• Select Your Topic Then Scroll Down
    Alcohol Bupe Benzos
    Cocaine Heroin Opioids
    RCs Stimulants Misc
    Harm Reduction All Topics Gabapentinoids
    Tired of your habit? Struggling to cope?
    Want to regain control or get sober?
    Visit our Recovery Support Forums

Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) Version 5.0 ~ V

Status
Not open for further replies.
Jean-Paul have you tried baclofen? In my experience it helps allot with muscle knots. I do take it in combination with narcotics bud did notice significant improvement when my doctor switched me from tizanidine back to baclofen. Even with my other meds my muscle tightness was still allot worse when I wasn't taking the baclofen.
 
Seriously, I am at the exact same place. I didn't disclose and she found out and cut me off cold turkey. Pathetic that we have to be or pretend to be junkies again just so we can get some relief for something legitimate.

Agree. But it took you like one year to get off methadone. Wasn´t that you? Take off 3 mg every 2 weeks or so?
 
i should make all of my coworkers go in to hospital and verify i constantly have creepy spine cracking sounds coming from my body just from maintaining normalish posture


i know its bad form to come in already angryish to a doctor


better to give into depression and ask for help

dressed a school marm

but i can't help it i am motherfucking angry

my quality of life is suffering unnecessarily

and i'm fucking angry

i actually can't go to the doctor alone because i am worse at this thing that ignites and i want to kill them all or letting this happen

i won't go to the doctor alone

anyone with muscle knots/tension with advice for good meds ? etc

All the time. Go to a pain management doctor. You should maybe have to take a previous script so that you can get what you need.
Or say you are in extreme pain and need to handle with this in order to be able to work..

The problem with methadone; it´s not an euphoric medication. If you are in pain you will be happy that the pain is gone. But it´s different than other opiates. It lasts for 24 hours.
And it can be great for the first 2 weeks but after that this will block the effects of other opiates depending on the dose.
If you have cravings, idk if you do. It can help you with that too.
 
I haven't been in this forum in a long time and as I'm going through a brief rough patch, talking to peeps that get chronic pain seemed like a good idea. I have a great Dr right now, who has me on 100mg Morphine ER twice a day and Percocet 10/325 six a day. I'm not going to list my whole med list, but those and my Xanax are what keep me from just eating a bullet. So now I just live in fear everyday that this Dr will retire because he's old, and I'll have to start the fight for my meds with some other fresh out of med school Dr who believes that opiates are the devil, or aren't ever ever ever acceptable for fibro patients. I'm currently going through horrendous WD's due to a switch in insurance that is making me prior auth my meds so I can't get them until Tuesday. This dark place of withdrawl and pain and depression has got my mind quite messed up and in this dark place I've come to the conclusion that if I ever lose my meds I'm toast. Just put me down and bury me because I don't have the strengh to fight for what I shouldn't have to fight for. I'm sure my outlook on life will improve once I get my scripts refilled on Tuesday, but for now I'm just hating a system where insurance companies deny me meds that my Dr says I need. I won the battle, but still had to go through a week of hell before I got what I was supposed to get with no problem at all. Oh, the life of an opiate using CCP, I wouldn't wish it on anyone. Well, except the whore that started an affair with my husband last year, I'd wish all of it on her lol. Went to the ER on Friday to try and get some relief, and they wouldn't do shit, so I almost got put on a suicide watch due to my lack of a filter on the words that come out of my mouth. I said that since they recommend Aleve, (and they have on file what I take every day) I'd for sure go get some and just take one every half hour or so until my pain was better or I was dead. Since they think thats what I need, right? I better be careful that my anger doesn't end me up in a mental ward, though a lot of times I think it would do me good, more so with me trying to get my disability approved. But then I have to worry about them taking away my pain meds. The bullshit just never ends.
 
Last edited:
Anti-Pain Medication Society Sucks

I haven't been in this forum in a long time and as I'm going through a brief rough patch, talking to peeps that get chronic pain seemed like a good idea. I have a great Dr right now, who has me on 100mg Morphine ER twice a day and Percocet 10/325 six a day. I'm not going to list my whole med list, but those and my Xanax are what keep me from just eating a bullet. So now I just live in fear everyday that this Dr will retire because he's old, and I'll have to start the fight for my meds with some other fresh out of med school Dr who believes that opiates are the devil, or aren't ever ever ever acceptable for fibro patients. I'm currently going through horrendous WD's due to a switch in insurance that is making me prior auth my meds so I can't get them until Tuesday. This dark place of withdrawl and pain and depression has got my mind quite messed up and in this dark place I've come to the conclusion that if I ever lose my meds I'm toast. Just put me down and bury me because I don't have the strengh to fight for what I shouldn't have to fight for. I'm sure my outlook on life will improve once I get my scripts refilled on Tuesday, but for now I'm just hating a system where insurance companies deny me meds that my Dr says I need. I won the battle, but still had to go through a week of hell before I got what I was supposed to get with no problem at all. Oh, the life of an opiate using CCP, I wouldn't wish it on anyone. Well, except the whore that started an affair with my husband last year, I'd wish all of it on her lol. Went to the ER on Friday to try and get some relief, and they wouldn't do shit, so I almost got put on a suicide watch due to my lack of a filter on the words that come out of my mouth. I said that since they recommend Aleve, (and they have on file what I take every day) I'd for sure go get some and just take one every half hour or so until my pain was better or I was dead. Since they think thats what I need, right? I better be careful that my anger doesn't end me up in a mental ward, though a lot of times I think it would do me good, more so with me trying to get my disability approved. But then I have to worry about them taking away my pain meds. The bullshit just never ends.


I think it's pathetic that people treat us people in horrific pain as addicts. In so many ways I wish I was living in the pre 1914 years, before the ultra-religious decided to outlaw alcohol and drugs that have been our birthright since the dawn of civilization. What used to be available over the counter (paregoric) is now completely illegal, and only highly regulated meds under tight control are available to those of us who are "lucky"

Before my injury I never tried any drugs, I didn't smoke, heck, and I didn't even drink. I was a professional with a bright future, high income, and loved my job. At first I resisted taking any pain medication but it was impossible to resist given the intractable pain. The Hydrocodone 10/325's worked at first but even at the beginning it only worked for a little while and most of the day I was in severe pain. I would tell the doctors that I needed more pain relief and all they kept saying was "you're an addict" -

Every day I waited for my wife and child to leave, I would put the gun to my head and wanted to kill myself to get the pain to stop since no one would help me. This lasted for 2.5 years..... the first few surgeries helped but the last one made it 10x worse. The moment I woke up from surgery I knew something was wrong.... VERY VERY WRONG! They couldn't keep me sedated, the pain woke me up despite the surgical meds... IV Morphine did nothing, IV Dilaudid did nothing, but instead of upping the dose they gave me a hallucinogen "ketamine"... and not knowing why I was seeing the devil, I nearly lost my mind... I thought what I was seeing was real- and only days later was I told about the Ketamine..... they had no problems giving me 5x the highest dose of ketamine, but god forbid they up the dose of narcotic pain killers......

I finally talked the pain management folks to increase the IV narcotics, I went through bolides of Dilaudid in hours not days.... and my pain was finally under control. I was getting 2mg of Dilauded IV every 6 minutes and a trickle of 10 an hour... and the oral meds of over 400mg oxycodone per day.

-----------it's not that the narcotics weren't working, it's that for some reason it took high levels to effect me-------------

I left the hospital a week later, over 400mg of narcotics a day orally as well as a handful of other drugs - did they try to adjust the meds to the right dose? NO They chose an arbitrary number and stuck with it for the past couple years. Every few months I have people try to lower my meds under the excuse "some day these drugs won't work for you anymore"..... god knows I am not allowed to ask for a higher dose, that would make me an addict. It's okay if I blow my head off from pain when the weather changes .... it's okay if my pain increases but the meds - no no no we can't let you adjust your pain meds.... we won't even let you discuses changeling it.

But hey, I am lucky.... I get my 440mg a day. Sure I have to go to the doctor every 7 days to get a new script that I have to beg for.. sure he knows I am coming but I have to call, ask, wait, and then go pick it up and bring to the pharmacy every 7 days. I can't leave town... because some anti drug laws that make anti-narcotic painkiller advocates feel safer at night... I can't fill my script anywhere but here by my house- tethered forever.... unable to go visit my father, or bury my grandmother..... no, I can't leave.... not that I could handle the pain of a trip, but if I could then what? What if my plane is diverted on the way back. Canceled because of weather, miss my flight? What if someone sees all my meds and decides to detain me because they think I am a drug dealer.

I can't drive, I can't do ANYTHING... I just lay in bed almost my whole life for the past 4 years now.. more comfortable from 20minutes after taking the ends till about 2 hours, then sit and wait for the timer to go off so I can gel relief again..... looking at my kids and talking myself out of that bullet because it would be the wrong thing to do. The kids need their father I am told.... what kind of father can't even pick up his babies? What kind of father can play for 5 minutes and be in pain from minute one... and 5 minutes later despite loving them so much, want nothing more than to lay down. What does it teach them when I smell from now showering for two weeks because of pain because the weather changed? or eating in bed while they eat together as a family in the dining room. What kind of father am I for watching them live life through text messages as I lay in bed not even feeling well enough to watch TV?

I just wish someone would TRY giving me as much medication as it takes to feel well enough to rejoin life. I already know I react differently to meds than most. Just one doctor to not be afraid of the number of MG's, just hospitalize me and titrate my medication until I can be all that I can be.... I am stable at my dose for years now, it has had the same effect, but I know a higher dose allows me to do more - and when I take less, I am even more restricted.

My life is screwed, FINE - what are you doctors afraid of? That I will die? That may happen from a bullet anyway.... if anything I may live LONGER if they change their attitude about pain meds. it's such a taboo... pain meds - it's okay if you dress like a woman, it's okay if you sleep with a man, it's okay if cheat on you wife, it's okay if you date a woman 1/4 your age as long as she is 18..... but god forbid you let those of us in horrific pain get comfortable.... society just won't sleep well at night!

Why not authorize those of us known to be screwed like I am... to take whatever meds we need as long as we don't divert it. We will take polygraphs to prove we aren't looking for a high, we will take any test you want - just please allow those of us who need it to fill scripts wherever we go,,,, or have year long scripts... or let us take the occasional extra pill when we have increased pain....
 
@ science dude

Your post brought tears to my eyes. I feel so bad that your pain is that unmanaged. The docs tend to freak out when you hit a certain number of mgs no matter how much you need it.
I can relate so much with your post- not even being able to get up the strength to turn on the tv... Or take a shower. My personal hygiene has gone to the dogs when I used to be the type who showered and put on makeup daily. Now I even put off brushing my teeth.
It hurts so bad my husband has slowly started taking over all responsibilities. He even gets the groceries now bc I can't walk that far without crippling pain. The few chores I do have I put off until the very last minute. I feel like a lazy failure.
I went from having no pain relief and willing to sign or do anything to get relief to no avail, to being on meds and thanking my lucky stars for it, but still dinding myself woefully under medicated. Asking my doc for an increase may result in being cut off or labeled a drug seeker. Who knows.
With Christmas here it's even harder. Just want to pull the covers over my head and never come out.
I am a loving and engaged mom to my kids but sad I can't be more physical with them and that they see me so lethargic. Also creating the example that the mom sits around while the dad does the work :(
FML.
 
Well I got my morphine filled today, due to insurance got switched from 60mg 3xday to 100mg 2xday. Won't get my Percs until Saturday and I'm trying really really hard to not take any extra morphine so that when I get my percs, I can get back on the regieme I'm actually Rxed and quit running short all the time. I am being very careful since it's the holidays and the last thing I want or that my family needs is for me to be totally useless for the holidays! Other than that, just stopped by to wish everyone Happy Holidays and that you all have low to no pain days. I know for most of us that is a dream, but I say my prayers for all of us and hope someday that Higher Power takes pity on us and sets us free from the pain. Seems like it used to be a lot busier around here, but I hope the silence just means everyone is finding other things they would rather do and life is having some meaning despite the aches and pains!
 
Chronic pain with addiction

Well I broke my back in the Marines jumping out of a helicopter back in 2008 long story short was out on pain meds and it really got out of hand so rehabs, teen challenge, and lots of jail I got sober. Then on 1-20-14 I was in a really bad car accident after 1.5 yrs sober in which I broke my face, skull, neck, back, pelvis, and lots of internal injuries and a TBI. Whilst in the hospital I was on tons of meds all the way through all the rehab learning to walk etc. well cutting to the chase I took my meds as prescribed as I had to live with my parents because of medical issues and they also played the role of what my dad likes to call "pill monkey" and gave them to me as directed. We thought it would be best if I tried to live with out them so I have been completely off of them for like 5 months and it has been miserable. I am in so much pain that I literally spend 80% of my time in bed. It was super hard and only has gotten worse as I just had to have my last surgery repairing the damage that the seat belt did to my abdomen and was given a prescription for 120mg of oxy a day. I only took them for five days and even though I just had surgery I was in less pain overal than I've been in since I quit pain medicine all together. I've been back on my program of pain and hatred for life in general for five days and can't stop thinking why the hell do I deserve a life of bed ridden misery when there is medicine that can help me greatly. I bounce back an forth between you are an addict and I deserve this because I've done a lot of bad, back to no eff this I deserve to have pain control. But I am an addict. Idk what to do I keep thinking if I can't have my parents help me with my medicne intake I could do the the methadone clinic. I'm at the end of my rope here and I know I can't live like this but I also don't know if I can ever make opioid therapy work. I guess I'm just crying out for anyone's opinion on the subject and am curious if anyone out there has ever been in my shoes and what did they do? Has anyone been an addict and had to resume taking pain meds? How did they go about it? Thanks everyone for reading this.
 
^^Bliss28, so much of a relief to hear a tiny bit of your story! I thought I was alone in pain overriding my personal hygiene, or lack of it at the moment. Like yourself I used to shower at least once a day and always wear makeup... Gradually this has declined into only doing what's absolutely necessary to be presentable when need be. Doctors do fear for us & themselves when we reach higher end doses of opiates. I know my own pain specialist has had several of his patients in ED after overdosing on pain meds while trying to obtain relief. Meanwhile, he's had me being a guinea pig undergoing several back procedures that I'm pretty sure were unnecessary as I didn't fit the typical profile of a patient who would benefit,- & I didn't. He continues to resist raising my dosages, reiterating the harms of long term opiate use. Not taking into account the harms of suffering long term from under treated pain. Like many I take more than prescribed just to keep mobile, then suffer withdrawls every month when I run out. Not to mention the pain on these days!

Rtp
 
Yes, I have chronic pain and am/was a heroin addict.
I haven't figured out how to deal with it, though, so I don't have any grand advice for you. There is a chronic pain megathread in basic drug discussion; you are not alone. Many people here have dealt with this.
 
Hi guys I'm due to switch to methadone for pain relief.

What opiates do you use for breakthrough pain? And what medications do you user for nerve pain?

For me it looks like Oxycodone along with my 75mg Nortriptyline - though I'm really pressing for Fentanyl for breakthrough pain. Oxycodone just doesn't seem to cut it any more, might rotate back to Morphine.
 
^sorry no advice for taking Methadone for chronic pain. Something I've long avoided as not to be treated as a second class citizen by ignorant medical folk. Fent for b/t? You must have a freely prescribing doctor :)

Wish you well,

Rtp
 
Science dude- don't you wish you could say exactly that to the drs?

I don't understand who these meds should be for if the patients with true chronic pain aren't the ones receiving them. Isn't that the reason they were created? I think pain drs should have to experience true long term pain themselves for a bit before receiving their licenses. Lol. The part that gets me is the "I know how you feel" line that you hear. No you don't, you don't have a clue.

I'm fortunate to be with a dr who is a bit arrogant and truthfully believes in treating the patient and is not worried about the powers that be opinion of if it's too much.
 
I can only talk about Methadone withdrawal, I once quit it months ago and I chose Meth to cure mental pain and it helped. For physical pain my option was Ibuprofen 400. Right now I'm in Methadone PAW once again :D, and Methamphetamine/Methcathinone either have worked as well. I call this combo "Methamphetadone".
and this is my only experience done twice for Methadone.
 
Rybee- do you mean fentanyl for long term? That's what I'm on for round the clock and oxy for break thru.

I'm told by drs(not my pain guy) that I'm too young to be on so much medication. I'm 37 and last time I checked, pain didn't care how old you were. I know there are effects on the body for using these meds long term. I would rather suffer later in life with those ailments then spend my whole life miserable and in pain
 
Hi everyone,

I'm just looking for any advice from the many others here that suffer from chronic, debilitating pain and how they deal with it and often the stigma associated with the medications that make your life even a little bit bearable.

So often now I see opiate related articles in the media which shame doctors and demonize anyone who needs them. Why is it that we and our doctors continue to be punished and shamed for the mistakes other people have made? With an increase in these types of media reports comes with an increasingly negative societal view of anyone needing these medications even for legitimate purposes. Quite often my condition requires me to get hospital intervention to avoid a potentially life threatening problem (my biliary tract spasms cause chronic pancreatitis and bile duct blockages during major attacks). Whenever I present to a hospital other than my home hospital (since they know my doctor and my condition by now), such as when I am out of town visiting family, etc., I am judged by the triage nurses quite negatively. Every time after stating the medications I use they say I shouldn't be on the meds that I am and that they "don't know what else they can do for me" - clearly thinking I am a drug seeker. Granted the doctors usually understand my story later, but it is still deflating to hear this when in tremendous pain already.

Triage nurses are not the only ones. I had to switch pharmacies at one point because the pharmacist snapped snarky comments to me every time I was picking up a refill. I hide my medications at all costs from friends and family to avoid the addiction speak that I already know about. Border security/customs is another fun one and at one point they called my pharmacy asking about the validity of a prescription label.

But the worst part is when people don't understand the difference between addiction and dependence. Addiction is psychological. Dependence is physiological and happens without true addiction being present, which is why withdrawals happen to legitimate pain users as well if their medication is abruptly stopped. So when someone says I am "addicted" to my medication even if I am not simply because they are ignorant to what it means it is really frustrating. I rely on my medication to be able to get out of bed in the morning without crippling pain and the same for getting to sleep at night. Many people holding these stigmas do not know what it is like. Do I want to take these medications? Of course not. I wish I didn't rely on them to live somewhat of a normal life. But the bottom line is that I do need them simply to not suffer, as badly, as I do without them so it is incredibly hurtful to be constantly demonized for it.

Pardon that long-winded rant. As many of you know I've barely broken the surface when it comes to the stigma that others hold against us without understanding what it's like to be in our shoes. What I'd like to ask is if there are any others that suffer chronic biliary pain (mine is due to a gallbladder surgery complication) and if so what medications have worked best for your treatment?

Currently, I take Duragesic/Fentanyl 75mcg/hr (matrix format) applied every three days and Dilaudid 8mg 1-2 tablets as needed for breakthrough pain such as during a severe attack. They work well in combination and I can do most things normally such as go to work and walk my dog, etc, only needing the Dilaudid about Two or three times per day at roughly 16mg per dose, higher when suffering a severe attack and occasionally when an attack persists I need hospital intervention not only for pain but they often require an ultrasound to verify the obstruction is not life threatening. They will then monitor for several hours to make sure it eventually passes.

Finding others that can relate to my situation helps tremendously with coping and knowing there are others endure the same or similar challenges in their own lives. Thanks to anyone who reads this for taking the time to do so and I wish you all the best and a bright, pain-free future.
 
Last edited:
Good point and so often folks judge w/o walking in another's shoes. I'm sorry to hear that. And yes, there is a difference between addiction and dependence. I'm an addict, after quitting heroin I've tried to use crack, or switch one drug for another. This, for example someone on some vicodin for a few months wouldn't do for having to take pain meds. Not that one can't become addicted and continue to use for emotional pain, but yeah, they are not the same.
My mom took methadone for 2 months once for bowel problems, intense pain…. They weaned her off and she was fine. Didn't want to continue using anything at all.
I have chronic pain, but can't use opiates cos I'm an addict….
 
D4... Do I feel your pain.. Literally. I am not in the league of CP as you, but I have severe bowel disease complicated w inflammatory arthritis and muscle arthralgia etc. I hurt. All over and often.
For years I was untreated/ under treated. As a previous poster mentioned, they seem to think you're "too young" for ER pain meds but not too young to be writhing in agony.
They all seemed to be shocked after an exam that I wasn't on the heavy hitters BUT nobody seemed to want to prescribe them!
Finally found a compassionate dr and the first month he scripted me ER oxy I was relieved but SCARED TO DEATH of people finding out my dirty secret. For some reason, perks are socially acceptable but take 10mg OxyContin and you're a junky. Funny how the propaganda works.
They are just ignorant and believing the medias lies.
I'm on a higher dose of ER and nobody knows but family. Everyone stays out of it but mom who was and is always terrified of drug addiction to the point of leaving her stage 4 cancer pain untreated . She doesn't want to see me in pain but is afraid. So I don't bring it up much :)
Never been hassled at the border and I bring tons of meds w me when I travel. The XL slide loc bag chock full. My docs give me my antibiotics etc as a preventative measure to nip things in the bud of need be in a foreign country. But I make sure everything's in the original container so they can't say much. I also leave some home so if I'm going for a week I'm not bringing 200 oxy, though I will bring more than I need just in case.
 
Oh and the pharmacists lol
I used to get my meds filled at the pharm w a methadone program and I found they were strict and biased bc they saw a constant stream of addicts, so I get my meds elsewhere now. It helps a bit, I don't feel judged, and my pharmacist has seen me at my worst and knows my history so he doesn't see me as a junky. I'm sure it helps I'm not asking for early refills and making up stories.
The nurses vary a lot. I've had one give me a lecture over a single 5mg perk, where my home nurse called my doc to bump me to dilaudid after a surgery where she couldn't change my --- properly as the pain was a 15/10. She was a lifesaver. That was horrific.
The next visit at my dr he asked how the dilly was ( if I needed more) and I said NO I don't need that anymore, as my disease is progressive I think little things like turning down stronger drugs when in less pain and keeping a pain diary helps w trust. Then if I need an increase I'm more likely to be taken seriously .
 
Status
Not open for further replies.
Top