Re: meds used for pain mgt - ms contin
People get in a very bad habit, when they're relatively new to PM, of expecting LA meds to work quickly and take care of their pain. They think that just because their now taking Oxycontin or Morphine that the pain is going to go away. These are time released Long Acting maintenance drugs. Their time-clock is set for 12 hr. intervals, and they slowly release the narcotic over that time period, they should never be used for immediate pain control. It takes a while for your blood plasma levels to be thoroughly be immersed with the Narcotic. That's why our Dr.'s give us BT (break thru) meds for pain relief, ones that are designed to start working immediately and last only a few hours, i.e. Percacet, Oxycodone.
On the subject of Tramadol, yes it was a wonder drug for a while, until patients and Dr.'s realized how incredibly dangerous it was. Tramadol is highly addictive, without taking much time for you to get that way. One of it's major side effects is Grand Mal Seizures and close to 60% of users have had this symptom. Since part of its pharmaceutical makeup was to act as a pain reliever/anti-depressant, many users ended up with Serotonin Syndrome, as their Dr.'s failed to mention the activity of the anti-depressant, and many PM patients are already on an anti-depressant of some type. Most reliable and dedicated PM docs do not RX Tramadol anymore.