la meds /tolerance - Pain Management Message Board

scotty12 · 04-04-2004, 11:47 AM

i know how quickly my tolerance has developed on short acting meds in the past.my question is if i were to switch to a long acting med would tolerance develop at a slower rate?............scott

surgicaldisaster · 04-04-2004, 01:59 PM

Hey Scott, I'm not sure of the answer to your question for sure, because I think it may be kinda an individual thing. But, again, not sure. I have found that my tolerance(once titrated properly)has not shot up terribly at all. I think the key here is being titrated to the right level though...does not mean you won't need another bump up at some point but certainly not like you do during titration. So, I guess my answer is, at least for me, I have not had my tolerance increase real fast at all since being on long acting meds. Hope this helps at least a little...Love, Surgical Disaster

scotty12 · 04-04-2004, 02:14 PM

thanks,i,ll just call you surge for short.
you did answer my question.it really is not a case of titration as upon switching meds in the past i did have good results.its just how short lived those results have been.
in april last year i was taking hydrocodone7.5
july 10mg
sept7.5percs
and now just switched to 15mg roxi.

i was wondering if short acting meds increase tolerance faster than having a steadier serum level as with la meds.the more i read on these boards the more i think i should be on a la med.dependence is dependence right.so why should i have to live with all the ups and downs ive been going thru every few months.not to mentioned waking every night when my meds wear off.
im going to raise the subject of LA meds when i see my pain dr next month i just hope he is sympathetic to my situation.he never hesitated to make changes when i was in pain before but when i told him i was waking in the night with withdrawels he didnt seem to give it much thought.
thanks....................scott

surgicaldisaster · 04-04-2004, 03:52 PM

Scott, I would think in your case a Long acting med. is in order. It will keep you from having that type of problem. You will need a short acting med for breakthrough pain, but with the long acting med. it really will help tremendously! I would think you pm Dr. would o.k. it especially if you tell him how this is interfering with your sleep among other things. Once your short acting med wears off...it's playing catch up with the pain and that's not easy to do, whether it be day or night. If you don't mind my asking, what kind of pain are you dealing with? Take care and hang in there...when is your next appt.? Surg.

scotty12 · 04-04-2004, 10:45 PM

spondylolethesis L5 S1 and two her. discs above,and torn annulus.basically problems from L3-S1.the instability is believed to be the main pain generator.