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Harm Reduction The Pain Management Mega Thread Version 4

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Honestly I feel exactly what you said about the morphine being completely useless. They offerring it to me after surgery, I like don't even waste our time. That stuff wears off in 5 minutes for me at any dose, leaving me cringing in pain for 4-6 hours until nurse come back. I not familiar with your condition but every med you listed spells agony for me. I need horse sized doses of morphine by the gallons. It was designed for battlefields in 1800s. Why do hospitals still think morphine is usefull in pain management? Give me aleeve and spare me the pain and wds from morph. My 5mg oxy doses after surgery turned into 500mg no bs. When you really in pain there not enough meds in the world. Best they could do was a nerve treatment with huge needle hooked up to electric and blast my leg numb for 16 hours. After that I stopped yelling at the surgeons and calling people to come bring me meds. Hope it goes well for you and not such an issue with pain and wds. Theres nothing worse than being in pain and withdrawling and the doctor won't do anything. Wonder why I bring 250 ox's to surgery with me lol.
 
ginia said:
I must say I agree about fentanyl patches, they were described to me as
The best thing I would ever take by my specialist and was scared sensless
By reports of repressed breathing etc, but for me there was nothing no relief, no side effects good or bad. Even after titrating to 3 times the initial starting dose. Would be interested to hear of anyone who has had any relief and at what doseage.
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I'm currently on the fentanyl patch 100mcg, have been on that dose for a long time. Also take 65mg oxycodone ir for bt pain.
I've wondered at times how much the patch was actually helping myself. I found out just how much it DOES help when I ran out nearly 2 weeks early.
The wd's were obviously pure hell, and the pain that caused me to be on them in the first place skyrocketed unlike anything I'd experienced since starting this med.
Cat
 
When I was in the hospital for back surgery, they gave me IV dilaudid (hydromorphone?) and oral oxy. I zero tolerance at the time and those meds did the trick.
 
Ya dilaudid plus at least 10mg ox did put me out finally and relieve pain aftersurgery. Some nurses wouldnt give it to me even though surgeon had it scripted on my chart. Alot of arguing and take alot of meds I brought from home. Fentanyl was extremely strong when I took it for recreational use. I mean instant knock out but wore off quick. When I was rushed to trauma center for real they gave me max dosage fents shot and did absolutely nothing at all. I guess there are levels of pain way beyond any meds they can give. Fents is one of the strongest and not working, we in trouble. My second surgery they did that nerve treatment with huge needle hooked up to a battery basically. They blast the nerve and you will feel nothing for 14-18 hours. Even when that wore off I was in pain but not like after surgery and reg meds started working. When your tolerance get too high and your in pain still, get ready for hell. Wds and pain attack. Hope you guys feeling better. It took time but after couple weeks pain levels go way down. Need a real good distraction, read, meditate, movies, something. Don't just go in for surgery trusting doctors will take care of everything, they won't.
 
Really sorry to hear that mate. I've been there too. I was prescribed 400mg of oxy but taking3 times that. Just recently i had a tumour cut out of my spine while on 300mcg ofent per hours and they gave me codine and paracetamol afterwards!!! Fuckin joke!! Look after yourself mate.
 
I have been using Fentanyl for several months, weaning off Avinza capsules while increasing the dosage of Fentanyl.

Now I wear a 100mcg patch that's replaced every three days. The pain relief seems to have equaled what I was receiving from 150 mg of Avinza each night.

However, in each case I still had breakthrough pain: currently I have access to six morphine 15 mg instant-release tablets and six Fioricet with codeine capsules per day... and I do need the breakthrough meds, as I am in pain whenever I wake up as well as other times.

Has your doctor discussed the use of Fentanyl as well as something for breakthrough? I'm still managing a boatload of pain, but my current regimen is the best solution in twenty years.

Best to you, MrsM
 
When I was on fent patches my pain doc wouldnt prescribe breakthrough meds as he said they were not necessary and "old fashoned treatment" imo this is bulshit and one of the reasons I switched from fentanyl to methadone tablets
 
The fent is wicked strength but wears off soo fast. Longer than morphine but if you in breakthru pain get your nerves blocked if possible. It hurts for couple minutes, huge needle right into nerve but after that you feel nothing. Bulking up on dosage only makes your situation worse because tolerance increase, then looses effect. The scientists have alot of work to do in pain relief without causing multitudes of other problems. They have commercials saying don't abuse pain meds, well invent something that works. I heard methadone was pretty good on pain but the clinics by me are sooo grimey, and making it there every day. I can't do anything everyday lol. My old doc said they have something coming out in near future that will change pain treatment. Not sure if I believe him but hopefully something. Don't leave us hanging please.
 
Getting methsdone from a clinic would be tough. I get the tablets presccribed by my doctor so I dont have to do that. It is excellent for pain. Imo the best there is due to it being not p only a strong mu receptor agonist but also a NMDA agonist.
 
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Most of the clinics here giving out liquid but it varies by what state your in. Nyc is like its own state so they do whatever they want. These clinics refuse to give out take away doses unless they know you for years and have circumstances. Getting meth pills I could easily find but not at any clinic. Its been lurking on my mind since stopping subs but my pain level not bad, no real wds. No need to start another habbit then get cutt off somehow. Thats what the big concern is, long term. I can find anything but its not cheap and things become unavailable at moments notice. I basically giving up on opiates for that reason. Benzo taper is way harder for me at the moment. I have started working out again so that should help.
 
Hey RodRamsey your right methadone clinics suck althou they ar slightly differemnt here in the uk. Peope often get scripts from their doctor and simplly take.that to abpharmacy where it I dispensed discretely in a private room and take homes are easier to get. I wouldnt recommend buying the pills of the street cos if your cut off the withdrawls are pure HELL.
 
Thats what I've come to know about nyc. You can find anything on any given day. But two months later person disappears then you in real trouble. Been there too many times. There must be a doc scripting take home around but I never heard of it here, plus the pharmacies are worse than anything. They deny me perc 5 while I in wheel chair, took me an hour to get there and leg all jacked up. They assume abuse almost 100% of the time or just flat out deny you and we say we don't carry it. Everyone I know does the daily march to meth clinics all over city. They get soo high I like honestly now they looking worse than on H. I know any opiate a problem for me, growing tolerance too fast so have to explore other options. Theres lyrica but its side effects dont look good and its anti depressant. I dont like those type of drugs. For now I just dealing with it, healing has occured so pain receeding. If I ever get insured again thats another story and methadone pills at low dose might be my next move. Need to be functional and working, dope makes me too lazy. Its hard knowing there are people getting huge scripts for stubbing their toe and I get nothing with laundry list of nerve damage and perminant hardware digging into my leg. Oh yea can feel the plates and screws in there, its gross. I cant even look at my x rays. Humid weather I feeling 75 years old lol.
 
Although methadone pills are great for pain the wds are very pretracted I.e.measured in months so maybe not a good thing to get started on especially as now your pain levels are receding a little. It may be good however for very short term use when ur pain is flaring up. On a totally different note. I was shocked to hear that the guy who shot that young teenage lad in Florida got let off. I know opinions differon this but iI thought it disgraceful that the man was not jailed. Im a white guy but if I lived over I would definately join the protest marches
 
My cravings are pretty high for opiates this week but realy no wds. I think the subs were sweat out of my sysyem last week in heatwave. Methadone very tempting but I focussed on loosing habbits right now. Can't afford any new ones, and methadone can be a huge habbit. I know how hard it is to get off it, friends going thru it right now. I just maintain and continue chipping away at my benzo intake til thats down to acceptable levels. The opiate treatments just make it easier for me to be active and stay loose. Unfortunately I tend to go overboard with them but need to be productive. The pain will be there either way, my leg have perminant damage in alot of ways. Actually now its 1/2" shorter lol.


Ya waaaaaay to many guns on the streets. Stop selling to the public and maybe it gets a little better. I've been shot and shot at and know people who were shot. Its kind of goes with the territory here. The media did blast that case out of control like usual. I just see people scrappin and sometimes a gun is involved, ethnic backgrounds dont matter here in nyc, but that happened down south so they blow it up Al Sharpton stlye lol. That same situation happens here every day and never makes the news.
 
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Man I got so much sympathy for you it must be so tough. Its bad enough being in pain when u have got access to prescribed meds ......cant imagine what its like when u havent. Lyrica helps me alot and the side effects diminish with repeated use. Also its not an anti depressant but a calcium channel blocker and it blocks the action of certain neurotransmitters and so can reduce anxiety. It also works as an NMDA agonist which is how it reduces nerve pain. . It also works well to combat wd symptoms to some degree......its worth looking in to and while some people fan get dependent its not nearly as addictive as opiates or benzos.
 
Ya I was thinking about lyrica. My friend is on it for nerve damage and bunch of other conditions. Hopefully its cheaper than suboxone therapy. Might be worth going to hospital one more time. The doctors hate me over there but nurses are pretty cool. If I willing to sit there all day might get a free script since its not opiate or very addictive/controlled. My surgeon knows too much about my drug history. Think he was talking to me during surgery, they find out about everything lol.
 
Unfortunately I think lyrica is very expensive if u have to pay for it. Luckily I get prescribed the maximum dosage free (2 x 300mg per day). Infact since iI dont always take it I accumulated a large surplus which I just mailed to my freind in the states. I think its schedule 5 in the USA ......whatever that means. It is thought to have some abuse potential but not much. Its worth trying and let me ftknow how you get on
 
Schedule 5 means its like anti depressant status here. You need a script but the pharmacy probably will give it to you. Getting a schedule 3 or 4 from pharmacy (vics or ox) is tough these days. Even if your in a wheelchair with bloody leg sticking up lol. My friend would give me a couple but I think you need a full script to see the benefits. Well see how it goes, maybe go to hospital next week. There it would be $3 for a month script. I hate going there or to any doctor. Really have to be in bad shape to motivate me to go in. I have bad hospital anxiety and spent 3 months there already in total. Its been awhile since that so maybe they cutt me a break.
 
RodRamsey said:
After 3 surgeries on leg for 3 bullet wound I have been on everything and then some. My opiate tolerance is beyond that of normal human so I started suboxone treatment for detox/pain management. Now after loosing insurance I on nothing and pain is building. I guess my question is what otc meds do you recomend for pain management and wds syptoms. I realize its a real impossible question but maybe someone has a trick up they sleeve lol. Taking nsaids now only with no effect.
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I am prescribed Opiates for Chronic Pain but find they do little for muscular pain, strains or even headaches for that matter so I use OTC meds such as Ibuprofen and acetaminophen, many company’s mix much stronger products specifically for certain pains, great for getting you through short blasts of pain or in moderation over the long term. I also use roll on or heat rubs along with others such as Voltaren. In my case I have to separate out the pains nerve, skeletal or muscle in order to properly treat each.
Medications such as Opiates alone have never brought me relief and exercise is the best as it releases endorphins to combat pain, also don’t separate mind from body as they are a pair so keep your mind active and on something other than your pain.
 
Ya I agree with everything you saying. The opiates just took my mind off sitution, pass time, keep me loose, and build up tolerance soo bad I needed suboxone. The negatives outweigh the possitve effects in the long run. Right after surgery better believe I doping real hard lol. I done with all that. Next time I let them in my leg it will have to be hanging off again. Nsaids is all I take and can function pretty good. Humid days I hurting alot more. The nerve damage feels completely numb still, my skeletal leg system is made of high grade titanium. Told them add some extra screws during surgery. I woke up nailed to the table, weirdest day of my life. Excercise helps but some days I get lazy with it. No more 6 days a week working out. Good to hear someone else making it thru pain without meds. Starting to think I was doing it wrong but the opiate treatments just get me high. Leg feels the same.
 
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