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



Pain Management Message Board

  • methadone and demerol for btp

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 08-12-2008, 06:24 PM   #1
    zfennel
    Inactive
    (male)
     
    Join Date: Aug 2008
    Location: good ole' u.s. of a.
    Posts: 16
    zfennel HB User
    methadone and demerol for btp

    I am on 40mg methadone a day(q6hr)
    my back kills me at work b/c i am standing all day. i get triggerpoint inj's (lidocaine) and i wear lidoderm(lidocaine)patchs also.i just need something else for the btp,its just hurting way to bad.i go for my inj on the 21 maybe i can ask her for something for btp...?ive tried everyting besides narcotic analgesics for the btp but nothing has worked,time for something that will actually work.i was on lortab 7.5 before the methadone and it worked for a few years but started to fade and couldnt get doc to change meds so i chagned docs and my current doc has me on the methadone and inj's.so whats a good bt med for scoliosis/kyphosis(herniated,buldged,and wedged disc)73degree curve(kyphosis)always seems like my muscles are stretched to compensate for my curved spine.thats where alot of my pain derives from is the muscle,but have had no luck with the muscle relaxants(flexiril,soma)thanks for all your time!have a great nite

     
    Sponsors Lightbulb
       
    Old 08-12-2008, 09:47 PM   #2
    cmpgirl
    Senior Veteran
    (female)
     
    cmpgirl's Avatar
     
    Join Date: Feb 2008
    Location: NY
    Posts: 1,883
    cmpgirl HB User
    Re: methadone and demerol for btp

    Hey Zfennel, Welcome to the boards! I think you will find that you have come to a pretty amazing place. The people here are not only wise, but compassionate and are always willing to lend an ear or shoulder or offer a prayer or two even if they don't have the solution.

    I don't take Methadone, but I do take an LA med and a BT med. In my opinion (and that of my PM doc) SA meds are generally needed for BT pain, because it is almost inevitable that we will be more active if our pain is better controlled by the LA med and will therefore have some BT pain. But not all docs agree with this. Has your doc actually refused to give you anything for BT in the past, or has it just not come up?

    There are many options for BT meds and for the most part, they do pretty much the same thing, depending on strength, frequency, etc. I know my doc is of the school of thought that a different class of opiate for BT is more beneficial. (eg. I take Oxycontin and Norco which is hydrocodone for BT, but there are some who prefer that a patient take say, oxycontin for an LA med and percocet which is also oxycodone for BT) It really depends on the doc and both sides have valid points.

    You mentioned that you have frequent muscle pain/spasms. Have you taken a Muscle Relaxer in the past? Much of my chronic pain is muscular, and I don't know how I would get through a day without a MR. If your doc is reluctant to prescribe BT meds, this might be an option that would help along with your methadone.

    I hope some of this was helpful. I'm sure others will add their knowledge and experience as well. Take care and let us know how things are going. CMP/MM

     
    Old 08-13-2008, 07:40 AM   #3
    forginon
    Inactive
    (male)
     
    Join Date: Dec 2006
    Location: CA
    Posts: 1,569
    forginon HB User
    Re: methadone and demerol for btp

    The first thing to ensure is that your methadone is properly covering your pain. Using the pain scale where 0=no pain and 10=the worst pain imaginable, what would you say is your average daily pain score?

    steve

     
    Old 08-13-2008, 03:20 PM   #4
    zfennel
    Inactive
    (male)
     
    Join Date: Aug 2008
    Location: good ole' u.s. of a.
    Posts: 16
    zfennel HB User
    Re: methadone and demerol for btp

    i appreciate the knowledge...i honestly would say my pain on average everyday is atleast a 7,its always hurting!
    I have tried the muscle relaxants in the past and i havent really had any luck with them at all...carisoprodol and cyclobenzaprine both make me drowsy and others like skelaxin dont even work.But i go on the 21st for some inj's so maybe i will ask her for something for btp...i am just always so cautious when it comes to asking for new/more meds,i get butterflies in my stomach everytime.i guess b/c of my age,im only 22 and have the back of a 60year old man for real,i look like the humpback of notredame,lol.I just dont want the docs to think im looking for narcs cuz that is def not the idea,im in legit pain 24/7 and they know that,ive got document after document stating my state of back pain(thoracic region mainly)anyways i just always get nervous when asking the doc for better pain control,any suggestions?
    thanks for your time once again!
    Have a great night people

     
    Old 08-13-2008, 07:58 PM   #5
    cmpgirl
    Senior Veteran
    (female)
     
    cmpgirl's Avatar
     
    Join Date: Feb 2008
    Location: NY
    Posts: 1,883
    cmpgirl HB User
    Re: methadone and demerol for btp

    I think it really depends on your doctor. I understand about not wanting to come right out and ask for a medication. Many docs don't feel comfortable with that and I understand why. After all, it is their liscense at stake and they have other patients who would lose out on the care they are getting if that liscense was revoked.

    I would just be as honest as possible with your doc. Let him/her know that you are getting some relief from your LA med, but that you notice when you do anything physical your pain will flare up or spike. This way, you are giving your doc the opportunity to offer whatever he/she feels is appropriate. If your average daily pain levels are a 7 or above, your doc might want to increase the LA med. Have you and your doc ever discussed what he/she feels is an acceptable pain level? For instance, my doc and I agreed way back in the beginning that a 5 or below was a reasonable expectation. And for 8 years, we have both kept up our end of the agreement.

    About the Carisopradol (Soma) and the cyclobenzaprine (Flexaril).... it is very common for the initial sedation to last a few weeks and then disapate with use. The hard part, of course, is getting through those first weeks. If you haven't given them that long in the past, you might want to try them again. They also may work better now that you are on a different opiate/opioid.

    Sorry I couldn't be more specific. It's just that, in my opinion, docs do not always respond well to a patient just asking flat out for a specific med or an increase. As I said, just good old fashioned honest communication is generally what works best. Good luck with your injections and I hope you get a chance to talk about this with your doc. Take care and please keep us updated. CMP/MM

     
    Old 08-15-2008, 01:04 PM   #6
    forginon
    Inactive
    (male)
     
    Join Date: Dec 2006
    Location: CA
    Posts: 1,569
    forginon HB User
    Re: methadone and demerol for btp

    Quote:
    Originally Posted by zfennel View Post
    ...my pain on average everyday is atleast a 7,its always hurting...
    Please always understand that no one here questions the legitimacy of your pain. That's a given - if you say you have pain, then that's good enough.

    Averaging 7 daily tells me that your methadone is working, but not well enough. You indicated that you take 40mg daily, and that your dosing is every 6 hours, so can I assume that you take 10mg every 6 hours?

    IMHO, you require an increase in dose. You need to sit down with your doc and come to an agreement on what level of pain he's views as acceptable. For me and my doc, we've settled at 5. If my daily average pain level exceeds 5 then we work to get it back to 5. Sometimes that means a dose increase, sometimes it means something else, like physical therapy, or some other mode of pain management. I would think that you might need to be taking another 5mg every 6 hours to start with.

    Don't try to work a dose increase with your doc over the phone - go in and see him/her. Many have seen attempts over the phone blow up and result in relationship problems with their docs.

    Best of Luck!

    steve

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    I dont see many on this board using Methadone... why is that? theweaver2 Pain Management 18 10-22-2006 12:25 PM
    Advice about methadone? grbrren Addiction & Recovery 7 01-08-2005 06:37 PM
    strength of methadone?????????? finaritwo Pain Management 3 10-18-2004 09:56 AM
    Sorry guys..a couple more ??'s about Methadone.. RubySlippers Pain Management 15 08-13-2004 02:07 PM
    methadone, anyone? TragicQueen Pain Management 6 02-22-2004 06:10 AM




    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 07:43 AM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!