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Board: Bipolar Disorder 04-04-2013, 01:07 PM
Replies: 0
Views: 978
Posted By Recombinant
Brand new Suspected Diagnosis of Bipolar II ("Soft" Bipolar)

In the past 72 hours I was just told I have possible undiagnosed Bipolar II (Soft Bipolar) by my psych and I was litterally shocked, terrified, angry, and depressed all mixed together. Other than...
Board: Pain Management 11-30-2012, 09:22 PM
Replies: 2
Views: 1,228
Posted By Recombinant
Re: New to PM- Chronic left side pain new to MS Contin

It sounds like you are having a better time of it as late, bravo! I just thought I might try and give a little input on your questions...

I am 27 and have right sided pain located between T5 and...
Board: Pain Management 06-18-2012, 08:42 PM
Replies: 3
Views: 1,785
Posted By Recombinant
Precipitated Withdrawal or OD?

I'll make this short because I feel terrible and need to lie down until this passes...

I had a rather intense episode of BT pain peak a few hours ago so I took 2.5 Norco 10/325's from my dwindling...
Board: Addiction & Recovery 06-18-2012, 12:57 PM
Replies: 19
Views: 2,568
Posted By Recombinant
Re: Changing old behaviors

Wow Phoenix - quite the impressive work there! Had me laughing, especially picking up on it halfway through - such classic drug seeking and aberrant drug behavior.

Glad to hear you'll have the...
Board: Pain Management 06-18-2012, 12:37 PM
Replies: 12
Views: 6,669
Posted By Recombinant
Re: tramadol/sciatica

I take Neurontin and have previously taken Lyrica for my nerve pain (neuralgia), along with several other medications which are narcotic. Neither Lyrica or Neurontin are considered narcotic, although...
Board: Anxiety 06-18-2012, 12:11 PM
Replies: 3
Views: 1,075
Posted By Recombinant
Re: My brother says he has voices in his head.

slenderella is quite right. The symptoms you have described, notably one or more voices perceived by your brother that aren't really there, are a diagnostic criterion for the broad class of psychoses...
Board: Anxiety 06-17-2012, 04:22 PM
Replies: 4
Views: 1,153
Posted By Recombinant
Re: What are your symptoms?

Just as an after thought on your original post:

Your constellation of symptoms is fairly consistent with the presentation of several possible primary psychiatric disorders, including panic...
Board: Pain Management 06-17-2012, 02:35 PM
Replies: 38
Views: 5,975
Posted By Recombinant
Re: chronic pain with no hope

I wish I had some insightful or excellent advice to offer, but after what you have mentioned and everyone else has suggested, I am at a blank as to further options in all honesty. It usually does...
Board: Pain Management 06-17-2012, 02:09 PM
Replies: 2
Views: 1,539
Posted By Recombinant
Re: I need answers to a few questions about Norco and Fentanyl

Dave made a lot of good points, so I will just put in my 2 cents of additional commentary....

Hydrocodone (Norco) and Fentanyl both have relatively short half-lives. When considering withdrawal...
Board: Pain Management 06-17-2012, 12:02 AM
Replies: 3
Views: 14,791
Posted By Recombinant
Re: Have a pain on the side of my torso/chest

Pain in this area is most often, but not limited to, one of a few specific etiologies. Intercostal musculoskeletal pain can manifest in the torso, but is usually superficial and more anterior...
Board: Anxiety 06-16-2012, 12:03 AM
Replies: 0
Views: 1,287
Posted By Recombinant
Question Opinions on best chronic anxiety benzo and how to ask new doc for it?

Hey all, pretty bad insomnia tonight so I thought I would field a question that has been on my mind.

When I was about 16 I was diagnosed with severe panic disorder, generalized anxiety disorder,...
Board: Pain Management 06-15-2012, 05:42 PM
Replies: 9
Views: 1,818
Posted By Recombinant
Re: This is my confession...

No one else has posted yet so Ill add - personally in my experience, after thinking about when the "moment of clarity" (as alcoholics say) hit me I have come to realize that it wasn't any single...
Board: Pain Management 06-15-2012, 02:05 PM
Replies: 9
Views: 1,818
Posted By Recombinant
Re: This is my confession.....

Firstly, I can completely empathize with your apprehension regarding the taper and cut off of the narcotics. To be completely honest, it sounds like this isn't a bad idea based on your description of...
Board: Addiction & Recovery 06-14-2012, 11:00 PM
Replies: 19
Views: 2,568
Posted By Recombinant
Re: Changing old behaviors

Actually I have been in your shoes before, sort of. I am a chronic pain patient (have been since I was 19, am 26 now) and at first used Vicodin ES to control my pain at its worst while using OTC meds...
Board: Addiction & Recovery 06-14-2012, 10:43 PM
Replies: 4
Views: 5,783
Posted By Recombinant
Re: Low dose xanax. Don't want addiction

Welcome to the boards :)

In the abstract, yes, Xanax in any dose is potentially habit forming / addictive. The risk increases with length of time using it, number of doses per day, size of dose,...
Board: Pain Management 06-14-2012, 06:25 PM
Replies: 8
Views: 3,373
Posted By Recombinant
Re: Pain clinic closed & can't find anyone to treat my pain

Wow is all I can say... I am incredibly sorry you are being put in such a ridiculous situation.

My first reaction was to say you should call the state board to file a complaint, then maybe the...
Board: Pain Management 06-14-2012, 08:51 AM
Replies: 26
Views: 6,861
Posted By Recombinant
Re: Anyone have experience with Butrans or Nucynta?

I've both read about it and also personally experienced it through a third party. A family member was apparently on Duragesic for a long while, then switched over to BuTrans when it came out due to...
Board: Pain Management 06-14-2012, 02:17 AM
Replies: 26
Views: 6,861
Posted By Recombinant
Re: Anyone have experience with Butrans or Nucynta?

Will PM's allow a 5 day switch of a transdermal patch? I assumed they would consider it an attempt at violating the contract by asking permission to dose more frequently. If a PM will allow...
Board: Pain Management 06-13-2012, 11:51 PM
Replies: 13
Views: 3,420
Posted By Recombinant
Re: Opana

Yeah I have tried some (but not all) of the meds mentioned. My minimum dose of Norco for BT relief is 2 - preferably 3 - 10/325 tabs. I have taken Norco so long I likewise don't like the APAP content...
Board: Pain Management 06-13-2012, 11:23 PM
Replies: 26
Views: 6,861
Posted By Recombinant
Re: Anyone have experience with Butrans or Nucynta?

Thanks for the thoughts on the BT meds Kat!

I went by the pharmacy this evening to get some Tegaderms, and while I was there I asked a Tech I know to give me the prices of some LA and IR meds so...
Board: Pain Management 06-13-2012, 04:14 PM
Replies: 10
Views: 2,693
Posted By Recombinant
Re: how long between er & immediate release morphine

As Kat, Tortoisegirl, Shore, and others have mentioned, BT meds are generally used whenever needed without regard to when LA meds were taken. Your PM may have said to take it every 12 hours as a way...
Board: Pain Management 06-13-2012, 03:39 PM
Replies: 12
Views: 9,468
Posted By Recombinant
Re: Hydrocodone Question

The Walgreens W card, when last I filled a 90 count script for Norco 10/325 there (about a year and a half ago), resulted in a final price of about $46 for me. A local grocery chain in TX where I...
Board: Pain Management 06-13-2012, 02:32 PM
Replies: 12
Views: 9,468
Posted By Recombinant
Re: Hydrocodone Question

Have you considered the possibility of Norco 10/325? It would give you the ability to take either 1/2 t (5 mg hydrocodone) when you don't need a lot of pain relief or a whole t (10 mg hydrocodone)...
Board: Pain Management 06-13-2012, 01:48 PM
Replies: 26
Views: 6,861
Posted By Recombinant
Re: Anyone have experience with Butrans or Nucynta?

That reminds me, does anyone know if Walgreens, CVS, etc sell Tegaderms? I have a couple from IV start kits but I want to have enough to put one on every time I apply the patch if needed (after a day...
Board: Pain Management 06-13-2012, 01:35 PM
Replies: 10
Views: 2,003
Posted By Recombinant
Re: Pharmacy mistake

Whole heartedly agree with Kat. I go to a chain pharmacy, but I have made it a point to get to know the techs and pharmacists and especially the chief pharmacist (who can overrule the others if...
Board: Pain Management 06-13-2012, 01:00 PM
Replies: 13
Views: 3,420
Posted By Recombinant
Re: Opana

I just started on BuTrans and the cash price was like $230 / month. I have a pharmacy savings card, but that only brought it down to $160. My PM did give me a savings card specifically for BuTrans...
Board: Pain Management 06-13-2012, 12:39 PM
Replies: 26
Views: 6,861
Posted By Recombinant
Re: Anyone have experience with Butrans or Nucynta?

Thought I would update my thread in light of recent events.

Firstly thanks for everyone's input, I appreciate it!

Earlier this week I had a follow up and was put on BuTrans (could have gone...
Board: Pain Management 05-19-2012, 10:06 PM
Replies: 17
Views: 3,622
Posted By Recombinant
Re: First Visit to PM - comments?

All of the following is conjecture based on my understanding of the activity that opioids and buprenorphine exhibit at the mu receptor, though it has been awhile since I looked into it so I can't...
Board: Pain Management 05-19-2012, 07:10 PM
Replies: 8
Views: 2,421
Posted By Recombinant
Re: Train wreck at PM today, lost

Thanks for the comments. I really want to elaborate a little better on this reply, but I may end up being concise as I usually take short medication holidays from my stimulant meds on weekends and...
Board: Pain Management 05-19-2012, 03:04 AM
Replies: 8
Views: 2,421
Posted By Recombinant
Re: Train wreck at PM today, lost

I appreciate the support and concern, I think I got lucky when I took my Neurontin (which I am taking at my previously prescribed dose of 1800-2400mg Q8). Even though there is debate on the issue of...
Board: Pain Management 05-19-2012, 01:55 AM
Replies: 17
Views: 3,622
Posted By Recombinant
Re: First Visit to PM - comments?

The ceiling effect of buprenorphine has become a very clouded subject I think because an arbitrary dose of 32mg has been assigned to the level of the ceiling. In reality the ceiling effect is a...
Board: Family & Friends of Addicts and Alcoholics 05-19-2012, 12:00 AM
Replies: 14
Views: 2,399
Posted By Recombinant
Re: My Mother's Opiate and Benzodiazepine Detox

I can vigorously agree to that. I was put on Trazadone 100mg HS (at bedtime) when having issues with insomnia and comorbid depression. The first night I took it, I literally thought I was dying; I...
Board: Family & Friends of Addicts and Alcoholics 05-18-2012, 01:10 PM
Replies: 14
Views: 2,399
Posted By Recombinant
Smile Re: My Mother's Opiate and Benzodiazepine Detox

First my condolences on you and your family's situation. Kat made some very good points, and I would agree with much of what she said. Opioid withdrawal can be very distressing, but is almost never...
Board: ADD / ADHD 05-18-2012, 12:24 PM
Replies: 2
Views: 1,708
Posted By Recombinant
Re: Concerta

Years back I was on Concerta and had multiple dose changes (both up and down). Almost all the side effects you listed I experienced as well at the 54 level, which is when the Doc stepped me back down...
Board: Pain Management 05-18-2012, 10:35 AM
Replies: 8
Views: 2,421
Posted By Recombinant
Unhappy Train wreck at PM today, lost

As scheduled I went (an hour away) to my PM today for the block procedure as scheduled by my PM Monday. At this point in the narrative I need to backtrack on relevant facts and history.

Monday I...
Board: Pain Management 05-17-2012, 01:45 PM
Replies: 8
Views: 1,217
Posted By Recombinant
Re: Bad day

I know the feeling, my first post was a rant venting about the near impossible task of getting good PM care. The fact he acknowledged the severity, even if it wasn't conveyed with the best bedside...
Board: Family & Friends of Addicts and Alcoholics 05-17-2012, 09:48 AM
Replies: 12
Views: 14,484
Posted By Recombinant
Re: lost my wife to adderall

My sincere sympathy for your situation. I think just about everything Kat said has been excellent advice. Firstly, never blame yourself for the consequences resulting from the situation your wife has...
Board: Pain Management 05-17-2012, 07:51 AM
Replies: 7
Views: 3,249
Posted By Recombinant
Re: suboxone for pain/need a doctor houston, tx

If you mean background checks and the like, then no - any medication you take (and any healthcare in general) is considered confidential and privileged legally protected information covered under...
Board: Pain Management 05-16-2012, 11:23 PM
Replies: 17
Views: 3,622
Posted By Recombinant
Re: First Visit to PM - comments?

That's really a shame you had to start dealing with things so young too, I thought I might have been the only one around who has been dealing with my issues since my teens (19 - 26 now as well)....
Board: Pain Management 05-16-2012, 08:18 AM
Replies: 7
Views: 3,249
Posted By Recombinant
Lightbulb Re: suboxone for pain/need a doctor houston, tx

I don't know any in Houston, but more than a few in San Antonio and Austin (where I am). It shouldn't be too hard to find one who is willing to try it though. Two different DATA 2000 physicians, one...
Board: Pain Management 05-16-2012, 04:35 AM
Replies: 26
Views: 6,861
Posted By Recombinant
Question Anyone have experience with Butrans or Nucynta?

Has anyone had any experience with either Butrans (buprenorphine transdermal delivery system) or Nucynta (tapentadol)? Both of these are quite new in their preparations, having only been on the...
Board: Pain Management 05-16-2012, 04:23 AM
Replies: 17
Views: 3,622
Posted By Recombinant
Arrow Re: First Visit to PM - comments?

In fact I have done just that (or am in the process); I came off the PO meds temporarily and am trying the TENS alone for 24 hours, and of course I know the effects of the other individual meds from...
Board: Pain Management 05-15-2012, 10:50 AM
Replies: 17
Views: 3,622
Posted By Recombinant
First Visit to PM - comments?

Hi again all. Monday I saw the PM for the first time (as an established patient - he did a one time consult on my condition 6 years ago). I am curious what comments anyone may have on what they think...
Board: Pain Management 04-26-2012, 11:06 AM
Replies: 7
Views: 1,699
Posted By Recombinant
Re: -Given blank script? Confused...

I wasn't in visual contact with whoever wrote it when it was written, so I can't rule that out. Technically pre-signing script pads is a violation of DEA license policy though if I am not mistaken,...
Board: Pain Management 04-26-2012, 09:59 AM
Replies: 7
Views: 1,699
Posted By Recombinant
Question -Given blank script? Confused...

This morning I went to my Orthopedic consult as referred by PCP, and I am now perplexed to say the least... First, I was never given a chance to define my pain, give my history, or speak at all...
Board: Pain Management 04-24-2012, 08:38 PM
Replies: 3
Views: 1,805
Posted By Recombinant
Re: How can I get my MDs to prescribe effective meds?

I appreciate the reply, and have just a few comments for clarity.

First, just because it is bugging me; when I said I couldn't OD on Tramadol, I didn't mean it is not possible. I know the...
Board: Pain Management 04-24-2012, 08:06 PM
Replies: 6
Views: 1,863
Posted By Recombinant
Re: Fast pain med metabolizer?

Generally this refers to opioids (and other medications) which undergo extensive metabolism via the cytochrome P450 system. Through the CYP450 system (of which there are many specific isozymes) a...
Board: Pain Management 04-24-2012, 07:26 PM
Replies: 5
Views: 1,824
Posted By Recombinant
Re: Questions for those with morphine/intrathecal pump..

I have never heard of methadone in an intrathecal pump. There are so many issues with metabolite toxicity, prolonged QTc (heart conduction disorder) and other things that would make me think things...
Board: Pain Management 04-24-2012, 07:00 PM
Replies: 12
Views: 1,805
Posted By Recombinant
Re: New To Pain Management.

I haven't seen my PM in about 4-5 years when he first saw me (had a psychiatrist handle the pain prescriptions after the PM approved), but I am calling tomorrow to get back in with him. All I can say...
Board: Pain Management 04-24-2012, 06:09 PM
Replies: 3
Views: 1,805
Posted By Recombinant
How can I get my MDs to prescribe effective meds?

I am past exasperation and despair at this point in trying to get at least moderately effective pain relief and have no idea what to do next. Since I was 19 (I'm 26 now) I have had chronic thoracic...
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