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Harm Reduction The Pain Management Mega Thread Version 4

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Finally got my bi-monthly script and I had to give 50 pills to my mom with cancer stage 4(stings every time I say it), mainly cos I borrowed 6 and because she can't afford em and her docs not giving her enough. This leaves things very tight like my past bi-weekly script and I'll have to cut down to 300 - 400 mgs (MAX) if I don't wanna end up running out a few days early again(and having to go out and buy street heroin, because I CAN'T take the pain/w/d combo).

Hope things are going better with everyone.
 
Im sorry to here about ur mom...
I always found that when you get large scripts its easy to fool yourself that you have more than you really do and that "taking a few more wont hurt"....I tried bi monthly, monthly, weekly and now daily scripts just to try to control my doesage and its not like I dont get a lot....im getting 180mg methadone a day so its not my doctors fault for not giving me enough.
I had to attend a training day at ambulance HQ yesterday where they were giving student paramedics CPR.demos....of course I had to get up front of class to demonstrate and the last time I gave CPR was on my moms lifeless body after a Pulmonary Embolism took her life so that brought back painfull memories to say the very least.
 
I'm curious if anyone has ever failed one of their randoms at their PM doc, and what happened? A few weeks ago like an idiot I smoked for the first time in years, and of course I got tested at my appointment four days later. I may be ok, but either way I'm worried about it. I'm on a pretty high dose of opiates (4x 30mg Roxi's and 2x20mg Oxycontin), so I hope he wouldn't just cut me off completely at once.

To follow up on this....

I did fail my test. Not for weed though, for coke, which I had also done a few bumps of that night like a complete dumbass for the first time in years. Hard to believe it was still in my system and the weed wasn't. Initially they were going to cut me off cold turkey, but after I explained I'd end up in the ER if I suddenly stopped this dosage, he agreed to prescribe me a month of meds and told me to find a new doctor. It sucks, but I've known for a while now that I need to try and learn to live without the opiates on an everyday basis. What sucks is that he's one of the only docs I've found that does the type of injections that relieve my pain for a few months. I'm going to have to find a new doctor, but I worry that when my records are transferred they will see the test failure and refuse to treat me.

I don't blame the doc, as this was my screw up and I have to live with the consequences. I always knew something like this would have to happen to force me to cut down on the pills, so maybe I can turn it into a positive.
 
Why did they do a drugs test? Is that normal procedure in the US if you're on pain meds? Over here (UK) we just get a repeat perscription. I'm sorry that u failed your drugs test n hope that you find a new doctor soon. My suggestion is to just be honest. Explain that you did a silly thing. Explain that you need these meds n suggest doing regular drug tests to prove yourself.

Here if you need someone to talk to. Evey xxx
 
Yeah a lot of pain clinics have you sign a contract, from what I know, in the UK, pain clinics aren't even really a big thing if existing at all. Everyone I know from the UK who's got chronic pain is getting their shit from their General Practitioner.... Here in the USA, most GP's are way too scared to have their license revoked by the DEA so they refer you to pain management, where you have to sign a contract (if your going to like, a real pain clinic and not a pill-mill). My contract with my clinic said I would be tested three times, and be given random drug tests, that must be done within 24 hours or they void your contract and kick you out of the clinic. I never got tested once, thank god. This thread is nearing it's end, we got 19 posts to go til version 5.
 
Why did they do a drugs test? Is that normal procedure in the US if you're on pain meds? Over here (UK) we just get a repeat perscription. I'm sorry that u failed your drugs test n hope that you find a new doctor soon. My suggestion is to just be honest. Explain that you did a silly thing. Explain that you need these meds n suggest doing regular drug tests to prove yourself.

Here if you need someone to talk to. Evey xxx

Yeah, normal over here. Not only are they checking for illicit substances, they are also testing to verify that you have the proper levels of your prescribed meds in your system. That was the first one I'd gotten in about 6 months.

My recent MRI shows I have legit issues and even my current/former doctor said it was one of the worst backs he'd seen in someone my age. I was trying to think of a way around having to send those records (and the failed test) to a new doc, but I'm sure they will ask for them since that is who ordered my MRI. Agree though that if it comes up, I need to just be up front about my mistake.
 
Yeah a lot of pain clinics have you sign a contract, from what I know, in the UK, pain clinics aren't even really a big thing if existing at all. Everyone I know from the UK who's got chronic pain is getting their shit from their General Practitioner.... Here in the USA, most GP's are way too scared to have their license revoked by the DEA so they refer you to pain management, where you have to sign a contract (if your going to like, a real pain clinic and not a pill-mill).
Here in Florida we have a law were unless you have cancer or rheumatoid arthritis you can only legally get opiates from a pain management specialist. Since I have ankylosing spondylitis a different type of arthritis I could no longer get them from my rheumatologist. The pain doc I chose ended up being allot better at managing my pain. My rheumatologist refused to give me time release and wouldn't switch my hydros to ones with lower apap even though it would of been the same dose of hydro.

My contract with my clinic said I would be tested three times, and be given random drug tests, that must be done within 24 hours or they void your contract and kick you out of the clinic. I never got tested once, thank god.
With mine you usually tests you about every 6 months give or take one. My doc actually warned me the appointment before my previous test and told me "come prepared".
 
It took me 5 years of a steady downward spiral after a few head surgeries and one major craniotomy before one of my Doc's finally scratched his head and said, "hhmm, you really do have major nerve damage" gee, really? I hadn't noticed. Soo, onto pain meds we went. Relief was a God sent. Did I abuse this? Stupidly, Yes.
For too many moons, oh yeah.
Do I know this was really dumb? Yes.
So, I decided to endure the withdrawal on my own and though it took 5 or so years I have reduced them (m eslon) by about 85% but they still rule my World and this bothers me considerably.

I know I need them but they are screwing with my kidneys and body weight is difficult to keep on. Couldn't have kids because the ovaries shut off at 31 years of age due to low body fat, stress and trauma. Now, they (ovaries) have turned on but past 40 yrs old now and though they have been reduced, the drugs are still in my system. Not exactly the best environment for little baby to grow.

So I continue with the slow and steady reductions. Seems a strange cycle. I can't believe how strong those little pills are. I barely notice them until I stop taking them and their full grip on my being is fully felt. Indeed.

Anyway, here I am, morning time. I didn't take one last night before bed. Now I'm sitting with the sweats, back aches and a horrible feeling in my skin which hurts to touch on top of the regular nerve damage and the bottle is right in front of me. Offering its dreamy relief.
I think about how much I wanted to be a Mother. I found the man. I'm down from 7 a day to 1 or 2 but still, not fair for a baby to grow in there. No, not fair at all.
Anyone else out there with a pain management issue like this? Meaning, you got some relief for the pain but lost ability to have children because of being selfishly motivated regarding pain management?
 
Im sorry to here about ur mom...
I always found that when you get large scripts its easy to fool yourself that you have more than you really do and that "taking a few more wont hurt"....I tried bi monthly, monthly, weekly and now daily scripts just to try to control my doesage and its not like I dont get a lot....im getting 180mg methadone a day so its not my doctors fault for not giving me enough.
I had to attend a training day at ambulance HQ yesterday where they were giving student paramedics CPR.demos....of course I had to get up front of class to demonstrate and the last time I gave CPR was on my moms lifeless body after a Pulmonary Embolism took her life so that brought back painfull memories to say the very least.

Sorry to hear about that. Quite a trauma would be an under statement. Yeah at times I fail bi monthly scripts and have weekly. I don't know how I'd convince my doc to let me come in everyday though, he's a 20 min drive away too :/.
 
England I'm so very sorry about your mam. I cannot begin to imagine what you are going through n am here if you need someone to vent to.

Re scripts: here in the UK they are way too quick to hand out large doses of opiate pain killers. I was prescribed what's called co-codamol (30mg codeine, 500 paracetmol aka tylamol I assume to be the US name for paracetamol) - hence why I called them "30s" or "30/500s" to de-trigger myself. Anyway waffle aside :) they gave these to me in boxes of 100. I was told 'not to see the doctor as for repeats as it wastes their time, to 'write my name n address n take it to pharmacy.' There was only a small message, warning about addiction n with me being partially sighted I missed this.

That aside another issue I'd like to highlight is that the addiction warning seem to be given more thorougly when the medication is OTC (over the counter) to when it is POM (perscription only medication. To me this is silly because one can get addicted whether it is POM or OTC. With OTC there tends to be less opiate in so there should be more emphasis on addiction warnings for POM medication that OTC or at least equal but the manufacturers (who ever produces the leaflets) n pharmacists, should not just assume that doctors have warned patients with POM because 9 times out of ten they don't.

Just my two pennys worth!

Evey xxx
 
Eveleivibe - Your spot on about that. I was in the chemist the other week picking up a load of methadone pills (when I was picking up monthly) and while they gave me over 5,000mg of methadone (one of the most addictive substances in the world) without saying a word, the woman in front of me was buying a pack of 32 8/500 co-codamol tablets OTC and got a 5 minute lecture on how addictive codeine is from the pharmacist.......strange that isnt it?

Whosajiggawaa- when I pick up daily my doctor sends special installment prescriptions that we have in the uk to the chemist that allows a prescription to be collected in daily installments and as thev pharmacy is open 7am-11pm 7 days a week I can go either on my way to or from work ad its only half a mile from my house. I only have to actually see the doctor once every couple of months.its not tp bad and well worth it whem it means you never have to go through the hell of running out again..... Im reducing my methadone at a few milligrams a week as I want off altogether and dont want my life controlled my opiates..........pain or no pain.......ill just have to deal with it.
 
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Eveleivibe - Your spot on about that. I was in the chemist the other week picking up a load of methadone pills (when I was picking up monthly) and while they gave me over 5,000mg of methadone (one of the most addictive substances in the world) without saying a word, the woman in front of me was buying a pack of 32 8/500 co-codamol tablets OTC and got a 5 minute lecture on how addictive codeine is from the pharmacist.......strange that isnt it?

Whosajiggawaa- when I pick up daily my doctor sends special installment prescriptions that we have in the uk to the chemist that allows a prescription to be collected in daily installments and as thev pharmacy is open 7am-11pm 7 days a week I can go either on my way to or from work ad its only half a mile from my house. I only have to actually see the doctor once every couple of months.its not tp bad and well worth it whem it means you never have to go through the hell of running out again..... Im reducing my methadone at a few milligrams a week as I want off altogether and dont want my life controlled my opiates..........pain or no pain.......ill just have to deal with it.

That would be my dream situation. Already have my dream script a way to make it sustainable would be awesome. Yeah also watched people being lectured about codeine whilst picking up like 240 oxies lol I even asked the pharmacist how much cheaper DHC (df118) was to OC and ON, he said he didn't believe I could take df118 chronically lol - but oxy yeah. Sigh some people get the wrong end of the stick, the least likely people too.

But I'm pain free today and really should do some physio and exercise, hope I can get enough motivation from somewhere. Yeah also growing steadily sick of being shackled to opiates and pain and it's been a decade for me, should try the non opiod methods I have repeatedly given up on.
 
Eveleivibe - Your spot on about that. I was in the chemist the other week picking up a load of methadone pills (when I was picking up monthly) and while they gave me over 5,000mg of methadone (one of the most addictive substances in the world) without saying a word, the woman in front of me was buying a pack of 32 8/500 co-codamol tablets OTC and got a 5 minute lecture on how addictive codeine is from the pharmacist.......strange that isnt it?

Whosajiggawaa- when I pick up daily my doctor sends special installment prescriptions that we have in the uk to the chemist that allows a prescription to be collected in daily installments and as thev pharmacy is open 7am-11pm 7 days a week I can go either on my way to or from work ad its only half a mile from my house. I only have to actually see the doctor once every couple of months.its not tp bad and well worth it whem it means you never have to go through the hell of running out again..... Im reducing my methadone at a few milligrams a week as I want off altogether and dont want my life controlled my opiates..........pain or no pain.......ill just have to deal with it.

Bloodyell 8/500 co-cods are nothing. When I had my codeine addiction I used to have pure 60mg pills n cwe the 8/500 lol. It really is daft x

Update: I went into pharmacy to get nurofin plus other day n should have heard the lecture I got on nit taking more than 3 days. I had a migraine n I thought why should I just get ibuprofen when I could get it with codeine as although I'm on subs n wouldn't feel it my mind would be thinking about it lol.
 
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Pain management thread has been very quiet for a while. Hope that means that everyone's pain is under control and not the opposite scenario where everyone is hurting to bad to post
Take care everyone.
 
Xanderbar!

Please clear out your Inbox so you can receive new private messages.

Many thanks.
 
I asked about my test and my doctor explained the simple urine test I get just confirms I actually have opiates in my system, he also said it doesn't identify mg. amounts or any other drugs in my system. There are other specific tests but in my case I think I would have had to fail the first test. . . So did you get a call?
 
Pain management thread has been very quiet for a while. Hope that means that everyone's pain is under control and not the opposite scenario where everyone is hurting to bad to post
Take care everyone.

Pain very under control, and I'm taking 100 mg less oxy than usual. I could handle physio and biokinetics the way I've been feeling, time to force myself! I've been smoking a lot of cannabis once I get everything I need a clear head for done for the day everyday for the past few weeks, really helps with the fybs pain and the nausea from the oxy - a lot less side effects than Lyrica.
 
Gaba Pentin dosed up, asked for a long acting pain killer, got Tramadol for now, cos I knew I'd get that, gna change docs in a while and get it changed to DF's, Aquirring Codeine on top of my ER Trammies, Gabas, and Benzos, so my pain is slowly but surely getting better, the way I see it in the UK, GP's dnt prescrive us anything decent, so you get half from them , and aqquire the other half and pay for it just like you would if you had health insurance :)
 
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