They won't expect methadone to help with the pain, will they? It doesn't even help the toothache!
10 May 2012
I take 180mg of Methadone and 40mg of Dilaudid daily for chronic pain. I also take 80mg of Hydrocodone (8 Lortab 10/500's) daily. I have broken my neck twice and have C1 & C2 and C6 & C7 fused together. I also broke C4 & C5 and fractured C3. How I am still walking is a miracle. So my neck is my "MAIN" daily pain but I do have various other fusions throughout my body. My point is even with all these pain meds, when I had dental work done I was in alot of pain. The dentist gave me nothing because of all I already get. I am 39 and have been on the Methadone and Lortab since I was 23. My pain Doctor added the Dilaudid when I broke my neck the 2nd time at 33. OK, my point is: Once a person has taken a daily amount of strong pain killers for a long period of time (at least 1 year) those pain killers only seem to kill the pain for wich they have been taken for.
I had 4 root canals and some other painful dental work and even though the Dentist wouldn't give me anything, my Pain Doctor changed the Dilaudid to 180mg of Oxycodone. Believe it or not my neck pain stayed under control and the dental pain was under control as well. After my mouth healed and I had no more "New" pain, my neck started to bother me. My pain Doctor switched the Oxycodone back to Dilaudid and my neck pain went right back to normal, almost un-noticed. So, in my experience, once you have been taking any pain medication for a particular problem for a long period of time, that pain med will NOT help a "New" pain.
If you take ONLY Methadone for your daily chronic pain, I would disregard the Dentist and tell your Pain Doctor you need something else for your dental pain. I reccomend Dilaudid or Oxycodone because if you have been taking Methadone for a long period of time (1 year +), you willl need a strong pain killer for the dental pain. Something like Tylenol IV w/ Codeine, Darvon, Percoset, or Lortab/Vicodin will NOT Help. Just "Straight Up" tell your pain Doctor you need... I'de say... 4 Dilaudid 8's daily for at least for 1 month to kill the dental pain. If you have been on Methadone for at least 1 year for pain, not withdraws, that's a different story, then your Pain Dr should have No Problem giving you Dilaudid's or Oxy's for a short while anyway.
4 Mar 2011
Why all the negativity? We are all friends here and are all just trying to help each other get through this life, and live it the best we can. Yes, other pain meds such as Oxycodone do work with Methadone - I am on 90 Mgs of Methadone and Oxycodone works for me for breakthrough pain. You are on a very high dose of Methadone, you may need to consult with the doctor who prescribes your Methadone as to what would be strong enough, yet not kill you. I doubt that the average dentist would know that. Also, a question for you? If you are on Methadone for addiction, do you want to risk taking an opiate, which could trigger your addiction again? Sometimes it can't be helped, the surgery is too much, but some folks elect to go with no pain meds rather than get their addiction full-blown again. I have a friend who had an extensive surgery with over 120 stitches, and the only pain med she took was ibuprofen - she toughed it out, rather than go through the hell of addiction again.
Just something to think about, that is, if you are on Methadone for addiction, and not for chronic pain. -
4 Mar 2011
I was on 160mg a day of methadone for 10 yrs. When I had dental surgery all they said they could give me was some type of anti-inflammatory, like ibuprofen. Any type of short acting narcotic would be blocked by the methadone to my understanding. That was one of the biggest reasons I got off of it. My surgeon for my back said it was not a good idea to be on methadone for that very reason. I have chronic pain,but also have a lot of break thru pain,so I had to get off of the methadone. Good luck to you!!
6 Mar 2011
Does your dentist know about the methadone? if so, he probably won't prescribe any other pain meds. I'm not saying that your not in pain, I'm just saying what I know his reaction will be. I'm sorry your in pain, I really am, but aren't you taking methadone to try and get off of some kind of opiate? If you take more pain meds, won't it push back your recovery even more? I can almost see your reaction to my next suggestion, but have you tried the dental gel on your gums that is used for teething? I used it once, and it actually helped numb up the area that was throbbing. it wouldn't hurt to try it. NIK
3 Mar 2011
Sorry! I guess I mis read your question last nite! They will probably give you Hydrocodone (Vicodin) for very short term use. My hubby just had all his upper teeth pulled 2 days ago, & he takes 60 mg of methadone a day for chrontic pain. The oral surgeon gave him a script for 2 days of 7.5 mg of Hydrocodone to get thru the acute pain. Sorry again. Good luck to you.
- Methadone Information for Consumers
- Methadone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methadone (detailed)
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