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Old 07-31-2012, 07:32 PM   #1
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Nervous About LA Pain Meds

I've been taking Vicodin in conjunction with big doses of OTC painkillers for about two years now (I know, I know, but I had a liver function test and so far, so good) for as-yet-undiagnosed hip pain. Last month, I started seeing a pain management doctor, at the insistence of my GP, who says he wants me to not have a bleeding ulcer and to keep my liver enzymes healthy. After a false start - a brusque, abrupt guy who bullied me into an SI joint injection which I suspect he knew I didn't need - I found someone who seems actually interested in helping me.
I spent a month on 7.5/325 Norco, but it just doesn't do the job. Plus, I still feel like I'm taking in too much Tylenol when I take 4 a day (I'm trying to be careful now to make up for blithely ignoring the stated limits). Today I met with the doctor and he suggested oxycontin, because my main problem with pain control is that the pain is constant but the medication doesn't last.
Oxycontin scares me. I remember reading about "hillbilly heroin" and the Internet is full of people talking about how it ruined their lives and to never, ever start taking it.
After talking to the doctor about it (and probably annoying him greatly with my tentativeness), I settled on trying Percocet for two or three weeks and then going back to re-evaluate. And I suspect I'll end up on the oxycontin.
Part of my problem with this is that the pain management (in my head, anyway) is a short-term thing. I'm in the diagnostic process of figuring out what's wrong with my hip, and it's kind of a foregone conclusion at this point that I'll have another surgery before the end of the year - one that I hope, hope, hope will fix or at least alleviate the problem somewhat. So I'm afraid to take what seems to be a LA pain medication designed for long term use.
Am I being too jumpy about oxycontin's reputation? I suspect I might be, and that oxycontin might be the right drug for me. I'm just so afraid to take it.

Last edited by BeatriceDivina; 07-31-2012 at 07:34 PM.

 
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Old 07-31-2012, 07:52 PM   #2
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Re: Nervous About LA Pain Meds

hi, I too didn't want to get on Oxycontin cuz of the highs and lows and stuff. My dr. put me on Opana Extended release w/ the regular opana for breakthru. you don't get a buzz or anything and it works great on the pain. You take one every 12 hours and the other when you need it. ask them about it. I get it from my PM dr. cj

 
Old 07-31-2012, 08:40 PM   #3
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Re: Nervous About LA Pain Meds

Hi there! If you haven't been through diagnosis and non-narcotic treatments for your pain, I highly suggest against jumping into pain meds. I know how tough it is to deal with the pain, but its a tough cycle to escape. You might as well know what you are dealing with, and if its not fixable, then try the many other treatments that are effective for many folks. It just takes a lot of trial and error. Stuff like muscle relaxer, and medications used off label for pain such as anti seizure meds, anti depressants, etc (Lyrica and Cymbalta are two popular ones). If you just can't manage without, then I definitely see where you are coming from, but if you have gone two years, could you hold out a few more months and hit up the specialists hard for some answers? As far as Oxycontin, look past the stigma. Lots of folks do well on it. However, the new formula doesn't last a lot of folks long enough, and its brand only. Might as well give it a shot and if its not a good fit, adjust. A good doctor will see you every 1-3 weeks during med adjustments like this. If you don't have addiction tendencies and are taking it for pain, there is no difference in danger between any of the pain meds. For example, for some reason everyone assumes morphine is a very strong med, but it isn't. Best wishes.
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Old 08-01-2012, 10:51 AM   #4
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Re: Nervous About LA Pain Meds

Unfortunately, I have to do something for pain control - I have two little kids, and I'm just not able to be nonfunctional due to pain. Both the Lyrica and the Cymbalta that my GP tried gave me horrendous side effects and no pain relief, so that's when they referred me to a pain management doctor.
At the moment, I'm averaging one doctor's appointment a week trying to get the diagnostics worked out. With childcare issues, that's about as much as I can do. Friday, I see my surgeon for a report on the latest series of 2 mris that I had last week. I am really hoping they can point to something on the MRI and say "well, obviously, that's the problem" and come up with a way to fix it. I just can't imagine how I could be in this much pain and have nothing wrong with my hip.
My history is kind of complicated - I was in a car/train accident at 15 with multiple traumatic fractures, and broke the spinal connectors in my neck eight years later in another car accident. I did do medical pain management for a while, until we sorted out what was causing my daily blinding headaches, and once that problem was addressed, I was able to be medication free from 2004 until now. I see a chiropractor, I get massages, I've spent over a year in PT trying to fix this and had one surgery, back in February. At this point, I'm hopeful that they figure out what's wrong and fix it, but I have to live in this body in the meantime. Hence the pain management doctor, who I was referred to by both my orthopedic surgeon and my GP.
Part of my nervousness about going on a LA medication is that I'm hoping that I don't have to be ON medication for that much longer, that they're going to figure out what's wrong and fix it, but I also have to be prepared for the idea that they can't figure it out.

 
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Old 08-11-2012, 07:16 PM   #5
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Re: Nervous About LA Pain Meds

Wow, I wish I had your "problem." Sorry if I am minimizing your fear of opiates but there are many pain patients who aren't even given the options you have. I've been prescribed percocet since 2001. I've been on perc 10/650 since Sept. 2007 @ 120 per month. My doctor of 5 yrs. flatly refused to increase the number of pills I get. I'm an SSI recipient who is forced to spend $50-$60 per month on thermal heat patches because I try to save my percs for evening & night-time so I can get some rest. I am in constant pain during the day. I would love to be given the opportunity to be on a LA medication--I'd try oxycontin in a heartbeat. It's ridiculous for a sufferer of intractable pain to still be on a short-acting medication. I am starting over with a new doctor who the clinic director says "I will love." I'm hoping he will be more compassionate. I can't go to a pain clinic as I am a Medicaid recipient so I have to rely on my PCP who is always a family physician.

Cymbalta, Lyrica & neurontin did nothing for me--the lyrica gave me double vision & the other two caused nausea. I hate cymbata & lyrica commericals.
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Last edited by NOTSONUTSO; 08-11-2012 at 07:19 PM.

 
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