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What is the best painkiller
What is the best painkiller
My back has been giving me alot of pain lately, I an on ms-contin 60MG 4 yimes a day and oxucodone 30mg 4 times a day also. I think my body has built up a tolerance to the ms- contin. Tommorow I go to the doc. Should i ask for more sof the ms-contin or ask foe some other pain killer and if so, which one should I ask for ? THANX FOR YOUR TIME!
Doctors who perscribe that much medication are just masking the problem, not helping. Try asking to see a physical therapist instead of being on meds all the time. It sounds like you developing a tolerance is not a time to increase your intake, but to wean yourself slowly off of the meds. Withdrawls off of both of these meds are horrible- check the boards for recovering addicts.
"MS Contin is typically taken every 12 hours--only twice a day."
"Oxycodone can be habit-forming. Do not take a larger dose, [or] take it more often"
You aren't just building up a tolerance to ms-contin (a time release morphine) - you're building a tolerance up to opioid pain killers in general. There are plenty of meds in this space, but at the levels you're taking them, your tolerance is already going to be sky-high.
There are alternatives, but you probably won't like 'em. You can continue taking the pills you're on, but your tolerance is just going to go up.
There are morphine pumps for chronic pain that'll release morphine into your body at times throughout the day.
There are patches you can wear that will release opioid pain killers throughout the day.
But, the best pain killer on the planet is morphine, and you're already on it. If your pain is that bad (and, judging from your user name, it probably is - sorry :|), then you'll want to stay on it. That alone might not be handling all your pain, but it's going to go a long way toward controlling it.
The oxycodone should be used for "breakthrough pain" - the times when you *know* the morphine isn't cutting it and you *need* something else.
Not sure why your doc would have you taking oxycodone four times daily in addition to ms-contin. It doesn't make a lot of sense. However, if you've managed to build up a tolerance to that amount, then you need to bring it up with the doc. You might need to take more ms-contin.
Another thing to note about opioids is that they don't just "kill" pain - they can also affect how you perceive it, such that you'll still feel it, but it won't bother you as much.
Some people will tell you that you shouldn't be on opioids at all, but it's easy to say that from the point of view of not having chronic pain. You're taking these meds for the reason they were invented. There's nothing "wrong" with stepping up the dosage.
If you're taking these drugs for pleasure, then that's one thing, but you aren't. They're supposed to be making you more comfortable, and it sounds like they aren't doing that anymore.
There's no reason to ask for a different pain med. You might just need a higher dose.
Hope this helps...
Last edited by Rastopop; 04-04-2007 at 08:07 PM.
You should really just stop your meds slowly wean yourself off of those meds pleasse do yourself a long term favor, I too suffer from chronic lower back pain due to a domestic violence issue about 8-10 months ago I was ultram a (supposedly) non-narcotic pain killer well it is very addictive and that probably is not as strong as the pain meds that you are on. How long have you been on these meds? It's easy to get hooked so please becareful.
Not for pleasure but for pain
It has taking me a long time to get the dose of meds that I am on. I hate having to take meds and the side effects that comes along with them. I will ask my Dr, who is a pain specialist to increace my meds when the pain becomes too much to handle. I have had many procedures performed on me in the last year, everything except surgery. The one thing thay sticks in my head is what goes up must come down and the withdrawls of coming down are more painfull than the injury, I think anyway. thanx for listenig
I have had ongoing acute/chronic pain for over 6 yrs.now.My dose was 4x 100mg.MS CONTIN when I started, now up to 5x 200mgs. MS CONTIN with DILAUDID #8, (50/mth.)breakthru pain) Your tolerance does go up with any opiate.I find the oxy doesn't do anything for me. You dont say how long you were on the MS for.I try to stay at the same level for one year, although it gets rough at times....like I said, you dont say how long you were on it, but, I would ask for 3x 100mgs./day.the reason I say 3 is that MS has up to 12 hr. in your system, and by going 3x a day, you can overlap them, so you have continuous pain coverage.Also, have youtried massage therapy?The reason I ask is that my luck that my father has over 50yrs. exp. as a massage therapist (and accupuncture), and has done great wonders for the aleviation of pain.You may want to try that in conjunction with your pain meds.-it sure wouldn't hurt, and, also, physician's are also more apt to help/increase your dose if you are trying other methods of pain reduction
Originally Posted by 3discsoutofwhack
3D, I think you're experiencing opiad pain syndrome, the heavy duty narcs can make your pain worse, I know, I was there, the more meds I took, the greater my pain became. Taking more meds is only a short term solution, I know the thought of living without pain meds is unimaginable, your brain and body wants more, more, more, it's the nature of the beast, but you're pushing the cieling, it's unrealistic to continue increasing the dose. Really, your solution is to quit for awhile at least, assess your true pain level, I think you'll find your pain is just as managible without meds.
A non drug solution
My mother.... my father in law.... and my boss.... all swear by acupuncture for pain.
It seems to take 3 sessions at first and then just one monthly session. Each session here is about $60