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ms1 01-24-2008 07:54 PM

please give me some advice....... struggling w/ pain (anti-opiod)
 
hello, i have a bit of a dilemma. i have a herniation of L-4,L-5 that effects the nerves down my legs. i know.... nothing unique. my issue is that i am incapable of taking narcotic pain meds right now (opiod based ) as prescribed. therefore, hydrocodone, etc ... is not a good choice for me. does anyone have any suggestions for the pain ? it stopped for three months after I stopped the hydrocodone and fought through the withdrawal (again). the left leg was always the problem. for some reason, the right leg/ hip/side of back are killing me !! does anyone have any suggestions for a non-narcotic, non-opiod, anti- likable medication that helps w/ pain. i am taking cymbalta 60 mg, aleve x 2 , and tylenol for pain. ( i also take daytrana 30 mg patch daily ---(first day )---- i have been taking vyvanse 50mg x 2 a day for 3 months) it's not cutting it, i'm struggling but i'd rather be in pain than actively addicted again ..... i'll lose my family. i'll try anything at this point except narcotic analgesics. everyone says trazadone is the answer but I am scared because there are plenty of postings on the recovery site (where I originate from on the board) who are abusing, or trying to stop abusing trazadone. What now ??? any ideas ??:confused:..... ms1

painaway 01-24-2008 08:09 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
ms1...I SO applaud your will-power, and I will be praying for you. :) Did you mean "Tramadol" (generic Ultram), or Trazadone (for sleep/anxiety)? I suggest that you try heat and 800mg of ibuprofen (Advil). Honestly, nothing is going to give you the kind of relief a narcotic would, but I'm sure people with your condition (and mine) find ways to cope, and you can too, if you really set your mind to it. What about long-acting narcotics (like the Fentanyl patch)? They would be less likely to give you a "high" feeling, that you're so afraid of getting addicted to, yet they would keep your pain level down. Maybe I'm completely off-base, but I just wanted to throw in my 2 cents. Again, you'll be in my prayers, as I know you'll do what is right for you. Keep us posted!!!

ms1 01-25-2008 12:08 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
oh yeah, i meant tramadol. i always switch those two around. i went to the doctor today after waking up with severe pain. we are trying an anti-inflammatory, and a muscle relaxer. i never really gave these a chance to work in the past because I had a dual script that included the hydrocodone. the hydros did the job so why take the others? maybe the new scripts will work. i just wonder how or if they will subdue the pain generated by the disc/ nerves. like i told him, i'll try anything right now ...almost ... no opoids. thanks for the suggestion on the fentanyl patch. unfortunately i am the kind of person who needs to stay clear of anything that can induce euphoria or is abusable. deaths have been documented from people who attempted to abuse fentanyl. deterrent right ? kind of.... makes me want to investigate where things went awry, find their error, then i probably would give it a go myself on an impulsive / self destructive day. so, for now OUCH ! i guess that's just the way it has to be. :( ... thanks for reading .... ms1

ms_west 01-25-2008 02:07 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
If you have nerve pain, have you tried something like neurotin, lyrica, elavil, or palemor?

forginon 01-25-2008 03:11 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
ms1,

Have you tried visiting an addictionologist/pain management specialist? These folks are great and have meds you may not know about. I know of a local one who has prescribed Subutex and/or Suboxone. These are based on buprenorphine, a partial agonist/antagonist at the µu opiate receptor. They are derived from thebaine, one of the three major opium alkaloids (the other two being morphine and codeine). Both Subutex and Suboxone are outstanding pain medications and are being used very successfully with addicts that have chronic pain. Yes, they are narcotics, but very, very different from full agonists like morphine and such. They have a very low ceiling effect, meaning only up to about 8-16mg per day can be Rx'd, as I recall. Go over that and bad things start to happen. The one most often prescribed can't really be abused as it also contains naloxone or naltrexone, opioid antagonists that will set you free if injected.

The one requirement is that you are in recovery, as they will not Rx these meds to an addict who is actively using.

Best of Luck!:)

steve

ms1 01-26-2008 01:04 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
thanks for the posts. i laid down most of the day yesterday and took the skelaxin and naproxen ( cymbalta and methyphenidate) too. woke up a little better, then got a little worse, and BAM ! all of a sudden I am nearly pain free !?! crazy back .... i am going to take it slow for a couple more days and hopefully the pain will continue to remiss. i have only been comfortable for about 30 minutes now but I'll gladly take what I can get in terms of relief. the pain had been nearly non-existent for about 3 months when it reared its ugly head 4 days ago for no apparent reason. (switched sides and legs though I don't know why). i am weary of the suboxone due to the struggles others have expressed in trying to get off of it and elavil ( if it is the anti-depressant i'm thinking of) I have had negative side effects in the past from it (dilated pupils/hyper light sensitivity). anyway, i was able to clean the kitchen and take out the trash a moment ago so i think i will park it on the couch for a little while and not press my luck. much thanks, .... ms1

brianpain33 01-28-2008 04:23 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
Hello ms1:

I am also a recovering addict and chronic pain patient and wanted to throw my 2 cents in. You might want to increase the Cymbalta to 120mg since the therapeutic dose is 60mg - 120mg. I would also consider adding either Lyrica or Neurontin, both of which are anti-seizure medications (non-narcotic) that also treat nerve pain well.

I am currently on the fentanyl patch which is a very strong long acting narcotic medication. There are several good reasons for me being on this. One, it is rather hard to abuse this unless I cut it open and sucked the gel out. I really don't care to die today though. Second, it keeps a steady dose of medication in you so you do not experience the highs and lows like you would taking a pill (narcotic). Of course you could always slap more patches on than prescribed so I guess there are always ways to abuse them.

If you are getting relief now with what you are taking then that is great. These are just a few options to consider in the future.

Brian

ms1 01-30-2008 05:21 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
yeah, that reprieve from the pain was short lived. it's not as bad as it could be i guess but still interferes in my daily life activities..... like walking, sitting, standing, lying down. i guess this is just the way it will have to be until i succumb to surgery. it sucks because the one thing that help my pain i can't take because i like it too much. strange that i am prescribed amphetamines to treat my mood, depression, energy, and concentration but opiods are off the table..... and they work better. i'm starting to rationalize now. i know that they are not a fit for me and my past has proven it. sooooo, pain it is for now..... ms1

brianpain33 01-30-2008 06:02 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
Did you try either Lyrica or Neurontin. They are both non-narcotic and useful for nerve pain. Then there is tramadol (Ultram) which is also good for nerve pain and not like your typical narcotic with the euphoria. However it would definitely be a good idea to have someone hold onto them for you just in case you were to get the urge to abuse them.

Brian

ms1 02-04-2008 06:05 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
Brian,
Thanks for the advise. I researched Nuerontin and Lyrica and discussed it with my Dr. He gave me a sample of Lyrica and it is a huge improvement. My pain is about 25% of what it was before. Some days it is gone for hours at a time. I am having another MRI to see what is going on with the pain switching legs/sides. Today it is both sides but managed. I think the Lyrica is very compatible with my Daytrana patch and Cymbalta. An added benefit is that it seems to help with anxiety and some OCD [U]charachteristics[/U] that emerge from time to time (anxiety induced-- sporadic -- replaying and over-analyzation of stressful/ hurtful conversations) The Daytrana and other stimulant ADD medications tend to exacerbate those characteristics. I've had the Lyrica for almost a week. If its efficacy continues it may be a quasi-permanent addition to my barrage (really only 3 including Lyrica) of medications. Thanks again ! ....... ms1

brianpain33 02-04-2008 06:21 PM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
Woohoo:
That is great what dose do they have you on? If you do notice an improvement and not having a whole lot of side effects, I would ask them to increase it. Most docs will prescribe up to 300mg/day and some will prescribe up to 600mg/day. which is the dose that I take. I know what you are talking about with playing hurtful conversations over and over in your head and I leared the word for this is ruminate. When I looked this one up in the dictionary I was like that is exactly me. Although since that point I have tried really hard to change and not be like that. Good news about the Lyrica though
I am glad that my advice helped.


Brian

ms1 02-06-2008 09:20 AM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
I am prescribed 50mg x 2 daily but I take 100 mgs when I wake up and 50 before I go to bed. I don't think an increase is necessary at this point as I begin to feel intoxicated if I consume more. I will look up ruminate. Thanks !..... ms1

ms1 02-06-2008 09:34 AM

Re: please give me some advice....... struggling w/ pain (anti-opiod)
 
Brian, google also "the pure O". .... elaborates on rumination


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