HealthBoards

HealthBoards (https://www.healthboards.com/boards/)
-   Pain Management (https://www.healthboards.com/boards/pain-management/)
-   -   Codeine won't touch the pain, but afraid to get stronger meds...what should I do?? (https://www.healthboards.com/boards/pain-management/345654-codeine-wont-touch-pain-but-afraid-get-stronger-meds-what-should-i-do.html)

*Versailles* 11-30-2005 09:09 PM

Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Hi,

I have some chronic pain problems (still trying to diagnose exactly what's causing it). Anyway, I've had some horrible, horrible pain, to the point I can barely walk down the hall. My doctor gave me some Tylenol 3, but I'm taking 2 every four hours, and it won't even TOUCH the pain. What should I do???

Thanks,

Vers

Shoreline 11-30-2005 09:26 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Hi Vers All you can do is be your own advocate and be frank with the doc. Codeine isn't a trong med, there is a limit to the amount you can take due to both the tylenol and the codeine. So you tell your doc that this isn't working and you try the next med. If your not satisfied with the PM during the early stages of Diagnosis with your GP, ask for a referral to a doc that specializes in your condition or area of the body.

Not knowing the problem, I really can't make a better suggestion. If Antiobiotics were not improving an infection, you go to a stronger antibiotic. The same ls true for pain but unfortunately many docs are very opiate phobic and learned opiates were for acute short term pain and that nobody every died from pain so treating chronic pain with opiates will lead to dependence and addiction.

I don't know your docs POV on opiates, but it's beter to simply ask for a referral to a specialist if your GP won't treat your pain, There is no law that says he has too if he thinks the risks outweigh the benefit.

I know it's sounds cruel, But I have heard horror surgeries about major sugery with one script for virtually nothing being given for post op pain. Not to mention people spending years and decades in pain and opiates only being used as a last resort.A different doc with a different POV would likely help at least through the diagnostic phase. Other docs would use stronger meds comfortably for several months knowing as long as they are only used for pain, the likelyhood of abuse or addiction is actually very low.

If you go to another GP or keep going to GP's untill you find one that prescribes something strong enough, that would be considered doctor shopping. Where a referral is a request for another opinion or from a specialist that can take over your care.
Good luck, Dave

Chaddyfriend 11-30-2005 09:39 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
i definitly agree wtih dave, as always he is right. Except for that if you tell your doc this med isnt working and he is like "too bad" or "no one dies from pain". I do think you may want to finda differnt doctor, and going to anytoher doc because u dont like the doc u ahve isnt doc shopping. Doc shopping is if u accept scripts from i think more than 2 docs, every state has their on laws i think. But ask your doc u have about other options, and there ARE other things besides oppiates u can use, oppiates are the last answer. What is your cp problem? maybe then we can give you some other options. thanks.

*Versailles* 12-01-2005 11:49 AM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
I don't even know where to start with the diagnosis. I have sharp, horrible pain in my hips, back, legs, arms, you name it. I just hurt all over. I also have sleeping problems, and severe fatigue and depression.

They haven't diagnosed it yet, but they are going to run tests for Lupus, Lyme disease, Rhuematoid arthritis, kidney function, and then consider fibro as the last option. So, they are kinda lost on my situation too....they've already ruled out so much it isn't even funny. I'm only nineteen and I've dealt with this for several years....each year worse than the last. It's frustrating to be so young, with so many problems...ya know?

Anyway, thanks for the advice! :wave:

-Vers

curiousforever 12-01-2005 11:57 AM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Yes, if it hurts that badly, then you need something to help you function.

Is it nerve pain? or muscle pain? Nerve pain won't be helped much by narcotics...it'll be helped more by stuff anti seizure meds.

They have done blood work? What other tests?

Shoreline 12-01-2005 12:32 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Hey Chaddy, Yur right is the exceptance of scripts that makes it doc shoping, but if doc 1 won't give any more T-3 and doc# 2 gives Ultram and doc#3 uses vicodin and doc# 4 uses Norco and doc# 5 uses percocet,every one of thse drugs, although not all potent or the exxact same are controlled drugs for the same condition, so that would be doc shopping. You wouldn't have to be doing it at the same time, 3 or 4 docs over 6 weeks if your not happy with the med is doc shopping if you accept any script for pain..

[QUOTE]I don't know your docs POV on opiates, but it's beter to simply ask for a referral to a specialist if your GP won't treat your pain, There is no law that says he has too if he thinks the risks outweigh the benefit.[/QUOTE]


The way this one sentence read it sounded like I said "there is no law that says he has too" I didn't mean referr you out I meant prescribe opiates.

The part about nobody every dieing from pain, that can only mean that pain has never been listed as a cause of death, If you count strokes and heart attacks from high BP I doubt a doc could honestly say that nobody ever died from pain . I had a heart atack at 36 and my cholesterol was only 112 and I have no family history of heart problems.

If I had died that wouldn't have counted either. They would have been more precise with the DX. Chronic high BP "from pain" , collapse of cardio vascular system,"from high BP from pain" Thickening of the heart muscle "from high BP from pain" something more specific than died from pain. :rolleyes: I seemed to notice a trend there. ;)

Anyway, It's better to get referrred out , than look for a GP willing to treat you with stronger meds while you go through the DX process. Director story about his SIL being arested for 2 docs at one clinic and 1 urgent care doc is pretty scarry and very believable.

Sharp pain like that would likely start with a neurologist to do an EMG study and check nerve conduction, you can move about in the refarral system, after you have the EMG if the neuro isn't comfy treating pain you could see a physical medecine doc "physiatrist " and then see a PM doc who may be a neurologist/physiatrist, DO/psychiatrist/anesthesiologist/internal medecine or a combination of multiple disciplines. But it would be amazing to get from one specialist to the next fast enough to draw attn, At least around here.

Have you had an EMG yet or blood work done. There are few other conditions that come to mind but I don't want to scare you if there is no need.
Take care, Dave

Hey Chaddy, One of the guys that died a few years ago from drugs was a professional doc shopper I knew from way back in the old days, The brother of one of my friends. He never changed unfortunately and got away with alot but eventually did 3 years for Forging and altering scripts and doc shopping on Medicaid and then OD about 7 years after he got out. His only clean time was the time in pison. You would figure medicaid would have cought on fast but it wasn't them, thy let it go on for years. A Pharmacist turned him in and had the cops waiting when he came back to get his scripts for the day.

Chaddyfriend 12-01-2005 03:06 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
I am also 19 vers but i ahve had my chronic pain for severa months not years, but my doc says to get ready for the long haul cuz i need to be prepared to have this my whole life. Which is way to depressing, so i take it one day at a time. It is hard being so young and having your "fun years" cippled by pain. I played football, lacross and soccer in highschool, so i was very active and graduated with a 3.85 gpa. It has beed very rough going from all that to not being able to go to school. I am going to try school winter quarter though, see how well i learn on the meds...lol...i wihs you luck and would like to talk more to you bcuz im sure we have alot in common, since we are the only teenagers on this sight...lol...have a great painfree day!!

friendly_one 12-01-2005 03:17 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Hi Chaddy....I can only say, buckle your seat belt, it's a long and bumpy road ahead of you. I, too, started young with CP, so I definitely relate. I'm only 34, but this started when I was 9, and I feel like I'm in my 60's. You definitely find out along the way who you real friends are. As you know, CP not only affects the patient, but everyone around them. As my doc would say, this is a marathon, not a sprint and you have to pace yourself. I told him, I'm not even walking at this point, I'm curled up in a fetal position, not moving. I know that I have to get back up and start moving again, though. I truly understand how frustrating CP can be on someone of your age. Hell, it's frustrating for anyone!! I have learned just to take it day by day, sometimes, minute by minute. If I think too far ahead, it just stresses me out even more. Anyway, have a goodnight!! :)

Chaddyfriend 12-01-2005 03:25 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
i agree queen, every day i realize more and more that i cant look years down the road, i do like you said take it day by day, hour by hour,. minute by minute. Thats all i can do to keep sane. I also keep sane with the wonderful support from everyone on here. This has been a true blessing.

Jack Saturn 12-04-2005 10:13 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Howdy Chadd,
You have, indeed,put forth a very good question,inasmuch as asking the "CP Masses" for their opinion on going to stronger meds.There can be several ways to look at your situation.One,is your age.Granted,19 is not very old to "Git ready fer the Long-Haul",or,the rest of your life,as you quoted your Dr.I do have one question for YOU,Chadd.I may have missed something,but didn't you write that you were "not sure"what caused your pain,but your Dr.seems to know enough about your problem to tell you it will last you the rest of your life.Did he not tell you what you have? Jack Saturn

Bictwin 12-04-2005 10:37 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Well I am also young, 20 years old, and my pain started when i was 15. Because I was undiagnosed at that age I also was afraid to start using painkillers. I never received the tylenol with codeine because I'm allergic to codeine, but I used all anti-inflammatories, then all the muscle relaxants ever made. Then finally gave in to a small dose of vicodin, and when that didnt work any longer they moved me to a higher dose, then on to morphine, then on to dilaudid, and finally oxy-codone. So even though it is scary hopefully they will diagnose you soon. GOod luck, and Keep the Faith!

Ash :wave:

Chaddyfriend 12-04-2005 11:50 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
hey jack, i ahe posted it but i will re-inform. I had shingles like 7 months a go now, and it would go away and i tried every other option before oppiates, including topicals and lido patches. However, i cannot take a nerve blocker like lyrica or nuerontin bcuz i had an accident that caused hemi-paresis on my right side. My nuerologist thinks that the nerve blocker might have some very negative side effects and increase the paresis. The told me between the nerve damage from my accident and my shingles, which the told me that my shingles were an abnormal case, and every doctor i saw said it was the most severe nerve damage they had seen from shingles. ifu have anymore questions let me know.

Gabe30 12-05-2005 05:58 AM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Morning Chaddy! :)

I was just reading this whole thread and as you and I know both being young that we have a long time ahead of us dealing with CP. Try to stay positive and ask God to give you the strength daily mentally and emotionally. :angel:

Also, don't be afraid if you need an anti-depressant. This is my 8th day on Cymbalta and I'm feeling better already and it's even helping my pain a little bit too. Cymbalta helps people with nerve pain and I know almost all of us have nerve pain, especially you. But my mood has improved so much and my spirit, mind, body and soul feel better already! It does not make you a weak person if you need an anti-depressant and I'm positive you'll need one sooner or later to help you cope with CP.

Have a great and pain-free day. :wave:

Chaddyfriend 12-05-2005 05:47 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
hhmmmm i like that. I see a new pm on thursday and i am excited. I hope this pm is more helpfull than the last who offered me ONLY a steroidal shot in the spine, that would only have a 20% chance of being effective. So i hope this goes better. I think i will ask him about and AD and see what he says. I have heard good things about wellbutrin. What do u think? thanks guys, ahve a great evenin.

Chaswick 12-08-2005 12:20 PM

Re: Codeine won't touch the pain, but afraid to get stronger meds...what should I do??
 
Hi!!

Interesting hearing about all of you young guns running into problems early. I guess I was pretty much the same because at age 16 I was Rx Fiorinal #3 for migraines that I was getting. Luckily it isn't something that is every day so I'm not having to take meds. daily and have to worry alot about tolerance. I have progressed to stronger meds, as Dave knows, and had some really bad years lately, but the last 2-3 have been much better.

Anyway, about the Dr. shopping. In Canada, and I'm curious about the U.S., but if you use Dave's analogy and go to Dr. 1 who gives you this, Dr. 2 who gives you that etc. etc., you would also be breaking the law in Canada.
UNLESS you told the other Dr.'s what you had done, what was Rx who Rx it etc. etc.. Then you would have no problems. Probably you'd have a tough time by the time you got to Dr. #3 but...............

Chaddy, I haven't been on this site much, is your chronic pain all caused by shingles? I haven't read more than one of your posts so I apologize. I ask because prior to about 2 years ago, I'd only heard one or two vague references to shingles, but in the last couple of years, 3 friends are having problems with it and I talk about it weekly. I hear it can cause some pretty severe pain!!!! You have my sympathy.

Cheers//Chaz


All times are GMT -7. The time now is 05:59 AM.