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Old 11-28-2003, 06:08 AM   #1
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Marg001 HB User
Pain Meds?

Hi there,
I haven't posted in a while and have a question for anyone that would know what type of pain meds are better for lower back pain? Right now I have a Grade 1, but I think it's worsened, Spondylolesthesis and DDD. I am on Tylenol 3's but lately they are not helping as my pain is increasing. I am also wondering if I should be going to a Pain Clinic? Kind of lost now.
Oh!, I should mention that I have a pelvic pouch(internal) from Ulcerative Colitis so I really don't know that if in the long run the strong meds will do damage.

 
Old 11-28-2003, 06:36 AM   #2
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out2lunch HB User
Re: Pain Meds?

Hi Marg, I would suggest seeing a pain management dr! They'd be the ones to suggest what meds are best suited for your situation and whether or not it will affect your pelvic pouch!!
If you're on tylenol 3's and have chronic pain, not only is it probably not strong enough, but it's also dangerous for your liver if taking too many!!
Let us know how things turn out after seeing a pain management dr., take care!!

 
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Old 11-28-2003, 06:41 AM   #3
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Marg001 HB User
Re: Pain Meds?

Thanks out2lunch, I think your right and I don't know why my family Doc has not referred me to one I know they do damage to the liver but if they put me on something stronger would that not effect my liver also?
Just wondering and thanks again . Take care.

 
Old 11-28-2003, 06:56 AM   #4
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out2lunch HB User
Re: Pain Meds?

As long as you're on something that doesn't have acetamitaphin in it, your liver should be ok!! Narcotic meds are suppose to be safe as long as you're truly suffering chronic pain and use them only as directed!!

 
Old 11-28-2003, 01:11 PM   #5
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Deidre513 HB User
Re: Pain Meds?

Hi Marg001-ask your doctor for a referral to a PM doctor-also my PM just gave me Norco 10mg-it has a lot less tylenol and works waaay better than the Vicodin I was taking. I have actually slept a little better the last few days (started taking them on Tuesday) can't hurt to ask, also just like out2lunch (love that name) said,I was also told that as long as I am taking the narcotics for pain, the medicine goes to pain centers, not pleasure centers, And i know one day I will most likely have to 'step down' from them-I take mine only as directed and hopefully that will make it easier- good luck Deidre

 
Old 11-30-2003, 09:30 AM   #6
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el franko HB User
Re: Pain Meds?

[COLOR=Red][QUOTE=Marg001]Hi there,
I haven't posted in a while and have a question for anyone that would know what type of pain meds are better for lower back pain? Right now I have a Grade 1, but I think it's worsened, Spondylolesthesis and DDD. I am on Tylenol 3's but lately they are not helping as my pain is increasing. I am also wondering if I should be going to a Pain Clinic? Kind of lost now.
Oh!, I should mention that I have a pelvic pouch(internal) from Ulcerative Colitis so I really don't know that if in the long run the strong meds will do damage.[/QUOTE]
[
SIZE=2]
Hi Marg, I am new to this forum, I have had 18 back surgeries since 1982. Maybe you can talk with a PM Dr. and he can prescribe you MS Contin, Oramorph SR or Kadian. All contain time released morphine and has no tylenol in it. Tylenol #3 really isn't a good pain killer. I believe it has more tendency to upset your G.I. tract than other painkillers containing tylenol. Check with your doctor or pharmacist.

 
Old 11-30-2003, 10:47 AM   #7
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acme HB User
Re: Pain Meds?

I took Darvocet for many yrs.(14) Helped me alot. Never any signs of damage to me! Been pain & Med. free for the last two yrs. since L-4/L-5 Fusion Surgery! Good Luck!
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Old 12-01-2003, 08:38 AM   #8
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Marg001 HB User
Re: Pain Meds?

Thanks Acme,
I know Tylentol is not a good pain relief because it doesn't do anything for me now. You know some days I am not too bad and some days, especially if I am on my feet or even sitting a lot that's when my back starts, so I don't know if that would be enough for the Docs to actually give me something stronger. I know some Docs don't like too, but I can't put up with this much longer it's really taking away from my life and the wait here to get into anything(Toronto, Canada) here is ridiculous!! Anyways you take care and thanks again for the response.

Last edited by Marg001; 12-01-2003 at 08:39 AM.

 
Old 12-01-2003, 06:15 PM   #9
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Patmg HB User
Re: Pain Meds?

Hi Marge: I used to be on the back boards all the time until I got sick last summer, due to undiagnosed gall bladder problems. I am a 55 year old woman with multi-level degenerative disk disease and spinal arthritis. I have had a failed neck fusion at C5-6 in June 2000 and a lumbar laminectomy at L4-5 in March 1993. I have about 14 degenerating spinal disks--my pain level is rather high.

I have a friend who is 41 and has degen. disk disease and crohns disease, which is similar to uclerative colitis. This friend of mine's doctor's office was participating in an experimental study of Duragesic Fentanyl 25ugh Patches, which is an opiate, which is trasmitted to the body through a patch on the skin. Due to the fact that my friend has crohns, the docs do NOT want any medication to be administered through the digestive system; it is too hard on her crohns. Thus, they have found that the Duragesic Fentanyl patches calms her crohns disease down. This is a potent opiate and you must understand this; but for my friend is has worked wonders.

I also can suggest that Oxycontin is also used for chronic spinal pain. Along with the oxycontin, percocet can be given for break through pain, or simply additional pain that the timed released oxycontin does not cover. Oxycontin and percocet are both oxycodone--oxycontin being timed release and percocet, 5 mg. oxycodone and 333 mg of tylenol in it, oxycontin does not have the tylenol at all.

I have a great deal of neuropathic (burning) pain and aching pain from the disks. Actually, as the disk degenerates, it actually can be producing inflammation, even if that vertebre level does NOT show any nerves actually being pinched. The degeneration itself causes the pain. Well, take care, as I have a visitor...Patmg

 
Old 12-01-2003, 09:33 PM   #10
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Elaine HB User
Re: Pain Meds?

Pat,
I think you are the same one that used to help me with lots of questions. I was wondering where you went but then I haven't posted a whole lot either. Just wondering what you do for the neuropathic pain? I have started on Neurontin three different times. The first time I was doing ok until my mother died. I quit everything and can't seem to adjust to it again. Can't believe the back and leg pain without it. I am starting on it again, can't stand the brain fog but it is better than the nerve pain!
Glad to see you posting again.
Elaine

 
Old 12-02-2003, 06:48 AM   #11
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Join Date: Oct 2003
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Marg001 HB User
Re: Pain Meds?

Hi Patmg,
Thanks for the reply back!! Wow! that was really helpful. I am wondering though if Oxycontin would be hard on my digestive system. Does it slow down the digestion process? I am curious because when I was taking Tylenol it really slow down my digestion and I always ended up bloated and gaining weight. I am sorry to hear all the problems that you have. I know it's not easy dealing with pain everyday. Thanks again for the info!! Take care [QUOTE=Patmg]Hi Marge: I used to be on the back boards all the time until I got sick last summer, due to undiagnosed gall bladder problems. I am a 55 year old woman with multi-level degenerative disk disease and spinal arthritis. I have had a failed neck fusion at C5-6 in June 2000 and a lumbar laminectomy at L4-5 in March 1993. I have about 14 degenerating spinal disks--my pain level is rather high.

I have a friend who is 41 and has degen. disk disease and crohns disease, which is similar to uclerative colitis. This friend of mine's doctor's office was participating in an experimental study of Duragesic Fentanyl 25ugh Patches, which is an opiate, which is trasmitted to the body through a patch on the skin. Due to the fact that my friend has crohns, the docs do NOT want any medication to be administered through the digestive system; it is too hard on her crohns. Thus, they have found that the Duragesic Fentanyl patches calms her crohns disease down. This is a potent opiate and you must understand this; but for my friend is has worked wonders.

I also can suggest that Oxycontin is also used for chronic spinal pain. Along with the oxycontin, percocet can be given for break through pain, or simply additional pain that the timed released oxycontin does not cover. Oxycontin and percocet are both oxycodone--oxycontin being timed release and percocet, 5 mg. oxycodone and 333 mg of tylenol in it, oxycontin does not have the tylenol at all.

I have a great deal of neuropathic (burning) pain and aching pain from the disks. Actually, as the disk degenerates, it actually can be producing inflammation, even if that vertebre level does NOT show any nerves actually being pinched. The degeneration itself causes the pain. Well, take care, as I have a visitor...Patmg[/QUOTE]

Last edited by Marg001; 12-02-2003 at 06:49 AM.

 
Old 12-02-2003, 08:35 AM   #12
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Patmg HB User
Re: Pain Meds?

Hi Elaine & Marge: Yes, Elaine, it is the same Patmg from way back ....I guess, prior to my pre-gall bladder torture! (Boy, did I ever suffer!!!!) Anyway, yes, I have been on Neurontin 400 mg before. However, I have seen on tv that neurontin has caused some people to commit suicide. It was basically a lawyer ad, saying this about neurontin. Neurontin causes major constipation, especially if taken with opiates. In fact, the Neurontin was worse than the opiates for constipation. However, it did work well for the neuropathic pain; but after a while, I did notice a bit of a tolerance and it didn't work as well as it did when I started taking it. I used to feel drunk on that drug when I first started on it; however, understand I was on opiates, too. I took 4 citricel tablets a day plus two, 250 mg of stool softener. (I still do take that amount, due to the opiates). My body would eventually adjust to the opiates with the citricel pills; it would NEVER adjust to that Neurontin until I doubled my citricel intake. Then, all of a sudden out of the blue, my doctor took me off Neurontin and put me on Topamax (25 mg. day) instead. I never felt the Topamax worked as well as Neurontin.(My doc never said why he changed me; could it be the suicide thing?) When my gall bladder "tweeked out" I quit all my drugs except the opiates. The anxiety was unbelieveable!! However, part of the cholecystitis (gall bladder quit working and was full of bile; I had no stones) is anxiety, so I'm nut sure what actually caused the mass anxiety. So, now I don't take any of those drugs at night those being the Topamax and my Nortriptylene (10 mg). I haven't told my doctor yet. Elaine, I do know that once I get off of a substance (be it caffene or anything), when I try to go back to it; it seems I then become extremely sensitive to it. I've seen this in other people, too.

Marge: Any opiate is constipating. I have irritable bowel and I have found that the oxycontin and percocet DO calm my bowels; a wonderful side effect that I didn't count on when I was offered opiates from my chronic pain (after 8 years of suffering). Tylenol 3 is a very "light" opiate, but I was started on Tylenol 3's when I first had problems. May I suggest (if you can't get opiates from your family doctor) to go to an internal medicine specialist. Int. Med. docs treat ongoing adult problems, where family docs tend to treat the whole family (and they tend NOT to prescribe opiates). However, laws are changing with the DEA and some docs are prescribing these type opiate meds. I use the citricel (see part to Elaine) to help with the constipation. Now, I hope I got all your questions answered, Marge, as I got into responding to Elaine and I can't totally remember your post. Since they have changed the boards, I am afraid if I try to review your post, I may lose this long post. It hurts my upper back a great deal to type, but I'll post when I can. My lower cervical spine and upper thoracic spine is very inflammed right now. I always think I herniated a disk and "freak out" at my doctor, I need an x-ray, etc., and then the disks are fine re. herniation anyway. (Then I feel stupid from "crying wolf"). I am terrified of another neck surgery, due to prior failed fusion (all vertebre about C5-6 collasped down when fusion slightly shifted half in and half out of spinal canal--and that is the way it is in my neck now) and of course, paralysis during surgery...you know, like if the doctor sneezes when he/she is near my spinal cord....... Well, I am glad I was able to help you both. It seems to give purpose to my suffering (I think that is a Dr. Phil thing)..Take care, Patmg

 
Old 12-04-2003, 04:39 AM   #13
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Marg001 HB User
Re: Pain Meds?

Hi Patmg, I totally understand about sitting and typing on the pute because some days I can't sit longer than 20 minutes at a time. Anways I went to my GP and told her I can't take this pain anymore so she put me on Oxycontin so this is the first time in a long time I have had any kind of pain relief! I also got a referrel to a PM clinic to deal with this until I get all my testing done. I hope you have a better day today! I know what you say about feeling like your crying wolf, because sometimes we really have to make the Docs listen and understand what were going through and sometimes I feel like a broken record player skipping!!! I appreciate you getting back to me though!! Yesterday was the first day I tood a Oxycontin but for some reason when it wore off I felt sooo depressed, I don't know if this is normal or not At least it helped me with the pain. You take care of yourself and I really hope your anxiety lifts, take care!!!

Last edited by Marg001; 12-04-2003 at 04:47 AM.

 
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