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    Old 04-27-2007, 06:31 PM   #1
    kathief
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    chronic pain patient with addictive behavior

    I have suffered for 5 years with numerous back problems.To spare a VERY long histery I will cut to the chase.My tolerance for the oxycontin has gotten so high that I started using it as an addict would (chewing).I am afraid to go into to much detail,because I don't want to get banned from the boards.
    I was just wanting to know if anyone else has gone down this slippery slope.
    I am in so much pain most of the time ........sometimes this helps

    any input and or support would be so to hear

    Thanks Kathie

     
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    Old 04-27-2007, 07:00 PM   #2
    FROGZLEG
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    Re: chronic pain patient with addictive behavior

    I have done that only to stop severe pain. The Oxycontin lasted just as long as I would have swallowed it whole.

     
    Old 04-27-2007, 09:42 PM   #3
    mshatch
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    Re: chronic pain patient with addictive behavior

    Hi Kathy
    I just went to rehab a few months ago and I have to say that being on all the meds we are can sometimes lead to the wrong behavior. I was begining to take more meds than I was prescibed to numb my pain which is an addictive behavior. It is a very slippery slope and a dangerous one. Going through that is a dark place but there is a light at the end. I have a pm dr that stood by my side. I have to have my meds monitored by my family which is hard but fortunately for me its working so far. Anytime you start taking meds other than the way it is prescibe your treading in dangerous water. I would recommend you talk to your pm dr and let them know that the meds your on are not doing the job you need it to. Please dont keep on doing that and please tell your dr that you need something else, or more but just dont chew your meds. In order for your pm to work you have to take it exactly as prescribed. Dont do like I did and try to numb your pain. It only causes you and your family alot of hurt. And when I say alot I mean alot. Its a physically and mentally painful and heart renching thing. Be honest with yourself and the people around you, trust me its the only way to go.

    mshatch

     
    Old 04-27-2007, 10:02 PM   #4
    IZZY'SMOM
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    Re: chronic pain patient with addictive behavior

    Hey there~
    ive seen your posts before, and I guess my wonder is....Why cant you talk to your doc and tell him your meds arent working? I know if i EVER abused my meds my doc would cut me off, and most others would agree. if you can work thru this with your doc and be honest then you wouldnt HAVE the addictive behaviors....or am I wrong?
    Why cant you just be up front with your doc and tell him they arent working? Why take the chance? You post the same point every time, and i feel for you, but if you cant be up front with your doc or us, then I dont know what do do for you. It seems you are asking us if we do the same the pattern of your posts...Either you have ZERO communication with your doc, or he has allowed you a set dose and wont budge and you are doing what you want/need to get relief. I could and may be WAYYYY of base, but each time your post says the same thing to me. You must not have any communication with your doc, or something else is up. sorry to bust on you, but 99.9% of pm patients that i know of wouldnt ever take the chance to be cut off of their meds. No one here is going to tell you its ok to crush and abuse your meds.. Do you tell your doc you do this...NO..... so no one here is gonna tell you its ok...you need to be up front with your doc and get this behind you...
    xoxoxoxo,
    IZZY'SMOM

    Last edited by IZZY'SMOM; 04-27-2007 at 10:07 PM.

     
    Old 04-28-2007, 05:55 AM   #5
    SpinalMalady
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    Re: chronic pain patient with addictive behavior

    Hi Kathy:

    I too in the past have seen your posts. I think just by the fact that you are asking the same question over and over again, you realize IMHO that your behaviors ARE running down that dangerous road of addiction. It's my personal opionion, and mine alone, that perhaps this post would be more suited for the addiction boards, and you may get some really good advice on those boards. Many of those folks started out as CP'ers, but somewhere in their struggle with CP, their behaviors turned into addiction instead of TOLERANCE. There's a big difference. I think most of the folks on this board will tell you that while they may realize that they have become TOLERANT on their pain medications, there is no way in hell they would risk or jeopardize the possibilitity of having their prescribing physician yank those ever important medications out from under then in a whip stictch. Behavior like what you describe could cause that to happen. I fully agree with Izzy's Mom that I would in no way do anything that would not allow me to know that my next month or few months down the road would require me to go through the agony of MAJOR Withdrawls because of the behaviors that you described. MOST of us on this particular board have signed a contract, and we fully understand that if we run short, or misuse/abuse our medications, our doctor can discharge us for noncompliant behavior.

    I think, I could be totally wrong, but I think that this is something that you recognize is not appropriate behavior, and just by the mere fact that this is the third time you made almost the same post, I think you are looking for help. Am I wrong? If I'm NOT wrong...the first step is to do what IZZY's MOM has suggested and communicate with your doctor, and the second thing to do is find a support network, something like NA (narcoctics anom)....The addiction/Recovery boards will be able to give you so much more information, and so much love, comfort and support. Good luck to you, I hope you find the answers you are seeking.

    Bg

     
    Old 04-28-2007, 08:00 AM   #6
    feelbad
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    Re: chronic pain patient with addictive behavior

    you have gotten wonderful advice here really.the big question you need to ask yourself is 'why'.are you doing this because your pain truely is out of that much control or are there other reasons for it.THAT is the real key here in determining what is the underlying reason for the behavior.there is pseudoaddiction that "appears' to be every bit as there as an addiction,BUT and here's the key,one behavior is because of unmanaged pain and an attempt at trying to control it,while the other is just a need to attain a certain level of 'feeling'.that is the difference.i am a recovering addict who was really forced(after being completely clean since the late 80s)to have to go back onto something only because the severity of my spinal cord injuries and the deterioration of certain body areas would have left me bedridden with absolutely torturous levels of godawful pain other wise.I have maintained full and complete compliane since 03,only because of all of the constant monitoring and oversight i just had to have in place.if i should go out of my boundries i would end up suffering hell for the rest of my life.this has helped me to stay on track.fear is a great motivator trust me.

    the sad thing is addiction can happen at any time with anyone under the right circumstances.you always have to be cognizant of that fact and never ever just 'take one more because my pain is bad today".i have found other means to help with my pain flares,the first thing i grab is not my BT meds.you have a certain responsibility to remain open and honest with any doc always,espescially your pain doc.if you cannot openly discuss this with your doc,well,something is wrong.either on your side or his,but your health and eventual med dosages and pain control all depend on open honest communication always.that is sooo very important to the both of you.if you for some reason cannot do this with your doc,you need to ask yourself why and perhaps move on to a better one or try and actually discuss this problem with him or her.there is just no real justification for continueing to do what you are doing,none.you need to attack this issue now and not keep waiting for "something' to change,it wont til you take steps to make that actually happen one way or another,but it is time to act.I DO wish you the most heartfelt luck with this,but only YOU really know where you are at,just you,and it is your responsibility to take any action you have to to get yourself better care,for the 'whole' you.whatever that may be,but the destructive(yes,it is destructive)behavior HAS to stop now,and i know you know that or you wouldn't keep on asking this same question looking for some sort of justification for what you are doing when you know it is wrong.believe me, i have been there.PLEASE take care of this now,before it truely becomes a monster much worse than your very real pain could ever possibly be,you do NOT want to go there.take care,Marcia
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    Old 04-28-2007, 01:05 PM   #7
    Fabrashamx
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    Re: chronic pain patient with addictive behavior

    Kathie, you have gotten some really excellent advice here.
    Marcia, had to say, that was an awesome post, from the heart. you rock, girl!
    Hugs, Fabby )

    Last edited by Fabrashamx; 04-28-2007 at 01:05 PM. Reason: used a bad word by accident

     
    Old 05-01-2007, 04:18 AM   #8
    leebrown61
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    Wink Re: chronic pain patient with addictive behavior

    I agree with what most people posted as replies. What you are doing can be dangerous. I understand the desire/need to want relief from pain. I also understand that not all of us are lucky enough to have doctors that listen to us when we talk. It is not always easy or possible to find another doctor that will be more willing to work with a patient. I know where I live there is one pain clinic. I have been to it. I did everything they wanted, p.t., injections, nerve meds, biofeedback and more. Never got much relief. My family practice doctor prescribes my limited opioid medications that do give me much more relief. of course I take them along with other non narcotic medication. I can no longer tolerate anti inflammatories. I have told my doctor many times that I am in quite a bit of pain and the location of the pain has spread and that the "short acting meds that he prescribes do not help like they use to. I get little response. Never a medication change or a "try something new". I have compassion for for you. It is always a little bothersome to me, although I understand, when people write "I would never do that and take a chance on being cut off from my pain medications". I understand that medications need to be taken as prescribed and should not be abused but it seems to me that often times people on this site write like hostages. It is not their fault but it is a shame that people in pain have to be so afraid of everything and that doctors will let human beings suffer if they "do something wrong". Don't misunderstand, medications should not be abused or misused. Maybe you should talk to your doctor about your lack of pain relief. I do not know if you are required to mention that you "chewed" your pill. God forbid you be severly punished for that by being forced to suffer until you have learned your lesson.
    I wish you the best and good luck.

     
    Old 05-01-2007, 09:53 AM   #9
    Wren9
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    Re: chronic pain patient with addictive behavior

    Addiction and chronic pain are not mutually exclusive. Addiction is not (IMO) a binary...rather, it is on a continuum, ranging from minor to severe. A question that may shed some light is do these meds help your quality of life or hinder it?

    I often wonder where do you go for support if you are not 100% chronic-pain-only...and also not 100%-addict-only. Will the folks at the addiction board tell you you need to stop taking pain meds? Maybe like with mshatch there is a third option, but it requires that first step: honesty.

    Certain long-acting opioids may be better tolerated by the addict or addiction-prone. Oxycodone (Oxycontin) tends to be more euphoria-producing. Perhaps, a long-acting morphine would be less so -- depends on the person. Methadone -- which does not produce the highs and lows associated with other opioids -- has been used successfully where there is co-occuring chronic pain and addiction.

    It's a difficult decision to make to come "clean" with your doctor when you do not know what the outcome will be. Your doctor may or may not want to continue working with you. Will the truth set you free? It would be helpful to have an expert by your side -- perhaps a doctor who is both an addiction and pain specialist.

    You are not alone in this by any means.

    -Wren

     
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