Harm Reduction The Pain Management Mega Thread Version 4

[oxyschottin]

I'm prescribed the following for severe crohns n colitis and arthritis all at the young age of 19:

Fentynal 75 MCG
Morphine 15 mg up to 8 pills a day for BT
Ambient 5 mg for sleep


Now I was wondering if anyone in a similar position can offer advice thru PM or a reply.

I've become incredibly tolerant to the morphjne and am very very educated in different opiates but I was curious if anyone was in a similar position and what success you have had with BT pain meds besides morphine. Thanks in advance.

 

[tricomb]

what kind of advice are you looking for?

I really benefit from morphine IR but find the need for all the redosing annoying, and therefore I much prefer my oxycodone IR as needed for BT, even though it's duration is not much more impressive. I find it to be somewhat less constipating than morphine. Morphine sometimes makes me spacey in ways that oxycodone never does, it always stimulates me to go about doing the things/responsibilities sometimes avoid doing so in pain, so the oxycodone definitely helps reduce (not eliminate) the pain.

19 years old on a 75mcg/hr fentanyl patch. Damn. You must be all sorts of hurting. I'm sorry My best advice to you: TAKE THINGS SLOW. Your 19. Your already on fentanyl, there are realistically, well, I can name only two to three other drugs (I'm mostly thinking that you should be worried about having to rely on something like a pain pump by age 30, IV drugs, sufentanil [Sufenta] or ridiculous doses of fentanyl and other narcotics for the rest of your life. If your living with chronic pain, embrace your new body. I know how bad you might want to eliminate the pain but in many cases that doesn't happen, drugs only help reduce the pain to a somewhat tolerable amount usually, depending on many things. Don't raise your tolerance so high so fast if you can.



^How long have you been taking the opioids you mentioned?

 

[greywoodfoxhall]

Don't know about the UK, sorry... but in the U.S. they do. I go to the same office, but of last month am seeing a doctor... Prior to that, for almost 2 years, I saw a nurse practitioner, who started me on Tramadol, then I was on 2 10mg Opana ERs and 1 5mg Opana IR when they reformulated the ERs. Those suckers are like hell on your stomach if you eat them, and will destroy a PedEgg after 15 pills. So, she switched me to 1.5 10mg generic oxymorphone IRs a day. Ironically, she said Roxys and Oxys weren't an option because of the abuse potential. I love dumb healthcare professionals. My old addictionologist also had a nurse practitioner writing Sub scripts. I feel like doctors are less controlled in the U.K. than here across the Atlantic (they have Heroin as a Sch. II drug, recognizing its medical use), so I could only imagine they have NPs seeing CPP. This is pure speculation though.

 

[greywoodfoxhall]

Couldn't agree more with Tricomb... I was self-medicating for years, and when the reformulated OP OCs came out, I jumped on the fact that nobody knew they were still shoot-able. Next thing I know, thanks to a connect where I got 30 40mg OCs, I was doing 100mgs a day at least. I agreed to detox and rehab because my parents promised me they'd send me to a pain doctor... but with my current habit, I would've been hard pressed to find a doctor willing to write me my minimum daily dose (I'd go up to 300mg a day at times). Use DXM to combat tolerance, magnesium, CPY450 enzyme inhibitors... anything. I'm sure there are plenty of people on here who miss the days when 15 mg of Hydrocodone split across a day helped. Getting the "good stuff" isn't always a "good thing."

 

[greywoodfoxhall]

Oxyschottin... Have you ever tried Kratom? You would definitely need an extract... but once I'm a Bluelighter, I'll give you my source that runs a co-op of farms in Indonesia. The extract they produce is incredible. I took some with my 20mg of oxymorphone IV (the oxym not the Kratom), and despite Kratom supposedly losing the race to the receptors and being a waste if dosed with an opiate/opiod, I felt the best I did while that bag of extract lasted. Just an option to consider...

Mods: MODNOTE:No we have a strict anti-sourcing policy that extends to everything, legal or not. Please review the OD guidelines and BLUA for clarification. -tricomb

In response to MODNOTE: Thanks for clearing that up! I was just confused... I understand research chemicals, but I've seen people referring to certain grocery stores for herbal supplements, etc. so that is why I asked. I didn't share a source, so no harm was done.

 

[Doomed2pain]

I don't think any kind of sourcing is allowed, and the guy just wanted advice on what ir meds are prescribed to someone in his position.

 

[Doomed2pain]

Don't know about the UK, sorry... but in the U.S. they do. I go to the same office, but of last month am seeing a doctor... Prior to that, for almost 2 years, I saw a nurse practitioner, who started me on Tramadol, then I was on 2 10mg Opana ERs and 1 5mg Opana IR when they reformulated the ERs. Those suckers are like hell on your stomach if you eat them, and will destroy a PedEgg after 15 pills. So, she switched me to 1.5 10mg generic oxymorphone IRs a day. Ironically, she said Roxys and Oxys weren't an option because of the abuse potential. I love dumb healthcare professionals. My old addictionologist also had a nurse practitioner writing Sub scripts. I feel like doctors are less controlled in the U.K. than here across the Atlantic (they have Heroin as a Sch. II drug, recognizing its medical use), so I could only imagine they have NPs seeing CPP. This is pure speculation though.

Nope I'm in the uk we see drs every time but have to wait months for appointments, and heroin isn't a schedule 2, diamorphine is only written for cancer patients no-one else, they did used to write it for Iv addicts but that stopped years ago

 

[macd610]

I have crps I already get medication but unfortunately my condition has no cure and means constant excruciating pain. Oh and my legs and feet are starting to change shape joys.

DOOMED, How are things? Check your PM's.
Today I had an appointment with my psychiatrist to get my ADHD and anxiety medications. Unfortunately, he cannot stand the fact that I am on pain medications especially the patch. Any time I have an issue with my alprazolam or MPH, he blames it on "all the narcotics". It's quite annoying.
I tried Lexapro for depression about a month ago maybe more, and I noticed that it made my pain meds less effective. Today he switched me to Cymbalta. My mother takes that for depression and pain and has had great results. He told me to take 30 milligrams for 5 days and then go up to 60. I'm really hoping I have good results too.
I hope everybody is having a great day today.
Cat

 

[oxyschottin]

Thanks everyone for us input. Tri, I've been medically prescribed for about a year now for a condition that went undiagnosed For 4 years that caused it to become pretty severe. Anyway I self medicated for a lot of my life. Its hard to describe excruciating pain to someone when no cause has been diagnosed. So my high school like was spent self medicating with mainly weed and Oxycontin. Unfortunetly I became dependent and eventually had a bout with iV heroin because my oxy source went dry. I also discovered morphine somewhere among this turmoil. Well basically over this past year I got my shit together got clean completely from everything hoping I could get my health under control. I could not after several hospitalizations and learning my condition was about sever as it gets my doc warily moved back to opiates. Due to my previous use my tolerance has shot up to a high level. Which explains my current dosing. I'm on a new medication that should get my condition under control but it could take a few months till it really gets working. So thus bout with pks should be a rather short one as my dr plans on weening me off with methadone once the medication kicks in.

What I'm asking is what are other option BT pain besides morphine. I'm up to 10 15 mg pills a day and really don't like swallowing that many pills a day. I was thinking on talking with my doc about opana it 10 to 15 mg or oxycodone ir 30 to 40 mg my question is what do you fellow think will work best, any other options that you all could think of and what dosage do you think I'd be successful with.

 

[Doomed2pain]

Oxycodone has the better oral bioavailability so you could take 40mg ir per day and get the same relief as you are getting now because oral morphine has a bioavailability of 30% or less where as oxy is in the 80's range so definitely the better oral med.

 

[queenbee2]

Cat--I hope you do well with the Cymbalta. I took it for awhile and it did a lot for my nerve pain.

I seem to be doing really well with the new meds. My new pain doctor has me taking 15mg MS Contin every 8 hours and the Topamax at night. I've had very little need for the percocet which makes me all kinds of happy. Although, I do seem to notice that I start hurting at about the 6 hour mark, but I'm keeping a journal about my experiences with the new meds and I'll share those with the doctor when I see her next. Tonight I increase my Topamax dose to two tablets.

I've noticed being out of it a little more on these meds--It's not fatigue. Just sort of a disconnect. The doctor mentioned that Topamax does that sometimes. Other than two bad dreams the other night, I haven't noticed any other negative side effects.

 

[Doomed2pain]

Queen bee I'm thinking of trying topomax let me know if there are any negative side effects please. Cymbalta sent my psychosis into overdrive so I had to stop taking it.

 

[Treefa]

OK so i'm new to this THREAD.

But i'm in a pickle guys can you help me out?

Basially, got 20 vicodin 5mg(psssh yeah i know, but it's cheap as hell at pharmacy) for my back pain, along with trash robaxin and meloxicam. The script said it only had to last "5 DAYS".. So i'd call for a refill after a week or 8 days. I got refills after just one week about 3 or 4 times.

I'm now completley out on day 17 of my script(TWENTY PILLS, NOT A MONTHS SUPPLY!! 5 DAYS ACCORDING TO PHARM), and all i have is a little bit of tramadol and codeine(FROM GP) to last the weekend.


SO MY QUESTION; If i called for a refill today DAY 17, and ask for a refill, are they more likely to give one since i waited a whole extra 10 days to ask?? They gave it the other times anyway, but cautiously the last time or 2.Keep in mind this is not my GP, he a specialist nurse practitioner i first saw for an oddball condition a few years ago, and rarley ever see him, but my GP is 20 min drive away, and this dude is right down the road, and my back was hurting so i chose the quickest option.

I'm just really scared of getting rejected or blacklisted or something.

QUESTION #2; I'm only 20 years old, and i feel like the pharmacy is keeping an eye on me for the amount of narcotics i fill which isn't really alot. Tramadol(occasionally), Codeine Syrup(occasionally), and very recently the hydrocodone i've been filling several times a month. How far back does the pharmacist look at your RX history when your filling a medication?? Does he look since the new year began or since i was born???

 

[tricomb]

^Hey man I'm sorry but this thread is not a place to talk about the likelihood of doctors prescribing you refills, even for legitimate causes. That's a rule for everyone here in this thread, and also in this entire forum as you know Treefa.

Please don't ask for speculation on refills, trust me, we all have those questions but we just can't go there.

 

[Midazle]

Anyone try Levorphanol? I only found one Erowid article on it but I have a custom compounding pharmacy and I figure if I can push the research I could give it a try, supposedly its really good for nerve pain (its got norepinephrine action) where an opioid is the only thing that provides adequate analgesia...I've heard it lasts a true and sincere 8 hours if not 10 hours which I think would be excellent, Its got 80%~ bioavailability too which is good, low bioavailability drugs vary like crazy for me (otherwise I would be on Oxymorphone).

DOOMED, How are things? Check your PM's.
Today I had an appointment with my psychiatrist to get my ADHD and anxiety medications. Unfortunately, he cannot stand the fact that I am on pain medications especially the patch. Any time I have an issue with my alprazolam or MPH, he blames it on "all the narcotics". It's quite annoying.
I tried Lexapro for depression about a month ago maybe more, and I noticed that it made my pain meds less effective. Today he switched me to Cymbalta. My mother takes that for depression and pain and has had great results. He told me to take 30 milligrams for 5 days and then go up to 60. I'm really hoping I have good results too.
I hope everybody is having a great day today.
Cat

Doctors are really a crapshoot....my Psychiatrist is the only one who really understands pain, she had a few back surgeries and called my pain management doctor when my PM doc decided to stop prescribing my pain meds. My other doctors like to play the "OMG NARCOTICS ARE THE WORST. THEY ARE THE DEVIL. THEY ARE ALL YOUR PROBLEMS" game and its annoying...I'd really like for some of these fools to get a debilitating disease thats painful and then get Narcan'ed...anyways I guess its the world we live in today...I really really wish I didn't have severe pain, yeah the opioid buzz is nice sometimes but other times it just adds to my fatigue negatively...

Thanks everyone for us input. Tri, I've been medically prescribed for about a year now for a condition that went undiagnosed For 4 years that caused it to become pretty severe. Anyway I self medicated for a lot of my life. Its hard to describe excruciating pain to someone when no cause has been diagnosed. So my high school like was spent self medicating with mainly weed and Oxycontin. Unfortunetly I became dependent and eventually had a bout with iV heroin because my oxy source went dry. I also discovered morphine somewhere among this turmoil. Well basically over this past year I got my shit together got clean completely from everything hoping I could get my health under control. I could not after several hospitalizations and learning my condition was about sever as it gets my doc warily moved back to opiates. Due to my previous use my tolerance has shot up to a high level. Which explains my current dosing. I'm on a new medication that should get my condition under control but it could take a few months till it really gets working. So thus bout with pks should be a rather short one as my dr plans on weening me off with methadone once the medication kicks in.

What I'm asking is what are other option BT pain besides morphine. I'm up to 10 15 mg pills a day and really don't like swallowing that many pills a day. I was thinking on talking with my doc about opana it 10 to 15 mg or oxycodone ir 30 to 40 mg my question is what do you fellow think will work best, any other options that you all could think of and what dosage do you think I'd be successful with.

Your situation sounds like 90% to my situation...I had an undiagnosed disease for a long time, actually it was misdiagnosed and under treated really. I used opioids only when I needed them for severe pain but I eventually ended up bed ridden without them > Its frustrating but hang in there. If you really feel you need an opioid for pain don't hesitate for fear of addiction, there are always options like methadone or buprenorphine if you feel your liable to abuse or the pain is better controlled on those...the 7 day buprenorphine patch looks really interesting...although I am not one for patches at all. Shoot me a PM, I've seen some of your posts and Im curious.

 

[Slowann74]

I'm new on here and I was referred to a Pain Mang group here in GA. First comments from doctors were....hope you don't need meds cause we aren't going to do it? I just looked at them like they were crazy. Only narcotic I have is hydro 5/500. I was sent to PM since the hydrocodonne wasn't holding the pain all day. I'm just eating it every few hours to even function. I have chronic daily migraine, scleroderma, Raynauds (Crest) and intestinal/organ endometriosis. I just want something I can take once a day or twice a day. But I am automatically treated like an addict. I just want a doctor in GA that is nice and not rude who can handle all my damn issues. Sorry for the vent. I haven't slept due to pain...

 

[tricomb]

^I'm really sorry about that Slowann74. Welcome to bluelight!
This is the place for us CPPs to vent.

I'm really sorry that your pain clinic is one of the shitty ones that view patients as addicts and drug seekers instead of people who are complaining of legitimate issues about requiring special needs, dosage adjustments, or alternatve medications/therapies like if appropriate, hydrotherapy, aromatherapy, massage, accupunture, physical therapy, cognitive behavioral therapy, psychiatric help if need be especially for the sleeping problems, they are MUCH more compassionate about sleep medication but as for pain killers, there's nothing we can do or say to help you really, because A) it's against site rules, and B) that's just the shitty way the world is right now. But there are thousands of doctors, and not all of them are assholes and not all of them treat patients like addicts. It may take years for you to find the right doctor, but you'll be glad you spent all that time and effort searching, never giving up. Never give up, that just invites a psychiatric nightmare.

I am underprescribed, all I have is roxicodone and I should be on around the clock (ER/time released) medication. The reason why we may seem like addicts, is because we are forced to resort to such desperate measures to control our pain, most commonly by taking pain killers that are not prescribed to us, or back in the day by doctor shopping or RX forging, but these are basically a thing of the past with modern day technology and statewide RX monitoring programs which log every prescription you fill at any pharmacy anywhere even and especially out of state, because it used to be the big thing for mid to high level pain pill dealers to make runs to the Florida pill mills and then bring them back to their hometowns, all over major distribution points all over the USA (SF/Oakland#1 busiest port in nation, x, San Diego biggg timeee, NY, KC, NM, Miami, Boston, Philly, Houston, Newark, Chicago, etc) and resell for major profit. But that's a thing of the past mostly. Pill mills still exist, but doctors cover their tracks a bit better and use known loopholes in the system.

 

[greywoodfoxhall]

So, I'm in a panic. My pain management group laid-off all the doctors, and I met the new one for the first time last month. He made a point to mention that I need to bring in my bottle and pills, empty or not, every month. My pain has gotten worse, and my depression, and I tried to unsuccessfully OD this month. Therefore, I've been out of meds since Friday, and will piss clean today and have no pills when I should have extra. I take 1/2 an oxymorphone 10mg IR 3x a day and 1 whole Klonopin 2mg 3x a day. Due to the pharmacy closing early, I will have the extra extra of Klonopin as if my parents (who distribute my meds to me daily, I just found the stash and attempted to OD, got the pills mixed up for enough days to explain my clean urine and empty bottle). As I will also have extra Somas, I feel like it is clear that I am not diverting pills or a drug addict. Drug addicts don't have extra pills. And if I was diverting meds, why would I screw myself... I have food-stamps, a free place to live, and will test clean for all non-Rx drugs. Thoughts anyone... or even better, personal experience? My other idea is to check into the hospital... but that costs a lot of money.

side note: I have a prescription sitting from last summer for 60 oxyxodone 5mg pills and 30 Oxycontin SR 10mg pills. I also have close over 400 d-amp pills I haven't been able to afford. I may be an "addict" but I am neither a stupid one or an impulsive one (though impulsively suicidal, yes). Don't y'all think the doctor could understand this?

 

[greywoodfoxhall]

tricomb... You saying that about doctors covering their tracks is so true. I go to a "pill mil" (I intentionally left off the second 'L'), that is somewhat legit, but also not. I have real pain issues, and back in 2011 started going to the office. I was seeing a nurse practitioner, and she put me on Tramadol. I was used to drinking poppy tea with about 100mg of Morphine in it, eating Kratom, banging the OP Oxys (when cost is a factor, you go for the bang), and meeting the Mexicans. I went to the psych ward, and got my doctor, an older doctor who had a thick African accent and a very conservative view to medication, to switch me from 3 Tramadol a day to 6 10mg Percs a day and 50mg Promethazines twice a day. I couldn't attend groups barely even with that. I spent most of my time in the infirmary. The day he bumped me to 60mg, he looked at me and said, "You know you are a drug addict, right?" I said, "Yeah, write the script." He did. My pain clinic had me sign a waiver saying basically "you may be given addictive narcotics and will likely remain on them the rest of your life." Some people might pale in horror at this statement... but not me. I've tried "rehab & treatment" and everyone feels like shit, then better. I feel like shit... then keep feeling like shit, feeling shittier because everyone else is on that "pink cloud." I live in Nashville, TN... home of Cumberland Heights, supposedly one of the top rehabs in the nation (they have a 5-star chef and Temperpedic beds... plus music and drinking&drugging go hand in hand). I was there to detox, after I got a Rx DUI, and get my tolerance back down after my "get off Bupe by getting back on dope then quitting dope" turned into, "i'm self-medicating with at least 60 OP OC 40s IV a month" and my parents promised they would pay for me to get into pain management. I liked it, so I thought I might due the whole 30 days. Then they did my biopsychosocial (life story basically)... the lady ended up crying (this was before my late fiance's suicide too) and they basically said, "we can't help you, with everything you've gone through, it's kinda understandable why you turned to drugs." And that was just based on emotional issues, not my physical ones. Pain Management has given me a will to live back... but, back to what tricomb said about doctors getting smarter... oxymorphone wasn't super well known two years ago, hydromorphone, yeah, but not Pandas. I'm allergic to IV Morphine (just a local allergy, swell up around injection site with welts), and so when the Percs weren't cutting it, my NP suggested Opana. I about flipped. Ironically, she didn't write Roxys or Oxys due to the "abuse-potential" according to her nurse. Even more ironically, when the new Opana ERs came out, I said they made me sick to my stomach. So I get oxymorphone IR now, made by Roxanne Pharma... Roxy, just Roxy M and not Roxy C. My NP is gone now, when I went a month ago, I found out that while still in the same office, the 'company' had changed names and laid off most of the medical staff. I guess you get doctors and nurses, use them till the DEA starts sweating them, clear them out, rename the company, and bring in doctors from states like FL where the pill mill industry crackdown has displaced many a scripter (or "croakers" as Burroughs called them)... bringing them to states where the heat is just starting to be felt, but allowing them to cut back on their number of pills prescribed. Bleh, I could go on all day... Wish me luck everyone... 2 1/2 hours till judgement and me possibly being dropped. Which likely means either 1) the psych ward or 2) the morgue in short order for me.

 

[abrose]

Hi Biggdirty01,
I'm new to this site...so please bear with me if I make any mistakes! I've had your problem also. I take 6 Vic per day and I either am constipated or have diarrhea. The constipation I control with Mineral Oil. One good swig at night and by morning I'm moving right along!! And its all natural. You may need to try for a couple of nights, but give it a try...can't hurt!!!