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Harm Reduction The Pain Management Mega Thread Version 4

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What I'm trying to do is find a sub doc that will work with and help me. I'm trying so hard to get on maintenance and get so mad when the bupe I use to maintain I get from someone who gets a script every month just to sell them for dope. And this guy was RXd clonazepam from his sub doc. It makes me so mad
 
I feel for you mate. Im British and so am obviously not familiar with how sub doctors work in the US but there are a few people on this forum who get subs for pain maybe they could.help. I know this is the pain management forum but that shouldnt matter we're all in this together and plus many of us in pain management have abuse problems too (although by no means everyone) and our pain meds serve both to control our pain and keep us "maintained" at the same time. Hopefully one of my American freinds who has more experience with subs may be able to suggest something.
 
hi,
im a long term suffer of sciatic pain, just come here for a bit of advice please just noticed this thred on pain thought id ask a few questions im currently using tramadol slow release 150mg which helps sometimes gets rid of the pain sometimes not, just wondering if there are any other drugs that i could use if tramadol stops working, just living in fear really that nothing will work in the end
someone told me once they have been using tram for 8 pluss years not sure if that is possible or not?
thank you
 
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Mate there are dozens of different opiate/opioid analgesics or if your referring to pain killers in general then hundreds. That said, codeine and tramadol are the weakest of the opiate class of drugs and if they prove tp be insufficient then the next choice is usually hydrocodone, then stronger drugs such as oxycodone, hydromorphone, morphine etc. Often your doctor will elect to combine opiates with various other drugs such as NSAIDs, lyrica/gabapentin and maybe corticosteroids if appropriate. I believe the maximum dose of tramadol is 100mg four times per day so if you are only on 150mg ER per day you could ask for the dose to be increased if you find 150mg insufficient
Oh and in general opiates are.thought not to be toxic in therapeutic doses so there is no time limit to how long you can stay on them. I personally have been prescribed them for.17 years and many people with chronic pain conditions are on them for life.......so 8 years is nothing
 
ay thats reasuring i must say i try and try not to tke them as i think if t take them i will get used to them and they wont work must say they do get me out of a bad hole so you have been taking tramadol for 17 years? and still works ok?
cheers
 
jonisonvespa said:
ay thats reasuring i must say i try and try not to tke them as i think if t take them i will get used to them and they wont work must say they do get me out of a bad hole so you have been taking tramadol for 17 years? and still works ok?
cheers
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No not tramadol for 17 years but opiates in general but no reason why you cant take tramadol long term in up to 400mg per day

Whosajiggawaaa said:
I'm nauseous as frick from my afternoon oxydose (160 mgs) and my normal anti nausea meds aren't working sigh.

Am I right in thinking oxy is better than morphine nauseawise (as well as a few other side effects)?
Click to expand...

I think they are pretty similar in that respect mate. I think the nausea pretty much goes hand in hand with the strong mu receptor agonist properties.....although I never got nauseous with either everyone's different.
 
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My friends back is fucked

A friend of mine has a debilitating back injury, and has recently changed doctors. Somewhere in the process of changing the authority scripts between GPs, it has been reported he is suspected of misusing the drug. Consequently he has now lost access to the prescribed medication, Oxycodone. He now has no option but to spend ridiculous amounts of money on Pharmacy strength codeine, and existing scripts for tramadol and Lyrica. None of these drugs are anywhere near as effective for his back pain, and make him very confused and tired. I guess my question is, if the authority prescription was rejected, what are the chances of it being reinstated? Like, I mean in the near future? I want to give him the best advice, as noone else around him really cares. He is in excruciating pain and refuses to go see his original doctor, who is probably the only one who can reverse this decision. How would I go about getting him referred to the methadone program? He lives in a small down and is kind of ashamed about the situation and doesnt want too many people to know. What should I tell him to do, he is in crippling pain from the physical injury and the lack of Oxycodone. I should mention his previous doctor prescribed the oxy for 2 years prior to him changing doctors, so there was never any doubt that his injuries required treatment. I am worried about self harm, I cant watch him 24 hours a day. Is there any way he can get put back on the oxycodone???
 
I'm really not 100% sure but I believe it is because of a situation involving a breach of privacy, when he went to see another doctor at the same surgery, this GP popped up on the computer screen and was listening and commenting on the situation. Thus, he lost respect and trust for the doctor, but in reality is probabaly just too arrogant to go and see him.
 
excruciating pain and pride dont really go hand in hand, it could be useful to see the specific reasons why he wont because i think you would need the cooperation of the previous doc in order for the drug-seeking flag to get removed

theres a point where someone has to want to help themselves in order for others to help them, im not sure about methadone progrem maybe someone else can chime in, but i would have assumed oxy would be a better situation to be in for long term pain than methadone/suboxone
 
I agree on the fact he should go back to see his old doctor, perhaps the flag was waved as his meds were changed from Targin back to normal Oxycontin, as the former can't really be abused by snorting/injecting. I am going to try and talk him into going back to the old doctor, its very hard to reason with somebody who is coming off a hard drug like oxy.
 
i keep reading taking tramadol can be addictive but strangly im not feeling like i want to take it at all, really dont want to take any pills at all, i did get a little high when first took it only for a couple of days, but dont get that feeling at all thank god when take it just feel slightly sick is this normal?
(been taking it for about 6 months)
 
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A methadone programme would only prescribe enough to keep him out of opiate withdrawaland not to treat the pain per se plus when methadone is used in pain management it is usually dosed 3 times a day or every 8 hours as its pain killing properties are shorter lived than its withdrawl suppression properties and ull he gets take homes he will have tp take the whole lot at once supervised consumption. So basically he will be underdosed and consuming at the wrong ointervals........ Sp would stay away from the methadone programme. Is only any good if you get high dose tablets prescribed by your gp that you can take home and dose yourself.
 
Anybody else use buprenorphine for chronic pain? Came clean to my doc about self medicating with any and all opioids. Said only option was sub. I asked if even a low dose of hydrocodone or a full agonist would be ok since i've never been perscribed it from a doc, and short acting opioids have less side effects. He just goes "blah blah addict blah blah"... not even considering it. Which is expected, but just makes me feel he is ignorant. The reason i quit subs last time was drastic effects on testosterone (cut them into about 1/4 of my original level). But he says if that happens i can get on injections, which i don't want at my age but fuck it, i might need it if i need to stay on opioids while having major surgery and recovering well..
So any sub users for "pain" ? Let me know. Also i feel hung over today.. did 2mg sub yesterday. Weird.
 
I take testosterone shots as opiates lower my test levels too. A singke 250mg stot of testosterone enanthate or cypionate every 2 weeks should normalize things.........really mate its nothing.

The average male produces around 7mg of testosterone a day....thatd roughly 50mg a week. You can get either rub on creams (not very well liked by patients) or shots. I take quite a bit but then im a bodybuilder/ powerlifter and have used anabolics for 20 years. Ive used as much as 2000mg a week but the side effects of that dose were pretty intolerable. For replacement the dose needed is much lower and there are long acting testosterone esters that can be administered every couple of weeks. In the UK anabolics are cheap and easily available (literally a couple of £/$ a week) so I dont bother going to the doctors i just see my freindly gym owner freind lol!! I thonk though if you live on the states testosterone ( lile most other drugs) is more tightly controlled so you are better off seeing the doctor. Good luck and of you want any more info on testosterone replacement send me a pm.
 
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My concern is restarting my own production after i get off so if i want kids in the future i can do it. Should i bank sperm beforehand? fuck
 
You can take 1 shot every 2 weeks of Test Prop / better off Test Suspension 100mg/ml ( take 2mls) It should give u a rapid boost without shutting you down and accefting fertility with no side effects, because of the rapid esters, it goes in rapid and right back out again wich stimulates ur natural test to rebound higher than before the jab. Proper HRT is Sus 250mg every 10 days for 3 months to stimulate natural test,

I'd go with Test Prop longer gaps between single jabs (regardless of dose unless it's a crazy dose) but no more than 200mgs in your case,
1 jab won't shut you down regardless of what anybody tells you, I know from experience, even 2 weeks of D-Bol 50mgs per day didn't shut me down (but that's irrelevant to you)

Deca shut me down quite bad man I'm just recovering , stay away from that and tren, however Anavar would really help you hold on to muscle while on Opies if you did want to go down the road of using AAs then coming off when you come opies Some Test so that that is the only compound ur body is recovering from therefore faster and maybe even a boost.

Shit I just read that ur Doc will give u injections, ur sorted mate, as long as u get a few once the Opies are done !!

Good luck ;)
 
If you go in for test replacement therapy remember you need to have blood tests done for testicular cancer every now and then..... it's not entirely innocuous, despite the fact that you're just replacing natural hormones.
 
There is an incredible amount of.disinformation around testosterone replacement. Firstly you would never use a shot of a short acting ester like propionate or even worse aqueous testosterone suspension every two weeks for testosterone replacement. The goal is to achieve STEADY testosterone levels and using a form of the hormone that lasts a day or two in the blood every 14 days would have ones test levels up and down like a rolercoster. This is why enanthate, cypionate or sustanon (testosterone blend) are.used. Also anabolic agents like deca or anavar (as oppose to pure testosterone) arnt used either. Also its prostate cancer than needs to be checked (due to high DHT conversion via 5 alph reductase enzyme NOT testicular cancer
 
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