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Misc The Pain Management Mega Thread version 3.0

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I feel being open and honest is the best policy. They see so many liars and they know when you are being dishonest.

Just like yesterday, I was totally honest and they helped me. Did I expect it? No. I only went in to make a future appt. I know in my heart that I had favor with God yesterday.

I'm sure they will help you too. Especially if they know you and been going to them for a while.

My best advice to you is to take 1/2 doses and stretch them out as long as you can.

I wish I had a magic med cabinet and I could give everybody what they needed and it was legal. But I don't and it's not.

Maybe when I'm better I'll go to school to be a pain specialist doctor. I know I would be a good one.

Back on pm thread topic, I am feeling so good today. My pain is a 3. No headache. No spasms. No anxiety. Nothing to speak of. My meds are covering it today. Tomm I get to try some type of shot for pain. I hope it works. It's a steroid shot I think.

Does anyone have expieriences with the steroid shots in the back?
is that the same as trigger injections. i have this giant knot in my back and the orthopediac doc put trigger injections shots in my back on the knot
 
^ How does methadone stack up with morphine in treating neuropathic pain in your opinion? That is if you have ever been on morphine to begin with. I have been on everything from codeine to fentanyl for the trigeminal neuralgia i have (the fent patches worked best but where too expensive and not covered) but due to the really archaic way that methadone prescribing licenses are handed out here in Canada i have not tried methadone yet for my TN pain.

I just want to get a idea if it would be worth bugging my doctor over. Also if anyone has a idea of what the side effects are compared to morphine especially constipation and any worsening of mood disorders i would like to hear it.

Personally, I find methadone to be more constipating than morphine, (and buprenorphine to be more constipating than methadone, could it possibly have something to do with binding affinity?) and both of them require a chronic dosing schedule IMO because:

-morphine has a short short half life, so for optimum analgesia you'll have to redose or use BT meds with the ER medication.
-methadone has a long half life, yet the analgesic effects don't last anywhere near the half life, and often must be taken 3-4x a day.

Both have pros and cons, I personally prefer morphine to methadone for analgesia.
 
I found amitriptyline better for my nerve pain then the gabapentin i am taking now. Unfortunately after years of taking it and having it work good for neuropathic pain, the depression side of my bipolar and be the best damn sleep aid Ive ever had it stopped working. I ended up on the highest recommended outpatient dose which is 150mg's and didn't get any withdrawals when i quit which is a plus as i wouldn't go through effexor (venlafaxine) withdrawals for a million bucks. Id like to try it or another tricyclic that works for nerve pain to see if it would help and maybe i could get off this gabapentin which i don't think is helping at fucking all anymore if it ever did :! . But since i am diagnosed bipolar not many docs want to risk trying me on a tricyclic. I also take bupropion everyday as part of my bipolar cocktail but i have taken that in the past with amitriptyline and had no trouble with it. Amitriptyline is one of the first meds they suggest here for neuropathic pain though some doctors go with other tricyclic anti-depressants such as nortriptyline which is just a metabolite of amitriptyline.

I am currently supposed to be on 3200mg's of gabapentin but i only take half of that as i don't find any difference once i hit a certain dose. Also swallowing those huge 800mg gabapentin pills is not fun. Seriously those things are twice the size of calcium pills and look more like something that's supposed to go up your ass rather then in your mouth 8) . Despite what doctors tell you gabapentin and lyrica do have withdrawal symptoms. I found them to be like a weird combination of benzo and opiate withdrawals and there is alot of pain involved if you go cold turkey after being on them for a long time. Lyrica worked better for me but unfortunately i can't afford it and it's not covered under my drug plan but gaba is.

oh thats interesting about the amitriptyline - I have bipolar too and I have tried it twice and its made me depressed as shit within 2 or 3 days @ 10mg.
bodies are weird. geez, i took some pregabalin a few hours ago, really spaced out and relaxed. lovely.
 
^ How does methadone stack up with morphine in treating neuropathic pain in your opinion? That is if you have ever been on morphine to begin with. I have been on everything from codeine to fentanyl for the trigeminal neuralgia i have (the fent patches worked best but where too expensive and not covered) but due to the really archaic way that methadone prescribing licenses are handed out here in Canada i have not tried methadone yet for my TN pain.

I just want to get a idea if it would be worth bugging my doctor over. Also if anyone has a idea of what the side effects are compared to morphine especially constipation and any worsening of mood disorders i would like to hear it.

I've been on MSContin and Fentanyl before as my ER medication and while those 2 may offer better analgesia for just my back, the methadone (20mg q8hrs=60mg total) has been much more effective in treating both my back pain and the nerve damage. In fact, my hospital (Cedars Sinai, well known LA Hospital) used IV methadone during post-op in combo with IV Dilaudid, Morphine and Fentanyl and even then I found the methadone to be a superb pain killer. I've tried every opioid based medication except for Opana so I can say with some authority that methadone has been a very successful medication in my 18 month ordeal of 3 spinal fusion surgeries.

My PM doc (not affiliated with my hospital) has continued the methadone and really has only rotated my IR meds and my muscle relaxer and I've been pretty satisfied with the relief from this current regimen (in contrast to last year where I was on methadone, fent patches and MSContin at the same time with Dilaudid as my IR med).

As far as constipation goes, it can be very difficult in this area but I think its worth it considering its positives. As far as mood disorders, it doesn't seem to exacerbate my depression or anxiety, and I think part of it is the very long half life and the spaced out dosing.
 
I meant to post a million years ago but for anyone searching out cannabinoid relief for pain could try, WIN-55212-2. For me its pain/analgesic properties where truly a wonder. http://en.wikipedia.org/wiki/WIN_55,212-2 Sadly it may be hard to find but a nasal dose of 5mgs of the right isomer/fprm will get you more than right and this is coming from someone with extensive noid tolerance/use.
 
Hello everyone. I have just been lurking here for a couple weeks and trying to figure out where i belong but i think i may have found it here. Let me telll you a little about my history and then ill ask my questions.. I was born with a rare genetic disorder called Multiple Endocrine Neoplasia (MEN Syndrome), most of the time you get the mutated gene from either your mother or father but in me, my gene mutated itself. It caused me to have tumors grow and destroy my pituitary gland, the tumor grew back there and i had to have it taken out again last sept. Ive had my thyroid and parathyroid glands removed and I just recently found out that i have 9 islet cell tumors through out my pancreas. Because off all these things put together, im a walking Mess!

I have been having such anxiety and panic attacks but even more now since my youngest brother passed away in a car accident 2 weeks ago. My docotor has me on Lorazepam for that but i really dont think its helping. Im also on Effexor and im still just a basket case all the time. I am still having HORRIBLE migraines, they didnt go away even after the brain tumor was removed, the tumors in my pancreas make so much gastrin that the lining of my esophogus is getting eroded and my chest hurts really bad all the time. My doctor gives me Vicodin Norco for pain. Im taking like 6 of those a day sometimes and to go to sleep at night i take flexeril,tylenol pm,and ambien.(because i have to take so much to be comfortable and function, i run out quickly and then im stuck in a week or two period where i have nothing for pain and i feel like im going to die!) I think my body has built such a tolerance to all these meds and now they arent helping and im miserable! I told the doctor today that my pain medication isnt helping, i need something else and he just looked at me and wrote the script for the norcos. I called a pain management doctor today and they said that id have to have my physician refer me to get a MRI and then refer me to them!! Really people?!?! i feel so hopeless and helpless. Im only having experimental type things done with the tumors in my pancreas (biopsies and stuff) they say they are a low grade cancer of some kind..im not sure on specifics of that. What should i do? I can remember back to a year ago when i took vicodin but i only took a 500 1-2 times a week and i was fine and i wasnt on lorazepam or muscle relaxers either. My worst fear is that im becoming dependant or addicted to this stuff that i need to help me function through the days of my life. Someone please just give me some advice, anything!
 
I found amitriptyline better for my nerve pain then the gabapentin i am taking now.

Same; amitriptyline works far better for my nerve pain than gabapentin did. Or Cymbalta. Or Tramadol. Or combinations of the three. The only thing I've tried that works better than amitriptyline is opioids, so am on bupe + amitriptyline; works great. Saw a really great pain doc recently, who suggested my docs in Aus try Lyrica, tapentadol and carbamazepine when I get back (probably not all at once ;) )

I'm willing to give anything a go to get better pain relief -- as I say to my docs, the current meds have given me half a life back, but I'm still aiming for a bit better than that -- but I'm skeptical about new wonder drugs. I've tried enough of them over the years to know that often, they're no better than the old stuff... and something that's been used for ages has proper side-effect info available to docs, so you're less likely to get BS about 'oh, the meds don't cause that' because your side-effect is something only 1% of people get. (I was one of the first children prescribe Prozac in Australia, a long time ago; it wasn't yet known that in a tiny percentage of people, Prozac causes self-harm behaviour. Still have the scars from that one, thank you doctors.) And the ones that are still on the market 20+ years after release are actually safe, not just 'the drug company didn't release any data that raises safety concerns'.

Also, I don't think docs always realise that paying hundreds of $$s for meds each week or even month can reduce your 'quality of life' enough to cancel out any improvement in quality of life you get (medically speaking) by being on them.

Which is to say, hooray for old, not-wonder drugs like amitriptyline: cheap, safe, well-known side-effects. Wish docs would give them out more often!

(FWIW, tricyclics work far better for me for depression than SSRIs or SNRIs, too. Am lucky I get horrible atypical migraines when I stop amitriptyline, so I have a good 'reason' why they have to give me tricyclics instead if I need an antidepressant; most docs will only give tricyclics as an absolute last resort these days, IME.)
 
ANW1982: I'm lucky to be not-quite-as-sick as it sounds like you are, but I have a nasty incurable progressive thing that messes up my internal organs, causes a lot of pain etc. etc, so have kinda been there (as a lot of other people on this forum have been too).

Firstly, yes, you might be becoming physically dependent on opioids; no, you're probably not becoming an addict. There's a huge difference between physical dependence and addiction. Physical dependence is normal and happens with lots of different classes of drugs. Addiction has a large psychological component that's not related to physical dependence -- which is why addicts say they're still addicts, even after being clean for a long time (i.e. have gotten through the withdrawal and aren't physically dependent any more). It's very uncommon for pain patients to become addicts: in the most famous big meta-analysis of studies of people prescribed opioids for different medical conditions, they found that of the 12,000 pain patients, a total of 4 went on to become addicts. So, that thing you might've heard in media scare stories about a person being given opioids once in hospital and immediately transforming into a raging addict-monster? Big load of BS, along with so many other things you might've read. (I've read elsewhere that the people who become addicts after being prescribed opiates invariably have a history of addiction or mental health issues or both, so if you're not in either of those categories, you probably don't need to worry.)

We live in a very opioid-phobic world, thanks in large part to War on Drugs propaganda, so opiophobia is a known problem affecting both doctors and patients. (I was an opiophobic too for years; am mostly over it now.) Taking a socially unacceptable drug every day is cast as doing something wrong in a lot of our society's morality narratives -- people who need a caffeine hit in the morning to get them going, and a few glasses of wine at night to wind them down again are 'normal'; people who use other substances are cast as deviant. I find it very comforting to think that a hundred-odd years back, many of the ladies of the Women's Christian Temperance League would go home from their meetings where they campaigned to have that evil drug alcohol prohibited, and take a nice dram of laudanum to help them sleep (and gave a spoon to each of their screaming children, too)... because back then, opium was far more respectable than a glass of wine, or worse, beer!

My body needs a medication to function 'normally'. That medication is opioid. I try not to think of that situation as being any different to needing insulin to be healthy, although obviously, after a lifetime of hearing about the evils of opiates, that can be difficult. I've been on opioids of one form or another continuously for over five years now, and I'm still not showing any signs of becoming an addict -- but I do treat them like meds, and use them specifically to relieve illness symptoms so I can do things like work, study, spend time with friends, exercise, do housework, etc., rather than taking them for fun. (For fun, I drink and occasionally smoke green, which is decriminalised in my home state in Australia, instead.)

Secondly, I'm sorry to hear that you're having to jump through all sorts of hoops (which you may or may not be well enough to do) just to get the treatment you need. Hang in there; when you finally get a decent doctor who'll prioritise managing pain so you can get on with whatever you'd rather be doing, it does get better. That can take a long time though, unfortunately. But untreated pain is very disruptive and has major adverse effects on surgical recovery times and overall health, since it stops people doing things like exercising, getting decent food for themselves, having positive social contact, etc. You do need to get it treated properly.

Thirdly, I'm so sorry to hear about your brother. I don't know if this helps at all, but...

When my father died a few years ago, and I had to deal with a whole lot of family crap around it, I was so suicidal I had to go on antidepressants for a while just so I wouldn't do something dumb (which is really not like me; I'm usually optimistic to a fault). I still had a horrible, horrible couple of years though. But while the meds were necessary in the worst times, I only found them semi-helpful, because mostly they just attenuated the grief so I had longer to deal with it, but that meant it hung around longer. When you've just lost someone close to you, it's not supposed to be one of the happy times in your life. You can turn it into a sorta-happy time pharmacologically, but I found that numbing myself with meds just delayed the inevitable, really. Which was 100% necessary during the worst part of it, because for a while it hurt so much I didn't think it could go on, but after that I just had to try to make room for me to not be my shiny happy best for a while.
 
I'm keeping my pain dosing at 90mg max (oxycodone hcl.) during a 16-18 hour day I found that breaking the 15mg tabs in half lets me use 12 x 7.5mg's for an average day of pain relief, That is unless I have a bad flare-up and have to use 30mg's at once.
 
Hello everyone. I have just been lurking here for a couple weeks and trying to figure out where i belong but i think i may have found it here. Let me telll you a little about my history and then ill ask my questions.. I was born with a rare genetic disorder called Multiple Endocrine Neoplasia (MEN Syndrome), most of the time you get the mutated gene from either your mother or father but in me, my gene mutated itself. It caused me to have tumors grow and destroy my pituitary gland, the tumor grew back there and i had to have it taken out again last sept. Ive had my thyroid and parathyroid glands removed and I just recently found out that i have 9 islet cell tumors through out my pancreas. Because off all these things put together, im a walking Mess!

I have been having such anxiety and panic attacks but even more now since my youngest brother passed away in a car accident 2 weeks ago. My docotor has me on Lorazepam for that but i really dont think its helping. Im also on Effexor and im still just a basket case all the time. I am still having HORRIBLE migraines, they didnt go away even after the brain tumor was removed, the tumors in my pancreas make so much gastrin that the lining of my esophogus is getting eroded and my chest hurts really bad all the time. My doctor gives me Vicodin Norco for pain. Im taking like 6 of those a day sometimes and to go to sleep at night i take flexeril,tylenol pm,and ambien.(because i have to take so much to be comfortable and function, i run out quickly and then im stuck in a week or two period where i have nothing for pain and i feel like im going to die!) I think my body has built such a tolerance to all these meds and now they arent helping and im miserable! I told the doctor today that my pain medication isnt helping, i need something else and he just looked at me and wrote the script for the norcos. I called a pain management doctor today and they said that id have to have my physician refer me to get a MRI and then refer me to them!! Really people?!?! i feel so hopeless and helpless. Im only having experimental type things done with the tumors in my pancreas (biopsies and stuff) they say they are a low grade cancer of some kind..im not sure on specifics of that. What should i do? I can remember back to a year ago when i took vicodin but i only took a 500 1-2 times a week and i was fine and i wasnt on lorazepam or muscle relaxers either. My worst fear is that im becoming dependant or addicted to this stuff that i need to help me function through the days of my life. Someone please just give me some advice, anything!

I find exercise really great for my anxiety. Or maybe you could try a different anti-depressent? Do you have a psychologist or someone to talk to?
How long have you been on the lorazepam? Theres not much point taking a medicine if its not helping. If you have been taking for more than a few weeks you may have to do a quick taper rather than stopping suddenly.

I hope today has been better for you, post again if you want more support or more questions <3 and welcome to bluelight!
 
Thanks everyone for the great info on lyrica and tricyclics! I will definitely talk to my doc during my visit in 2 weeks. I think I was/am in increased pain bc my body knew I had a bug caught from who knows where. I've been laying in bed with swollen lymphnodes, a super sore throat, and nausea on & off. Usually I don't get sick in the summer but that's changed evidently.

ANW1982: You mentioned that "the lining of your esophagus is getting eroded and your chest hurts really bad all the time". You also mentioned that you are taking Flexeril at night. I just want to let you know that the side effects I experience from Flexeril are a very dry mouth and some sort of reflux that leaves my throat very raw and sore. When I discussed this with my pm dr, he stated these are common complaints. I suggest not taking that med and seeing if your symptoms improve. I realize your condition could be causing it as well, but Flexeril isn't helping I'm sure.

Best of luck <3
 
I had my MRI friday that was as much of a disaster as my CT scan the previous friday that didn't get copied onto the CD. So rather than getting the CT redone my neurosurgeon on monday ordered an MRI for me.

So its setup for this past friday at the place I had my last lumbar spine MRI in december and about 20 minutes into it they pull me out and say "unfortunately on a machine with this high of a resolution your various titanium placements (compared to a single one during last one) is reflecting a blackout of the lumbar spine completely. Your scan needs to be done at our sister location with a lower resolution machine so the artifact (tech term for spinal implants) doesn't cause the area of the spine to be blacked out from the reflection".

So am I going today? Nope, we can't get you in until wednesday. So not only have I had 2 useless scans, already had my appointment with the neurosurgeon and will not have my next scan until after my next PM doc appointment! And this whole thing was to get some answers regarding my last surgery in May (3 months after the 2nd surgery in february) and the continuing throbbing pain I am having 8 weeks post op with very little improvement.

I am so frustrated I could scream at the top of my lungs and normally I'd smoke some high quality kush from my local dispensary (medical marijuana cardholder...California Love!) but my current PM doc doesn't want me to smoke and I had my 2nd drug test in 6 months last visit and I cant risk this current arrangement after having gone through 5 PM docs since 2009.

So, wish me luck next week so that I can get some answers about my lack of improvement since fusion # 3 since march 2011 and can get on with the rest of my life. My back has already stopped my life for the last few years and at 27 now I'd like to get back on my own 2 feet and get my own place and go back to school but all of the planning is for not until my back pain is somewhat more resolved that I am not taking 60mg of methadone and 180mg of Oxycodone IR every day. Even with my ADD meds (started last year) I don't feel clearheaded enough to pursue my career required studies, so I am stuck in a waiting game.

Hope everyone else is having a good weekend! It is fucking hot in SoCal this last week (+100 degrees every day since last sunday) and I will be in the pool tomorrow attempting to do some exercise that I've learned a few years back after my first back surgery (a laminectomy, a baby procedure in comparison to the subsequent 3 spinal fusion procedures).

Mike
 
is that the same as trigger injections. i have this giant knot in my back and the orthopediac doc put trigger injections shots in my back on the knot

It was steroids. He said it was diagnostic to see if my pain was coming from my s1-s2 joint and to help relieve pain. It was a nightmare. I think it relieved like 5%-20% of my pain. I thought at first 20% but I really don't think so now.

If anybody is going to try this get some type of sedation. It hurts really bad. I'm not really a baby when it comes to pain.
 
Hello everyone. I have just been lurking here for a couple weeks and trying to figure out where i belong but i think i may have found it here. Let me telll you a little about my history and then ill ask my questions.. I was born with a rare genetic disorder called Multiple Endocrine Neoplasia (MEN Syndrome), most of the time you get the mutated gene from either your mother or father but in me, my gene mutated itself. It caused me to have tumors grow and destroy my pituitary gland, the tumor grew back there and i had to have it taken out again last sept. Ive had my thyroid and parathyroid glands removed and I just recently found out that i have 9 islet cell tumors through out my pancreas. Because off all these things put together, im a walking Mess!

I have been having such anxiety and panic attacks but even more now since my youngest brother passed away in a car accident 2 weeks ago. My docotor has me on Lorazepam for that but i really dont think its helping. Im also on Effexor and im still just a basket case all the time. I am still having HORRIBLE migraines, they didnt go away even after the brain tumor was removed, the tumors in my pancreas make so much gastrin that the lining of my esophogus is getting eroded and my chest hurts really bad all the time. My doctor gives me Vicodin Norco for pain. Im taking like 6 of those a day sometimes and to go to sleep at night i take flexeril,tylenol pm,and ambien.(because i have to take so much to be comfortable and function, i run out quickly and then im stuck in a week or two period where i have nothing for pain and i feel like im going to die!) I think my body has built such a tolerance to all these meds and now they arent helping and im miserable! I told the doctor today that my pain medication isnt helping, i need something else and he just looked at me and wrote the script for the norcos. I called a pain management doctor today and they said that id have to have my physician refer me to get a MRI and then refer me to them!! Really people?!?! i feel so hopeless and helpless. Im only having experimental type things done with the tumors in my pancreas (biopsies and stuff) they say they are a low grade cancer of some kind..im not sure on specifics of that. What should i do? I can remember back to a year ago when i took vicodin but i only took a 500 1-2 times a week and i was fine and i wasnt on lorazepam or muscle relaxers either. My worst fear is that im becoming dependant or addicted to this stuff that i need to help me function through the days of my life. Someone please just give me some advice, anything!

I'm SO sorry to hear that you are going through such pain-pain of every kind;physical, emotional, and mental.
I just want to give you my 2 cents, and please keep in mind I haven't read any of the replies you may have gotten.
I'm not sure you'd want to do this, or if it's the best solution, considering you're vulnerable now;
but there are MANY other drugs out there that are stronger than what you're taking now. I'm not talking Fentanyl or anything here.
It does sound as though your pain is being undertreated, though. Although it can be frustrating, it's well worth the time and effort it takes to find a Dr who will listen to you.
Best of luck, and feel free to PM.
Cat
 
ugh had the worst pain specialist appointment.

they are so incredibly opoiophobic, and wont let me have anything for flare ups, and want to take me off ALL of my meds eventually. Even my gabapentin! So strange. and without even asking what my prn lorazepam is for - "lets take you off that in the future as well" . Umm, I have horrible anxiety and panic attacks you fool. I really regret enroling with this pain clinic. There are no other ones even remotely close. ok, moan over :p
 
Off Topic:...Has anyone heard from Doug "Jktm"? Ever since he combined 30mg of Clonzepam and Morphine, that was his last post. He hasn't posted since then....

Im thinking something happened that night.

Anyone?


Doug if your reading this, post up. Let us know your O.K
 
ugh had the worst pain specialist appointment.

they are so incredibly opoiophobic, and wont let me have anything for flare ups, and want to take me off ALL of my meds eventually. Even my gabapentin! So strange. and without even asking what my prn lorazepam is for - "lets take you off that in the future as well" . Umm, I have horrible anxiety and panic attacks you fool. I really regret enroling with this pain clinic. There are no other ones even remotely close. ok, moan over :p

So sorry to hear that, brighton. Why would they do that? Do they think you'll heal completely so you have no remaining disease/injury, scarring or nerve damage to cause pain? Or are they just in that reflexive, 'OMG OPIATES!!!!' panic?

I know it's cold comfort now, but the clinical literature shows that managing pain effectively or even aggressively leads to far better patient outcomes (from faster healing and lower surgical recovery times, to higher likelihood of keeping your pre-illness/injury job and lower chance of illness-related depression), and that opiophobic doctors cause huge problems in the health system, because they're not practicing evidence-based medicine, but rather some kind of superstitious voodoo. (Really, the chances of a patient given opiates for pain becoming an addict -- 4 in 12,000, according to the best-known meta-analysis -- are than the chance that if you went outside right now and flapped your arms about in a funky improvised rain dance, it would actually work.)

Sounds like you need a better pain specialist; hope you have the means and opportunity to find one.
 
Hey, I'm not sure if this is the right place to post or not, but I am in a shitton of pain. I'm not currently rxd and pain medications. I have what the drs suspect to be lupus (still undergoing diagnosis as my symptoms suddenly hit full force in januarary). I'm currently. On cymbalta 60mgs plaquenil 200mgs prednisone 20mgs and some other medications for psych reasons. Naproxen and ibuprofen and tylenol and such do NOTHING for the pain. Last night. Was my third night with no sleep because of all my joint pain. I feel like I'm helpless, like literally nothing helps me...I don't mean to get all emotional and shit but if I didn't have my son to care for, I. Would probably consider suicide or be on massive amounts of drugs because idk what to do and its so hard to live like this and no one around me understands what I'm going through.
Foor example of how nothing helps, I once took ten mgs of oxycontin 800mgs skelaxin 1000mgs tylenol and 500mgs naproxen. I still wasn't able to sleep that night. My boyfriend is generous enough to give me a tiny amount of suboxone in attemt to help and no relief. I've tried tramadol and perocet and still nothing. I've been on the prednisone for almost three weeks now and still no relief.
Does anyone have any adviceo
 
Hey, I'm not sure if this is the right place to post or not, but I am in a shitton of pain. I'm not currently rxd and pain medications. I have what the drs suspect to be lupus (still undergoing diagnosis as my symptoms suddenly hit full force in januarary). I'm currently. On cymbalta 60mgs plaquenil 200mgs prednisone 20mgs and some other medications for psych reasons. Naproxen and ibuprofen and tylenol and such do NOTHING for the pain. Last night. Was my third night with no sleep because of all my joint pain. I feel like I'm helpless, like literally nothing helps me...I don't mean to get all emotional and shit but if I didn't have my son to care for, I. Would probably consider suicide or be on massive amounts of drugs because idk what to do and its so hard to live like this and no one around me understands what I'm going through.
Foor example of how nothing helps, I once took ten mgs of oxycontin 800mgs skelaxin 1000mgs tylenol and 500mgs naproxen. I still wasn't able to sleep that night. My boyfriend is generous enough to give me a tiny amount of suboxone in attemt to help and no relief. I've tried tramadol and perocet and still nothing. I've been on the prednisone for almost three weeks now and still no relief.
Does anyone have any adviceo

Hi, sounds pretty rough! This may be a silly question, but does your Dr realize the severity of your pain, and the fact that your current prescribed meds aren't helping?
 
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