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Harm Reduction The Pain Management Mega Thread Version 4

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RodRamsey said:
Thats a great article, maybe what my dr was talking about with something new on the way. If they still in trials we can expect it available in 10 years maybe. Fda has their own trials after these trials. Sign me up for some snail venom trials. Hallucination sounds like a substantial side effect. I can deal with that over oxy wds. I about to go on a snail hunt and trips out lol.
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It sounds like a great idea, but I would def would not want to be one of the guinea pigs. It seems way to risky. A drug this novel may have potential side effects that know one has ever expected. I would def prefer dealing with opiates over having some of those side-effects, there are soooooo many really bad ones.
 
Don't tell the French... Super trip snail of d00m lol. I can't see the pharm companies wanting to discover a "wonder pain killer" , they make far more selling pain pills that aren't as effective, and also cancer drugs btw, because people will do anything to be pain free I.e. paying through the nose for medications and treatments. I dunno
 
Indeed they do. And also if there is no known antidote to the venom wouldn't that make it highly risky for health care professionals and hospitals to administer more for the legality side, deaths, law suits?
 
Hey one final painless trip not soo bad for me. I was thinking about what hidden side effects will emerge. You bring up a good point, some pharma companies would do alot for this not to happen. Like they don't have enough of my money from the street pharmacy they created. If I was that scientist would really watch my back. The pharma companies are the most poisonous.
 
The dude will turn up dead or some shit *cough* assassination cover up *cough*

With the way I'm feeling some mental trippy snail shit would be welcome, the bottle of jd I'm talking to will have to do, I need something to knock me out
 
I feel yah doomed2pain. I just got some news that my surgery I was supposed to have next month has been pushed up to next week. I'm actually excited, because my doctor said I might need to go as far as double my pain med dose. Why does that make me excited? It means I have a chance, even if a small one, to get my pain med situation figured out. Maybe, just maybe.
 
I hope your surgery goes well and you get your meds sorted out, it is hard living in medication limbo. I've run out of jack now and I still can't get to sleep or get comfy, and after a litre my brain is still working overtime.
 
You're giving me bad thoughts. I used to drink so fucking much. My doc's have never had my pain properly under control and after being a complete party alcoholic in college, I started using it to dull the pain. At least 1.5-2 liters a day. Whatever a 1/5th of a gallon is in liters, plus 10 beers or so. I WANT TO DRINK SO BAD!

I forgot to mention that my terrible pain doc is not going to manage my post op pain! He is so bad. I finally have gotten a new doc! She's direct and somewhat cold, but she's no bullshit and she said it will be super painful but that "we'll definitely make sure your not in any pain." Not that I'm trying to get addicted again. I'm just not trying to get underprescribed.
 
Oh man I'm such a dick, I really didn't mean to plant a seed in your head. My latest (6th) pain dr is also quite cold and abrupt I can never tell if she's being a bitch or if it is just her mannerism. She fucked my back and hips up though and she is meant to be an "expert" in my condition... We spoke, turns out I know more about it from my own research of medical journals and such text. I don't know what's going to happen with me now, run out of options to try. Again really big apologies for my feckless comment
Has anyone ever been given ampoules of opoid medications for IM use on a long term basis? I know someone did mention using amps of oxycodone. If anyone has any experience with this I'd like to hear about it please. Hope everyone is having a low pain day
 
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That sucks going in for surgery, hope it goes well benny. The week before my last surgery I almost lost it, bad hospital anxiety.

What is an amp of oxy? I heard that on here but unfamiliar with it. I hope by the time of my next surgery those snail venom pills are ready lol. No way I doing that spinal pump bs. Oxy really sucks, just makes you a clock watcher every 4 hours and it never ends. Only the pure liquid oxy lasted long time for me but thats how your tolerance goes thru the roof as I found out. Can't really win with that stuff.
 
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I'd bite their fucking nose off lol.

Rod an amp of oxy is a vial of liquid intended for IM or IV use
 
Haaaaa we use diff terminology here. Thats the liquid I had couple years ago and its the best longest acting, strongest I ever had. The problem is when you switch back to pills they not working anymore. Those amps get your tolerance real high. Oc 80 is like an advil compared to an amp.
 
Yeah I know, I should have just said vials but I'm used to them being called amps. It would probably be diamorphine amps in my case, can't have a spinal pump or spinal cord stimulation device fitted
 
The amps really work but a little to good for me. If your in major pain honestly that is the ultimate besides snail pills. I was blessed with a bunch of oxy amps and felt no pain at all. When I found out how much they cost for real I just switched back to pills. Thats when my dosage went thru the roof. No amount of oxy would work. I would take 100mg+ just to stop wds. Then watch the clock like a fiend. The amps put me in trouble but coming out of surgery I wish they would have given it to me intead of morphine. At this point I would take a nerve block over the amps just because they are soo addictive its not even funny. Those are usually cancer breakthru pain meds only and even gun shot victums don't get any around here. There probably 100s of different amps with less potential for addiction but are they as effective??

Hurry up with the freakin snail pills. I'll run a security team for that scientist, we need better options asap. Fda going to run tests on that for 7 years before its available, after he finishes workup on it. By then I might saw this leg off myself.
 
Survival0200 said:
What would you guys say to someone who wishes to have chronic pain to get opiates prescribed? :|
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When you're in real chronic pain, opiates aren't fun anymore. Remember, you can't really take extra because you'll just end up running out early, so you gotta withdraw and be in mega-pain. The other really important part of this is that pretty much all chronic pain patients are under-prescribed. Either that, or their tolerance goes up quickly and their doc wont prescribe more. Also, the chronic pain is really painful, duh, with opiates or without. Opiates help make life bearable but they don't cure anything. Also, the injuries are still there. I walk with a severe limp and I have to think out every movement I make - with both arms - before I do it. I've dislocated my shoulder by waving at someone, shrugging my shoulder, getting out of bed, etc. It's not worth it.

Seriously though. I'm getting really sick of this under-prescribing bullshit. People with my (our) level of pain simply cannot function when not given enough medicine. Even with all the vitamins, correct foods, meditation, NSAIDS, cannabis, etc. nothing really compares to opiates in terms of nearly total pain reduction. Because my doc thinks I'm constantly looking to get high, he's given me fentanyl patches and that's it. It's pretty standard procedure to prescribe long-acting opiates and then IR opiates for breakthrough pain.

I really, really wish I had some IR opiates. I'm in so much pain today that I might have to sit around all damn day. I woke up in the middle of the night, in blinding pain, with my shoulder completely dislocated. This happens sometimes, but this time I don't think I put it back in right or I damaged it more than usual during this dislocation (which happens about 1-2 a week on my right arm and usually once every 3-4 weeks with my left). My arm feels like it's still dislocated, but it's not. I can feel the humeral head not quite fitting back in and moving around. I have a bad feeling that I will dislocate this shoulder many more times before I get surgery next wed. It will finally be pinned in place with some cadaver bone and some titanium screws, etc.

My doctor said my shoulder is so fucked up that in 20 years she's never had to do some much repair in one surgery. I'll be in surgery for 8 hours, and inpatient for 3 days for the pain (if there is a god, please make them give me enough meds). Ugh. Next wed couldn't come fast enough.
 
Fent patch sounds good but I know they wear off quick, then you get used to it so not as effective. 8 hours is pretty long and prepare yourself for that first 2-3 hours after you wake up. Its impossible to sneak meds into surgery but I have my girl come thru soon as I get to my room and leave me a stash. Then I just take what bs then giving plus what I really need. Waking up from a long surgery is one of the strangest feelings I ever had. Soo disorientated then the daggers of pain started. Really hope they take good care of you. Tell them before surgery this going to be hell of a wake up so maybe pain management can be there. It amazes me how long they leave patients in agony here but its an extremely busy hospital in middle of a huge city. Good luck bro, at least your possitive going in. I'm a hot mess before surgery, have to drag me in lol. Last time they said I b home in 2-3 days. 8 days later I was making escape plans on the phone with my friends.
 
The fent patch is pretty good. It works for 72 hours - supposedly - but it definitely loses its potency around hour 60. It def does not cut it as monotherapy. It keeps away the aches and pains, but if I dislocate my shoulder, which happens all the frickin time - what the hell am I supposed to do? I've been told by several doctors that opiates really only work after trauma, and that being on an opiate during trauma will do zilch for the pain. My doc KNOWS I dislocated my shoulder all the time too. I might as well not even have any pain meds.

I'm positive going in because I'm in a complete state of limbo. I can't really do anything except lay around. I can't even really use my arms for anything which is truly debilitating. By getting this surgery I will eventually be able to use my arm again, thank god. I'm also going to be optimistic and assume they will take care of the pain in the hospital. I've always been pretty well taken care of post-op. I remember when I did all this damage and was in the hospital for 7 days, they gave me 3x80mg OC's a day, morphine every 2 hours and ativan every hour. My friends also rolled through and hooked it up with strong ass weed brownies. It was funny cause the doctor totally knew I was stoned as fuck. This hospital visit was kinda one of the reasons I fell in love with opiates. I was FLYING for 7 days.

*Update*
I got a hold of a doc... gave me 5mg percocet! So strong. I don't even know if I'll be able to handle it.
 
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