Well I am a sufferer of " back pain" although 9/10 back pain sufferers report beterness sooner or later. I used to think they would feel better once the get tired of "milking it" and then well something happened to me....it turned my life upside down man oh man I realize how truly painful it can be and I also realize how being the 1 out of ten people is not really that fun or extraordinary in fact it x*#&s...and on top of all that get this I am young... that’s right im not an old foggy (no offence grandpa)(ha-ha) no just kidding well let me get back to the point my case is especially odd because I had no extreme blow or stretch or anything it just came over night literally.... and then it began to gradually increase...the doctors couldn’t explain it ...it is truly a miracle in reverse any ways they finally tied it to playing football ....sounds good huh well it would be but I stopped playing two years ago so I threw that theory out the window....and I still baffle doctors monthly.... well let me stop bragging and continue I stated of with vicdon x*#&s...doesn’t help me at all so ok I went to flexiril+vicodon..then +soma then up to oxycodone percocet in case you didn’t know.... that didn’t work either so I went to higher doses then ..........blah blah blah..................lets skip forward to the good stuff huh....well now im on fentanyl 50mcg/hr now for those of you who don’t know how strong that is I will tell you........
See Rawoody's Opioid Comparison Chart.
yes my friends that’s right anywhere from 50-100 times stronger than morphine now you would think that’s enough to do the trick well it doesn’t even touch the pain sometimes.... yes life x*#&s but well i try to keep happy even though I am getting similar doses to a cancer patient I try not to complain......now guess how old I am????? And wouldn’t you think am I addicted or not???i will answer these questions to anyone who posts a response .....Maybe...ha-ha...jk
or some other kind
im on (2) 25mcg/hr patches and just got a prescription to (2) 50mcg/hr patches ...my doctor thinks im addicted but of course im not ....i think they x*#& i dont get any relife from them at all....?
francisco
Hi warnfought, I am sorry to hear about your pain believe me I know how it feels daily! I was wondering if you are going to your regular doctor or if you have tried a pain mgmt place.? You said that your doctor thinks that you are addicted and you are still not getting any relief. Have you been through any tests that can prove to your Dr that you just aren't kidding? Sad to say that there are alot of people that go to Dr's pretending that they are in pain just to get a pill or patch and they end up ruining it for people like us that suffer every day. Another thing that you can consider is maybe see another Dr get a second opinion, maybe you will find better relief somewhere else.
Well if there is anything that we can do to help or answer any questions let us know!
Danielle
I think that although fentanyl is the strongest painkiller the methods of getting it in the system are not to great. I think the patch is relatively weak compared to oxycodone ER 80mgs twice daily even though this is approximately an equal amount to the 25mcg patch however all this fentanyl is not released as you can see in finished patches and not many medicines are prescribed transdermally. I think a fentanyl pill would be the money shot. And I hear one that you dissolve in the cheek is coming out. With all that being said have you ever tried methadone? It is wonderful on pain, last very long, and is very cheap. It might just be what the doctor ordered for you, as I too have chronic back pain that is only subdued by methadone and extremely high doses of morphine and oxycodone.
b/c the delivery of duragesic or its generics, it can take up to 36 hours to get a good consistent flow into someone. usually b/t meds are used during the transition of sublingual long acting meds to transdermal.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
I too have chronic back pain that is only moderatly taken care of by methadone. Although we still haven't found the right dose for me (it takes forever to move up mg by mg) It DOES better than anything I have yet to try. However my doctor would NOT give me b/t medication while I was on this. Since you have tried alot of other alternatives you may want to discuss this with you doctor.
Just a thought!
Danielle
it is 25 micrograms in 72 hours.... the patches all are 72 hour release
in my opinion there are many factors that come into play when i am prescribed a specific medication... fist of all what age do you believe me too be??? well I'm only 17 ...shocker huh...so my doctor thinks I'm auctioning the medication off to the highest bidder. which isn't the case and is so ridiculous but that's neither here nor there... also i have a history of stomach ulcers i was hospitalized, flown to the E.R. via helicopter. the first time. then i was omitted again only 4 days after leaving for a 3 day stay then a 5 day stay.... so my doctor says I'm very limited although everone else says narcotics and opiates are OK just no steroids and anti-inflammatories... but hey what do i know I don't have a PhD... yet...on to more important subjucts i have a high tolerance for pretty much any medication including narcotics...."this conclusion was drawn by your truly but I'm very confidante about this"... this may be genetic...because both of my grandparents are alcoholic's.... but seriously i cant just walk into a doctors office and ask for a specific medication....i tried it once my old primary doctor said that something was definitely up and sent me out....but anyways i may seem outgoing, up beat, happy, the hold nine yards... and thats how i used to be a big talker and good listener i had aspirations of becoming a psychologist, inorder to exercise my own practice but the truth is ... well this is kinda hard to say especially to an audience....but i also think I'm experiancing a moderate situation concerning depression which may just be contributing to my physical pain and mental inability to compensate..... but this is also something that i cant pursue any farther than myself....
Francisco
I think it is important to answer the original question on the forum and not just rant about random stuff. I didn't see what any of that had to do with the question asked. Start new forums, it's not that hard!!
I was just curious as to what dosage you are currently taking? The reason your doc probably doesn't prescribe breakthrough meds is that methadone kind of blocks the effects of other narcotics. It's a very interesting and complex drug and I've done a lot of research on it. I think the reason it works so well is that it keeps a constant level in your system and last extremely long. Also by taking it chronically it makes the strengh is nearly 2-3 times stronger on comparison charts when compared to other narcotics. Another plus with methadose is that M'crodt provides the methadone hydrocloride to nearly all the other companies which make generics-so all the generics seem to be fairly equal, although I do prefer the methadose diskets the best. One more thing is that it is crucial you let your doc know that you are still in pain because slowly upping the dose is going to keep you at the same pain level because you are building tolerance at this time.
Well, I'm not being rude, but I don't care how old you are, so the Jeopardy game can be over now that you have told us your age. Congratulations, you have a bad back. Now, on to your pain management. You said that you think you are suffering from "a moderate situation concerning depression which may just be contributing to [sic] your physical pain" There is truth to that, so why hasn't your doctor looked into your mental aspect of things? I'm not trying to be rude, I'm just stating that, in my opinion, your age doesn't matter if you are in pain. Physical problems can occur at any age, including during and before birth. We just learn to accept it and try to move on and lead otherwise productive lives. I hope you get your pain under control, and hopefully you don't misconstrue this as being standoffish.
gtrplayer
I currently take 50 mgs a day in 10mgs tablets. He seems to think that I shouldn't be in that much pain because I am so small and my tolerance 'i guess' should be based upon my size. However that is soooooo not true. My husband is 2 1/2 times my size and he can take half of what I do and be satisfied. I have been on meds for about 4-5 years and they just got me on methadone this year. As far as pain meds go it really does work but I would like a lower pain level and I know that it's possible but I think the doctors feel that if you have been able to tolerate it then you shouldn't need to up your dose. I recently had to quit my job because I could no longer drive long period of time due to the pain and he still says that I shouldn't have even had to do that. I guess unless someone steps inside you they can't really understand. I have had surgery and many many tests that show that there really is reason for me to be in this kind of pain but they still hold doubts and I assume that it's because I am so small and shoudn't need larger doses. Who knows anyway.. Just my opinion.
Danielle
I really don't think the "duragesic" patches work well either. I wrote another post on this a couple days ago. I think it has to do with the ingestion method. If you look at the finished patch it seems to still have a lot of medicine still in it. I have heard that one of the generic brands seems to work but it's hearsay. You take two patches at a time every 3 days?
50 mg seems to be a lot to most people and doctors, but they just don't understand how quickly people build tolerance to narcotics. I read once that you can build a 100 fold or more tolerance to narcotics. Body size really doesn't matter when it comes to tolerance. Do you take it all at once or throughout the day? Sometimes taking it all at once is more effective than taking it throughout the day. Also maybe ask if you can get the 40mg diskets made by methadose b/c for some reason a lot of poeple including myself prefer them. Isn't it great that they are so cheap?
I take it every few hours up to 50mgs He hasn't mentioned the diskettes and I have only heard about them through this website.
As for the price THANK GOD!!! Cause I just lost my insurance when I had to quit my job and even though the Dr cost $95 a visit with out insurance the meds are less than $30 so I guess it evens out.
Danielle
thatswhastup.... There already is fentanyl lollipop, which I am pretty sure that the medicine dissolves in your cheek and they have been around for a while now.
Go Eagles!!!
(edited by TeamPharmer)
Dear warnfought,
I'm was so releived when i read your story!!! Your story is exactly the same as mine except they have found nothing to blame it on yet, and i have been going throught this for almost 5 years now. I just started the patched today actually and it has been a constiant battle with doctors to try and get any relief i have tried everything from Loratab, Percocet, Morphine, blah blah! I'm hoping with everything i have that the patches will help even a little so that i can live somewhere other then my bed. crying my self to sleep everynight!
I'am 24 now, how old are you?
Please respond and let me know how the patches work for you? You will be the first real opion for me that will be the truth!!! If you know what i mean?
Thanks again for your story and hope you are having an okay day?? I feel your pain, honestly.
I am now 23, Send over a Personal Message shout out, and ill give you attention and help in my own experience w/ fentanyl and how to get off them for GOOD, i know you and everyone want's to be FREE,
"except maybe a snake, curled in its cage sleeping, on its hot rock, and occasionally dropped in hot living food...think about it!!!"Please for you and all addicts suffering w/ or w/o pain.
Not a DR once a X Benzo and Narcotic Addict, but am a Pharm Tech at a local Walgreen's Pharmacy. "23 months sober clean and serene"
I normally don't get into these discussions, but I feel it is necessary and simply can't take it any longer.
No where in this post is the OP asking for info on how to get off a certain med. He is asking for input on others experiences and how their meds worked for their various conditions, and also venting a little about the stigma associated with chronic pain patients.
Not every single person on here is an addict wanting to get off medication. Many of them are chronic pain patients wanting advice from other chronic pain patients, etc.
Many people are not taking the drugs to get high, but simply could not live (or very comfortably at least) with out them. They are not addicts, they have debilitating conditions that the meds help treat.
So why don't we think a little before we offer to help rid a person of the very 'poison' that allows them to lead a normal, pain (somewhat) free life. Chronic pain patients already face enough criticism, or suspicions, that they don't need people completely oblivious to their situation adding to the stigma.
We should all read the thread in its entirety before throwing out our opinion. Not only this thread, but many others.
WOW! well said Incognito, well said!
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.






are you on the patches