Just 2 points to throw in, I know that Isotope had trouble with Anxiety and Oxycontin, but I've not heard of anyone else having this problem. I used Oxycontin for LA pain control for around 4 years and had no problems with it at all. Also it doesn't take a pain management doc to manage Fentanyl patches, I was on Fentanyl and my PCP handles all of my pain management.
"I agree with the taper and did ask, but the doc said he talked to an "addict specialist" who said cold turkey is the way to go (VERY FRUSTRATING)."
Wow, this is scary. This doc might be right if your husband was really an "addict," but it sounds like he is not taking the drug to get high, he is really just taking the norco to get some pain relief. There is a difference. There are some pain patients who take more pain meds than prescribed who really are not considered addicts be experts, because their reason for taking the medication is a legitimate one. They present as "pseudo-addicts."
I'll admit I'm worried about your husband. Not even so much for the withdrawals, which could be horrible, but for the pain he is going to have and be untreated. His doctor has to have another doctor covering for him while he is out. I would urge you to call the office and have the coverage doc paged and beg for some humane treatment during this difficult time. Maybe your husband can agree to a strictly long-term medication regimen, which reduces the potential for misuse. For example, the duragesic patch.
Good luck. I'm keeping your husband in my thoughts over the next few days. -B
It only took me a few seconds to search the healthboards here and find numerous posts linking OxyContin to Anxiety. Too many posts to count. So, it's far from unheard of, in fact it's fairly common knowledge that some narcotics are activating and some are sedating. It's all very individual of course but a low energy person may find a welcome boost from OxyContin, where as, an anxiety ridden person may find a welcome sense of calm from a Morphine product.
Here are a few posts from others.
"The "anxiety" is definitely the OC. In some people, oxycodone can activate the excitement pathways and thus, cause what you're experiencing".
"Oxycontin also has increased the anxiety and I'm extremely anxious."
"It doesn't make me sedated at all but I was thinking it increased my heart rate (or I should say I know) and anxiety."
"Oral morphine won't give you that "wired" or anxiety feeling."
Iso, I'm not a big fan of tramadol or any other drug, however, the WHO analgesic ladder, which is generaly regarded as the gold stanards, suggests a heirachy of simple analgesics - mild opoids - strong opoids, and as tramadol is the only mild opoid widely avaliable in SA form, it makes a good starting point.
I realise everybody wont respond to it, but it is generaly considered best practice to try a mild drug before a strong one.
Plus, in this case it looks as though the poor guy aint foing to have anything but tramadol for a few days, and i was making a suggestion to use it to its best advantage.
The desire to take medicines is what seperates man from the lower animals - William Ostler
Tramadol extended release was not a mild medication for me. I really recommend it to everybody to try before you try any other pain meds. I was on 100mg(if my memory does not betray me)took only one pill a day and the pain relief was for 24 hours. It was pretty good. I tried it for 3 days. Was really happy, but no sleep.
I wish I could take tramadol extended release. My problem was that i do not know why, i could not sleep at all. i was wide awake. (not that without taking it i am not)but even with the help of sleeping pills could not sleep.
Everyone is different. For me, tramadol extended release was like drinking 5 cups of coffee eventhough I took in at 7:00am. Wish I could take this medication but I can't.
If I did not need sleep, I would DEFINATELLY go for this medication. It took this horrific pain in the neck I have away. I even remember, I could rest my neck with no pain on the pillow, but no sleep. wide awake. but everyone is different.
I hope that your husband is taking the extended release one.
I'm really sorry your husband is having so much pain! After reading this entire thread, there's one question that I have that hasn't been addressed. Why is the doctor stopping the scripts? Is there something going on there? Most doctors won't leave a patient high and dry, taper down or not. It appears as though he has a real need for pain relief. I would suggest trying to find a PM clinic or another doctor who'll prescribe the meds he needs. It doesn't sound like he'd have a problem with another doctor unless he's broken some trust with the old one. Best of Luck!
Just remember, it could always be worse!
thanks for the all of the advice, and replies......
the doc stopped the scripts because he felt my husband was getting tolerant to the doses and needed more & more to get the same pain relief. he needed an early refill... and my husband made mention that he didn't want to "get addicted" and was worried about that, but in our conversations, I never thought the doc would leave it just to stop (like y'all are saying, that's not the usual way, is it?) this is our very first experience with anything like this EVER. my husband has lived with pain for about 20 years, but always controlled it with OTC medication, specifically exederin -- then he was actually diagnosed with crohns and anklylosing spondylitis and we found out there was, in fact, a reason for all of his back pain and headaches. about a year ago the doc prescribed him norco. and now we're here: day 3 of no norco; it's been bad; I called two days ago and got a referrel to the pain clinic here, they haven't made an appointment yet -- we live in a small town and I'm hoping they can get him in really soon.
it just seems that opiates are mostly prescribed for this type of pain relief, but we are afraid of him getting addicted.... and then reading about what addicts go through is horrible. I'm hoping the pain clinic doc will give all the options.
thanks for responding. it's nice to have someone to "talk to."
Kimberly, are there other reason why you worry about your husband becoming an "addict?" Does he show addictive personality traits or has he ever had a problem with alcohol or other drugs? There are certain things that will make a person more likely to have problems with addiction. Do you suspect that your husband is particularly at risk?
Simply showing tolerance to pain medications is not necessarily a sign of addiction. Combined with other factors, it can be part of addiction, but everyone who takes opiates on a regular basis will develop tolerance. This is a medical issue. I hope you can get him into the pain clinic very soon.
I just want to echo what Toonces1 said. I've taken narcotics for years due to chronic pain and I don't consider myself an addict anymore than a diabetic is an insulin junkie. One has a problem that's corrected/helped by a certain medication, no need to jump to the whole addict thing. Please don't buy into too much of the narcotic hysteria, especially not to the point that it interferes with getting your husband something he deserves and needs. Don't think that I don't appreciate the care and respect needed when being prescribed these drugs, I do. There are many responsibilies that fall on the patient and I totally "get" that!
I wish you the best at the pain clinic and make sure you mention that your previous doctor left him high and dry. Tell them you need to be seen ASAP to make sure he's not suffering unduly. My best to both of you!
Just remember, it could always be worse!
thanks for writing, and I agree... the doc stopped the narco saying there are other pain meds to use and he felt my husband was becoming "tolerant" and using the narco for anxiety as well as pain... and after he needed a few "early refills" the doc said no more.
BUT we are being seen by a pain clinic saturday (the first one I called couldn't get us in till mid february!) like I said, we live in a small-ish town without big-city resources and there are basically two pain management clinics.
he doesn't have a history of addiction at all. there is addiction in his family (recovered alcoholics) but he's NEVER even taken a drug other than this norco.... and he barely ever drinks alcohol. I'm getting more and more frustrated with this everytime I read responses.... we are entering day 4 without norco and he's doing really well with the withdrawls. I'm hoping the pain clinic will be able to provide all the options on saturday; we're looking forward to it! I mean there are tons of people on this board that take narcotics for chronic pain and don't fall into addiction, right?! thanks for all of the support, advice, and knowledge.
Last edited by Kimberlyalaska; 01-12-2011 at 09:12 PM.
There are volumes to be debated about addiction, and potential addiction and all of the gray areas in between. If your Husband opts for 24/7 Pain Relief through Opiates then he will most certainly become Dependent on them, though not necessarily Addicted to them.
If constant pain is diminishing ones quality of life, and a particular Narcotic can restore that quality of life then great, you have a match.
For a true addict, their quality of life doesn't improve.
As was mentioned earlier, the patient is really the one who decides and acts on the opportunity to feel better. It's only just an opportunity because the patient can very easily make a mess of any good pain management plan. They become compulsive, addictive, self-deceiving, and ultimately miserable.
It truly does take an effort and a commitment on the part of the patient to stick to the plan (script) as written and respect the responsibilities that come with managing powerful Narcotics. If these boundaries are understood and adhered to -then the rest is a piece of cake (so to speak) .... Feel better, Live better, Be better.
okay, so the pain management doc appointment went well today. he obviously thinks my husband has a legitimate reason for pain meds.... after a long converstation he ultimately prescribed:
long acting pain med : ms contin twice a day, norco for severe pain breakthroughs (no more than two doses a day), and cymbalta for anxiety (he was on paxil before about 12 years ago) and one more muscle relaxer only to take at night.
he took his first dose of the mscontin and is feeling very very tired and lethargic. he is saying that he hopes this exhausted feeling doesn't last -- the pharmacist said his body will become used to the affects during the first week.
anyone out there have this happen where the "tired all the time" feeling goes away???
on a good note though -- he just said to me with tears in his eyes that this is the first time in 20 years that he has been completely pain-free! he's in taking a shower now and I'm sooooo relieved!
thanks again for everyone who answered my queries on this board; it's been quite a blessing to hear back from people! thank you!
The following user gives a hug of support to Kimberlyalaska: Isotope (01-15-2011)
Yes, the dopey feeling is common at first, but fades fairly fast, 1 to 2 weeks at most.
Can I ask, is he on a regular dose of antiinflamatory for the spondolytis - that would seem to be an obvious treatment for his pain which you havent mentioned. regular doses of Naproxen, diclofenac or Celebrex would give him enhanced relief of pain with less need for narcotics if he isnt already on one
The desire to take medicines is what seperates man from the lower animals - William Ostler
Hi, this is KimberlyAlaska's husband. I would first like to say that the worst is behind me as far as the Norco withdrawals and I could not/would not have done it without my wife's help and I know she appreciated some of the discussion here, so thank you. Moving on, as she mentioned I have now been prescribed MS contin. I took the first dose nervously around 4 pm and experienced the most complete pain relief I have had in 20 years and it lasted for about 11 of the 12 hour dose with no immediate side effects. Here is my problem.... I got absolutely no sleep last night. I did not even doze off once. I am aware that insomnia can be related to hydrocodone withdrawal and I am only on day 6, but I am also concerned that this great new medicine may have a totally unacceptable side effect?? Am I correct in assuming that just because there is now morphine in my system that it does not mean my body is not still withdrawing from hydrocodone? I don't want to rush to place blame which I tend to do with new meds. Also, this is the first night this week that I have not taken anything to help me sleep due to withdrawal. (lorazepam, nyquil,etc.) Then, at 4 AM when my back was acting up again I confidently took my second dose which did not go as well. I though for sure that it would make me tired again like earlier.... No such luck. Also, while it was just as effective on my back pain, after about 40 min I began to experience entirely new pain sensations that I have never had before, mainly in my forearms and the right side of my head. It was not severe or even moderate pain, but was completely new.?? Any thoughts on the insomnia or the best timing for the MS contin doses would be appreciated. One final thought. My pain doctor also gave me Norco again for breakthrough pain. I have not taken any yet and am nervous about how I may react to it just as I am completing withdrawal from it. I am positive that I will use it more responsibly in the future, but it is/was a very effective medicine for me, the only problem being that I was becoming tolerant. Sometimes I think just dealing with the pain would be easier. (not really) One more thing.... A previous poster asked about anti inflammatory meds. I am not supposed to take any sort of NSAID due to my Crohn's disease, but I am about to have my fourth infusion of Remicade. (not sure if she mentioned that) I have tried mobic in the past which never gave any relief and they took me off of it after the Crohn's diagnosis. Thanks again!!