It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board

  • No longer pain relief, addiction relief

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 12-14-2004, 04:46 PM   #1
    nrsmith07
    Newbie
    (male)
     
    nrsmith07's Avatar
     
    Join Date: Dec 2004
    Posts: 9
    nrsmith07 HB User
    No longer pain relief, addiction relief

    I am sure someone else out there has to be in the same boat. Car accident December 30, 2003. At a dead stop when a car rear-ended me doing 55. Ended up with bulging disk in C4-C5 along with spasms, headaches, extremities weakness etc. You know the routine. In the last year, I have upgraded from Lortab 5 to Lorcet 7.5 to Vicoprofen 7.5 to Norco 10 to Percocet 5 along with PT and injections.

    My problem is that the pain, although not extremely excessive, is deep and nothing really touches it, or so I think. I take so many pills a day, I practically put myself into a coma (not really). Hold your breath - I have taken 90 Percocets in 7 days.

    Please people, I know the harm it can do and everything else. That's not my problem. What the problem is, is that I am not relieving my pain that I actually do have. And after a week, I am screwed until the beginning of the month. What I want to know is? Does this happen to anyone else out there? Have they gotten in so deep that addiction has grown more important than the pain relief?

    No lectures on harmful effects please. Just a resolution to pain relief and pill addiction.

     
    Sponsors Lightbulb
       
    Old 12-14-2004, 05:51 PM   #2
    scotty12
    Veteran
    (male)
     
    scotty12's Avatar
     
    Join Date: Sep 2003
    Posts: 469
    scotty12 HB User
    Re: No longer pain relief, addiction relief

    nrsmith,

    it seems like an awful lot of meds but youre only taking about 70mg a day.
    if you are taking them for reasons other than pain,there should be some concern on your part.

    being undermedicated can cause problems that may appear like addictive behavior.you shouldnt take your monthly meds in 2 weeks,being dependant,having to experience withdrawals every few weeks is horrible.

    all i can say is tell your dr whats going on in regards to the relief the meds offer.if you call for early refills, it just makes you look like a bad patient.

    if your dose was doubled and offered relief do you think you could take them as prescribed?
    also,dont expect to be pain free from meds.dr's would consider a 50% reduction in pain successfull pain management.

    scotty

     
    Old 12-14-2004, 07:52 PM   #3
    Ellnyc
    Senior Member
    (female)
     
    Ellnyc's Avatar
     
    Join Date: Sep 2004
    Posts: 289
    Ellnyc HB User
    Re: No longer pain relief, addiction relief

    I would also consider asking your doctor about switching you to one of the longer acting meds. (Oxycontin, Fentynl patch (every 48-72 hours), even methadone. This way, it would be a once or twice a day dosing, and you wouldn't have to be self medicating and thinking about trying to relieve your pain throughout the day. You might have to level with him about the amount you are actually taking. If he can't handle it, perhaps he will refer you to pain management.
    Good luck,
    El

     
    Old 12-15-2004, 04:39 AM   #4
    ltedeschi
    Veteran
    (female)
     
    ltedeschi's Avatar
     
    Join Date: Dec 2003
    Location: ohio
    Posts: 330
    ltedeschi HB User
    Re: No longer pain relief, addiction relief

    Has any type of surgery been an option??
    You can't continue on this path forever.
    The biggest concern with that amount of percocets is the amount of tylenol you are takng.
    Your liver will pain if you continue.
    I wish you luck in solving your pain problem
    Lisa
    __________________
    Good Health to all
    Lisa

     
    Old 12-15-2004, 06:12 AM   #5
    feelbad
    Senior Veteran
    (female)
     
    Join Date: Dec 2003
    Posts: 10,122
    feelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB User
    Re: No longer pain relief, addiction relief

    I think you need to start seeing a good pain management doc.they can give you many other options along with combinations of different medications that would probably offer you much better relief than you are currently getting.you can also get a version of percocet that does not contain any tylenol,its called Oxy IR,and all it is is pure oxycodone.My pain doc rxes this for my BT pain.My clinic does not like to have any of their patients taking tylenol as it can cause sooo many different problems.i really do think it is time to turn to pain management for you.I was not getting any real good relief for my pain until my doc referred me to one about ten months ago.i hope you can find some relief soo,Marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 12-15-2004, 09:09 AM   #6
    vamp36
    Senior Veteran
     
    vamp36's Avatar
     
    Join Date: Jul 2004
    Location: Wisconsin
    Posts: 502
    vamp36 HB Uservamp36 HB User
    Re: No longer pain relief, addiction relief

    I was taking many pain daily to relieve my pain as well. My doctor finally put me on Mscontin and Dilaudid for bt pain. It worked good for me. We had to go up on the mscontin until it worked good and I only had to use a few dilaudid a day. I would look into this if I were you. That many percocet in one week can damage your liver from all tylenol you are taking. I have bad liver problems and I would hate to see another person end up with them.

     
    Old 12-15-2004, 02:43 PM   #7
    nrsmith07
    Newbie
    (male)
     
    nrsmith07's Avatar
     
    Join Date: Dec 2004
    Posts: 9
    nrsmith07 HB User
    Re: No longer pain relief, addiction relief

    thank you all very much for your replies. its nice to know there are others out there with the same problems. I always learn best from others who have been through the same experience. And that goes for anything. I agree though with a lot of you; way too much tylenol on the liver. You guys all mentioned different medicines and I know quite a few of them; are any of those good for ACUTE pain? Ideally, the meds seek out the pain or moreso block 'all' receptors correct? Huh, I dont know then. Maybe I need a new MRI with a different opinion to kind of judge where I am at. I know I have spondyliosis (sp) in that c4-5 now. . .correct me if I am wrong - degenerative disk. Which means what? And as far as surgery, maybe that is an option because you're right I can go on forever. That is what worries me most. I will be 70 (no offense anyone) and still have the same problem from when I was in my 20s.

     
    Old 12-15-2004, 05:05 PM   #8
    surgicaldisaster
    Veteran
    (female)
     
    surgicaldisaster's Avatar
     
    Join Date: Apr 2003
    Posts: 384
    surgicaldisaster HB User
    Re: No longer pain relief, addiction relief

    Hi there and welcome! Truly sounds to me like you are under medicated, not addicted. It sounds to me like others have said that you need to be on a timed release med, with something for your breakthrough pain. A pm Dr. could/should help you with that. My guess is that if you went on either ms-contin, oxycontin, duragesic patch(fetanyl), or any of the other long acting meds, that you would be in MUCH better shape. If I had to rely on a short acting med like you are on, I'd probably have to take as much if not more and that is because it will not touch pain as bad as you/I have. So, having said that, I hope you can find a pm Dr., or someone that will listen to you and treat your pain accordingly....you deserve relief just like any other chronic pain sufferer. It will drain you and drag you down the gutter....I know, I was there until I got the proper care. Please let us know if we can help in any other way, o.k.? Take care of yourself!! Love, Surgical Disaster

     
    Old 12-15-2004, 06:02 PM   #9
    Dwiggie
    Newbie
    (female)
     
    Dwiggie's Avatar
     
    Join Date: Sep 2003
    Location: San Marcos, CA USA
    Posts: 8
    Dwiggie HB User
    Re: No longer pain relief, addiction relief

    Those before me pretty much covered everything, and have given you some very good advice.
    So I do not have much to add except to tell you that after being undermedicated and doing something really stupid, I was refered to a pain specialist who started me on a Duragesic (fentanyl) patch.
    It has been close to two years and I have increased my dosage only once, going from 100microgms to 150microgms. Switching to the patch was easy for me after I realized nothing (even all the pills in the world) was going to make me pain free, and comfortable and functional would do just fine.
    What ever you do, don't get down on yourself. I learned a long time ago that desperate people sometimes do desperate things.
    So---follow the others advice, and please take care of yourself.
    __________________
    Every problem holds a gift for you in it's hands.

     
    Old 12-16-2004, 09:03 AM   #10
    lavendermoon
    Junior Member
     
    lavendermoon's Avatar
     
    Join Date: Sep 2004
    Location: Pennsylvania
    Posts: 20
    lavendermoon HB User
    Re: No longer pain relief, addiction relief

    Hi nrsmith07 - I have to agree with mostly what everyone else is saying. I've been in your boat, only it was vicodin. I took wayyyy too many a day to just make it through work, cleaning, grocery shopping, whatever....finally my fiance sat me down and we talked about everything. He made me realize that I was self medicating to take away the pain, which it only really took the edge off, and then the rest of the month I was suffering. I called my dr. and asked to try something else. He doesn't like pain meds so he sent me to pain management where my meds were changed and I'm doing MUCH better now. I know how you feel though, I thought I was an addict and here in reality, I was undermedicated....talk to you doctor instead of putting yourself through this every month. It's not worth it, physically or mentally. Good luck!
    __________________
    ~LavenderMoon~
    To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

     
    Old 12-16-2004, 12:06 PM   #11
    nrsmith07
    Newbie
    (male)
     
    nrsmith07's Avatar
     
    Join Date: Dec 2004
    Posts: 9
    nrsmith07 HB User
    Re: No longer pain relief, addiction relief

    You guys are awesome.

     
    Old 12-16-2004, 01:25 PM   #12
    surgicaldisaster
    Veteran
    (female)
     
    surgicaldisaster's Avatar
     
    Join Date: Apr 2003
    Posts: 384
    surgicaldisaster HB User
    Re: No longer pain relief, addiction relief

    Thank you for the compliment......but more importantly, please let us know how you make out o.k.? We really do care and I hate to hear of someone suffering when they don't have to. So post soon! Take care, and good luck at the Dr's., Love, Surgical Disaster

     
    Old 12-17-2004, 03:31 PM   #13
    nrsmith07
    Newbie
    (male)
     
    nrsmith07's Avatar
     
    Join Date: Dec 2004
    Posts: 9
    nrsmith07 HB User
    Re: No longer pain relief, addiction relief

    Interesting. Let's see, when I I first was in my accident, I didn't feel bad at all. And then a week or so later, I was hurting pretty bad. Well, after a number of hospital visits, I finally went and saw and doc with a PT practice. Little did I know, this guy was more about curing the common cold, than curing an injury. So, I went on this crazy plan of his to heal my neck including some exercises all triggered away from my neck, as well as the roller machine where a little ball rolls on your neck and all kinds of other gadgets. Well, then I stopped treatment until I could find a new doctor. My attorney recommended and neurologist. So, I went to him and the guy was brilliant. Got an MRI - never did that with the last doc. And they found spondyliosis (sp), bulging disk and whatever else. I was getting massive headaches and had spams like crazy. So, immediately started on the meds and started PT with him. They actually targeted my neck and I felt better. About half way through my PT and having just done 1 injection, not the series, I moved to CA to start my new job and didn't return for 2 months. Losing all of the momentum I had gained. In the mean, if you have a neck injury, you know what I mean. . . my whole job is to drive around the state of FL visiting clients all day every day. Which only compounds everything.

    Here's where addiction post comes from. Sometimes I feel like this stupid pain will never go away and it's too deep that either this medicine is not strong enough, acute enough or not the right treatment. So, I guess what I mean is - the pain confuses me. It hurts quite a bit, so much that I have been de-sensitized into taking the pain killers to make it go away rather than seeking out better treatment. Does that make sense? So, the question remains, am I over-medicating and have addictive behavior or just the opposite, under-medicated and seeking new treatment.

    By the way, I have started with a new doc and not because I seek out the meds - could I really be that hooked, I was off of them for 2 months, with very little incident expect for pain. But, because I moved to a new area. So, 3 docs a major move and the first doc was a fluke. Not bad right?

    You know what though Gremlin, I would give everything in the world to go back to that day driving on I-95 in southern Georgia and just keep on moving. I lost my job, my car, and my life for a year.

     
    Old 12-19-2004, 03:29 PM   #14
    surgicaldisaster
    Veteran
    (female)
     
    surgicaldisaster's Avatar
     
    Join Date: Apr 2003
    Posts: 384
    surgicaldisaster HB User
    Re: No longer pain relief, addiction relief

    Hey Nrs, don't let one persons response make you doubt yourself.....you deserve proper pain relief, and should try to get it. Please hang in there and let us know how you make out, as I said , we really do care. Oh, and I hear ya...what I would not give to feel the way I once did many years ago. That is unfortunately, only in my dreams at this point. So, no need to explain yourself...just hang in there! Love Surgical Disaster

     
    Old 12-20-2004, 05:56 AM   #15
    Shoreline
    Senior Veteran
    (male)
     
    Join Date: Jun 2003
    Posts: 3,519
    Shoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB User
    Re: No longer pain relief, addiction relief

    Hi NRS, I am sorry to hear about your pan and your troubles with dealing with the need for meds. If someone was depressed and couldn't function and needed to take anti-depressants, does this make them addicted?

    I could easily exceed the 10 character limit o this but it hurts too much to sit. Were all somewhere along a bell curve, like they used to use in HS to put everyone n the same playing field. When it comes too pain, although it feels just as acute as any other pain , It's no longer acute after a year. You have chronic pain which is an entirely different animal . The treatment of chronic pain is different for many reasons. The LA meds you presumed not to be for acute pain are the ones for chronic. The short acting meds like Hydro products and oxycodone products like percocet are for acute pain.

    CP patients must come to terms with their own need fr relief. If you can live without meds, by all men do so. There are prices to pay, mostly in the way people think and treat you. You assume your addicted because your have taken them for a year and know you would experience withdrawal. Your educated enough to understand that so your educated enough to research chronic pain, learn the difference between acute and chronic. Everything from the part of your brain, the neurotransmitters, the direction and flow of neurotransmitters the release of enzymes are different in chronic pain than acute "post injury/surgery pain".

    The best lace to start is with here articles. We are somewhat limited by the terms of this forum as to what we can share but this is basic medical info from hospital journals, no conflict of owner interest.
    Please start with these two, read them 2 or 3 times over a weeks, I still go back and have begun to understand the more technical aspects that when I started pain management in 93 I thought was voodoo medicine.
    Read these, cut and paste them in your browser, save as favorites and use them as a reference point
    by Dr Daniel Brookoff, UT at Memphis
    [url]http://www.hosppract.com/issues/2000/07/brook.htm[/url]

    Part 2
    [url]http://www.hosppract.com/issues/2000/09/brook.htm[/url]

    Just to keep it short and we ca answer most any question you have. The idea that using perfect or morphine for a year makes you an addict is an antiquated notion that unfortunately there are docs that believe this.
    The bottom line description of addiction is that it's destructive despite, loosing jobs, family, homes, finances, friends, etc. DESTRUCTIVE.

    What your talking about is a physiological response called abstinence syndrome "withdrawal" which merely means that if you discontinue a medication abruptly you will get sick. Physical dependence is a consequence of using opiate pain medication. Not "addictive pain medication" adding the addiction part is something that makes the use of pain meds something dirty and to be avoided unless your dying and even then you have people suffer. Any other medication that can't be stopped abruptly is preceeded by the word addictive, you don't say "addictive antidepressants," "addictive sleep aids," "addictive Insulin," "addictive synthroid," "addictive steroids", The may be a consequence to stopping many meds abruptly, but any other med aside from opiates, and it's called abstinence syndrome. Same thing, just no negative stigma or connotation

    Using a medication that improves your ability to function and improves the quality of your life doesn't meet the criteria for addiction, if you want to get technical and break open the the DSM-1V psychological evaluation and diagnosis standards, a med that improves the quality of life would not be considered addiction. Yes you become physically dependent on it, you do become tolerant to it and may need to increase ,but that happens more often with short acting meds.
    So addiction is DESTRUCTIVE and
    Using pain medicine to IMPROVE the QUALITY of your life, simply causes physical dependence and meets no standard of diagnosis for addiction.
    Physical dependence does not equate to addiction other than making the med sound evil and bad.
    The trade for pain management is heavy, we all fall on that bell curve as far as level of pain, level of function and medication needs.
    If Ultram or darvecet work than why take oxy, but when percocet doesn't work, why not try oxycontin, if nothing else works? I'm really not cavalier about prescribing. I think it should be a last choice to choose to be dependent on a doc and a pharmacist and having the money for meds etc, etc, But I was bed ridden for 9 months after my last and 3rd failed surgery.

    I would bounce between 600mgs of morphine and 120 mgs of methadone. methadone is a potent pain med, not just used on addicts. For BT pain I take 60 mgs of pure oxycodone at a time, when the side effects of long acting meds became too much and I hoped implanting a morphine pump that delivers spine directly to my spine would help I had this one put in June. With the pump and 30mg oxycodone tablets, I can manage the pain, I'm just now getting 50% relief and understand that higher doses would hinder my ability to function more than help. 50% really isn't that bad. So I'm on one side of the scale.

    I did try every non opiate method to manage pain there is . IN 93 there was no such thing as OxyContin, and Duragesic, MSContin was just for cancer. All pain could be managed by the right antidepressant and right combination of injections and other stuff that had no effect on me.

    At least the meds are available, but before you go down the long acting med road, you have to understand the difference between addiction and physical dependence.

    Someone came and made Oxy sound like the worst drug ever invented and claimed only to get relief at the very beginning at a very low dose, she talked about how horrible it made her feel, how she was non functional, it didn't work but she was the one that excepted and continued to except increases up until she was taking 320 mgs of Oxy a day. She was mad that she had become dependent. I guess that knowledge isn't available were she lives and because the doc didn't tell her it will take time to discontinue that much Oxy, she wants to sue him. I guess not knowing was OK as long as the increases came which she and her doc thought was the only way to manage her pain. The doc himself had addiction issues but that really has nothing to do with her decision to use opiates and to increase them 10 fold over a year. Was the doc complaining of horrible suicidal pain levels. Then you have people that want to sue because the docs didn't give them meds. You can't have it both ways and you can't blame a doc if you decide to go with his treatment plan of long termm opiates before trying everything else imaginable. It's a quick fix, Instant relief, but may not be the best choice.

    I don't think these meds are for everyone, and not something to take lightly because they do cause dependence. Only you know how bad you hurt. But unless you have been taking them o get high, except an unpleasant home, watched your spouse and kids leave, and have let yourself go to He##, I would say, you have addiction very confused with simple physical dependence. You could taper off your meds f the pain was relieved today in about 6 weeks with mnmal discomfort, or speed it up and put up with a little more discomfort. But no med is going to make you do Anything you don't choose to do.
    A multifaceted approach is usually what works best, the meds help but can't relieve al pain. We learn to stretch, larn to relax, learn biofeedback and self hypnosis, use meds for seizures for nerve pain. Haver injections to ease pain and then just modify our life to deal with what's left pain wise and and find ways to make functioning easier.

    Plase come back with lots of questions.
    We have new med student and we have a parm,macist of some sort and folks that have lived this ife, made the decisions we have had to and let you know you can make it through this. You will learn not to waste your time and energy with people that make ridiculous assumptions based on mno medical fact and no training or knowledge other than opiates are bad and addicting. There are enough docs that think this way so The number of lay people that have the same view because a dc told them so, well it just must be true if a doc said it.

    If you see 10 different ain management docs, you will get 10 opinions, everything from we don't use pain medicine her to the guy that just wants you to come back to pick up your next script[pt to collect a office visit payment, some docs and places may only have one or two teicks up there sleeve before they condemn you to deal with a life of pain and learn to live wit t. They may simply be in it for the procedure money. Those are called block shops, where they give nerve blocks and 3 epidural steroid injections to everyone whether it may possibly held or not. When those injections don't work and they tapp you for 10k, then your told you just have to live with tit. Finfding the right doc or group of docs is important. It takes time. I know I saw at least a doze in as many years.

    Anyway, drop the addiction thinking, if you want to stop, a taper is easy,you may feel bad for a few weeks but how will you function the rest of your life and what will the quality of life be once someone gets you off meds because there so evil and addicting?
    Take care and come back with lots and lots of questions.

    I personally know, it is not better to be able to say I'm clean and sober from the bed you can't get out of than to have to accept that these meds cause physiological dependence. They have done nothing but improved my quality of ife, allowed me to function, walk, help around the house, cook clean and shop. It does take me 7 hours to do 2-3 hours worth of work, but it's better than starring at the ceiling all day wishing it would just end.
    Take care, Dave

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    How to get off Pain meds when you need them for Pain? bremom Addiction & Recovery 22 09-13-2011 04:47 PM
    started methadone for back pain lucy777 Pain Management 9 09-19-2010 10:38 AM
    Addiction to pain meds for neuropathy? don'tlikecold Neuropathy 3 06-14-2006 05:18 PM
    Who watched 60 min. on Prisoners of Pain? Thoughts? IngyW68 Pain Management 7 01-31-2006 10:07 AM
    Pain Meds? rickyt Pain Management 15 01-14-2006 09:48 AM
    Pain Management wants to put me on Oxycontin! Or implant... INFO PLEASE??? TexasWildRose04 Pain Management 10 10-06-2005 01:12 PM
    Pain management and Addiction fisherpard Pain Management 8 09-04-2004 07:19 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 02:24 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!