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Old 04-11-2008, 07:15 AM   #1
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HELP reccomend me a NON addictive pain med

I wont waste all your time with all my back surgeries, LSI injections, facet joint, Rolfing,chrio's, rehab, and everything else you can think of. i just had 2 disk fused with artifical spacers placed between the disks.

Needless to say years of having to take the pain pills are hopefully over. i am getting off the hard meds. there are some that require them to function, I hope I am not one of them anymore.

My question is, I still have soreness, stifness, and a hard day of work at times causes some small pain. what are some meds that arent addictive. I will go with nothing before I do the devil stuff again. I am not saying its not right for some, just not me anymore. I have taken something called Propoxy or something like that. Anything else you guys know of that is good on minor pain WITH no addiction

 
Old 04-11-2008, 08:35 AM   #2
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Re: HELP reccomend me a NON addictive pain med

Hey ADS, Propoxyphene is darvecet and is an opiate , it's very mild, about 1/100 the strength of methdone but is in the same family as Darvecet. It does have the potential for abuse just like any drug. People get high on cold medecine. Aside from tylenol there are NSAIDS, but most docs don't want you taking them this close to a fusion, they can prevent bone growth,. I wasn't allowed any for a year when they atempted to fuse me for the tthird time. That failed too, but there are some NSAIDS that have pain relieveing abaility. Toradol isn't a bad drug if your only talking a couple times aca month, but aside from medication and injections how they used to manage pain was all psych, Self hynosis, guided imagry, bio feedback, relaxation techniques, Yoga etc etc. Even light excercise is better than sitting around hurting and it releases endorphins. Some people benefit from acupuncture, massage, anything that takes your mind off the pain is a good thing.

Just like recovery from adiction, you need to find something to occupy your mind and time rather than sitting around thinking how much you hurt at the end of the day. Going med free is a complete lifestyle change and I do hope this surgery was a success and you find a way to deal with the remaining pain. I doubt any doc is going to gaurentee being pain free after back surgery, but the same techniques are available that were available prior to the invention of oxycontin in 96 when opiates became a somewhat exceptable way to manage back pain. I say somewhat because it's certainly not something that's agreed upon amongst the entire medical community.

The rest may be up to you, their may not be a pill or another injection. Aside from pain medecine, excercise is the only thing that keeps me sane, at least I feel I'm actively doing something to get better, whether I am or not, I still benefit from the other aspects of excercise. It's distracting and if I do things right it tightens my core and relieves some of the pain while releasing endorphins.

Good luck, Dave

 
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Old 04-11-2008, 09:28 AM   #3
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Re: HELP reccomend me a NON addictive pain med

addictionsuxs,

There are alternatives to narcotics, as Shoreline has explained. In addition to his offerings, there are some medications that have provided great relief for many with back and spine pain. Cymbalta is one of the best. It is indicated for pain and can work very well. It is somewhat similar to the newer antidepressants, but is for pain. Lyrica is another in the same family. Do your best to avoid propoxyphene, as it is a narcotic and will most likely cause cravings. Also avoid Tramadol (Ultram) for the same reasons.

Your doc should be familiar with these meds. If not, try to get a referral to a pain management specialist and ask about these meds. Be sure they know about your history.

Best of Luck,

steve

 
Old 04-11-2008, 09:58 AM   #4
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by addictionsuxs View Post
My question is, I still have soreness, stifness, and a hard day of work at times causes some small pain. what are some meds that arent addictive.
Hello Addictionsuxs,

Welcome to the board. I hope your most recent back surgery turns out to be successful.

I might recommend Celebrex, which is marketed for arthritis, but I was taking it for back pain, mainly stiffness, prior to having a fusion. I was also taking Ultram ER...you take it once a day and it's not addictive. I would recommend talking to your doctor about both of these RX drugs.

Good Luck!

Scrappin'

 
Old 04-11-2008, 02:11 PM   #5
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Re: HELP reccomend me a NON addictive pain med

addictionsux:
I am also a recovering addict and want to say that it is a HUGE challenge to be in chronic pain and also have addiction. It does matter thought what your drug of choice was and what you were addicted to. I was addicted to cocaine and that sets off completely different receptors in the brain compared to the opiate type medications. I am currently on the fentanyl patch & Percocet for BT pain. I easily could become addicted to them if I do not follow my doctor's rules & recommendations or I start to abuse them. However, I do not want to do this so that I can have the pain relief without setting off my addiction. You pretty much know instantly when you take something if it is setting off your addiction. I would recommend going to see and ADDICTIONOLOGIST(a doctor that specializes in treating recovering addicts and is specially trained in medications that can be prescribed to them). Can you tell us what you abuses and what you were addicted to? Or were you merely dependent on them?

I will tell you that there are many medications that I have tried that are non-narcotic. It also does depend on what kind of pain you have as well. If you have nerve pain then there are specific meds to treat that and most opiate/opiod meds are uselesss against this pain although they are helpful for other types of muscle/bone pain. I would recommend Lyrica which is what I am also taking. I have been on Ultram(a mild opiod with anti-depressant qualities) but it can be extremely difficult to get off so I don't recommend it. There are many anti-seizure meds to help nerve pain: Lyrica, Neurontin, Topomax, Tegretol, Gabitril. Anti-inflammatory meds: Celebrex, ibuprofen. You could try taking tylenol(acetaminophen) & Advil(ibuprofen) to see how this manages your pain. The good thing is that they are OTC(over the counter) and non-narcotic. You can usually get by with taking up to 3000mg/day of acetaminophen & up to 1600mg/day of ibuprofen. Please make sure that your doctor is knowledgeable about medications & addiction. Oh, one other thing you could try is Suboxone(used to treat opiod addiction but can also be used for chronic pain). I have heard it is difficult to get off Suboxone as well but it's worth a shot.

brian

 
Old 04-11-2008, 02:18 PM   #6
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by scrappinmaniac View Post
...Ultram ER...you take it once a day and it's not addictive...
Ultram was originally marketed as non-addictive, but it is now understood that it has a narcotic component and can easily cause dependence. And, as Brian can attest to, it is VERY HARD to get off of. If your drug of choice was an opiate then I do not recommend Ultram (tramadol). It will be a bad thing.

steve

 
Old 04-11-2008, 03:14 PM   #7
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Re: HELP reccomend me a NON addictive pain med

You could ask your doctor if he thinks a TENS unit might help. It stands for Transcutaneous Electrical Nerve Stimulator. You need a prescription for one & a lot of insurances will cover it. There are little sticky pads that you put on your muscles & they have cords that run to the machine. You can choose the pattern of the electricity & how much of the shock you want to feel. I think it works by taking your mind of the source of pain. They make them small enough to put in a pocket of a shirt. My mom had one & it helped her back pain.
Good luck.

 
Old 04-12-2008, 03:26 PM   #8
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Re: HELP reccomend me a NON addictive pain med

Whatever you decide to do from an RX perspective, supplementation can make a tremendous difference. You do have to be patient, but when you have a chronic issue, there's always time to let something take effect, eh?
Fish oil, 1500 2 xs a day for maybe a month then once per day has had a massive difference effect on my attitude & surely helps my joints. Glucosamine and MSM also began to make a difference right around the 8 week mark everyone says. Liquid form works better for me. You have to see what helps you. A daily multi is a must so that you have the C and magnesium etc you need to heal. Plus I take bromelain (anti-inflam from pineapples) and I eat an anti-inflammatory diet most of the time.

I still take NSAIDs, but using natural additions to your overall concoction really makes a difference if you are committed to it and patiently await the result. I've been dedicated to these things since mid-Jan and I'm finally reducing my RX's. (Along with a stretching program and regular exercise.)

Be well!
LL

 
Old 04-12-2008, 11:12 PM   #9
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Re: HELP reccomend me a NON addictive pain med

Depends on your definition of addiction. Some meds can cause dependence, meaning if you take them regularly and then stop abruptly, you will suffer withdrawal. But this is not true of all meds, not by a long shot.

Addiction is another thing entirely, and has psychological elements that go beyond simple physical dependence.


Most meds taken as prescribed are safe. Some are risky, with side effects that can be a problem. One example is Motrin. Some folks are sensitive to this med and can experience gastro issues. For some it's no problem. Tylenol is wonderful unless you take too much, in which case it can damage your liver.

A good doc who knows your full medical history can lead you to safe and effective meds.

steve

 
Old 04-13-2008, 05:20 PM   #10
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Re: HELP reccomend me a NON addictive pain med

I'd have to go along with what Brian said becase it really does matter what your poision is. I have a friend who is an alcoholic and he lasted 2 mos with a pm doc on methadone because he chose to not tell the doc of his history and one drug triggered the other and then he started mixing and well he is in prison now and I'll stop at that. The three peices of advice that I could give to you is 1) Be Honest 2) Be open-minded and 3) become willing to do what it takes to keep you clean while managing your pain.

 
Old 04-14-2008, 03:50 PM   #11
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by scrappinmaniac View Post
Steve,

I respectively disagree with you.

Speaking from personal experience, I do not believe Ultram ER (extended release) can easily cause dependence, and I do not believe it is very hard to get off of...

...so I stopped taking it cold turkey and I didn't experience any withdrawal symptoms whatsoever...
What's nice about this board is that we can disagree and leave it at that. And I respect your opinion and your experience.

My personal experience was very, very different. Maybe others will chime in with their stories...

I do have a question - were you on an antidepressant and/or another opioid at the time you stopped Ultram?

steve

Last edited by forginon; 04-14-2008 at 03:53 PM. Reason: Thought of something else...

 
Old 04-14-2008, 03:53 PM   #12
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by scrappinmaniac View Post
Steve,
so I stopped taking it cold turkey and I didn't experience any withdrawal symptoms whatsoever. Scrappin'
How is this possible? Did you also take an anti-depressant? If you were taking an anti-depressant and possibly another opiod/opiate then you might be able to NOT have any or slight withdrawal symptoms. I have to say though that most people do experience withdrawal and I would never recommend stopping it cold turkey. Just read the drug information from the manufacturer and it will list the possible withdrawal symptoms. I can definitely say from experience that it has been extremely difficult for me to get off Ultram and I have now been off for 5 days and never going back to it.

brian

 
Old 04-14-2008, 04:01 PM   #13
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by brianpain33 View Post
How is this possible? Did you also take an anti-depressant? If you were taking an anti-depressant and possibly another opiod/opiate then you might be able to NOT have any or slight withdrawal symptoms...
This is what I was getting at with my question.

I have been hospitalized a couple of times and tolerated no Ultram OK. But I was on fairly heavy narcotics and my SSRI.

If I ever have to stop using tramadol I will build in a very, very long titration period. I went off tramadol once cold turkey and it was one of the worst experiences of my life. I spent an entire 3 day weekend thrashing in bed just wanting to die. I won't do that again.

Any others with their "stopping tramadol" stories?

steve

 
Old 04-15-2008, 12:07 PM   #14
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Re: HELP reccomend me a NON addictive pain med

Quote:
Originally Posted by scrappinmaniac View Post
Steve,

What's also nice about this board is that we are given the opportunity to have discussions with other people who are taking the same rx drugs as we are...

I was not on an antidepressant when I stopped Ultram ER, and the only opioid I was taking was Lortab (7.5/500 mg), but I was only taking 2 a day, so it wasn't a significant amount...certainly not enough to counteract any withdrawal symptoms...
I totally agree. And as your experience points out, we are all unique. For you, stopping Ultram was no big deal, for me it was awful. Our bodies are truly amazing. And I'd like to have some of what you've got. To be able to go from 300mg/day to nothing and have no WD means (to me) you've got some secret sauce inside and you should seriously think about marketing it - could be big money.

steve

Last edited by forginon; 04-15-2008 at 12:08 PM.

 
Old 04-15-2008, 10:15 PM   #15
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Re: HELP reccomend me a NON addictive pain med

Scrappin'

I don't understand it either. And like you wrote before, I don't think your other meds were enough to offset what, in my opinion, should have been nasty WDs.

Maybe this is just one of those 'count your blessings' things. I think this is really good for you. If you are ever in a situation where you are shorted or your meds get stolen you may be able to tolerate it better than most.

I think you are very fortunate.

steve

 
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