Discussions that mention celebrex

Pain Management board


Well its been two full days, and my pain is not under control. I am in the same boat as others have been in here, in that I am hesistant to go back to the doctor and tell him I need an increase. I guess that is because in the beginning of my last appt, he started out saying I'm taking too much pain meds once he looked at my records. The most I had been up to was when I started seeing him, which was about 4 lortabs/day. I told him that even that dose was too low.

So now after trying his med combo out of norco, zanaflex, and elavil I can at least say that I gave it a shot. I know its only been 2 days, but if I'm having to take more than the 2 norcos/day that he prescribed, shouldn't I be calling the office to make an appt.? I've had to take 4-5 of them yesterday, and I just know 2/day is not going to cut it.

I will call and get in to see him ASAP, but I just hope that he is willing to understand how my tolerance is. I've been on/off opiates for over 10 years, and it doesn't take me long to build a tolerance to them. If I didn't take any for about 3-4 months, then 1 norco would probably do the job and relieve the pain for more than 30 mins. But after about a week of taking them it will take much more to get relief.

This is so irritating, and I'm sorry I have came on here and rambled on about my problems as they seem to be without end. I just wish that I could get something that would actually work for the pain. I am getting really desperate here, because the aching/throbbing is really discouraging me and taking the life out of me.

I used to be the type that thought I could get through anything with pure will power. That is what has made me give up meds on so many occasions. But then I just end up right back going to them, because I can handle chronic pain. I MUST try and find another way, because the meds are only going to do so much for me. I figure if my body is going to build a tolerance to the norco, it will just as easily build a tolerance to oxy or other similar meds.

Then there is the chance that I could be causing my pain to get worse. My leg is so uncomfortable that I constantly rotate my foot around, with my toes pointed out, and sometimes it will cause my ankle to crack, and also something up in my leg to crack. Its sorta like cracking your knuckles type of habit, but this is done because of aggrevation of it hurting. For some reason I think that by cracking it, it will alleviate the pain. I do the same with my back if it is stiff. So, in addition to the pain where the screws were located, and where the rod was removed at the knee.... I have pain just randomly throughout the leg. That could be from me rotating my foot, and affecting the muscles in the leg.

I'm willing to try anything. Maybe celebrex or vioxx would work, I was on those years ago. Maybe something like glucosamine(sp?) would work. I'll try anything as long as it isn't damaging to the organs like the tylenol and motrin. Maybe a heating pad and some bengay..... LOL. I am really willing to try anything as using opiates just makes me build a tolerance until they don't work anymore.
[FONT=Comic Sans MS]Hi Thomason,

I'm not sure how your doc is going to react to you increasing the meds without his approval. Especially since you are just establishing yourself with him. I feel sorry for you. I know what it's like to suffer because your meds aren't cutting it. When we are in pain management though we usually just have to suffer until we can get a hold of our docs. If your doc thinks you are already on too high of a dose, he is probably not going to be happy about you taking more of the meds than he rx'ed. I really don't know what to tell you. You are definitely in a hard spot. You mentioned celebrex and vioxx, perhaps they would be good choices for you. Keep us posted on what your doc does for you. I hope he is a understanding doc and will try to work with you to help alleviate some of your pain. I will say though that most pain management docs don't like their patients playing around with their directions for meds. Good Luck.

God Bless,
Sherry :wave:[/FONT]
Quote from sgibson:
[FONT=Comic Sans MS]Hi Thomason,

I'm not sure how your doc is going to react to you increasing the meds without his approval. Especially since you are just establishing yourself with him. I feel sorry for you. I know what it's like to suffer because your meds aren't cutting it. When we are in pain management though we usually just have to suffer until we can get a hold of our docs. If your doc thinks you are already on too high of a dose, he is probably not going to be happy about you taking more of the meds than he rx'ed. I really don't know what to tell you. You are definitely in a hard spot. You mentioned celebrex and vioxx, perhaps they would be good choices for you. Keep us posted on what your doc does for you. I hope he is a understanding doc and will try to work with you to help alleviate some of your pain. I will say though that most pain management docs don't like their patients playing around with their directions for meds. Good Luck.

God Bless,
Sherry :wave:[/FONT]


I understand your point, that going agianst what the doc has prescribed is not a good idea. Its just too difficult for me not to take the pain meds I have if my pain level requires it. I don't think he would be too happy if I called and said I was taking 2 (10/325) at a time. But I also think that I need to inform him rather soon, that the meds are not sufficient. That way he will be able to decide what the next step is.

But, like I said, I just want to make sure that he doesn't change his mind and pull me off the opiates all together. I am dependant on them, unfortunately, but not addicted. I am not going to lose control and start taking handfulls of them everyday, which may be what has happened with some of his patients. It must be very difficult for any doctor to treat with opiates, because they never know who is going to be able to keep control of things and who can't. I am fortunate to get the treatment I am getting, and don't want to push it. This just makes it all the more hard to have the will power to not take more than prescribed when you body is still in pain. I know some of you must still have pain, even while being treated with the pain meds. What keeps you from taking more if you have it in your medicine cabinet if you know you'll have a bit more relief? Maybe its different if your on the LA meds, and have seperate meds for BT. It just seems that once the norco wears off within an hour or 2, its like there is nothing there for the pain... its like I'm back to not even being on anything for pain.

I'm really not crazy about having to be on these meds, but its all that works. And because of the tolerance thing, they start to lose their theraputic effect.

I appreciate your help sgibson, and I know what its like to not be able to sleep. I really hope you can find a good solution. When I was initially injured, I can tell you I wouldn't sleep for days until my body would finally pass out from exhaustion. I have found 1/2 of a 10mg ambien works good for sleep, and you don't get all the groggy feel the following morning. Its another one of those meds that gets abused by some, so you might find that some docs are agianst it. I just thought I'd mention it, because I know how hard it is when you can't sleep due to pain. I wish you the best in getting good treatment.