I am opiate tolerant. I've had gastric by-pass surgery. I have a bulging disc in my lower back. I also have sciatic nerve pain and a few other pinched nerve pain problems. I have moderate scoliosis as well. Basically, I hurt everyday all day, even in my sleep from the waist down. I have tried several opiates. Naturally being opiate tolerant, I am at the morphine and up level to get any relief. However, heres where my problem lys. So far morphine, ms contin and dilaudid make my feet and ankles swell very, very bad. Like can't wear shoes bad. I don't know where to go from here! I just got a script for 4mg dilaudid three days ago and my left ankle is HUGE. I also take gabupentin for the sciatic nerve pain. That also makes my ankles swell but not near as bad as the opiates. I know everyone is different and will react differently to all meds. I'd just like to know what opiates helped the most and at what dose considering the gastric bypass and tolerance. Thanks again. Scared and discouraged.
Since you are opiate tolerant and can't take extended release type meds, I recommend Actiq. It actually is for opiate tolerant patient and comes as a sucker that you put in the side of your mouth and let it dissolve slowly. It is absorbed this way and wouldn't matter about the gastric bypass.
I don't know if it will cause the same swelling problem, but is worth asking the doctor about.
Hope this helps,
not for the same reasons that you are but Dilaudid (you mentioned comes in 4,mg and it also comes in an 8mg) for awhile I took 8mg every 3 hours then Norco for breakthrough pain, have you ever tolerated Percocet 10/325 or hydrocodone 5-10mg 325mg. Opana is an oxymorphone drug it comes in extended release but it also comes in short acting, they have MSIR tablets which is a short acting morphine, I had problems with MS contin it's long acting it made me feel weird, I take Opana extended release 40mg every 8 hours but they make an Opana short acting is not the same type of morphine as MS Contin, Pain medicines work well for some and for others (like us) it is a problem, if you are opiate tolerant Dilaudid 4mg may not be enough you may ask the doctor to write on the script if one does not help you can possibly take two.
these are just suggestions that come to mind, I have had to do trial and error, sometimes I have to fill a script and then end up taking it back to the doctor and she has to try another medicine. I wish you the very best! Caringsonbj by the way have you tried non opiates? just wondering.
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