Opioids Too much pain, codeine, dilaudid, tramal, lyrica, and clonazepam - Still in pain

[knightworrier]

I am on all the medications in the title I am taking them as prescribed and am still in huge amounts of pain. So much so I nearly suicide 2 days ago. It got too much and I was intensely trying to find a way to stop the pain I couldn't scream because the pain is in my face. I am worried it won't eve get better and with all my family outta my city I feel like no one will really miss me (Well I know a couple would but is that enough reason?). I have tried many other medications with no luck I am allergic to the meds that would work the best for my pain and it feels like the world is against me, no matter how hard I try and how much my doctors really help. It just does't seem like it's working. Here is how I take them.
morning -60mg codeine -50mg Tramal -75 mg Lyrica - 24mg of Dilaudid - 1mg of Clonazepam
midday - 60mg codeine - 0.5 Clonaz
Night - 60mg Codeine - 16mg dilaudid, 0.05 Clonazepam, 75mg Lyrica

So there's my list and how I take them so you know what and how I do it, Why am I still in so much pain and why does it seem to be getting worse, for the last week since this new pain struck me I have been finding it hard to eat, drink talk go outside, I am worried this is the end. Please if anyone thinks there is a problem with these combinations or has any idea on how to help me work it out better please leave me a note I am holding on to a thread here. Thank you
KW

BTW just wondering if serotonin syndrome could come from any of these?
Thank you BL's I have always come here for 8 years and you have always been helpful.

 

[teological]

Hey knightworrier, you seem like you are in a very desperate situation. I am not really one to comment on pain management of this severity, but I have controlled pain before for broken facial features, and trauma from blows to the head (headaches).

Look, I hate weed now as it has caused me quite a few anxiety issues, and am in no way saying to use it (not sure if you can smoke if your injuries are facial), but that got rid of my headaches completely, every time I smoked it (with relation to the above trauma). Opiates also helped me relieve pain greatly and it was in the form of MS Contins. Apart from that I am not sure on anything I can add to help somehow.

With regards to your current dosing schedule, no serotonin syndrome is not a risk, but do not forget that Tramadol does have SSRI activity, so watch out if you add anything else to your body that has serotonin activity. I am not too sure why the Codeine is there at that dose, seeing as though the Dilaudid is present in large amounts...I can not say anything else on this as I am just a BL poster, and regular person (not a Dr.).

I do not know the severity of the situation (and it does sound bad), but humans are amazing creatures and can push through great periods of strife. Do not think about suicide, there are other ways around this...look, you can always pm me.

 

[oxie]

Have you tried fentanyl lollipops?

 

[bronson]

While I don't have much personal experience in this department, I would say check The Pain Management Mega Thread. Probably the best place around these parts to relate with other people having similar issues with unbearable pain.

Your talk of suicide is also very worrisome to me. Give The Suicide support thread and The Dark Side in general a try. We certainly don't want to see anything awful happen to you.

Feel free to drop me a PM if you need someone to talk with, and I hope things start going a bit more in the right direction for you.

 

[SaosinEngaged]

What is the injury if you don't mind sharing? Might help us formulate some better advice.

Please hang in there.

 

[brighton]

Yeah, join us in the pain management thread! Its where all the cool pain kids are at

Do you have a pain specialist ? Have you talked to whoever is prescribing your medicine about how they are not working/?

 

[knightworrier]

Hi everyone thank you for your ideas and such, I haven't had Fentanyl lollypops but I use to be on the patches I just couldn't take it in the Australian summer (Oded a couple of times from the fast absorption).

I have been struggling all day and think the only way out is to get myself off this place. I took all my meds today for the pain... I will let you know it is Trigeminal Neuralgia on both sides of my face. I have had it on the left for 4 years and 2 weeks ago I went to the dentist and had a tooth pulled after that I have been in intolerable nerve pain on the right side now. Smoking weed is probably the best out of all the pain killers but it's not something I can always get so this last 2 weeks have been hell. I have lost a really good friend, my whole family moved away to separate places around the world and destroyed any memory of me. I have a b/f but I still feel like I am doing this alone, I don't feel or worry that I will be missed because I am in so much pain, people should be happy for me. there's much more but I think I will share that with TDS. I don't think it's humane to keep a person alive who is suffering so badly every morning afternoon and night. I used to be a dancer a very good one. It just seems I have had a really bad run of bad luck. I have a dance show on in a week and I can barely see past today let alone get out there and make people smile.

Yes I have a pain management specialist but he works so far away it's hard for me to see him as my car is getting fixed. My Pain Management doc doesn't believe in Slow release morphine or others he really only works with fentanyl and Hydro apart from that he is an addiction specialist and can also prescribe methadone. I am living in total hell and it's getting to the point I cant talk let alone eat.

Thank you for your help and pointing me in the right direction your kindness and help will never go unappreciated, Thank you from my heart,
Knightworrier.

BTW sorry if I sound a little crazy I have been even having delusions of someone sitting and talking with me I went to get them a drink last night and nearly dropped the glass, I just realized there was no one there, I don't know whats going on but I am scared.
see you in Pain Management and TDS,
Thanks again.

 

[Toz]

Have you done surgery? My dad did percutaneous balloon compression surgery (I think it's called) for his trigeminal neuralgia and it worked for several years but the pain did come back. He is now on topamax and has not had a pain attack for at least a year. Lyrica/Neurontin never worked for him unless taken in very high doses and then there were other complications.

 

[helium-4]

You need to talk to your doctor if you are still in pain.

 

[chrisalt]

My guess is the only thing to do is talk to your doctor and see what can be done that is safe and effective.

 

[mrflowers00]

dilaudid is really weak orally you could try snorting it if you're in that much pain

 

[laCster]

try upping your dose of lyrica a little bit, try adding in an anti-histamine like hydroxyzine. try asking your doc to switch your meds to either hydrocodone or oxycodone. hydro has high oral BA, and oxy has a rather high oral BA around 80%.

maybe trying:
1x80mg OP (oxy XR) (daily), 50-100mg tramadol(daily), and 5mg hydrocodone/325mg apap for breakthrough pain. then add in 0.5-1mg klonopin, and 3X100mg of lyrica a day to help with muslce relaxtion, increasing your seizure threshold, and synergistic pain relief. you could also addi n 50mg hydroxyzine at night to help with pain and sleep in addition to naproxen sodium for pain relief.

 

[Hiltoniano]

Yea and you could def try the norco 10mg/325 hydro/apap for breakthrough. Or keep the hydromorp for breakthru. It's honesty something u should try to talk to your doc about, if u are in so much pain then maybe switch docs?

 

[knightworrier]

I have gone to neurosurgeons for balloon decompression etc. But there is an aneurysm in the way and no one will do it all other options in surgery wont be considered.
I need to see my doc as soon as possible I fell asleep on the couch last night I don't remember a thing except I was in a lot of pain before I took my painkillers and passed out, The person I live with can't really tell the difference between a regular little nap and an overdose! So that worries me a bit (yeh it shouldn't because I don't care if I don't wake up but he would.)
I am seeing my normal doc tomorrow she is good but it's really a quick appointment, I have one again for the next day, see if she can do any more. It's looking really bleak, here in Australia we dont have 325 apap and hydro or anything like it. The closest I would say would be endone (5 mg oxycodone) and every state here has a problem prescribing it. So I can't see them being able to even help me. I am still on the exact same as I was when I posted this and get about 1 hour a day put together of so called freedom. (And my partner wonders why I'm hiding rope and knives, so when that morning comes that I can't do it anymore I will be gone before anyone wakes up.
I better go see the pain management thread again maybe see whats happening in the dark side. For some reason being here reminds me that there are real people and they give a shit. Makes me feel better thank you so much, KW