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The Pain Management Mega Thread v2.0

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Sounds like you should be looking for a new doctor not a new medication.
Forgive me for making assumptions, but it sounds like you are in your early twenties... it is really important, especially with doctors, to realize that these people work for you and if you aren't happy with the service you receive, you should find someone else to provide better service.

You could already be doing this, I don't know, but you have to always be a very active advocate for yourself when dealing with healthcare professionals.
 
Yeah, I have definitely considered the possibility of looking for a new healthcare provider. Unfortunately I am very limited in this since I am completely reliant upon my insurance to pay for services in this vein. And many people in my area do not accept my insurance.

I will give this doctor one more chance this Friday. I will take in the suggestions I have gathered from you and others, and offer it to her. Depending on what she says, both about my fibromyalgia and my bipolar disorder, I may just have to thank her for her services but inform her that I must part ways with her.

Until then, as I said before, I will try to keep my mind and options open, and will try not to let my previous frustrations with this particular doctor get in the way of a potentially helpful session later this week.

I very much appreciate all of your advice. If you don't mind, I may like to contact you on Friday with an update to my situation to get your input and opinion on any new developments. If you are too busy or don't feel inclined to facilitate something of that nature, I understand. It probably seems rather forward, after all. ^^;;
 
Opana experience

I am new to this forum but I would like input from anyone with experience taking Opana ER, whether recreationally or for pain management. This drug is gaining popularity every day and there is a lot of misleading info out there about it.
I am prescribed Opana ER 40mg twice daily and 10mg percocet for breakthrough.
Just wanna exchange info with any of you who have experience taking this med.
 
What do you want to know about it?

The best thing you can do is take it as prescribed, it is unique in that it is 300% stronger when snorted, unlike oxycodone, which is 30% stronger or Dilaudid or Heroin which are 25% stronger than oral. Basically it is impossible to ever fuck around with if you want to be able to get pain relief from a normal oral dose.
 
muvolution said:
What do you want to know about it?

The best thing you can do is take it as prescribed, it is unique in that it is 300% stronger when snorted, unlike oxycodone, which is 30% stronger or Dilaudid or Heroin which are 25% stronger than oral. Basically it is impossible to ever fuck around with if you want to be able to get pain relief from a normal oral dose.
Click to expand...


I don't take them orally. When i was first prescribed them, it was 5mg er. I took 8 of em and nothing. no pain relief and no euphoria (Now I know that is b/c the oral BA is only 10% ). I snort them. I get the best pain relief i've ever had since months before the surgery and some euphoria as well, which i wont complain about.
 
Hi bamaplayboy420,

This is a thread focusing on the management of chronic debilitating pain and isn't really an appropriate place to expect any sort of positive response to the statement
...and some euphoria as well, which I won't complain about.
Click to expand...
as you aggressively push your tolerance higher and higher.

Questions on safely abusing Opana ER can be directed to the Opana Megathread which can be found in the OD Directory linked in my signature. If you'd like I can move all these posts over there for you or if you have some legitimate pain management discussion regarding them then continue on :)
 
Man, considering the only thing stronger mg per mg than snorted Opana is IV hydromorphone or Oxymorphone, you are basically totally fucked. When (not if) you get kicked off Pain Management, you will be in a world of hurt.

Even if you don't and your pain goes any higher, you are basically fucked since I highly doubt your doctor is going to give you take-home ampules of Dilaudid. Not to mention when and if you get switched to an IV medication, they will cut your normal Opana dose in 1/10th...

Even if none of that happens and you stay on Opana fro the rest of your life, if you keep snorting the ER pills, you are going to die from silicosis.
 
Another Methadone Question (Sorry!)

I have severe back pain from a back injury from when i was 13. Ive have been put on just about every pain medicine you can name, but either they dont work or a gain a ridiculous tolerence to them almost immediately. The one thing that has been working and working great is methadone. Ive been on it for the past 3 months.
For the first month and a half, 10mg at noon would have me set until bed after work at 2 a.m.
Then I noticed i needed a little more at night so I would take 10mg at noon, and then another 10mg at 10 or 11 pm. (take them seperate because a 20mg dose fu**s me up.)
Now, the pain is back, and my normal dosing isnt helping at all, nor do i notice the sensation in my body it normally gives me. And im scared to death of overdosing and stopping breathing while asleep if i increase dosage again.
However in my occupation i am sitting down and in the leaning forward position a lot, so my back pain free is an absolute necessity.
Would it be safe to up my dose? What would be the best MG/Time combination?
I just want to be pain free so I can work and do a great job at it.
Any advice is greatly appreciated, and thanks in advance.
 
I take it this is a indefinitely long term pain management situation yes? If so then you should really hesitate about upping your dosage as once your tolerance gets up to a certain point there is nowhere else to go.

As for your specific question taking a little bit more methadone is relatively safe and likely isn't as great an increase as you believe. Methadone has a very long half life so it builds up in your system when taken every day and 10mg x2 a day means you are walking around with close to 50mg or so in your body at any given time.

So if you feel you must up your dosage do so slowly until it is just enough to hold you if not a little less than that. Really you should be talking to your doctor about an instant release shorter acting opioid for breakthrough pain so your tolerance doesn't take such a hit each time you need a little bit more here or there.

Here is the megathread on methadone you would probably enjoy reading through.
Methadone Mega Thread and FAQ
And this is our pain management thread where you can get advice on different medication and combos to help keep you living as normal a life as possible.
The Pain Management Mega Thread v2.0

edit:
By the way if you want me to merge this into the pain management one for the opinion of the regulars there just let me know.
 
re

Yes, indefinitly long term.
I have 30 mg roxi for breakthrough, but like i said they really dont do anything for me. i was on hydros, oxys and morphine for a long time, so my tolerance to them is through the roof.
and yeah like i said i really dont want to up my dose for that very reason of it building up in my system. methadone works great for my pain i just wish it wasnt so darn dangerous,
and yes, it would be greatly appreciated if you could merge it.
Thank you so much for your help :)
 
I have 30 mg roxi for breakthrough, but like i said they really dont do anything for me.
Click to expand...
By which ROA (route of administration) are you taking the oxycodone? Although you would get a greater bioavailability just by eating them, insufflation would produce a more rapid and greater immediate concentration in your body which might help with short term BTP (the range of 20-30min).

Tramadol and gabapentin (both well known for nerve pain), or really in effect any drugs that work on systems other than your opioid receptors may help as well. Muscle relaxants for the back are pretty standard as well though I'm sure you've been through all that.
 
why don't you try some dilaudid? Oxycodone never did much for me, either.

Are you doing other phsyical therapy/ lifestyle/ diet/ exercise/ nuturopath/ acupuncture to help with your back also? That is the kind of stuff that makes the difference.
 
muvolution said:
Man, considering the only thing stronger mg per mg than snorted Opana is IV hydromorphone or Oxymorphone, you are basically totally fucked. When (not if) you get kicked off Pain Management, you will be in a world of hurt.

Even if you don't and your pain goes any higher, you are basically fucked since I highly doubt your doctor is going to give you take-home ampules of Dilaudid. Not to mention when and if you get switched to an IV medication, they will cut your normal Opana dose in 1/10th...

Even if none of that happens and you stay on Opana fro the rest of your life, if you keep snorting the ER pills, you are going to die from silicosis.
Click to expand...


Yeah the silicosis thing already has me worried. I won't get kicked off pain management so I dont know why you even said that. I'm doing/have done a lot of research and agree that opana is about as strong as it can get as far as oral. Since they arent very helpfull at ALL orally, Maybe I should ask for something else, i.e. oxycontin? Then, that looks like "drug seeking" which isnt the case. I take oc 80's if i run out of opana. they help but i have to take at least 2. dont think a doc is gonna prescribe that amount...at least not this one. Percocet is the strongest thing he'd give me for breakthrough! I dont know what to do. imjust frustrated. I want to be as pain free as possible but i dont wanna die in the process from silicosis.


Did a lot of research, dont feel like posting links or any of that, but the likelihood of getting sillicosis from snorting opana er is VERY LOW. I feel better about it now. Do your homework and stop being a d#@$! i wont get kicked out of PM. ANYONE ELSE who would like to comment, please do so. Thanks.
 
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opana er has been my saving grace!! i do 2 15mg per day, and i was eating 6 oxy 40's before that. its the best drug for chronic pain in my opinion.
 
bugman I COMPLETELY AGREE!! it kills pain better than anything i've ever had! demerol, dilaudid, morphine...everything, except of course IV Fentanyl. That made my pain completely disappear and had me more euphoric than i wanted to be...
 
apologies...

amapola said:
Hi bamaplayboy420,

This is a thread focusing on the management of chronic debilitating pain and isn't really an appropriate place to expect any sort of positive response to the statement as you aggressively push your tolerance higher and higher.

Questions on safely abusing Opana ER can be directed to the Opana Megathread which can be found in the OD Directory linked in my signature. If you'd like I can move all these posts over there for you or if you have some legitimate pain management discussion regarding them then continue on :)
Click to expand...



I'm sorry i let that part out. I do post on the opana mega thread a lot, as well as the sillicosis from snorting thread. I will keep all questions/comments in this thread directed towards pain management only. This is what i am looking for opinions on. Again, sorry about that. ;)
 
How hard is it to get a stronger med than Norcos if I have scoliosis & its pretty bad. I mean, ive never really complained about pain alot but maybe I should start because it does hurt & 2 Norcos only really give me like 2 hours of relief but not total relief. Ive been told that Rheumatologists are a better choice of doctor than a regular doctor that I have & ive never been to a pain management doctor.

If I wanted to go to these other doctors, do I just ask for my x-rays or would they send them to the place I was thinking of going to?
 
aPIMPnamdSLICKBACK said:
Doctors often treat patients as if they are drug seeking right off-the-bat, and the patient will have to convince them otherwise in order to get adequate treatment/medication.
Click to expand...



First time I called to get an appointment with a doctor, I told the lady I have back pain & wanted an appointment. Right off the bat, she said, "we dont prescribe narcotic pain pills here" I was like, WTF, lady, I just want an appointment, did I mention any pills..........:!
 
MaZonkers said:
I have severe back pain from a back injury from when i was 13. Ive have been put on just about every pain medicine you can name, but either they dont work or a gain a ridiculous tolerence to them almost immediately. The one thing that has been working and working great is methadone. Ive been on it for the past 3 months.
For the first month and a half, 10mg at noon would have me set until bed after work at 2 a.m.
Then I noticed i needed a little more at night so I would take 10mg at noon, and then another 10mg at 10 or 11 pm. (take them seperate because a 20mg dose fu**s me up.)
Now, the pain is back, and my normal dosing isnt helping at all, nor do i notice the sensation in my body it normally gives me. And im scared to death of overdosing and stopping breathing while asleep if i increase dosage again.
However in my occupation i am sitting down and in the leaning forward position a lot, so my back pain free is an absolute necessity.
Would it be safe to up my dose? What would be the best MG/Time combination?
I just want to be pain free so I can work and do a great job at it.
Any advice is greatly appreciated, and thanks in advance.
Click to expand...
with methadone people forget a few milligrams can make a huge difference....Get a pill divider. Divide one pill into 5ths so you have 4mg pieces. Take 14mgs in the morning. Then see how you feel later. Thats the best way to do it.
 
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