment of 30mg Roxycodone every 4-6 hours and 60mg of methadone giving good analgesia to 360 roxy and IV Fent and cant achieve more than a 1-2 point reduction on a 1-10 pain scale.
Sorry for the rant, but as I got home today I find myself in disbelief of what just transpired and cant wait to hear some feedback from my fellow BLers because I am fascinated...
I will try and post something here later on in the week, just wanted to post here in the PM thread since I've read through both versions and it definitely gave me some support.
'[/QUOTE]
gromit12
Greenlighter
- Joined
- Oct 31, 2011
- Messages
- 34
^^
I can't really be of any help unfortunately, but I've gotta say that's pretty fascinating. Could it possibly have something to do with some kind of nerve damage caused by your surgery and may not be linked to medication at all?
Although, that is an INTENSE cocktail they had you on.
I can't really be of any help unfortunately, but I've gotta say that's pretty fascinating. Could it possibly have something to do with some kind of nerve damage caused by your surgery and may not be linked to medication at all?
Although, that is an INTENSE cocktail they had you on.
BiggDirty01
Bluelighter
They tried to claim they had over saturated my opiate receptors in that period of time (48hrs) to the extent that they had to back me down on the oxy and start me on a clonidine patch. They said the alpha-2 receptor activity would speed the displacement of the excess medications but honestly hyperalgesia takes a while to develop (had it last year).
I was furious tho as the ketamine/dilaudid combo worked for me last year post op although it left me sedated and hallucinating for 3 days (better than awake and in deathly pain). This time they just lamed it up on the ketamine concentration saying that "we dont want you to be having hallucinations" as if thats worse.
And so they opted for PCA Fent which then proceeded to inhibit my ability to experience further analgesia.
I was furious tho as the ketamine/dilaudid combo worked for me last year post op although it left me sedated and hallucinating for 3 days (better than awake and in deathly pain). This time they just lamed it up on the ketamine concentration saying that "we dont want you to be having hallucinations" as if thats worse.
And so they opted for PCA Fent which then proceeded to inhibit my ability to experience further analgesia.
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tricomb
Bluelight Crew
Man that's rough, I'm sorry. Did your surgery go well?
BiggDirty01
Bluelighter
My old harrington rods were replaced with bigger ones. Between 3 months ago and now my spines been fused twice and 3 times since 2011 but I am feeling optimistic because I have no choice.
The level of damage and thus incurred pain subsequently keeps getting worse and the vertebrae keep weakening. I am really hopeful to keep the other levels of the spine in functional working order but having had the fusion done both front and back I worry how long the useful wear and tear is on the equipment. The last 2 revisions happened because vertebrae broke, screws loosened and I did nothing injury wise to provoke it. My spine surgeon runs the Cedars Sinai neurosurgery unit in Beverly Hills and is world renowned...told me I was "maybe 1 in 10,000 cases".
I really wonder what my pain med requirements/usage long term can reasonably be? At 26 can I really concludingly say I will have to be on some form of narcotic pain reliever the rest of my life?
The level of damage and thus incurred pain subsequently keeps getting worse and the vertebrae keep weakening. I am really hopeful to keep the other levels of the spine in functional working order but having had the fusion done both front and back I worry how long the useful wear and tear is on the equipment. The last 2 revisions happened because vertebrae broke, screws loosened and I did nothing injury wise to provoke it. My spine surgeon runs the Cedars Sinai neurosurgery unit in Beverly Hills and is world renowned...told me I was "maybe 1 in 10,000 cases".
I really wonder what my pain med requirements/usage long term can reasonably be? At 26 can I really concludingly say I will have to be on some form of narcotic pain reliever the rest of my life?
tricomb
Bluelight Crew
what are you currently taking for pain?
gromit12
Greenlighter
- Joined
- Oct 31, 2011
- Messages
- 34
Tricomb - If you're ok with it, is there another way that I could chat with you? Apparently I can only send 1 pm per an absurd amount of days until I've posted more. I'm assuming that you an PM me this information?
Sorry BiggDirty for getting off your topic. I hope your doing ok mate!
Sorry BiggDirty for getting off your topic. I hope your doing ok mate!
BiggDirty01
Bluelighter
They discharged me today on 20mg oxy every 2 hrs and fent 75 mc/g 72 hours. Taking zanaflex but I'm torn these days between efficacy of all your obvious choices like soma, baclofen, robaxin etc etc etc.
Tri, do you think oxy repeat dosing every 2 hours is an incentive in terms of sustaining peak plasma concentration for the longest period of time? I've had mild success with the Fent and also have a bunch of 10mg methadone left so in terms of ER I am very up in the air.
I am still astonished that a renowned Pain Management team at Cedars could fuck up so badly in terms of ditching dilaudid/ketamine combo too early in favor of IV Fent. The NMDA antagonism alone should make the HM mix more effect anyway, not to mention ketamines obvios sedating/tranquilizing effects.
10 mic/10 min
20 mic/hr continuous
10 mic/clinician or bolus dose.
And they wonder why my opiate receptors were sapped in 2 days and could thus achieve little further pain relief. Thanks BL, you supplied me with much information that I needed in moments of HEATED conversations with my Doctors. I still don't understand why Oxymorphone was never considered?
Tri, do you think oxy repeat dosing every 2 hours is an incentive in terms of sustaining peak plasma concentration for the longest period of time? I've had mild success with the Fent and also have a bunch of 10mg methadone left so in terms of ER I am very up in the air.
I am still astonished that a renowned Pain Management team at Cedars could fuck up so badly in terms of ditching dilaudid/ketamine combo too early in favor of IV Fent. The NMDA antagonism alone should make the HM mix more effect anyway, not to mention ketamines obvios sedating/tranquilizing effects.
10 mic/10 min
20 mic/hr continuous
10 mic/clinician or bolus dose.
And they wonder why my opiate receptors were sapped in 2 days and could thus achieve little further pain relief. Thanks BL, you supplied me with much information that I needed in moments of HEATED conversations with my Doctors. I still don't understand why Oxymorphone was never considered?
I think they actually scheduled it federally in December as a C-IV prescription...I'm not sure if that automatically makes it a controlled medication in all states, but I remember reading that...
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