I have fibromyalgia, CFS, trigeminal neuralgia, spinal stenosis, and chronic pain. I take Oxycontin & oxycodone for the pain. I've been tired, exhausted, can't concentrate, have no motivation. I've felt that way for as long as I can remember. 20 years? My doc thinks the pain meds are what makes me tired, but that's just not true. They just take the edge off the sharp, debilitating pain so I can work and take care of my family. I want to try something like Adderall, Provigil or Nuvigil that I've read about on this site. How do I convince my pm doc to prescribe something to keep me awake and not let her reduce the amount of pain meds. And don't tell me to get a new doc, that is not an option right now. Thank you for any advice and for taking the time to read this. This site is so helpful.
If the current dosage of your pain med's is making you tired, your doctor will first question your current treatment plan. When prescribing any drug, the Dr. has to always consider the possible negative side effects together with all the benefits. The benefits of any medication you take always have to outweigh the negative side effects. In your case, the complaint about being tired is now the primary complaint. It is not longer your pain. Your Dr. will most likely first try to decrease your pain meds before introducing another addictive medication to treat side affects of your addictive pain medication. Once he decreases your pain meds, he will see how tired you still are and also re-assess your pain levels. It is very unlikely that you will be put on Adderall to counteract opiates when you have fibromyalgia. The potential for addiction is too high and your primary complaint is no longer pain. The red flags will be going up all over the place.
If you mean pain management, you're asking the wrong dr. If it were me, and I've had the same problem as long as i can remember, I'd ask my primary. I'd love to try them too to see if it helped, but i don't dare because of my heart. I hope you succeed in getting it and let us know if it helps.
I don't know about the meds that you are seeking, but I would suggest that you might be greatly helped by an anti-depressant since depression can cause severe fatigue, no motivation and inability to concentrate. If you're already taking an anti-depressant, then either increase it or change it. Your pm doctor should not have any problems with prescribing an anti-depressant. You may not have what you think is depression, but you do have classic symptoms of it. Plus anti-depressants are natural pain killers. They can help some with the pain. Wish you the best with all your problems. I have also have both fibromyalgia and Trigeminal neuralgia which is as bad as my worst migraines which are chronic. Plus I have many other pain problems. Good luck.
It was a psych doctor who prescribed my stimulants. Interesting that I never realized that no pain mgmt ever prescribed these type meds. Good luck! EJ23
It is quit interesting to me how people feel free to contribute to a conversation that they have no first hand knowledge about... having suffered from a debilitating injury & illness on top of that, which causes life long, non-surgical help in site, mind blowing pain for THE REST OF MY LIFE, OR until either God, or man makes massive discoveries ! So, I understand the life of Pain VS overwhelming fatigue-not just being overly tired here people, I mean unable to pull yourself up from the couch for any reason except "love of family & the need to get to your knees to pray-AGAIN! Is it the meds? Well, ... Days I am not on the pain meds I am still just exhausted & drag my ole (I was old at 27) body up a few times a week to shower, so please do not judge this person for asking for something to help her "have a little Getty Up" until you have crawled in their shoes for a 72 hour day, or what seemed like one.
I know for my own once loving family, friends, neighbors ... everyone but a few & I mean very few, trusted folks in my life truly understand, & Thank God one of them is my Family Doctor who has walked this path with me for nearly 30 years, from one specialist to another, with no answer, for me & countless others there is no answer except pharmaceuticals & now government think they know better them more doctors then I care to count. Yes men & women who have never spent a day in a medical classroom have decided I may not have the pain meds I need, the meds that truly help me to be able to have a little " wake up" to be able to bathe & dress & visit with family now that I can no longer work... now they are stripping that one & only one enjoyment I have from me too! For me, I will not be able function, stand & walk, but I guess our Government & President know what is better for me... sure death, & now you too pretend to have the answers??? SHAME! JUDGE YEA NOT FOR YEA SHALL BE JUDGED! MOMMA NANCY
Dear Sara 12345 - Not to mention any names, heaven forbid that I get kicked in the teeth again here, trying to help. There are people on here that answer just to get their points, making them seem more than they are. I am to the point of leaving a site that has been so very good to me, and I have passed that along to others. However, the derogatory comments from few can wipe out the well meaning of many.
If you have chronic fatigue then you need a complete physical to find out exactly why you have it. Also pain meds are not for fatigue neither is a Pain Management doctor. Another doctor may be out of the question for you right now, but Pain Management is not what you need for chronic fatigue!
I wish I had seen this question last year!!! If you are still on this site or still looking for answers... I would be visiting an endocrinologist. Sounds like your body is so very stressed to have created that type of condition. If the thyroid is out of whack then everything is off kilter. Your adrenals could be off... maybe your body isn't producing cortisol in response to all that stress.
There are lots of things to consider but I hope you are making some headway in your journey.
I don't think your pm doctor will prescribe Adderall for your chronic fatigue. Adderall is a Schedule II controlled med. It is indicated for treating ADHD. The DEA is now closely monitoring Adderall as well as other Scheduled stimulants drugs, due to the misuse and abuse by teenagers and young adults. Therefore many doctors are leery of giving scripts for Adderall, unless they are prescribing it for the conditions it is indicated to use for. With this Affordable Care Act now in place, doctors are very careful about prescribing Scheduled II, III, IV controlled meds. If your pm Doc will work with you, then he should be able to prescribe an appropriate med that will work for you. Good Luck.
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