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Suboxone For Pain Control Only
  1. #1
    Denny_D is offline Advanced Member
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    Default Suboxone For Pain Control Only

    Hello Everyone.......Is there anyone that is using Suboxone for pain control only and not for addiction. How is it working and what mg are you using? Thinking of this myself and trying to get some input.

    I know all about it's use for addiction but just seeking info on this med and it's ability to control pain. Thank You..........Denny

  2. #2
    TriedandTired is offline Member
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    It sucks for pain management, I dont think it would be smart to use it for PM. There is a serious risk involved with taking sub, if you were,in an emergency situation and needed pain meds u r screwed. A low dose of methadone would be a much better choice.

  3. #3
    newyorkgal is offline Platinum Member
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    T&T is totally right. Almost any opiate is a better choice for pain relief. Sub is very poor at managing pain although it is used in low doses by some doctor's for that purpose. It's true that when on sub, other pain relievers which might work better for pain, won't work at all because of sub binds to the receptor sites so well that nothing gets through. I don't know your pain situation but think most doctors would advise something other than sub for pain.

  4. #4
    Denny_D is offline Advanced Member
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    Tried and Tired......Thanks for your reply. I agree with you about having surgery and needing pain meds. I having been reading up on Suboxone for years. I want to stay away from the Methadone because of it's highly addictive nature. Been down that road.

    New York Gal......Thanks to you also. I have been on Subs for about 3 months for a 35 year opiate addiction. I just finished my taper using Robert's plan. Doing well there. Have had 20(twenty) knee surgeries, and my left knee has been totaly replaced 5(five) times due to hardware breaking and staff infection.

    I am in constant pain. About a 5-6 on the pain scale. I do not and will not take another narcotic pain reliever. Yes I know that Suboxone is an opiate but a very different one. As I stated I am finished with my taper and I'm just trying to find the best method of pain relief.

    I have been seen by multiple doctor's/surgeon's and some of them think the leg needs to be removed. Well I am trying everything possible before I will allow that to happen. I know that the pain cannot be completely removed but if I can just get it tolerable.

    I was just wondering if I should maybe stay on a low dose of Sub. Again, thank you both for taking the time to reply. Best wish's to you.......Denny

  5. #5
    newyorkgal is offline Platinum Member
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    If the issue is pain relief, a low dose of sub probably won't help much although it has been used in other countries for pain relief at very low loses (under 1 mg.). I understand not wanting to get your leg removed ! I also understand not wanting methadone but truthfully, when taking sub on a long term basis (not tapering), it is equally addictive. Sub works differently than other opiates but it is basically much stronger than morphine. If pills are the way you're going, I don't see any way to beat the addictiveness of them. I don't know of other routes you can go but I would seriously speak to your doctor about your concerns.
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  6. #6
    Denny_D is offline Advanced Member
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    I've talked to many doctor's. They all are more than willing to give me pills. I really don't want to take the chance of addiction again. One thought I had was to maybe use the Fentanyl (Dermagesic) patch. I know this is a very strong narcotic but you place it on your body. No physically putting pills in your mouth. I know they are highly addictive though. Used them before.

    Don't know if this would make the difference or not. Still thinking about this.........any other ideas? Anyone?
    Last edited by Denny_D; 07-13-2011 at 03:05 PM.

  7. #7
    PeterRabbit2 is offline Senior Member
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    Long-term pain would (IMO, of course) be best managed by a low dose of methadone. The addiction is a curve-ball, however.

    Suboxone is sub-optimal (no pun intended, lol) for pain control BUT, it might work for you. Considering that you are an addict, you may want to give it a try first. What have you got to lose?

    Toradol can be used but only for a week AT MOST, so that would be of minor benefit. Other NSAID's (esp. Aleve) are useful when treating long term pain adjunct to narcotic pain relievers. If you stack an NSAID with a narcotic, the dose of both can be lower. There are risks such as bleeding, increased risk of stroke and other cardiovascular adverse effects (not to mention, GI effects) in long-term NSAID use.

    There is a new drug called Nucynta, you might want to give it a try. However, it is a powerful mu-opiod receptor agonist, just like morphine, so that may not be a viable option for an addict.

    Another option (I'm reaching, now) is Stadol. It has a low affinity for the euphoria-producing mu-opiod receptors and a high affinity toward the kappa-opiod receptors. (One side effect of Stadol is dysphoria.) So IN THEORY, it is a great pain medicine with a lower risk of addiction, but I take that claim with a huge grain of salt. It also has a fairly short half life so it would be not so good for chronic pain.

    Pain patches are another viable (albeit risky for an addict) option.

    My best advice would be to try several routes and see which one agrees with you the best.

    I hope for the best possible outcome of your situation!

    PS: I, too suffer constant leg pain (from a car accident) and am an addict. I take 5-10mg of Methadone per day and it controls the pain from an unbearable 7-9 (I would literally scream in pain without it) down to a totally tolerable 0-4. About half the time, I'm pain-free. A third of the time, it's an annoyance and I'll pop a gram of APAP. The remaining 16% of the time, I get pain that can touch a 4 out of 10. VERY rarely (<1% of the time) my pain gets out of hand (because I mistimed a dose) and all bets are off for a few hours until the methadone kicks in. (It takes about 3 hrs to work)

    Again - well wishes to you! I know how difficult of a spot you're in. I hope you can take some comfort knowing you're not in this alone.
    Peter

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    Denny_D is offline Advanced Member
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    Peter.......Thank you so much for the well thought out and worded response. I really appreciate it. I have recently finished with a 3 month program with Suboxone. Finished the taper and all ok. It did give me minimal pain relief.

    I had a 35 year addiction to opiate's and have used (abused) every type of pain-killer available including nsaid's. I did use the Nucynta afyer a previous surgery with no help whatsoever. Stadol as well.

    I guess what I was thinking is instead of going down the opiate road again to stay with a dose of Suboxone. At least with that I don't have the craving for narcotics.

    This is really a tough one and it has got me dumbfounded. Could I take another narcotic as prescribed? Doubt it and not really willing to give it a go.

    Thank you so much again Peter for your advice. Best wishes to you also...Denny

  9. #9
    PeterRabbit2 is offline Senior Member
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    I would get together with a pain management doctor AND an addiction specialist, have them put their heads together and see what they can come up with.

    Good luck, Denny; this sounds like a case for seasoned professionals. I hope you can find that physical and psychological comfort that so many (present company excluded!!!) take for granted.

    If you have no contraindications, I can say that an NSAID (220mg Aleve, t.i.d) combined with acetaminophen, extended release (650mg, t.i.d) would provide a significant amount of relief. If you combined THAT with a relatively small dose of a narcotic analgesic, that might be a winning trio. About APAP: new FDA guidelines say the maximum CHRONIC dose should not exceed 2g/day in non-drinking healthy individuals. Acute daily (divided) doses of 4g are safe but not in the long term.

    Unfortunately for me, I have aspirin sensitive asthma and cannot take ANY NSAID's, I hope you do not have any similar problems with them.
    Peter

  10. #10
    PeterRabbit2 is offline Senior Member
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    Denny, this might sound just awful but have you weighed the option of amputation?

    A good question to ask would be, "Would an amputation put a permanent end to the pain?"

    I know that is a last resort but just weigh it against the other options. That's all it is - an option.

    I have a cousin who's leg was crushed in a cyclist vs. car accident; he was in pain and addiction for about 5 years until he threw in the towel and had an amputation just above the knee. He did say that at first it was tremendously traumatic to lose a limb but now fitted with the correct prosthetic, he's back on his bike instead of being in quasi-agony. He kicks himself for not doing it sooner.

    I just wanted to throw the idea around. It certainly isn't something anyone would take lightly! I'm not even saying it's the right choice for you - every case is different. This fight is going to take a lot of courage and you sound like a REAL fighter!

    Something tells me that in the end, you and your doctors will make the correct decision.

    Again, well wishes to you and thanks to you for the well wishes!
    Last edited by PeterRabbit2; 07-14-2011 at 06:47 PM.
    Peter

  11. #11
    Denny_D is offline Advanced Member
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    Once again Thank You Peter. In post #7 above I spoke about amputation and several doctor's opinion to have it removed. That is my absolute last resort.

    After having (5) total replacements on the leg the current prosthetic hardware is from my knee/patella 10" up into the femur and 7" into the tibua. If the leg is removed I will most likely not be able to have an artificial leg according to the doctor's.

    Any and ALL ideas are welcome and you're right, I'm fighting this to the end.
    Thanks again.....Denny

    p.s. I am not allergic to any medication.
    Last edited by Denny_D; 07-14-2011 at 07:36 PM.

  12. #12
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    After having (5) total replacements on the leg the current prosthetic hardware is from my knee/patella 10" up into the femur and 7" into the tibua. If the leg is removed I will most likely not be able to have an artificial leg according to the doctor's.
    Oh man! That is just plain unfair. If I was in your situation I wouldn't get an amputation, knowing that.

    I dunno. Maybe try that NSAID/APAP/Suboxone combo and see what comes of it?

    - I'm confounded. This might sound stupid but can you have someone dispense the meds to you? (FYI, I tried that and it nearly ruined my sister's and my relationship.) I would show up at all hours demanding my oxycodone, It was insane. Maybe that would not be the best idea, on second thought.....I dunno....I just don't know.

    I wish I had a solution for you, man.

    Are you the praying type? I'm going through a conversion after years of Atheism an/or agnosticism - back to the Catholic Church. It's been a weird ride but I find lots of peace in that chapel. At first I had to practically grit my teeth to say a decade of the rosary (I was trying but in all honesty faking it) However, after a while, it started to grow on me and all of a sudden I found something I had never had - faith. I'm very much the science loving-academic type and a bit arrogant, I can kneel on rice and admit that, now. I try really hard to improve some aspect of myself every day. It's not easy but I must just press on.

    Anyway, I'll say a prayer for you tonight. At 10pm eastern time. I'll say a hail Mary or two. If you want to join, we can be united in spirit.
    Peter

  13. #13
    Denny_D is offline Advanced Member
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    Considier it done. Total Christian and Believer. Good idea about having others dispense the meds. Same as you I gave them to my wife and went to her place of work, went to the mall looking for her,....etc. you get the point.

    I'll get this done Peter, I know I will.......Denny

  14. #14
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    Considier it done. Total Christian and Believer. Good idea about having others dispense the meds. Same as you I gave them to my wife and went to her place of work, went to the mall looking for her,....etc. you get the point.

    I'll get this done Peter, I know I will.......Denny
    Right on, mate! I'll be saying that prayer in 8 minutes. Feel free to join in.
    Last edited by PeterRabbit2; 07-14-2011 at 08:52 PM.
    Peter

  15. #15
    mark maginn is offline New Member
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    Default Suboxone

    I am a person with intractable pain from many sources. I have gone from doc to doc looking for the source of my pain and a way to treat it. Finally, a little over 3 years ago I started to work with a physician who had a strong interest in treating pain and took course work to educate himself about pain medicine. 3 years ago I began taking OxyContin. It changed my life, it was miraculous. I, of course, had to struggle to find a way to combat the awful constipation, but I found an OTC medicine that has worked perfectly. For the last year or so I was aware that my pain level had crept up and I probably needed to increase the dose of OxyContin, which is natural. My doc suggested I try Subutex. It, too was miraculous. Not only did the pain retreat, but it also simply erased the intractable depression spawned by the constant grinding pain. So, yes, by all means, Suboxone, with its antagonist Naloxone, is a very good medicine for the treatment of intractable pain. I have had the ubiquitous side effects, constipation, dry mouth and sleepiness. I have defeated the sleepiness by cutting the film in half and taking one early a.m. and the 2nd mid afternoon.

    The prescribing of this medicine is strictly controlled by the FDA. My physician had to take about 16 hours of training to be registered and approved to dispense the medicine, not any doctor can prescribe it.

    Those of us who live with intractable pain have to be very careful about believing what we read in the press, hear on the radio, see on TV and what we read on threads like this. Many people and organizations have an ax to grind about any and all opioid medicines; their motivations vary. This in conjunction with ignorance about the use of opioid medicines makes it difficult for us to wade through all the chaff. Opioids while taken under the supervision of a trained specialist, following instructions, keeping the meds locked up and not sharing them with anyone, makes the use of this class of medicine safe. Yes, you will most likely become dependent on Suboxone, meaning, over time, you may need more of the med to receive the same relief, and you will have to come off the medicine slowly under your physicians supervsion. But never confuse this with addiction. Addiction is the continued use of a substance even though it is harming you. It means taking more than is prescribed, lying to your physician, giving the meds to others, or selling them to others, and lastly,doctor and pharmacy shopping. That is addiction.

    There are many reputable pain organizations out there. Just pop 'pain groups' into your search engine and you will find them. They are a great source of information and support. Good luck.
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  16. #16
    Denny_D is offline Advanced Member
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    Mark.....I appreciate your thoughts and suggestions. You have given me the information I was looking for about Subutex/Suboxone. May I ask what dose of Sub you are taking? By saying you cut the film in half I'm guessing you take 8mg per day total? If so that is a very large amount.

    After being on Suboxone for apprx. 3 months and recently tapering off, I am just not sure I want to start them up again.

    Thanks again Mark. I agree with all that you have said and best wishes too you also........Denny

  17. #17
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    Mark.....I appreciate your thoughts and suggestions. You have given me the information I was looking for about Subutex/Suboxone. May I ask what dose of Sub you are taking? By saying you cut the film in half I'm guessing you take 8mg per day total? If so that is a very large amount.

    After being on Suboxone for apprx. 3 months and recently tapering off, I am just not sure I want to start them up again.

    Thanks again Mark. I agree with all that you have said and best wishes too you also........Denny
    Good morning, Denny and Mark.

    I think Mark's is a perfect anecdote that speaks to the fact that everyone is different. I was on Suboxone for just a few days and couldn't stand the pain I was in. I didn't want to bias you but Subs did absolutely nothing for my pain. They made me delirious with drowsiness but about as effective as Tylenol insofar as analgesia.

    So, one person may find it a miracle drug another may find it not so. The same could be said about just about every drug on the market!

    My sister and I both have asthma, she takes Symbicort with impunity. I USED to take it because it caused panic level anxiety. The drug was perfect for my sister but a nightmare for me.

    In your case, Suboxone tablets may or may not work. I did call a 24hr pharmacy last night and ask about Suboxone Tablet, the pharmacist said, in so many words....Yes - it is rarely prescribed for pain. She had some hesitation in her voice. I could tell, she was uncomfortable answering the question.

    HOWEVER, it is explicitly stated on Suboxone's website that Suboxone Film should NEVER be used for pain. Why? I'm not entirely sure, to be honest.

    I guess only a pro can answer your question, Denny. I can do nothing but raise more questions it seems! Frankly, I'm quite frustrated I can't answer your question without greater precision. You deserve an answer.

    I'm going to pray on it and I would like it if we joined in prayer for the next few hours. I'll be attending the Mass in an hour, I'll say my prayers and light a candle for you specifically. Come to think of it I have to light about 20!

    Good luck, my friend.

    PS: Denny, what time zone are you in? (I'm in CDT in Baton Rouge, Louisiana, BTW.)
    Peter

  18. #18
    PeterRabbit2 is offline Senior Member
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    MARK SAID:

    Those of us who live with intractable pain have to be very careful about believing what we read in the press, hear on the radio, see on TV and what we read on threads like this. Many people and organizations have an ax to grind about any and all opioid medicines; their motivations vary.
    You can say that again, brother! I'd vote 10 "likes" on that point alone, if I could!
    Last edited by PeterRabbit2; 07-15-2011 at 07:13 AM.
    Peter

  19. #19
    Denny_D is offline Advanced Member
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    So, one person may find it a miracle drug another may find it not so. The same could be said about just about every drug on the market!

    Peter.....I am on EST....Detroit, Michigan. I re-started a small dose of Suboxone the last 2 days. Not much time I know. I have taken 1mg/twice per day to no avail. No help whatsoever with the pain.

    End of story for me with Subs. I am a very tough case, I realize it. Most of my family, my children, and my wife want me to have the leg amputated.

    Thanks for your prayers Peter so much. The answer will come along soon I really believe that.....still looking......Denny
    Last edited by Denny_D; 07-15-2011 at 08:28 PM.

  20. #20
    ClassiqueMom is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    [B] ... No help whatsoever with the pain.
    denny,
    my heart is broken for you, because of your pain..
    i want you to know, i am praying for you.. and yours (family)

    classique mom
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  21. #21
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    So, one person may find it a miracle drug another may find it not so. The same could be said about just about every drug on the market!

    Peter.....I am on EST....Detroit, Michigan. I re-started a small dose of Suboxone the last 2 days. Not much time I know. I have taken 1mg/twice per day to no avail. No help whatsoever with the pain.

    End of story for me with Subs. I am a very tough case, I realize it. Most of my family, my children, and my wife want me to have the leg amputated.

    Thanks for your prayers Peter so much. The answer will come along soon I really believe that.....still looking......Denny
    I'll be with you in spirit, always.

    Keep us posted.
    Peter

  22. #22
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by Denny_D View Post
    So, one person may find it a miracle drug another may find it not so. The same could be said about just about every drug on the market!

    Peter.....I am on EST....Detroit, Michigan. I re-started a small dose of Suboxone the last 2 days. Not much time I know. I have taken 1mg/twice per day to no avail. No help whatsoever with the pain.

    End of story for me with Subs. I am a very tough case, I realize it. Most of my family, my children, and my wife want me to have the leg amputated.

    Thanks for your prayers Peter so much. The answer will come along soon I really believe that.....still looking......Denny
    I really hope you can find some comfort. Do what you have to do. You sound like a brave, strong person and I think in the end you will be fine, no matter what. You sound like a "glass half full" kind of guy. I'm not the only one praying for you; I bet just about everyone who's eyes have caught this thread are.
    Peter

  23. #23
    Denny_D is offline Advanced Member
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    Quote Originally Posted by ClassiqueMom View Post
    denny,
    my heart is broken for you, because of your pain..
    i want you to know, i am praying for you.. and yours (family)

    classique mom
    Classique Mom.....Thank you so much for your post. I really do appreciate it! I read your posts often and I really do enjoy them.....Denny

  24. #24
    mark maginn is offline New Member
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    Default Suboxone

    Hi Denny,

    Sorry it's taken me a while to reply. Our old friend, Hunter, our 11 year old golden started having seizures out of the blue a few weeks ago. He had one last night that was mercifully short, but awful and harrowing. Brain tumor. Today at 3:30 (PCT), with my wife and me holding Hunter in our arms, he quietly slipped into the shade. So I've been a little out of it.

    I'm taking 8 mgs. of Suboxone daily. The likely reason I didn't have any initial problems is because I had been on OxyContin for over 3 years and probably developed an immunity to the worst of the side effecs. For me, and I know it's not always for others, this medicine is a life saver. I imagine starting on Suboxone, or any other opiid without prior experience with them would be difficult.That's why arriving at the right dose can take a while. Yes, I cut the film in half and take one in the morning and the other in mid-afternoon. That keeps the incredible sleepiness at bay.

    I'm really sorry about your awful predicament. I can only imagine, and what I imagine is awful, what you and your loved ones go through. I hope that you can find the strength and peace to live with this. You already sound like a poster boy for courage-it must take courage simply to get out of bed in the morning!

    Not saying that this will work for anyone else, but here's how I've found the will to live. After I lost my practice of psychotherapy and my professorship I began studying and writing poetry in N.Y. After a few years I started getting my work published in literary journals and magazines. The process of writing could take me away from my pain for 30 minutes at a time. Now I'm writing a memoir on what it is like to live with Behcet's Disease and constant grinding pain. I've also started a blog on this topic and hope soon to have some of my chapters available on line.
    Again, this writing saves my life and gives me purpose. The truly big thing I do is to be a pain care advocate for a large volunteer pain group. At the same time I attended more regularly my Unitarin-Universalist Church. Connecting with and serving others is the best thing I can do for myself. However, all of this is predicated on what my body will let me do. It's a ???? shoot, but this all works for me.

    We will all hold you in our minds.

    Peace, Denny.

    Mark

  25. #25
    mark maginn is offline New Member
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    Default Suboxone

    Hi Peter,

    My physician had to take specific course work and register with the FDA to be able to prescribe Subutex/Suboxone. It apparently is quite a strict process. He is the only doc in his practice who can write these prescriptions. My prolix way of saying that regardless of what you've read, Suboxone is openly prescribed off -label for intractable pain and depression refractive of all treatments. This med works extremely well for me, especially with the depression that comes with constant, life altering pain. But as you so tragically know, this med doesn't work for everyone. This is why research needs more funding.

    Suboxone isn't all of my treatment. There's physical therapy, surgery like the one I had 9 weeks ago, walking and mindfulness meditation which I've just taken up. I've meditated for 30 years, but not like this.

    I hope you can find what works for you, and I hope you find it soon. Unrelieved suffering is...well, you know.

    Take care, Peter.

  26. #26
    Denny_D is offline Advanced Member
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    Quote Originally Posted by mark maginn View Post
    Hi Denny,

    Sorry it's taken me a while to reply. Our old friend, Hunter, our 11 year old golden started having seizures out of the blue a few weeks ago. He had one last night that was mercifully short, but awful and harrowing. Brain tumor. Today at 3:30 (PCT), with my wife and me holding Hunter in our arms, he quietly slipped into the shade. So I've been a little out of it.

    I'm taking 8 mgs. of Suboxone daily. The likely reason I didn't have any initial problems is because I had been on OxyContin for over 3 years and probably developed an immunity to the worst of the side effecs. For me, and I know it's not always for others, this medicine is a life saver. I imagine starting on Suboxone, or any other opiid without prior experience with them would be difficult.That's why arriving at the right dose can take a while. Yes, I cut the film in half and take one in the morning and the other in mid-afternoon. That keeps the incredible sleepiness at bay.

    I'm really sorry about your awful predicament. I can only imagine, and what I imagine is awful, what you and your loved ones go through. I hope that you can find the strength and peace to live with this. You already sound like a poster boy for courage-it must take courage simply to get out of bed in the morning!

    Not saying that this will work for anyone else, but here's how I've found the will to live. After I lost my practice of psychotherapy and my professorship I began studying and writing poetry in N.Y. After a few years I started getting my work published in literary journals and magazines. The process of writing could take me away from my pain for 30 minutes at a time. Now I'm writing a memoir on what it is like to live with Behcet's Disease and constant grinding pain. I've also started a blog on this topic and hope soon to have some of my chapters available on line.
    Again, this writing saves my life and gives me purpose. The truly big thing I do is to be a pain care advocate for a large volunteer pain group. At the same time I attended more regularly my Unitarin-Universalist Church. Connecting with and serving others is the best thing I can do for myself. However, all of this is predicated on what my body will let me do. It's a ???? shoot, but this all works for me.

    We will all hold you in our minds.

    Peace, Denny.

    Mark
    Mark....Sorry to hear about the loss of Hunter. I'm sure as my pet is, he was one of the family and the loss is taken very hard. Thanks for taking time out to write me on this very difficult day.

    Congratulations on your writing abilities! Getting published is just awesome and I'm sure this takes away, for a period of time, your daily struggles with pain.

    I have been completely clean for almost 3 days now! While it is the best feeling in the world, I am also feeling the worst pain of my life with this knee. I have not been clean for 35 years! It feels so good just to make that statement!

    I am weighing any and all options to relieve some of this chronic pain. While on the Suboxone I did not have any cravings for narcotics whatsoever. I am curios to see if any cravings return, and if so how bad.

    Thanks again Mark and best wishes to you......Denny

  27. #27
    mark maginn is offline New Member
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    Default Hunter

    Denny,

    Thanks for your sentiments. Yes, he's left a hole in our hearts and the house feel larger, emptier.

    Good for you on the 3 days. I really hope you find your way. This intractable pain stuff is so hard.

    Take care.

    Mark

  28. #28
    PeterRabbit2 is offline Senior Member
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    Quote Originally Posted by mark maginn View Post
    This intractable pain stuff is so hard....Mark
    You can say THAT again!!!

    Combine these three:
    1) Unrelenting pain
    2) Addiction
    3) An NSAID allergy.
    Why? Because I just described myself. Sometimes I think I'm going mad!

    But enough about me...

    Denny - You are in my thoughts and prayers just about all the time.
    Peter

  29. #29
    mark maginn is offline New Member
    Join Date
    Jun 2011
    Posts
    5

    Default Nsaids

    Peter,

    Allergies to all NSAIDS? What do you do for pain?

    M.

  30. #30
    PeterRabbit2 is offline Senior Member
    Join Date
    Mar 2010
    Posts
    666

    Default

    Quote Originally Posted by mark maginn View Post
    Peter,

    Allergies to all NSAIDS? What do you do for pain?

    M.
    I use methadone and APAP. I cannot take Ibuprofen, naproxen, ketorolac, ketoprofen,
    aspirin, diclofenac, you name it.

    About 2 & 1/2 hours before bed I take about 5mg methadone and 40min before bed I take 1300 APAP, extended release. I would give ANYTHING to take a couple Aleves too!
    Peter

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