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I need a fresh perspective on an on going problem and would love some new outlooks and creative ideasAfter using this site mainly for research purposes for quite awhile, I have decided to put myself out there and see if any of you can help. I have chronic pain issues. What happened to me isn't as important as what I can do to help the situation. Quite some time ago, I was abusive toward opiates but have been clean now some time. However, my tolorance has not recovered. I can (and do) take large amounts of pain medication (prescribed to me by a lic. Dr.) with little or no effect. My doctor (who is wonderful) is toltally understanding and willing to work with me . Until last visit, my medicine consisted of 140mg of Methadone daily, 2/200mg Morphine Sulfate tablets every 6 hrs, 2/8mg hydromorphone(didlaudid) every 4 hrs/per pain, Soma (don't remember dosage) as needed for muscle spasms, and Ibuprofen. I am aware that this is a tremedous amount of medication but it is almost as if I am immuned to opiates. I take all of this and it still doesn't work very well. We (my doctor and I) discussed medicines that I haven't tried before such as fentynal patches. We were going to cut out one of my medications and substitute the patches but when she did the calculations, we found that in order to equal what I am taking now, I would have to wear around 8 patches which is just ridiculous. Instead, we settled on 2 of the fentynal patches every 3 days and my regular morphine but just half of my dilaudid for break through pain prescribed 1-2 8mg tabs every 4hrs as needed per pain. I just started this new set of meds so I don't have any word yet as to the success of it but would love to hear any ideas from you guys as to what may have worked for you in the past or anything you have heard. I don't expect anything that is going to take all the pain away completely, just making it tolerable would be nice. And for those of you sceptics, I am aware that the medications I am taking now are excessive and they do not affect me the way they would most people. They don't even make me tired (if you can believe it) and I am certainly not sitting here drooling all over myself. They do help to a degree but I am looking for something better....something I can take less of and have it work better on the pain. Please only serious responses, ie no lectures or talks of holistic/acupuncture etc. I am a firm believer that there has to be a medication, or combination there of, somewhere out there that will help me and all I have to do is find it...am I dreaming folks? Thank you for your time and I apologize for being so long winded. P.S.-I have nothing against Holistic medicines or methods, that is just not what I am discussing at this time. ( categories: Chronic Pain and Pain Management )
 Opiates screw your brain up
Opiates screw your brain up essentially and it is never gonna heal completely. You can build tolerance to opiates to where you would need 15 patches. There is no ceiling effect with opiate tolerance. I would also stick to the current regiment before the change, I think you are probably going to have some withdrawl. 200 mg of methadone is an extreme amount and 2 100mcg patches arent gonna come close IMHO. I take back the withdrawal part with all the stuff you have you will probably be fine except in the pain dep. Check with a licensed MD before you take any suggestions!  I take 40mg x3 Oxycontin
I take 40mg x3 Oxycontin and for breakthrough Oxycodone 15mg x6 when needed and my back arthritis is bearable but barely These narcotics do help for the neck arthritis but I could not imagine taking any of the holyistic stuff which IMO is worthless As I said IMO. I tried the holyistic med's and I could hardly walk. I then got a doctor that 18 yrs ago and we started going slow on the narcotics, now 18 yrs later I am about as well as II am going to get. She offered more narcotics but I declined thinking if what I am taking now will not work the pain any better, than I am going to live like this. I know that more narcotics woulod help me but I understand that it would be just for a short period of time until I grow more tolerant to them. I just don't know what to tell you. As for myself I have accepted it and that is that for me. I don't have the patience to drop one type of narcotic and to increase another ect ect. I ma sure you know what I mean Best of luck to you though People like us with chronic or severe pain just are who we are  I feel for your
I feel for your situation....that's how I feel like the road ahead is looking for me. I'm not nearly at the level of tolerance that you are yet, but...yet is the keyword...Set limits for yourself, keep good records, talk to people about stuff, be honest with your doc and you'll be fine. Ray Remember: Just do it.. EVERY PILL EVERY DAY basically an internal device
basically an internal device filled with medicine which releases meds at timed intervals. Some systems have an external part sort of like a morphine press at the hospital, that you would press when in pain.(I Think) Check with a licensed MD before you take any suggestions! Intrathecal Pain Pumps
Hi gemini. I've had a pain pump implant for almost 6 years now. I just had surgery last week to replace my old pump because it was not giving me anywhere near the relief it should have been. (I was supposed to have it replaced in Feb, but due to other health problems, that was post-poned). So now, finally, I have my new pump. (My dr said that my old pump was approx 90% clogged at the delivery site). The way it works is they implant the pump, usually in the abdominal area, (which in my case is the lower right abdomen). So there is an incision made approx 6 inches across to make a 'pocket' that holds the pump. Then there's another small incision in your back, (approx 2 inches), at the intrathecal space of the spinal column where the catheter is surgically inserted. There is a catheter tube that is 'tunneled' under the skin from the pump to the catheter needle in your spine. The surgery only takes about an hour or so. Of course there will be some 'post-op' pain from the surgery, which is normal. The doctor will usually, (but not always), put a 'cocktail' of meds in the pump which are constantly released into the intrathecal space, which in turn travel directly to the pain receptors of the brain. Thereby reducing the need for oral pain meds that travel through your whole system before noticing any relief. But mailnly, it drastically reduces the amount of oral meds needed, (except for BT meds). The best thing with this 'newer model' pump, is that it is electronic & can be adjusted by your PM doc for certain times of the day to deliver more meds at the times when your pain is at its worst. As I mentioned, some patients may only get one drug in the pump, (i.e. morphine), but in my case I get a 'cocktail' of morphine, fentanyl & bupivicaine. I hope I answered most of your questions. Feel free to 'pm' me if you have any other questions. AIP Your problem
Sam, Gee Whiz man that's alot of different opiate dirivitives.No wonder you have a tolerance.The only thing I can honestly recommend is sticking to straight morphine sulfate.As little as makes your pain tolerable.All that different stuff is much to hard not only on your body but to titrate you would be next to impossible.Try starting over with the one drug that all others are judged by MS Contin.Short and long acting. Good Luck truly Sam |
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