Discussions that mention tylenol

Pain Management board

Hi Toelle, I was just reading what I wrote while in the mountains. I saw a few errors , I meant to say if you haven't tried more than 20, not 200. methods of pain management you haven't rally been exposed to much.
200 would be a bit over the top, But there are so many options and from what you described it doesn't sound like you have had the opportunity to really get more than couple opinions about treating your pain or a couple methods to try and manage it..

As far as meds, yes, they are a hassle, but needing a medication to function doesn't make you an addict.Personally I prefer t walk and not be bed ridden and take the meds I need to function. Addicts use meds for reasons other than pain and addiction destroys quality of life. If medication used to treat CP improves the quality of your life that hardly meets the criteria of addiction.

You may run into a doc that doesn't believe in the use opiate medication, but that's just his opinion. Ignorance of what addiction is and what simple physical dependence is just continues the stigma and misinformation regarding opiate pain medication. They use the term withdrawal for what you experience when discontinuing opiates or other illegal drugs. If you have a negative experience discontinuing antidepressants, steroids, and many other drugs, the medical community calls it abstinence syndrome.

Both words mean the same thing. But by using the term withdrawal, it adds that negative connotation of opiates and drugs of abuse and addiction. The only purpose of creating a separate word for the same experience "abstinence syndrome" is to continue to attach the negative stigma of using opiate pain medication and is very intentional. Like using the word Narcotic pain meds. Narcotic is a term used to describe an illegal drug, why use it on a legally prescribed medication used to easeto ease suffering and improve someone quality of life.

When you say you are concerned about what the meds may be doing to your body, opiates alone, used properly don't cause any internal organ damage or irreversible cognitive impairment. In most cases the feeling of impairment diminishes very rapidly, just like any feeling of euphoria an addict may chase by abusing the same meds that restore quality of life for many people. The difference is that people who abuse these meds must continually increase the dose to obtain whatever buzz or feeling they are looking for or psyche feeling they are trying to escape.

With addiction safety isn't an issue, How could you inject some crud whether it's heroin with who knows what in it, or Oxycontin with titanium dioxide, talc, and a host of fillers that can't be removed and cause abscess after every injection. You would think having a few open abscesses would snap someone out of behavior that's so destructive. But no matter how much damage drugs do to someone's life, an active addict isn't going to recognize or acknowledge it, even when it costs them their job, their home, their family until they hit rock bottom or it kills them. That's what addiction is, It's not complicated, bottom line is it's destructive behavior regardless of the consequences.

Meds that cause physical dependency or abstinence syndrome when stopped abruptly, that are used in pain management, Don't do internal organ damage. that's a fact. Tylenol and Ibuprofen do more damage than pure opiate pain meds. 100,000 people every year are hospitalized from OTC pan meds and 17,000 die each year from kidney damage. liver damage or gastric bleads. Opiates cause non of these things.

This is why PM docs that see the benefit, and monitor the benefit of opiates are comfortable using them. If the meds you need to have some quality of life, improve your quality of life, That directly opposes every description of addiction you will ever read.

Even with such a clear distinction between addiction and physical dependence, there are docs that can't seem to separate the two. Addiction and improper abuse of pain meds and Pain management using pain meds as prescribed to improve someone's quality of life.

Addicts can be very cleaver and con docs into prescribing , they do slip through the cracks in pain management. There is a small population of people that probably legitimately could benefit from long acting opiate pain meds that don't contain harmful drugs like Tylenol and Ibuprofen that have addictive personalities or that have unrealistic expectations looking to obliterate any and all pain and do abuse meds prescribed by a PM docs.

I know there are people that have several sources for meds and they use a months worth of meds from one PM doc in 10 days, then find another doc and then order pain meds from the internet and buy them off the street. But a few bad apples don't make an entire class of medication designed to ease suffering something so evil that docs can't distinguish between benefit and addiction. A doc that can see the difference isn't worth the time to try to enlighten.

People, maybe friends or family are feeding off this mis information from opiate phobic docs that are very narrow minded and refuse to recognize the difference. These people don't know the difference that may be suggesting you have to get off these meds before you become addicted. They are basically saying, better stop before you your unable to make a 30 day supply last 30 days and start doc shopping, altering and forging prescriptions and calling your own scripts to the pharmacy. You may even become crazed and rob a drug store with a shotgun? Have you ever ordered Pain meds from the internet or altered a prescription, do you drink on top of the meds to get high?

It's sounds pretty foolish when your simply taking a med so you can function and have never done anything wrong. Why do we have to pay the price of a few people that can't control their actions and make those choices.

It's a shame that people think that because a small percentage of the population does these things. Anyone exposed to meds that cause physical dependence and abstinence syndrome, is going to turn into a some criminal drug addict scouring the streets at 3am to find just one morphine pill or one Dilaudid tablet to get through the night is the most ridiculous statement and based on no medical fact. I've even had a dental receptionist give me the speech about how powerful and addicting vicodin is. This is after 3 back surgeries and meds so much stronger than the 8 vicodin the dentist prescribed for an extraction, but she was convinced those 8 pills somehow had the ability to turn me into a drug addict and loose my mind.

When you continue to use opiates as prescribed in a safe manner, there are trades, like physical dependence, but only you can decide if you can live with "helpful advice from well meaning but uninformed friends." or continue to do what you need to function. You do have choices regardless of what is causing your pain. The only thing that limits your choices are sticking with a doc that doesn't know what else to do or is opiate phobic.

Thinking everyone in pain can learn to live with it and suck it up is as ridiculous as thinking every infection can be cured by Penecillan. What works for one may not another. Treating a disease is as much trial and error as treating chronic pain, only you have more options treating CP than there are antibiotics.
Good luck, Dave