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Harm Reduction The Pain Management Mega Thread Version 4

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As a fellow fused patient, I am familiar with all the medications and I must urge you to not take the lyrica and zanaflex together or at the same time as the Opana...which btw, is a big jump on the ladder of opiate pain medications. No alcohol, no mixing of other drugs while on opana. You don't want to accidentally OD.

I'm only on fusion #4 so good luck with #7 and PM me if you wanna talk further.

Been too long PM thread! Good to be back...
 
This jump in meds really scared me anyways. I was already on the zanaflex and lyrica with the percs. This is day 2 of the opana and its like getting use to functioning on opiates all over again. I took a 10mg opana and 4mg zan. Last night and was out for a good while. Thanks for the info, I will hit you up soon.
 
Mannnn soooo hard to fill down here in south FL w all the bullshit going on with crooked docs... and all the authority now given to pharmacists. Im only 22 and am prescribed 3 roxies a day... yall wouldn't believe the looks some pharmacists give me. They're all trying to play doctor. After going to probably 25-30 pharmacies I finally got a Walgreens to fill my prescription. Im in severe pain from acute sacroyliitis and several cervical spine abnormalities... some days I cant get from the bed to the bathroom in less than 20 minutes. Being so young, it's very hard to legitimately justify the need for this powerful of a painkiller... but unfortunately, I'm in certain need. My MRIs back it up and my doctor is very well respected in the community. Just happy a pharmacist took my script today and promised to verify it as soon as possible. Hopefully I can pick it up in a few hours. Hope the rest of those in serious pain are also having some luck. :)
 
I have my pain doc appointment on Monday and am worried as shit. On my last appointment I boarder line failed for thc. The nurse acted like she thought it was a false positive but I think that was just an act. it gets sent out to the lab weather you pass or fail for a gc/ms. I would think if they were gonna drop me or cut me off from my meds they would of called me by now but you never know. I got a call today to bring in my pills for my pill count but they do that call every month so it is nothing out of the ordinary and they said nothing else.

Due to all the added stress from the drug and other bs going on in my life my pain has gotten way worse sometimes to the point that I can barely move. The shooting pains that go down from my groin to my foot have come back. It also doesn't help that I got my 120 hydrocodone 10mgs cut down to 100 but that had nothing to do with the test she was going to do that anyway. At least she kept my 90 morphine 30mgs the same. I did allot of walking and biking the past couple days which kinda helped but also left my shins very soar. Still feels good that I got up and moved.
 
PM Doc switched me to methadone for pain- will it work alone?

Hi everyone! I have a quick question, and wanted to know if others had heard this too... I have been seeing the same PM doc for over a year, and a few months ago he suggested switching to methadone for pain, since I am not eligible for a spinal fusion due to damage from injections/RFA's. I was a little scared, because I know if I ever need to get off of them I will wish for death, but I also know some people who swear by it for pain relief, so I said what the hell.. He has me at 10mg 3xday, and every 3 days I up 30mg until I hit 90-120mg daily..So here's my big thing with it- I was taking 30mg oxy 6xday, along with 20mg diazepam, 15mg Mobic, and 3200mg Neurontin. He made me quit the oxy for 7 days, and says once we find the 'magic' dose for methadone, I will never need to up it. Has anyone heard of this? He says there is actually a study done that shows when methadone is the ONLY narcotic taken, you will not build tolerance, and that you can stay at the same dose forever. The trick is that you can't start it until all other opiates/oids are out of your system- basically clean as the day you were born. I trust my doctor COMPLETELY, but this sounds too good to be true! He is bringing me the study at my next appt, so I will post that info when I get it- unless someone else has it- but I am still unsure if I made the right decision.. Anyone been told similar regarding this? Thanks!
 
I have been experiencing chronic pain for about three years. As I am young and can't take NSAIDS at all I have chosen to self-medicate with marijuana and various other things as needed. Right now the only thing helping me is my klonopin which is prescribed for anxiety. I've just recently gotten x-rays and labs done. The x-rays showed nothing. I'm on my way to discuss the labs and hopefully get put back on neorotin\tramadol. Thing is I don't really give a damn what I get prescribed as long as its not an NSAID. With acid-reflux I can't take any of that shit!!! I don't want to get high I just want to live without too much pain. Wish me luck.
 
In the past, I would see one specialist for my particular condition who would prescribe me promethazine and codeine. The most prescribed was 8 ounces with 2 refills and usually 9 times out of 10 if I would call, they would call in more with no problem. I am not always able to book an appointment at this office and its not always easy to make a trip to the office of the specialist. I take the medicine as prescribed and it last as long it should be taken, within the time for what I use it,always adds up with the listed days supply in line with the dose and amount prescribed for the particular period of time.

There are times when as I mentioned that it is just not convenient to drive to the office or an appointment is not available, and there is a close by urgent care center which I visit when I'm feeling like shit, that is a lot more accessible and less of a hassle. When I run out of meds and am in need of medical treatment that I can't get at the time being, I assumed that this was a place designed to meet these particular needs. This doctor at the urgent care center is really nice and caring, he prescribed me tussionex instead. Both of these medicines do me justice and work rather well, its just one requires more doses and is instant release being a little less potent and this one on the other hand takes less doses and is time released being a little more potent. So depending on the circumstances I would usually alternate. Lately, I've been sticking with the urgent care doctor my last few visits, considering the convenience and the compassion I've experienced. I've been going through these issues for the last year or so and its gotten rather severe.

With that being said, I never get two medications from two different doctors in the same exact time frame or even at the same time. Its always either one or the other,I will finish one, and if needed go on the other(if necessary) I take it for the directed amount of time and it equates with the prescribed dose for the listed days supply. For instance say the codeine is listed to last 7 days, on the 8th day I could still be sick and the specialist is unable to provide an appointment within my schedule, I often end up going to urgent care and that seems appropriate considering it is called "URGNET CARE" and at the time I urgently need care. Is this really wrong, I have a feeling it could be misinterpreted, but correct me if I'm wrong but when in need of quick care, this seems like a fitting scenario for a visit.

My pharmacy where I fill the codeine is one I usually stick with for most of my meds but as far as the Tussionex goes the generic brand they have is of subpar quality, horrible taste and hard to get down in comparison with a lack of efficiency aside. This leads me to Walgreens which usually have the preferred generic of my choice, not all the Walgreens have it and are often out of stock, so sometimes I have to go to several different locations depending on which ones have it available. Is this really wrong? I really have no option, I have a feeling it could look bad but the reality is, the brand needed is only available at select locations and considering I often am traveling through other towns, its not that big of an outreach or an inconvenience to make a quick run.

My dad called in my specialist once and filled them on me feeling bad and running low on my meds,in lieu of the usual they offered to call in a non-narcotic/non-addictive alternative and hinted that the medicine I'm prescribed is commonly abused and that they were wanting to switch it up. I've been in similar situations before and it usually just leads to an awkward, downhill relationship between the trust of patient and doctor once they bring in the idea of you being nothing more then a druggie. I really liked the specialist, nice guy, but I feel as if at this point its a lost cause and with that being mentioned I almost feel ashamed to see him again in person and in fear of what he may say, if this is what he may think of me.

Any thoughts from the pain management community on how all this looks from a subjective view point as a whole, I know many of us have been here before. Please no negativity or criticism, I'm in no need of any more chastising today.
 
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Im in the hospital again for a possible life threatening osteomyilitis (pleaase send your prayers.) Right now, the pain from my left sacroyliitis coupled with the radiating, shooting pains from my c4 and c5 vertabrae is absolutely unbearable. I hope my pain doc wont be mad as he had me on only IR oxycodone 30mg/3x a day. Now they have me on....

Oral Roxicodone 30mg/4x a day scheduled (pain doc Rx'd it PRN as needed)
IV Dilaudid 4mg/every 3 hours round the clock
2mg Ativan PRN (before procedures to sedate/anxiolytic + @bedtime)
150mg(?) Lyrica 3x a day

The problem is, while my PM doc up'd my oxy, it was my PCP that ordered the Dilaudid for breakthrough pain, the Ativan, etc. I'm afraid my pain doc's gna get mad as he may not be aware that my meds have been up'd so quickly. Anyone have any experience sticking to a strict regiment with a good pain doc, then getting admitted to the hosp and having your meds up'd by a different doc? Keep in mind while my primary physician and my pain management doc have a good relationship, I love my pain doc and dont wanna piss him off.

advice? im hurting so bad right now guys idk what id do without the meds at this moment. Keep in mind I am currently admitted and am typing this from my galaxy s3 in my hospital bed.
 
I am so pissed as I feel like my pain is not getting treated or even acknowledged. I would have been happier if the doc would have said while I would like to treat your pain I don't have any proof that it exist and I must cover my ass by not prescribing you anything.

Do you have a legitimately concerning MRI from either a hospital or a reputable location? Usually, that's the standard for "proof you're in pain" so to speak. Are you very young? Have you ever been Rx'd pain meds at home or had them administered to you in a hospital setting? Are you seeing a pain specialist or your primary physician? And if you are seeing a pain doc, were you referred or did you go in on your own accord???

Answer these questions for me truthfully and as detailed as you can … and I might be able to help.
 
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Update on my Osteomyilitis Hospitalization

Well since this place is dead, I figured I'd write out an update while waiting in my hospital bed for my next dose of 4mg of iV Dilaudid.

First thing the Neurosurgeon tried to do was an ultrasound-guided aspiration of the abnormality (painful boil looking thing) above my C5. Anyone with general common sense knows what a dangerous area this is to have complex invasive surgery done upon so I was really hoping this would work. Bottomline: it didn't. Doc said he couldn't spot the abscess-like growth with the Ultrasound that was revealed in the MRI.

Talk of "the best neuro-surgeon in town" coming in to do an invasive biopsy of the soft tissue and bone of the compromised vertabrae. I was now officially scared outta my mind. However, almost as quickly as I became fearful, I was transported back down to special procedures and this time, painfully slumped myself into a catscan. The CT was able to guide the neuro-surgeon to a little area where he aspirated maybe .5cc's of infected discharge!!!

I was so happy. Things moved quickly after that, despite my even greater than daily bone-rivetting pain(wasn't sure if that was evem possible! ) the lab cultured the discharge and was able to isolate several gram positive and gram negative resistant strains of bacteria. A very third generation and powerful antibiotic was lined up first, with my doctors assuring me there would be more coming up in the next six weeks of my stay. ROA...what got me here in the first place of course.. intravenous.
 
Im in the hospital again for a possible life threatening osteomyilitis (pleaase send your prayers.) Right now, the pain from my left sacroyliitis coupled with the radiating, shooting pains from my c4 and c5 vertabrae is absolutely unbearable. I hope my pain doc wont be mad as he had me on only IR oxycodone 30mg/3x a day. Now they have me on....

Oral Roxicodone 30mg/4x a day scheduled (pain doc Rx'd it PRN as needed)
IV Dilaudid 4mg/every 3 hours round the clock
2mg Ativan PRN (before procedures to sedate/anxiolytic + @bedtime)
150mg(?) Lyrica 3x a day

The problem is, while my PM doc up'd my oxy, it was my PCP that ordered the Dilaudid for breakthrough pain, the Ativan, etc. I'm afraid my pain doc's gna get mad as he may not be aware that my meds have been up'd so quickly. Anyone have any experience sticking to a strict regiment with a good pain doc, then getting admitted to the hosp and having your meds up'd by a different doc? Keep in mind while my primary physician and my pain management doc have a good relationship, I love my pain doc and dont wanna piss him off.

advice? im hurting so bad right now guys idk what id do without the meds at this moment. Keep in mind I am currently admitted and am typing this from my galaxy s3 in my hospital bed.
I don't think you have anything to worry about. It's not like you requested a specific list of additional meds from your PM Dr and he refused, so in turn you went to your PC Dr behind his back.
From what I have gathered, you are simply letting your caretakers know (as you should) that you are still experiencing pain.
The only jobs for you while you're in the hospital are to let the nurses and doctors know how you are feeling and focusing on getting better :)
We all know that your doctors are going to be exchanging information about you and I don't think anyone would look at your chart and see you as a drug seeker.
Hope this helps.
Cat
 
I don't think you have anything to worry about. It's not like you requested a specific list of additional meds from your PM Dr and he refused, so in turn you went to your PC Dr behind his back.
From what I have gathered, you are simply letting your caretakers know (as you should) that you are still experiencing pain.
The only jobs for you while you're in the hospital are to let the nurses and doctors know how you are feeling and focusing on getting better :)
We all know that your doctors are going to be exchanging information about you and I don't think anyone would look at your chart and see you as a drug seeker.
Hope this helps.
Cat

Thank God all I got was a stern talking to, over the phone, from my PM doc. He woukd like to see me taking less of my oral medication (as in, skipping doses... he explicitly told me hes not touching my meds) and sticking to my IV Dilaudid for pain. I wish I could do this..

They have added Soma 350mg every four hours, and a few meds to protect my stomach from the powerful antibiotic. The Soma is to help relax my neck as I now have to be in a pretty uncomfortable case for 3-5 weeks. :(
 
Well, so much for the stern talking to over the phone. Apparently the neuro-surgeon, who prescribed me Soma, didn't bother checking to see if I was prescribed Ativan first. Today I find out this severely pissed my pain doc off and hes also pissed I've been keeping a time schedule of when I'm due for meds and ordering them as they are available... well duh, im in round-the-clock pain! He told me "Dilaudid, or Roxy, its one or the other! Or Ill cut your Roxy!"

Um, excuse me? The measily few Roxies a day you Rx me that I have to take by mouth (don't Iv those anymore ) are not enough and the four mg of Dilly really help. In fact, this morning I went and ordered the Dilly just because it is IV and I dont have to take a chance of my oral Roxy deciding to take a day off, so to speak. Intravenously, the relief is swift and at times slightly pleasurable.

I understand when throwing the Ativan into the mix how the term "over-medicated" might come into play but come on guys, yall should see my MRI. Is 4mg of Dilaudid after. 30mg really too much?
 
Thank God all I got was a stern talking to, over the phone, from my PM doc. He woukd like to see me taking less of my oral medication (as in, skipping doses... he explicitly told me hes not touching my meds) and sticking to my IV Dilaudid for pain. I wish I could do this..

They have added Soma 350mg every four hours, and a few meds to protect my stomach from the powerful antibiotic. The Soma is to help relax my neck as I now have to be in a pretty uncomfortable case for 3-5 weeks. :(
I don't get why your PM was stern with you. I mean, your PC had access to your chart obviously, and decided to up your meds based on your pain level at the time.
This was not a decision you made (I mean, you decided to take the medicine bc you were in pain)...but your PC doctor, whom you trust, AND who was well aware of what your PM doctor had given you, apparently felt that you needed more and prescribed it. Please let me know if any of this summary is incorrect:)
If that is indeed the situation, IF there was anybody who your PM should've given a "stern" or otherwise talking to, it'd be your PC IMHO.
I'm sorry...you really don't need any negativity in any form right now, especially from your doctor. You have done nothing wrong. I know all you can do at this point is accept what has happened, but please don't let this give you a feeling of guilt or shame.
I think that by the time many of us come to be in long term and successful pain management, we have been treated like drug seekers so many times by so many different doctors and nurses that the guilt comes naturally... please don't let this affect the way you communicate with your pm doc in the future.
Thanks for listening to my rant.:) If you feel like venting or anything please feel free 2 p.m. me.
Cat
 
The problem is my known history of IV drug use: I've admitted it, I still have visible track marks from only recently dropping the needle, as well as my condition... osteomyilitis. Most ppl who contract this disease that are young get it from shooting up. So automatically Im labelled and stamped. They get pissed but my opiate tolerance is so high.. i apologize as I feel as though I'm rambling due to my latest dose of oxycodone, 4mg ativan (just for tonight), and 800mg of Neurontin. Goodnight guys thx for the support ill explain clearly tomorrow...

And to Cat... thank you for extending your help to me:)

Peace and pain relief...
 
The problem is my known history of IV drug use: I've admitted it, I still have visible track marks from only recently dropping the needle, as well as my condition... osteomyilitis. Most ppl who contract this disease that are young get it from shooting up. So automatically Im labelled and stamped. They get pissed but my opiate tolerance is so high.. i apologize as I feel as though I'm rambling due to my latest dose of oxycodone, 4mg ativan (just for tonight), and 800mg of Neurontin. Goodnight guys thx for the support ill explain clearly tomorrow...

And to Cat... thank you for extending your help to me:)

Peace and pain relief...

Chase,
I hope today finds you feeling as well as possible.
I feel I should apologize again for my rant yesterday. I was pretty angry for your situation and I don't feel indignant rambling could've been much help to you ;)
Regardless of your drug use, I feel that you still deserve guilt free pain relief. While this does help me to understand your pm doctors concerns a little better, it does not change the fact that it was your primary care doctor who decided to up your meds.
I hope that you are getting the relief that you need, or at least coming close to it.
Oh, by the way, you were not rambling at all in your last post.
hope everyone else is doing well also.:)
Cat
 
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