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Methadone and Chronic Pain
  1. #1
    jenaspender is offline New Member
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    Default Methadone and Chronic Pain

    I have been living with chronic pain for over 10 years, due to a car accident back in 1993. I suffer from herniated discs in the cervical and lumbar region, sciatica, nerve damage and degenerative disc disease. After about 7 years taking Vicodin/Lortab and Fiorinol w/ Codeiene, along with anti-inflammitory meds, physcial and massage therapy, steroid injections, etc. my pain and quality of life only continued to worsen.

    Since my only option left was medication management, I was treated like an addict for years. My husbands' job lead to us moving a lot and every place we moved to was hell trying to find a physician that did not consider me an "addict" and all I was prescribed was excessive amounts of Vicodin or Lortab. Finally I was referred to pain management.

    My pain management physician was surprised at the amounts of pain meds I was on and was concerned because of the amounts of Tylenol in these meds and it's affect on the liver. After examining my past history and a physical examination he determined that methadone would be a good choice for me. I was reluctant at first becasuse I had always associated this drug with herion addicts and then once my physician educated me on the benefits of methadone, I decided I would try it.

    It has been about a year since I started taking Methadone for my pain and I have my life back. I am not constantly watching the clock to take my next dose of medicine and my pain is controlled all day long. Although I am never completly out of pain, my pain is in the background and I am living life again. I have since went back to school to work on my Master's Degree, work a full time job and my husband and son are elated that I am a wife and mother again to them.

    What I went through the past few years before I started on the Methadone was pure hell. I was doped up, could not work and laid in bed all day in constant pain. I was severely depressed and thought that if this was my life how could I make my family suffer too. I never thought in a million years that any drug could ease my pain and suffering.

    When I first started on Methadone, it took about 4 or 5 weeks to get to the proper dose that worked for me and with very minimal side effects. For the first few weeks I felt sleepy and sweated excessively. But all that subsided after a few weeks and my life started to change drastically. Within about 2 months I was out of severe pain, sleeping through the night, going back to school, working full time, spending quality of time with my family and living my life again without feeling doped up and taking excessive amounts of medication.

    I still have pain, but it is in the background and methadone and an educated and caring pain management physician gave me my life back. I never thought that I would ever live a day again without pain being the main determining factor of everything in my life. My pain is no longer controlling me, I am in control of my pain and my life again. I encourage anyone suffering from chronic pain to discuss methadone management with an experienced pain management professional. I hope by me sharing my history of chronic pain that this will help others to at least ask medical professionals about alternatives to current pain regimines that are not helping treat your pain.

  2. #2
    mpvt is offline Platinum Member
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    Hi Jena:I was on opiate painkillers for 22 years before I went on methadone 4 years ago and I can totally relate to your story.I was also an addict as I abused the pain killers as well.When I started methadone I was taking 3,000mgs of morphine a day and getting hardly any relief at all.Now the methadone take's pretty good care of my pain and I don't abuse any more.So here's to us and hopefully we can help other people that are still struggling.....Dave

  3. #3
    peachos is offline New Member
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    Default How much methadone do you take per day

    Quote Originally Posted by jenaspender View Post
    I have been living with chronic pain for over 10 years, due to a car accident back in 1993. I suffer from herniated discs in the cervical and lumbar region, sciatica, nerve damage and degenerative disc disease. After about 7 years taking Vicodin/Lortab and Fiorinol w/ Codeiene, along with anti-inflammitory meds, physcial and massage therapy, steroid injections, etc. my pain and quality of life only continued to worsen.

    Since my only option left was medication management, I was treated like an addict for years. My husbands' job lead to us moving a lot and every place we moved to was hell trying to find a physician that did not consider me an "addict" and all I was prescribed was excessive amounts of Vicodin or Lortab. Finally I was referred to pain management.

    My pain management physician was surprised at the amounts of pain meds I was on and was concerned because of the amounts of Tylenol in these meds and it's affect on the liver. After examining my past history and a physical examination he determined that methadone would be a good choice for me. I was reluctant at first becasuse I had always associated this drug with herion addicts and then once my physician educated me on the benefits of methadone, I decided I would try it.

    It has been about a year since I started taking Methadone for my pain and I have my life back. I am not constantly watching the clock to take my next dose of medicine and my pain is controlled all day long. Although I am never completly out of pain, my pain is in the background and I am living life again. I have since went back to school to work on my Master's Degree, work a full time job and my husband and son are elated that I am a wife and mother again to them.

    What I went through the past few years before I started on the Methadone was pure hell. I was doped up, could not work and laid in bed all day in constant pain. I was severely depressed and thought that if this was my life how could I make my family suffer too. I never thought in a million years that any drug could ease my pain and suffering.

    When I first started on Methadone, it took about 4 or 5 weeks to get to the proper dose that worked for me and with very minimal side effects. For the first few weeks I felt sleepy and sweated excessively. But all that subsided after a few weeks and my life started to change drastically. Within about 2 months I was out of severe pain, sleeping through the night, going back to school, working full time, spending quality of time with my family and living my life again without feeling doped up and taking excessive amounts of medication.

    I still have pain, but it is in the background and methadone and an educated and caring pain management physician gave me my life back. I never thought that I would ever live a day again without pain being the main determining factor of everything in my life. My pain is no longer controlling me, I am in control of my pain and my life again. I encourage anyone suffering from chronic pain to discuss methadone management with an experienced pain management professional. I hope by me sharing my history of chronic pain that this will help others to at least ask medical professionals about alternatives to current pain regimines that are not helping treat your pain.
    how much methadone do you take a day I take 100mg and does not help with pain, used to take 120mg and still did not help, please reply, thank you tracy

  4. #4
    peachos is offline New Member
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    Quote Originally Posted by mpvt View Post
    Hi Jena:I was on opiate painkillers for 22 years before I went on methadone 4 years ago and I can totally relate to your story.I was also an addict as I abused the pain killers as well.When I started methadone I was taking 3,000mgs of morphine a day and getting hardly any relief at all.Now the methadone take's pretty good care of my pain and I don't abuse any more.So here's to us and hopefully we can help other people that are still struggling.....Dave

    I take 100mg a day, used to take 120mg day I have never got pain relief from it. How much a day do you take and does that work for you? I don't know how much is too much! My family Dr. has now put me on 1600mg of gabapentin a day, so methadone Dr. is waiting to see if this works. Thank you for reading this, please reply!

    Tracy

  5. #5
    mpvt is offline Platinum Member
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    I started out on 400mgs a day of methadone but alot of that was to get my addiction under control.After 4 years at 400 I took the last 2 years and have come down to 190mgs a day.I am going back up to 210 mgs on Wednesday as I find thats the optimum dose to control my addiction while giving me enough pain relief to have a decent quality of life.

    Gabapentin is a good drug but there is now a much better one available and it's called Lyrica.This drug is having great success with people suffering from fibromyalgia.
    So ask your doctor about it and see what he\she thinks.

    I wouldn't judge what I take or what anyone else takes as far as methadone goes.Pain is a very difficult problem for doctors to gauge and treat.Newer doctors are willing to treat chronic pain with opiates while the older ones don't like to order them,as a rule.

    My doctor is 2 years younger then me (i'm 45) and he took no more then 1 hour on pain and how to treat it.I have heard that in the last 10 years the Universaties have changed their curriculum to include pain and how to treat it.When it comes down to it, chronic pain is not understood very well which can make diagnosis and treatment difficult.....Dave

  6. #6
    DinaRaye is offline New Member
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    Exclamation Long term methadone for Pain?

    hello there, I have also been on Methadone for Pain Management. I have had now 6 reconstructive Spinal surgeries. My actual Diagnosis include Degenerative Disc Disease, Radiculitis, Cervical Displacia, Failed Back Syndrome and on and on. And like most other Chronic Pain Patients I also went through all the wonderful Dr's treating me like I was just a addict and pushing me out the door with Motrin etc. I finally found a WONDERFUL Dr. who took the time to read my medical history, at that time I had 4 back surgeries under my belt, and try to help me. I too was concerned about Methadone since it is usually associated with >>>>>> Addicts. But I did some online research and gave it a try. The first two years were as close to fantastic as I can expect to get! I could cook and clean and basically live again.

    Now here is my problem, I have been on Methadone for almost 4 years and it just isn't taking care of the pain. I am sure my body has grown tolerant. But I don't know what to do next. Mr Dr is fantastic as long as i research it and take in printed notes off websites etc he will let me try whatever, such as Fentanyl Patches I tried those for two months. Really didn't help. So now I see my quality of life going back down the drain, some days unable to even stand long enough to make the simplest of meals.

    Can anyone give me some suggestions of what might be a good next step? And just alittle more information, I do take "Breaks" from my meds so I am not addicted. I have seen what addiction and withdrawls can be like so I normally will take a 7-10day break every 6 or 8 weeks when my kids are with my ex-husband to keep my physical addiction down to a minimum. Not sure if thats relevant to my question but just in case. Any help would be appreciated!

  7. #7
    jcniels is offline New Member
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    Smile Chronic pain management/lower back

    Hi jenaspender,
    I see it has been sometime since you posted your comment on your pain management,switching from a large amount of "hydrocodone" products to using "methadone". First of all,what strength and how many methadone tablets did the Dr.start you out on? And what is your maintenance dosage now if you don't mind me asking. I have needed severe chronic pain management for the past 7 years.I have tried everything from 5mg/325mg percocets,percocet along with 10mg hydrocodone,30mg oxycontin 3Xdaily with Vicodin ES for breakthrough pain,then 75mcg Duragesic patches with 10/650 percocet for breakthrough pain.Because of losing my insurance the "Fall" of 2007,I could no longer get the patches and went through the worst withdrawal symptoms imaginable.I now see a Dr. that will only prescribe me 10mg/325mg Percocets.The Percocet help to take the "edge" of my pain off just a small amount,so I went to see a specialist who has put me on 1--75mg Lyrica capsule along with 1--25mg "amitryptiline",and 1--30mg MSContin @bedtime.(I still take the Percocet) I see the specialist again in 1 month and would like to ask him about using/taking "Methadone" for my pain management.Over the years I have developed a "high tolerance" to pain medication so it takes a high dosage of any pain pill to be affective on me.The specialist said he would like to see me lower the frequency of how often I take the Percocet.(which is 1--10mg/325mg percocet..4 to 5 times a day as needed) I would really love to try the "methadone" because after over 7 years of chronic pain,I am fed up & tired of the continuous pain I'm in practically every single day.Thats why I'm curious as to the dosage of the "methadone" you take & your maintenance dosage.And do you take anything different than the methadone for when you experience break-through pain.It would be wonderful to hear back from you.Here is my 1 email address so if you would be so kind as to email me,then when I hear from you personally I will give you my private email address so we can chat about this.I do hope to hear from you soon.Thank-you so much "jenaspender"!
    Sincerely,
    jcniels
    (jcniels_45@yahoo.com)
    P.S.as soon as I hear from you,I will send you my private email address so you can respond to my comment here.)

  8. #8
    Robert_325 is offline Retired
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    That person hasn't posted since 2006. You won't hear from her. I suggest you look around the forum for other methadone threads or start a new one of your own would be even better. You will get replies off your own thread. God bless.
    I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.

  9. #9
    sandyturley1954 is offline New Member
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    Question Who will write my Methadone script?

    Quote Originally Posted by peachos View Post
    I take 100mg a day, used to take 120mg day I have never got pain relief from it. How much a day do you take and does that work for you? I don't know how much is too much! My family Dr. has now put me on 1600mg of gabapentin a day, so methadone Dr. is waiting to see if this works. Thank you for reading this, please reply!

    Tracy
    Hello Tracy,
    I have been on Methadone for 4 yrs. I take 4 -10 mg tablets 4 times a day. My Dr. that has been prescribing it for me, decided she was going to leave the state. She didn't tell me, even though she saw me the last week she was taking patients at her office. She sent out letters. So, now I am looking for a new Dr. that will prescribe my Methadone for me. Everyone is afraid to write for the drug. The DEA has everyone scared. So, I am due for another script in just 1 week. If I don't find a DR. soon, I guess I will be going through withdrawals, and I hear they are no fun. And for the pain, that is another story. I won't be able to walk, and will be back in pain again.
    Why can't the DEA leave Dr. alone so they can do their job.

  10. #10
    Robert_325 is offline Retired
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    Quote Originally Posted by sandyturley1954 View Post
    Hello Tracy,
    I have been on Methadone for 4 yrs. I take 4 -10 mg tablets 4 times a day. My Dr. that has been prescribing it for me, decided she was going to leave the state. She didn't tell me, even though she saw me the last week she was taking patients at her office. She sent out letters. So, now I am looking for a new Dr. that will prescribe my Methadone for me. Everyone is afraid to write for the drug. The DEA has everyone scared. So, I am due for another script in just 1 week. If I don't find a DR. soon, I guess I will be going through withdrawals, and I hear they are no fun. And for the pain, that is another story. I won't be able to walk, and will be back in pain again.
    Why can't the DEA leave Dr. alone so they can do their job.




    You can NOT stop abruptly from taking 160mg a day. Do what you need to do but make it your #1 priority to find another dr to give you the methadone. Find a methadone clinic, they're in any decent sized city. You can find a dr if you don't give up. YOU HAVE TO!

    It would be dangerous for you to jump off at the dose you're currently taking. I am very serious about this. Just trust me on this don't do it! Keep us posted. Good luck and God bless.
    I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.

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