Misc The Pain Management Mega Thread v. 7

[Runtoparadise]

How old is your mother & what sort of chronic pain does she have? There's a big difference from axial musculoskeletal to terminal cancer pain & what type of pain relief is suitable to prescribe.

Good on you for doing research, it's a great drug to become addicted to if ur going to be on it for any lenghth of time.

Is her cp cmng from an operable or otherwise curable condition?

What was she taking previously for pain? IMHO it definitely wouldn't be prescribed as a first line opioid from a reputable PM dr.

Rtp.

 

[fuschiahedgehog]

I have RA (worst pain is in my hands and feet) as well as chronic low back pain following emergency microdiscectomy due to the L5S1 disc blowing and compressing my sciatic nerve. Since the surgery I've not had a single sciatic pain issue, and I did recover full function in my leg and foot by about 2 months post-op. I was told that I had a 10% chance of regaining full function, as well as a 10% chance of chronic moderate to severe low back pain. Well, I'm two for two. Got em both!
I was taking 5 Norco 10/325 pills per day, but of course tolerance always builds. Eventually Norco just stopped working, so I had to go see a pain management specialist. He suggested Nucynta. I'm also taking tizanidine and Lyrica.
I was initially prescribed 4x50mg/day, with permission to escalate the dose to 6 tabs per day if needed. I felt nothing after the first 50mg dose of Nucynta, so I took another one an hour later. Still, nothing. But then, a few hours after taking those initial two tablets, I had a really strange sensation. My back was NOT hurting. At all. Neither were my feet. It has continued to work well, and I've not experienced any tolerance or need to escalate doses, except for the initial titration to find the sweet spot. I absolutely love love love this drug. I'm going to switch to the ER form next month, because I tend to forget to take em every 3 or 4 hours and then wind up in some pretty serious pain.

 

[Runtoparadise]

^ welcome to the cpp thread!
So glad Nucynta, (Tapentadol), works well for you. I tried it when it was new in OZ, like yourself I felt nothing so I escalated the dose until the noradrenalin overtook the lol 'novel opioid', feeling.

At my PMdr's insistence, I stayed on the 'medium strength' opi for 4 wks to give it a decent trial, in his hope that I Cld decrease my oxycontin dose.

Dosing with the ER & IR pills as prescibed, did nothing for my type of pain,- just continued taking them until I was vomiting blood several times a day.

It was soon replaced with dilaudid IR & Oxycodone again, & the same dose of oxycontin.

Fantastic you're feeling great relief. It's always trial & error.

Rtp

 

[Nightraver]

Hey guys not sure if this thread is closed but just wanted to say hello
I'm a chronic pain sufferer since an accident I had last year and get prescribed gabapentin and OxyContin slow release twice a day and fast release four a day
My pain is bothering me but when I try to get help all my doctor does is up my OxyContin which I don't like doing as I know how addictive they are is there anything other than opiates that works

 

[BeachBum4u]

You're right: doctors definitely want their money, especially at pain clinics because business is usually "booming".

But I was actually unsuccessfully discharged from PM once when I was 18 for failing a drug test. I had taken DXM a couple days before my appointment and tested positive for Phencyclidine (PCP). I have never even seen that shit it my life, let alone actually TRY it. I wouldn't even have any idea where to get that from. I have literally never even touched that shit in my life.

I was always aware that DXM can show false positives, but it was just not something I was expecting to actually happen to me.

You say in your post that you were "unsuccessfully discharged". So I'm a little confused. Were you let go or not? I mean it sounds like you were but you say unsuccessfully (which I would think implies they were not successful in dismissing you from their practice). And from what you wrote it's kind of unclear which way things would go based on your description of the circumstances. No biggie, just curious. TIA

 

[solarchat]

Hello there! I am new here and am so glad to see a pain megathread, Anyone with legit CFS/ME combined with a crazy virus or autoimmune issue?

 

[Chemist4Hire]

I feel for ya, there is no magic bullet for pain.

I have been suffering pain for 11 years now with no relief. Opiates and those akin too numb it but replace with further side effects or complications, raging from tedious to down right horrific.
I have a undiagnosed bacteria inside my lungs, an auto immune disease, and nerological pain. Some doctors give it their diagnoses insert> disease terminology add tree branch (spider webbed symptoms) that causes each other condition/illness i have been told by that doctor! and X's that by each MD, X's the # of specialists> times by each hunch each Soecialist,MD has and then you know how many different opinions/diagnoses I've had through 11 years.
Then i had several doctors thinking i gladly faked it for 7 years and quit my full time position at a close to 6 figure salary practicing pharmecuticalengineering and my background in organic chemistry. Because that is a likely option,Lmao right? people go in every day for years wasting time, money, sanity and carrers trying to convince doctors by paying them thousands of dollars every visit follow up and x-ray not to mention experimental medications..

Moving on.
I work from home and collect retirment/disability. Untill i can find a competent doctor that can fix my psychological, physical, and neurological disorders and symptoms. Im currently hooked on Suboxone since my wonderful legal clinic (glorified drug dealer) encouraged me to take it fir 8 months before trying to taper. Left me with no choice it was there way or back to withdrawls from opium, which i took for my condition pain.
If a suboxone center is prescribing addictive drugs they should have the capability and functional program to taper users off the drug they force patients to become dependant to.
Soon I'm planning on opening my own pain management clinic after i stabilize fully for a few years. Might even start a Subutex clinic and holistic center.

 

[solarchat]

Why is urge most recent post on page 12 instead of page 1? At first, I thought that this was a mega thread that was no longer active. I haven?t paid much attention to the other mega threads- are their latest posts last? Do these threads read like a story from beginning to end instead of most relavent first?

And I think that it is very important that people like me who have former drug experiences, and now find themselves in a chronic pain situation or chronic illness situation have a place to talk about that and ask questions besides the normal regular xxx chronic illness forum. Maybe the OD megathread is the place to be, cause this thread ain?t got much action and next to no replies to questions asked.

 

[Scrofula]

Well, you can actually set those preferences, ie., recent first or recent last. (And a "threaded" option that doesn't really work because not everybody hits "reply".)

But you were right, and this was an inactive thread, or at least, last post over four months ago, and ironically it is the megathread for pain management.

Don't worry, if someone starts a thread outside of this one, it will probably get merged into this one eventually.