Just recently my Doctor prescribed Methadone for me for chronic back pain, I have 3 specific conditions going on with my back, I have had injections, and seen multiple Doctors for opinions and second opinions (one Doctor said he won't operate and the other said I only have about a 50% chance of being happy after the surgery, personally I need a higher percentage before I have surgeery), gone to physical therapy and the pain clinic, the pain clinic here where I live won't prescribe meds, my Family Doctor has to do that. So after many years on Vicodin, I finallly convinced him to give me Methadone and it works great, I take 30 mg in the morning and it lasts for about 24-36 hours. I didn't want to continue on Vicodin because fo the chance of liver damage, and it never took away all my pain, the Methadone takes all the pain away, I have started having severe hip and knee pain, due to my back, it takes care of the pain from all of that. So, my question is, does your body build up a tolerance to Methadone like it does with Vicodin or Percocet, or will I be able to stay at the doseage he has got me on?
The short answer is YES your body builds up a tolerance to any narcotic. Having said that I was on metadone for three years and actually was able to reduce my dosage. One of the reasons as you have found out is the half life (how long it stays active in your system) is much longer with metadone than with most other narcotics.
If any doctor tells you that you will be as good after a back operation as you were before you were injured , start running and don't stop. LOL. But really there there will always be some residual injury to the area and from my experience you are more apt to be injured in that area going forward after an operation.
My only complaint with methadone is the fact that is very hard to get off of should the need arise. Some of the reason is the half life but I have talked to a lot of people that have gone thru withdrawal from Herion to Oxy's and everyone I have spoken to (including me) has said it was the worst. not saying that to scare you I just think you should know.
I do want to add one thing. Once you start down the road of heavy narcotics for chronic pain you have to know that your life will change forever. No longer will you be able to just hop in the car and go to Vegas for the weekend or go camping in the mountains without first making sure that you have your meds covered. You can't let yourself run out or it will be a very long and nasty time of it. I just never hear a dr explain that part of the chronic pain experience.
Good luck, I hope I have helped . feel free to ask me anything.I hope you continue to find the relief you need.
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