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

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I havent posted here for a while as I got so sick of the attitude of certain people but fuck it....best ignore them.
Anyways although im in the uk and all scripts generic or name brand are covered by the NHS.. .methadone is gererally considered the cheapest of all the opioid painkillers, even cheaper than morphine. Not sure if thats a route that you would want to go down or not tHough but it is worth considering as its a very effective painkiller
To answer feloniousMonk......yes I often feel guilty about the fact that I has such easy access to opiod painkillers (for a genuine condition). Im scripted 1,008 mthadone pills (5mg) a month along with lyrica, diazepam, naproxen and other odds and ends and I pay £23 ($35) for 3 months and that cover any amount of any drug thats prescribed......when I compare that to the struggle some of my American freinds go through I feel bad for them that they should have to suffer due to DEA crackdowns on narcotic prescribing and I understand why they get mad at people scamming narcotics off doctors when they dont really need them as this efects the ability of genuine pain paitents to get the drugs they rightly need. Apparently the situation around the new York/ east cost area is sepecially bad with doctors being very reluctant to prescribe....
 
Hi, I just wanted to say that I'm never trying heroin again. I can't take the risk of splitting up my family. However my husband is coming with me to my next pain management appointment and he's going to demand that I be put on a higher dose. I'm too shy/nervous/scared to ask myself. All I do is complain about how much pain I'm in and the doctor nods and prescribes the same thing every time. I'm not sure if my husband doing that, but I can't stop him. He's really determined. Ugh, so nervous, I wish I had a benzo to calm me down.
 
I've been having serious back and leg pain since i was as young as i can remember, Drs in my city didn't believe me.. had no choice but to go to a chiropractor and get my pain meds off the street. Now being in that position for over half my life i can't stand the ups and downs of constantly tryna get clean and going back to the same old shit. You know, tyna find different alternatives to what you were taking before to justify your use to yourself "it's not as bad as what i was taking".. even tho i have a legit reason for needing it.
Anyways, now i have been off real opiates for 2 years about (minds kinda foggy, can't really remember when it was) still experiencing "PAWS" but i've been in them before, and NEVER like this, all this feeling can remind me of is all the pain i was always in which is why i started in the first place.

Now, given i have tried every drug and almost every type in the book, i have realized (pretty good at knowing what's going on with my body) that i might have nerve damage or something like that.. was put on gabapentin and told my Dr that i have a high tolerance for meds that work on those receptors (i have a high-ish tolerance to every receptor unfortunaely, plus a fast tolerance building body) he said it was fine and he would work with me about it, well had to double my dose to get an effect, no an "effect" as in high but effect as in plain releif and i was suprised by the fact it wasn't an opiate taking away the pain!

Well, told my Dr that it helps a lot and he is now taking me off it, partly because i told him it helps and partly because i double dosed, which at first he was willing to work with me on.. now im being threatened to being kicked outta my Drs practice also. So i've come to the conclusion I am the only one that can stop the pain but not legally.. what the hell can i do to prove to my drs that i am in serious pain and that is the reason i was using?? i donno what it takes, ive had mris xrays blood tests and everything and they all say that there is something but they don't want to treat the pain and shit like that, is that even legal? i donno, but i really would like to know how to get my Dr's to look passed my past and see that i am struggling with everyday life, sometimes i hurt so much i cant even stand up, in fact i was getting up from the toilet this morning and go a shooting pain from my lower back into my hips or upper legs and they gave out and i almost fell on my face. Im about to end this shit, i can't deal with it anymore.. i don't wanna do drugs illegally because i've put that old me behind.. but i guess im out of options at this point.
 
englandzg74, no, I don't think he will. He now understands that I only did it because I don't feel that I'm getting enough pain relief from my medication. He told me to tell my pain doc that I needed a med increase. I went to see the pain doc, but chickened out. I am not good with directly asking for what I need, so all I did was complain about how much pain I was in. The doc just gave me my regular medicine, with a few extra pills so that I could double dose if I needed to. My husband got upset with me for chickening out and he is going to come with me to my next appointment and tell my pain doc that she needs to bump me up to 10 mg of oxy (I'm currently on 5 and have been for quite a while now. I don't think asking for 10 is going to be a problem considering that I've been on 5 for so long and I've never asked for medicine early or extra pills in between appointments. I've always been very precise, just going once a month and meekly taking the medicine that she gives me. But I'm just scared to ask myself. I am not good at speaking up for myself.)

I'm not sure how I feel about that. I'm happy he understands that I'm in a lot of pain and that I'm not feeling well with what I'm given but I'm not sure that asking for a higher dose is a good idea. For one thing, I'm supposed to be getting better, not worse. The problem is that I've done all this stupid stuff that I'm not supposed to do after the surgery: bending, lifting, carrying around my 19 month old son who weighs over 20 lbs. I know it's my own fault that I'm in so much pain and I might have ruined the surgery. But you guys have to understand the household I live in. I'm under so much pressure to carry on as usual, cooking and cleaning and taking care of the kids. It's a catch-22...if I don't do my usual stuff, they get mad at me for not "contributing to the household." If I do my stuff and then fuck up my back, they get mad at me for not "taking care of myself." ARGH. And my problem is that if I DON'T do my stuff, like cleaning and taking care of the kids, no one else will do it. So therefore I MUST do it, because I can't leave the kids like that and I can't live in filth. So I'm on my hands and knees scrubbing the floor, hunched over the sink washing dishes, vacuuming, making the bed which REQUIRES bending, especially the kids' beds because they have a bunk bed and to make the lower bed I have to bend to get in there to tuck the blanket in, and folding laundry and all this other stuff. NO ONE ELSE WILL DO THIS EXCEPT ME. So I don't have a choice, really. I'm not stupid and I know that I'm making my pain worse. But I have NO support from my family. My poor husband works three different jobs and is gone all the time trying to piece together a living for us, we are very poor. And my in-laws are just self-centered people. I can't win here. So I carry on and I do what I can to soothe the back pain with the medicine I have, plus stretching, plus heat and ice, plus a back massager pillow I have, plus any other thing I can think of to help with the pain. But I need to be mommy, maid, and cook in this house. That's just the way it is.
HDoubleODeezy, I don't know how to make your doctors believe you about the pain, but I CAN tell you that you can order your gabapentin online. I don't know what country you live in so this may or may not be illegal. But I have done it before when my insurance lapsed for a little while. For me it was illegal but I really had no choice. And gabapentin is not a controlled med so I don't think that it's that bad to order it online? It's not like ordering oxy or something. I think most customs people would let that one slide...just my 2 cents.
 
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Need help PLEASE!!!!!

I have been dealing with chronic pain, RSD AND Fibromyalgia for 12 years. I have tried every drug you can name. I had an accident with caused a knee problem, had "it fixed" and now I am having the work at pain ever. They doctors give me an attitude like what are you calling?? For pain meds? But you said you have some at home? So you want more? (You get the drift) I am now on low does methadone 10mg 2xaday. I have not slept in 4 days. I'm going nuts. I am in a masters program at school and I'm doing my best to finish but I can't even type one paragraph. I found some old fentanyl patches ( like 30 u). Ranging form gel to mylan and 12 - 100mcg. Read about buccal use and chewing? Not really a smoker and weary of qtip against gums. (( But just so tired and need some relieve)) or I might just cut it off. I work in the medical girls

PLEASE HELP ME!!! Please, I cut a few and cheeked them with little effect. Cut the 50 in half and little to nothing.
I do not want a high. Just pain relief

Please me, I am a mommy to 5 great kids but all I do is sit on my ass and look at pictures when they score! ?

I am going crazy and I can't Keep doing this !!!
Please help me'
 
If you need the fentanyl patches for pain, take them as directed. Transdermal patches are not meant to be eaten. I would be concerned because you said you've already had a few that you could overdose. So please stop doing this. Plus using them along with methadone can be dangerous. Talk with your physician about getting pain relief.
 
I. Never overdosed on drugs. The doctors screwed up TWICE and nearly killed me. First was. Serotonin sickness. Second was allergy to Lyrica, but because the medical community is so JUDGEMENTAL, I was treat lik crap until the reason I was sick was because the dosed me wrong. Over the last 12 years I've never refilled a script early, never taken another script form any one but my doctored. Ect. NEVER USED BUCCAL FENTANYL TIL LAST NIGHT.

Many doctors do my believe in narcotics for fibromyalgia. I have it for CRPS or RSD a nerve pain issue. I personally believe I have chronic Lyme?

I switched to a gluten free diet and my fibro pain ts better, but if I cheat, it's hell. I cleaned up my diet big time. No caffeine, no processed foods. It's hard. But until I fell at work is bee down f@@@ing hill!!!!
 
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i don't think you should use fentanyl until someone with proper experience can offer you some advice on it.

have you attempted to use cannabis to treat your condition? many pain patients suffering your exact condition have tried everything and found relief from cannabis.
 
I get a " brain fog" and forget fullness. Like turn car off and like " wake up" and wonder why. I work ( I'm a nurse). Ivenever abused drugs, never had an issue other than ding treated like shit my other nurses when I'm sick

Tried to wean of methadone 3 times... AWFUL! IT IS THE WORSE DRUG EVER TO GET OFF OF!
i take Savella for FM (fibro) lamictal for depression, klonopin for anxiety, methadone for RSD or CRPS ( nerve pain)


can u describe "brain zaps" might help?
 
golden owl said:
can u describe "brain zaps" might help?
Click to expand...

what does this mean?

again, i would highly suggest that you attempt to add cannabis to your regimen. i'm not some pro weed hippy who thinks it can treat everything but there's some promising evidence that it can aid the extremely difficult treat condition of fibromyalgia.

here is a peer reviewed clinical study that might interest you:
http://www.ncbi.nlm.nih.gov/pubmed/21533029

as for the fentantyl. i would take t calderone's advice and take it as prescribed, transdermally only, to avoid any problems or potential overdose. this is a tricky medication and the line between pain management and overdose is very thin.

you don't need to justify yourself to us that you don't abuse your medication. we offer advice irregardless of abuse or non-abuse, where the line is also very vague.

can you describe the difficult reaction you had to pregabalin (lyrica). what dosage where you prescribed? it really, as well as cannabis, under my own observations and own experience, has been a god send for pain management and especially patients with fibro. you may just need a dosage adjustment and a slow titration because many people are extremely sensitive to its effects.
 
No, it is my experience clinics are for addicts who are on a maitance program. I receive my methadone monthy like a prescription. Methdone is ugly to come off, it's terrible! I took my dose from fentanyl 175 mcg every two days to methadone 10 mg twice a day. I tried 3 town to come off and it was terribke
 
I'm prescribed 4-6 5mg IR Oxycodones a day for chronic inflammatory back pain (REALLY PAINFUL all the time) I've been on oxycodone and/or morphine for about 5 months now taking it everyday. I'm at the point now where I need to take 4 oxys (20mg) at a time to get any kind of pain relief whereas 5 months ago one 5mg would actually help quite a bit.

My doctor is talking about starting me on a longer acting oxycodone or hydromorphone, I was wondering which one should I ask for? I've never used hydromorphone before and the dr didn't give an idea of the doses.
 
Hydromorphone is a full opioid agonist. So, with a correct dose, it will relieve pain in the same manner as oxycodone. It's apples and oranges. Someone prefers apples over oranges and vice versa! ;)
 
Hi guys, sorry I've been AWOL for a while. Lots of drama at home (my baby son ate a mothball, spent all day at the ER with him, got home with a horrible migraine and got yelled at and told the ER visit was "unnecessary" and my reaction was "over the top." Well, so I did something pretty stupid, I cleaned the fuck out of my place trying to remove all rat poison/mothballs to make it safer for my son (we have mice, due to some stupid food-leaving-out behavior on the part of hubby) and I moved the desk, my bed, the couch, etc...SO BAD for my back but I was scared for my son and the oxy negated the pain enough that I forgot I need to be more careful. Well, then I couldn't get out of bed, and my husband kept dosing me with meds (he holds them for me but he's liberal with giving them to me because he works from home and needs me to be up and about to take care of the kids so he can work.) Well, we ran out early, but my PM doctor gave me a new script, for 10 mg this time. However it's too soon to fill and hubby took it to TEN pharmacies and they all said they were out of stock of the med. hmmm. Then researched and found out that the DEA has been cracking down on pharmacies and tells them to say that they're out of stock rather than "it's too soon" because it's less personal. So I have been dealing with the WD with loperamide. I used kratom and poppy seed tea for the pain and I finally got an order of poppy pods in, ground them up to powder and made them into pills. Crude but it works. And soon I should get my script filled. The only issue is that my insurance lapsed so we have to pay out of pocket and it'll be expensive. Like I said...lots of drama...

Having a bad back pain day but was able to arrange playdates for the girls so they're set for the afternoon, I just have to take care of my baby son who has a double ear infection. Yesterday his fever was 101 but today not as bad...I think. The thermometer pacifier stopped working. Sigh...

I really hate the DEA. They make it SO HARD for people in legitimate pain. And I don't agree with the war on drugs. People are going to do it no matter what...EDUCATION, not PREVENTION, should be the rule. And then more compassionate care for addicts.
 
Yep I kinda dislike the DEA as well, but it looks like things will just continue to get worse not better anytime soon. My problem is that I have applied to disability 4 years ago after I got in a bad car accident (the person who hit me had no auto insurance) I have taken my case all the way to level 4 appeal and still got denied. After this I got on the internet and researched my state and come to find out the region I live in only has a 29 % success rate for filings. But If I was in the next district over I would have an 80% chance... anyway I had to start all over 2 months ago and refile this time under ssi which is suppose to easier to get than SSDI...

My currect PM dr had me on 80mg of methadone a day because I have no medical insurance and that is the cheapest and best med I can take at the moment. I am sure I need a breakthrough med but I can't afford anything else I have to borrow the money as it is now for my Dr visit every 3 months which I am very lucky he has agreed to see me like that instead of every month. I really like this Dr and feel I am lucky compared to the last Dr I had. So hopefully once I do get insurance I will be able to get another med for Break through pain.
 
I have a question. I'm kind of back and forth between NY and NJ at the moment because things aren't great between me and my husband at the moment. The prescription for 10 mg that I couldn't fill is in the hands of my in-laws and they refuse to fill it because of my Xanax addiction in the past and they say "people like you have no business being on oxycodone" (what?! meaning that because I was addicted to Xanax, I should be in excruciating pain???) so my pain doctor, who is a real sweetheart, mailed me another prescription, for my old dose of 5 mg but with lots of extra pills. I have it in my wallet, haven't filled it. She says I can only fill one or the other, which I know. I doubt the 10 mg will get filled since the in-laws have probably ripped it up by now but I'm mostly in NJ because of the rift between me and hubby, but I can't fill it there, right? Not like I could fill it in NY anyway...I don't have any money...but I'm just curious to know. If I could fill it in NJ I MIGHT be able to get my parents to pay (doubtful, because they're pretty anti-medicine also) but I think there's some kind of law against that, right? I tried to Google it but I couldn't find anything that made sense...mostly just news articles...
 
^
i cant comment on the district or state laws in your area. However i do know that your in-laws are breaking the law by refusing to give you your prescription, thats medication theft (whether they filled it or not).
If they did fill it then you could add poss of a controlled med and since their withholding a medicine you might be able to add bodily assault and the very least would have a civil case.
Might be an idea to ring the in-laws and remind them that their sense of moral outrage doesnt over-ride your rights as an adult human being.
 
xtc, you can get a paper prescription filled ANYWHERE. Just go to the nearest pharmacy and get it done.

bunge is also correct, your in-laws are committing a serious crime by stealing your prescription.

I'm sorry you've had to move away from your husband but it might be good to take this time to seriously recover. You've had an incredible amount of stress and pain dealing with them, so just put it out of your mind and focus on you for a while.
 
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