... car accident. I have been on many painkillers, since then. I was on all of those addicting ones, and now on Methadone. What I am confused about, why is it they don't just give out Methadone until after you are on all of those addicting narcotics??? Why do they get everyone up on them, then cut you down? I still continue my Percocet and Oxycodone (I am on the oxycodone and oxycodone with Tylenol), plus four other non narcotic nerve pain medications. I have done a bunch of research and still confused??
Hi, I have been on Methadone for about a year. I am dealing with pain, for over five years, after a?
Added 4 Oct 2010:
Thanks for all of your answers, I am trying to teach myself on managing severe nerve damage in leg, and herniated disc, after being hit by a car. I want to know WHY is it the procedure to wait over five years to put me on Methadone, which I am learning is supposed to be LESS addicting than all of those darn Narcotic pain meds????? Why not Methadone FIRST, then try the addicting Narcotic pain meds?????
percocet and oxycodone are the same meds only percocet is the brand name,oycodone and endocet are both generic perocet. they also have percalone which is actully oxycontin however i am not sure how many different doses they have I know the have 5mg bu dont knoe how high thry go
have a painfree day
Let me try to clarify your question. Are you asking why methadone is only prescribed after you have tried all the other narcotics? And is part two of your question indicating your dr puts you on various narcotics, raises your doses, then decreases them?
I will attempt to answer, assuming what I stated above is correct. First, methadone is the last choice in pain management, although it is the best, but last because it is the hardest drug in the world to stop. Therefore it is only used when all else fails. It is also very tricky. Taking a long time to find a therapeutic dose, which is a slow process.
Now your dr raising other narcotics then cutting them back... if he finds the increase does not give you substantial relief it is in your best interest to lower it again to help as far as tolerance goes.
I hope this helped. You will get many responses from the loving, caring and educated people on here. Anything on your mind, just get on here, sometimes you just need to vent or chat, its all good. Keep in touch. God Bless and Good Luck. Sable
Really sorry to hear about your accident and pain. All those meds, dose adjustments, ups and downs, no one seems to get it right. I can sympathize with that! Since you are on the methadone, I would talk to your doc about a dose increase so you can forget the other opiates (except for nerve pain) as methadone is the best at pain control. It sounds like you aren't on the right dose. If you were, you would be comfortable, pain free, and not posting here. Please talk with your dosing doc and have a chat about these other meds. He should know that when someone is on the right dose, all pain should be under control. If he's worried about addiction, sorry, he's too late! Chronic pain sufferers are addicted to their meds. We can not lead productive lives without them. So politely request the methadone be adjusted to a level of comfort for you.
Trying different meds for bt pain, increasing those, mixing that, there's no reason for so many different meds if the methadone is the right dosage. Yes, you will still need something for the nerve pain, but even methadone control that to a point. Even with the methadone at the right level, quitting the other opiates shouldn't be that difficult. Please talk with your doc. Write down all your concerns beforehand so you don't forget something important. I wish you a pain free day very soon. I know it's frustrating, but please, give it time and be patient with the methadone increases. They have to do it slowly.
Be safe and my very best wishes,
The OP is obviously quite confused because methadone is also a very addicting opiate and it takes a relatively long time to gradually wean off it if one wants to stop using it because it has a relatively long half life which means it stays in your body much longer than the other opiates. However this property also makes it long lasting and makes it so you don't experience as much cravings in between doses. So as long as you keep taking it on the proper schedule, you don't experience much (or any) cravings for it as the blood levels stay high.
However, the pain relieving effect of methadone wears off before the methadone leaves your system to the point that it starts to cause withdrawal symptoms, so if you take it 3 or 4 times a day (usually 3x for pain control for most people), you should never experience any withdrawal symptoms or cravings for it and if on the right dose, the pain should also be well controlled most of the time. So unlike some of the other short acting opiates, it is relatively smooth with very little ups and downs assuming one takes it on the right schedule and dosage.
As one of the other responses indicated, however, methadone is somewhat tricky to "titrate" (i.e., establish the right therapeutic dose for each individual patient) and because it's so long acting it can build up in the body and become potentially very dangerous if abused or not used correctly. Hence many, if not most, doctors who are not pain specialists won't prescribe it. Unfortunately, for pain patients, it also has somewhat of a bad rep due to its history of being used to treat heroin or other opiate addiction, and many doctors don't seem to know that it also is a really great pain medication.
It is, in my experience and opinion as a very long term chronic pain sufferer, probably the best pain medication for severe chronic back pain with the fewest side effects (once the proper dose is arrived at and one's body has had time to adjust to the medication, all of which can take a few months). It's a great and powerful pain reliever though and fortunately also very inexpensive for those who don't have drug insurance (or good drug insurance) coverage.
It would simply be criminal, imo, if the government makes this amazingly effective medication even more difficult for pain patients/sufferers to get than it already is.
- Methadone Information for Consumers
- Methadone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methadone (detailed)
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