Harm Reduction The Pain Management Mega Thread Version 4

[Eveleivibe]

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

When I had my slip disc I was given the choice of trammies or codeine n I was in agonising pain. Cant they give you dihydrocodeine it's stronger than codeine.

 

[benzoman12345]

I don't want to ask my current GP mate, shes a total bitch, so the plan is to get myself on a long acting opiod, wich I've done, I'll get the Tramadol upped a bit, then change Dr's and my current practice doesn't have a consistent male Dr, so that's my excuse for changing, then I'll ask for DHC.

I've got to be very carefull about how I go about my business due to a fucked up list of OD's on my records, from stupit shit I did when I was younger and in a bad place.

Thing is , I think Dr's consider DHC more potent than Tramadol, I'm not sure, but if they don't, then I don't see how I could be refused ?

 

[BigG]

I don't want to ask my current GP mate, shes a total bitch, so the plan is to get myself on a long acting opiod, wich I've done, I'll get the Tramadol upped a bit, then change Dr's and my current practice doesn't have a consistent male Dr, so that's my excuse for changing, then I'll ask for DHC.

I've got to be very carefull about how I go about my business due to a fucked up list of OD's on my records, from stupit shit I did wht tien I was younger and in a bad place.

Thing is , I think Dr's consider DHC more potent than Tramadol, I'm not sure, but if they don't, then I don't see how I could be refused ?

It's very questionable as to whether DHC is considered any stronger than codeine phosphate. The main difference is that DHC is thought to be less constipating. . Milligram per milligram codeine (or DHC) is considered slightly stronger than tramadol but they are both generally regarded as the mildest of the opiate/ opioid class of painkillers. There are some differences such as that codeine is a true opiate and is a constituent of the opium poppy and is converted to morphine in the body. Tramadol on the other hand is a synthetic opioid whose mechanism of action is different from most other synthetic opioids and effects serotonin in a fairly significant way and can cause a lift in mood along with is analgesic effects.Tramadol is a weak μ-opioid receptor agonist, a serotonin releaser and a reuptake inhibitor of norepinephrine.[4][5] Tramadol is metabolized to O-desmethyltramadol, a significantly more potent μ-opioid agonist. Tramadol and its major metabolite(s) are distinguished from other more potent opioid agonists by relative selectivity for μ-opioid receptors. Either way id you can get your doctor to prescribe tramadol it shouldnt take to muxh persuasion tp get him to script codeine/ DHC instead. Since we dont have hydrocodone in the uk. The next step up the opiate ladder is oramorph then MST, Oxycontin, Fentanyl etc. whixh are MUCH harder to persuade a reluctant doctor to script you. Good luck mate.

 

[benzoman12345]

No Dr will give me Codeine without Paracetemol in it anywhere in this district, they don't trust anyone , no matter how old or young you are, I have to obtain the Co-Codamols because it's one or the other , ER and IR are not prescribed together, the whole IR for breakthrough pain and ER for maintenance is common sense but GP's are just simply fucking idiots around here, but I've been reffered to the Pain Clinic which will take about a year probably, so when I finally get there I will be honest and tell them how much pain relief I need to take and hopefully something will come of it, in the mean time I'll just do what I can do.

 

[BigG]

That's shit mate. I got referred to the pain clinic last year and it took about 6 months but as you know nhs waiting lists vary from place to place. Hopefully you wont have to wait to long. Whwn i went I was on 180 mg of methadone and he wanted tp put me on fentanyl patches which i agreed to but he wouldnt prescribe break through (IR) meds as he reconed that the practice of doing that is outdated although many other doctors still do it and as you say it makes commons sense. The fentanyl patches didnt work for me and since i had stupidly admitted to abusing my Oxycontin and morphine scripts (13 years earlier) he wouldnt prescribe them so put me back on methadone at the same dose i had started on the only difference being that he told my gp to prescribe tablets and not that horrible liquid stuff (apparently now in the uk gp's can only script the tablets if it is for pain as they are not licenced for addiction anymore over here and most gp's wil only do so if directed to do so by a pain clinic). And he told me to take the daily dose split into three (60mg x 3/day) as methadone's analgesic duration of action is around 8hrs but it's withdrawl suppression actions are 24hrs+. It is a pity when you are denied the most effective analgesics due to some stupid shit you admitted to doing years ago that stays on your medical records.

 

[Eveleivibe]

No Dr will give me Codeine without Paracetemol in it anywhere in this district, they don't trust anyone , no matter how old or young you are, I have to obtain the Co-Codamols because it's one or the other , ER and IR are not prescribed together, the whole IR for breakthrough pain and ER for maintenance is common sense but GP's are just simply fucking idiots around here, but I've been reffered to the Pain Clinic which will take about a year probably, so when I finally get there I will be honest and tell them how much pain relief I need to take and hopefully something will come of it, in the mean time I'll just do what I can do.

Damn that sucks. I was given pure codeine phosphate off GP but only because I admitted addiction n a year after saying I couldn't stop.

 

[lifesaver2013]

Hi first time posting here. Im a 39 yr old chronic pain sufferer with a rare type of arthritis. Im prescribed a rotation of durogesic, Oxycontin, MST and physeptone (one at a time though lol!) in high doses along with lyrica and naproxen or ibuprofen. I hope everyone is relatively pain free today.

 

[Lifeinpain]

Hey LS-2013. How Long, where and what type of arthritis? Does your current meds Control or abate the ache and what have you found brings you the best relief of the aforesaid meds?
I began with Juvenile arthritis and like you rotate most everything except the OxyContin. I find everything wains with time and doesn't work as well so must be rotated but lately maybe due to age I'm experiencing inability of simple use and movement and strong will wont break something rusted solid.
Welcome, Moe

 

[lifesaver2013]

Its Reiter's syndrome which is an autoimmune disease secondary to a severe bacterial gastrointestinal bug. It usually occurs 1-3 weeks after the initial infection and generally affects the large joints. In many people it passes with time but with some it never goes away and migrates from joint to joint over time. Treatment usually involves immunosuppressants NISADs or steroid injections and various analgesics. Unfortunately mine has been unresponsive to treatment and can affect the heart and other organs although fortunately that hasnt happed to me yet but ive lived with this condition since.1995. The trouble is that thistype of pain doesnt abate with the use of opiods very well which is why iI rotate as one type doesnt stay affective for long. Its just something iI have to live with I suppose.

Probably the most effective drug combo ive found is indomethecin and either morphine (MST or MXL plus oramorph for breakthrough) or physeptone. I find physeptone generally has fewer side effects. For me fentanyl is the leqst effective although I think that is because of problems with the transdermal delivery (durogesic patch) rather than the drug itself. As im sure you know fentanyl is one of the strongest opiods available being roughly 100 times stronger than morphine but if you cant get the drug into your system it isnt going t Oo help no matter how strong it is.

 

[benzoman12345]

The thing is lads when I was younger I went through a daft phase , my brain was full of Phenazepam , of wich I didn't know about, they were in a dodgy batch of valium and I was in auto-pilot for a fair while blagging valium off Drs and acting like a total headcase, there's a lot of storys I could tell you, let's just say it's amazing how I am even hear to type this , so it's like the boy who cried wolfe, or Karma, now that something is really wrong with me , it's really hard to get takin serious, or even listened to, mind you in the UK at least in this part it doesn't normally matter who you are, I've sent the Mrs in cos she got a clean record and managed to get Codeine Phosphate 15mg, weird thing is , they're giving her 30 tablets at a time , just 1 scipt of 30x 15mg tabs 1-2 every 4 -6 hours, that's 4 days worth if ur lucky, so I'm trying to play it clever and send her back like ever 10-12 days, that way the GP won't consider her to be abusing them, apart from that gotta buy them elsewhere, all cause I'm in pain , the shit you need to do lol

 

[Eveleivibe]

There'll be 28 at a time. Not being funny but is that fair on your wife? What if one day she's in pain n needs relief - they may not give it her n think she's abusing them to. Usuall with those 15s they tell you 4 a day n that lasts a week. Not having a go - just becareful because professionals in the UK are being told to crack down.
If you have genuine pain n they don't believe you ask to see another doctor or for proof eg scan, xray, ultrasound etc. say you'd be willing to do physio (sorry don't know what your pain is so I'm just throwing things out there) these sorts of things show that you're not drug seeking but are really in need of pain relief n won't affect your wife if in future she really did need that sort of medication.
All the best,
Evey

 

[benzoman12345]

There'll be 28 at a time. Not being funny but is that fair on your wife? What if one day she's in pain n needs relief - they may not give it her n think she's abusing them to. Usuall with those 15s they tell you 4 a day n that lasts a week. Not having a go - just becareful because professionals in the UK are being told to crack down.
If you have genuine pain n they don't believe you ask to see another doctor or for proof eg scan, xray, ultrasound etc. say you'd be willing to do physio (sorry don't know what your pain is so I'm just throwing things out there) these sorts of things show that you're not drug seeking but are really in need of pain relief n won't affect your wife if in future she really did need that sort of medication.
All the best,
Evey

No its an extra 2 tablets in a 28 box and it is 1-2 Tablets every 4-6 Hours, I know what I'm doing , and yes it is fair on her , because when I'm not in pain I can be a better man

These GP's in my area are weird, every surgery works in a diferent weird way, the same surgery she get's them from a GP got caught prescribing herself Valium, DHC and Codeine using other peoples Names and going to all the local chemists HERSELF !

I am smart because I'm telling her to go back well after she should have used the tablets up, my surgery that I am in is a very small surgery, no consistent GPs and the head DR has a personal issue with me , it's a fact and I've told them that I know it (politely)

I get Tramadol ER (my request) 100mg 2x per day , and Gabapentin 300mgs 3x per day , it took me 2 years to get onto the Gabapentins through at least 20 hospital visits, MRIs, Bloods ................

I am in a better place now than I have been in a long time but still nowhere near relieved, the Tramadol has no effect whatsoever, really. I know how to play these Drs now and when I say play them it's sick because I am doing it for genuine reasons, the only reason I asked for long acting Tramadol was so that it would stay on my script for a few months , then I'll get the dose upped just a little to 150mgs 2xper day, then I'll change to the surgery next door , now when you change surgerys around here especially to the one literally next door , they always investigate you and jump to the conclusion that you left because they didn't give you the drugs u asked for, however this surgery has a consistent Male Dr wich my current one doesn't, so that is my reason or joining, nothing else, and eventually word it correctly to hopefully get 120mg DHC, a much better pain killer, I can't use the work Dihydrocodeine in that surgery, that spells LIAR JUNKIE FUCK OFF, although it is the totally opposite.

MY Mrs done that off her own back , she sees me in pain every day and she didn't even ask for Codeine , with my help she worded it correctly and that's what she got, but every script is a one off script , no repeat or anything, and sometimes when she has cramp 1 of them can help, everything I'm doing you can put it down to whatever you want but I am being extremely smart about this,

I hope to god when/if I finally get to the pain clinic I get proper relief all on my name and get on with my life, I understand what you said about is it fair on my Mrs, but honestly mate , It is her who is helping me, not me who is FORCING her to do anything at all, she offered, then I said well if your willing to do it you need to do it correctly so that you don't get a fucked record like mine, I think if you read my post correctly u would have noticed that I am telling her to go back roughly 12 days after a 4 day script, that's the opposite of drug-seeking, and anyway my Mrs is a hardie wee bitch she's not daft she wouldn't fuck herself up for nobody lol,

Ahhh Life eh ?

 

[Eveleivibe]

Hiya Benzo,
Yea that makes a lot of sense n its dreadful that you both have to do that. I'm sorry if I came across as judgemental as I wasn't trying to be. Tbh it's people like me who get addicted, that you're in this mess. I think that doctors should give proper pain relief n monitor the patient on a regular basis.
In my case I was given 100 30/500 co-cods n was sternly told by the receptionist "not to waste the doctor's time," just to put in a repeat prescription (I had a L5/S1 disc herniation). I was aware that codeine was addictive so stupidly didn't think it would happen to me but as a result of a few reasons (emotional n wanting to continue exercising) I became addicted.
To me there's no middle ground with these surgeries. They either give too much on repeat not asking to see the patient or they give f*** all apart from ibuprofen or napraxon.
I hope the pain clinic help you.
Come to think on it, I'm sure I talked to you on another thread?
Take care, Evey

 

[benzoman12345]

Possibly I speak to loads of people on here , well I aqquire a strip of 20 Co-Cods per week if I can and I try and use them to get me by as well, and everything I've said is true and I'm also a health freak weight lifter, believe it or not, but Codeiene certainly lifts ur mood , the relief is just bliss man, I take benzos as well, I need to but that's another story, but I use them as painkillers also , I get Diazepam but I get some Clonazepam and use it for the muscle relaxing effects, it is actually a really good painkiller combined with the Gabapentin, but 1 thing I will pride myself on is even though I come across a crazy weight lifting, steroid taking, benzo addict, cripple lol, I am extremely sensible with any medication now , dosing and bang on spacing between doses, Every 6 hours for the IR's and every 8-12 for the ER obviously, I never ever ever fuck about with it, I've lowered my tolerance a LOT to benzos through using my brain and I plan on keeping it that way, maybe the odd exception if something really bad is going on, but these weak opiates don't last long at all, I find it really hard to judge how many 15mg Codeine tabs to take, I can calculate the dose, but before I ever got them I done CWE's with CO-Cos and I did get a little bit intoxicated so now I am trying to find a dose that just kills the pain and no more to lower the tolerance on that, when u need meds u really can't fuck about with them, a lesson I've learned in life for sure.

 

[Eveleivibe]

Yea I'm also learning that the hard way. I used to purchase the 60mg codeine phosphate tabs n would easily take ten of them plus codeine linctus, nurofen plus etc in a day. I'm now on 12 mg suboxone (was on 8mg but been craving wanting to do harder stuff n using codeine ontop so they increased it). A lot of people laugh on here if you're on suboxone from codeine, vicodin but they don't know how it's affected my life, the obsession etc. was drinking heavily to replace the void that codeine left n coming on here asking how to get strongr stuff which is not good.

So I urge anyone who is in pain listen to thingslike this, like what benzoman has said n be extremely careful as if you're not careful these opiates can mess you up good n once you're addicted - it does not take you long to crave stronger stuff. I never thought I'd be one to want stronger stuff.
Treat them with respect even if you know they're addictive because I thought I knew best n I didn't.

I used to be a health freak n today has been the first positive day in a long time.

Evey

 

[Lifeinpain]

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.

Congratulations, on your success.
Stay strong and committed and in a forward direction but remember smoking is extremely detrimental and there are edible products that will do as well or better. Again, Good Luck, Moe

 

[Whosajiggawaaa]

Congratulations, on your success.
Stay strong and committed and in a forward direction but remember smoking is extremely detrimental and there are edible products that will do as well or better. Again, Good Luck, Moe

Sigh not great today and yesterday. My right arm with 13 pins in it hurting more than usual and i have less meds this week. With any luck i'll get an ir oxy script repeat at some stage this week.

Also been thinking about a budget vape (am stafting to get a cough) or yeah could try fast edibles like firecrackers.

 

[Lifeinpain]

Sigh not great today and yesterday. My right arm with 13 pins in it hurting more than usual and i have less meds this week. With any luck i'll get an ir oxy script repeat at some stage this week.

Also been thinking about a budget vape (am stafting to get a cough) or yeah could try fast edibles like firecrackers.

I was prescribed cesamet for many years but have of late been trying an edible Butter which I'm finding great as with attempting smoking it was much, much too strong and my lungs hurt for a week, a quarter teaspoon before bed is enough as I'm using it as a sleep aid not a pain reliever. I find it helps with sleep but not with the pain and when I did smoke it greatly increased my pain.
As with any day we must take the good with the bad, for if there was no bad we would not know the good ones.
moe

 

[benzoman12345]

Yea I'm also learning that the hard way. I used to purchase the 60mg codeine phosphate tabs n would easily take ten of them plus codeine linctus, nurofen plus etc in a day. I'm now on 12 mg suboxone (was on 8mg but been craving wanting to do harder stuff n using codeine ontop so they increased it). A lot of people laugh on here if you're on suboxone from codeine, vicodin but they don't know how it's affected my life, the obsession etc. was drinking heavily to replace the void that codeine left n coming on here asking how to get strongr stuff which is not good.

So I urge anyone who is in pain listen to thingslike this, like what benzoman has said n be extremely careful as if you're not careful these opiates can mess you up good n once you're addicted - it does not take you long to crave stronger stuff. I never thought I'd be one to want stronger stuff.
Treat them with respect even if you know they're addictive because I thought I knew best n I didn't.

I used to be a health freak n today has been the first positive day in a long time.

Evey

Glad to hear it love , keep it that way

Codeine is addictive as fuck like ANY opiate no matter what anybody sais, I dnt know if ur in the UK but the only reason americans call Codeine weak and shit is because they basically get prescribed smack Oxycontin, Fentanyl, of course it's gna seem weak to them, If you lived in they lived in the UK on the NHS and had to deal with our GPs , they would know all about it !

With health Insurance or Credit Card if you the money you can buy the strongest shit, on the NHS they have a budget and GPs are instrusted to prescribe the cheapest items even if it's not the appropriate treatment and that is a FACT, anybody who disagrees don't know hat they're talking about, we get fucked about something awfull, they put us on stupid waiting lists for years, part of that is a tactic that we will just forget about it , it's all about ££££££££££££

OXYCONTIN EXPRESS Documentary, perfect example.

That shit still happens regardless of the bullshit cover ups, that's when I decided fuck it , I know what I need , I know where to buy it, got some cash and done it. What's the difference ? There is not one as long as you know what your doing plus youl get your meds a lot cheaper with no Drug Dealer Dr in the middle,

Im away on a rant here lol, off to chill, Peace Evey , Fuck the system

 

[lifesaver2013]

It all depends really....ive had no problem getting prescribed Oxycontin, morphine, fentanyl, physeptone, pethadine, hydromorphone etc. Not all doctors are like that. (im in the uk too). If you have a history of addiction or mental health issues then prescribing guidelines are different compared to a patient who has a "clean" medical record. It may seem unfair but thats the way it is. Doctors can lose their licences if they knowingly prescribe certain drugs to people who they know have abused them or similar things in the past. They have tk weigh up the benefits against the potential harm they could be doing by prescribing certain drugs to people with certain behavioural.characteristics.......sounds harsh but its true. Ive been a part of the healthcare system for over 20 years as a patient and a medical professional (id rather not say exactly what it is I do). I know when you are in pain it seems unfair but unfortunately there are certain guidelines called care pathways that prescribers are legally obliged to follow. II'm not defending the system or saying its right or wrong but legally and ethically......thats the way it is.