... and a 1/2 weeks. I have a history of drug abuse but I don't consider this abuse. This regimen just doesn't help my pain anymore after 3 yrs. (dependency is up) The last week and a half before my next visit is always hell as you can imagine. So I've been basically "spin drying" as they call it - spinning for 15days and drying out for 15days - every month for several years. Problem is the detox(drying) time is getting harder and harder on my body each passing month. Lots of urinary issues on and off meds. I don't see any meds that I can switch to that will solve the problem because of $ issues. And asking for another increase in what I have will only solve the problem for a month or so before the same thing happens again-I start over medicating. Anybody w/similar issues or advice will be appreciated. thx
I recommend you discuss switching to a long acting formula opiate medication such as Exalgo or Avinza, then only taking a shortacting med for breakthrough pain. You have built up an opiate tolerance and your doctor should know this. Another alternative is to switch to something like fentanyl patch which is for opiate tolerant patients.
Dear hjs... I agree with Laurie. You are very opiate tolerant. Your brain has produced so so many extra receptors due to the opiates that they are all screaming for occupancy from an opiate. This is the nature of opiate usage. It is also the demise unfortuantely. The exalgo of which Laurie is referring is basically an extended release from of dialudid (hydromorphone). The avinza is an extended release form of morphine.
The only other option that I would highly recommend is a drug like buprenorphine. It is an opiate... yes, it is used to treat opiate addiction by a complex mechanism... but it is also a wonderful analgesic. The nice thing about buprenorphine is that it does not cause other receptors to be produced by the brain so it does not need to be increased frequently due to tolerance. The downside is that it has such a high affinity for the narcotic receptor site that it doesnt allow other opiates on and it kicks others off... basically it doesn't work and play well with others..lol.
But... it would keep you from using your dosage up before the time is due for a refill.
Listen hjs... these are suggestions... but you really DO need to let your doc know that you are having these problems. Believe me, if he prescribes these amounts of opiates he SHOULD know how addicting they are. If you are truthful and humble with him/her and let him know that you are sick of this vicious cycle... I am sure that you will come up with a plan that will work for you.
One more thing that I feel that I need to address with you hjs... it is obvious that you are also psychologically dependent on these drugs... please, please DO NOT think I am being critical or judgmental... believe me... I was there also... I KNOW how much better the world looks through those rose colored glasses... but the fact is that it just keeps getting worse... these drugs insidiously creep in and control every aspect of your brain... believe me... I was there and am still on the road to being clean through low dose suboxone treatment. The point that I am trying to get across is that these drugs cause a viscous self perpetuating cycle... you have to somehow break out of it... yes, you need pain relief... but from something that is not so self destructive.
Maybe I have said way too much... if I have... then oh well... purge it... but if I have helped in any little way... then I have achieved a greater purpose.
I hope you get relief hjs... good luck... my thoughts and prayers are with you...
ok, sounds to me that you need to talk to your doc. You certainly cant live like this anymore, every month that you do this to yourself it becomes more and more dangerous. Believe me i understand you dont want to be in pain, but try to pace yourself and dealing with some discomfort is somtimes just the way it is. I too had a problem with over medicating, just wanting to be pain free. I realized, after a while, just wasnt gonna happen, and dealing with some discomfort is just how it is for me. Talk to your doc about an extended release med, with somthing short acting for breakthrough. best wishes.
It sounds like you need to deal with the issue and that is the back pain issue taking any meds for any amount of time is just a temp fix having your back fixed is what needs to happen. I have had 12 back operations have taken every pain pill every made and was taking 50 10 mg perocets a day and was on the fent patch and was still wanting more! Our bodys aren't made to take this amount of pills period. I like to deal in facts and just facts you need help you are addicited to these pills and no matter how much you take it will never be enough period! I have been off this s&^t and I have never felt better for the last 6 yrs.
I take 8 mg of Suboxone each day and have taken it for 6 yrs and I have never needed anything else, its all about breaking the habit and doing what every one knows needs to happen and that is stop taking the pills and live with the pain no pain is worth the flu like feelings you have every month. Trust me I lived it for 5 yrs never did a drug prior to the pills and I HAVE NEVER FELT BETTER THEN I DO NOW!!! Get your life, family back stop the lie!!!
The Truth Teller!!
1-there is a fairly new hp dilaudid (high potency) for opiate tolerant patients. It is a solution for injecting. I think the strongest is 10mg/ml-50ml vial
2-there's opana... A oxymorphone xr tab
3-now I'll suggest methadone B4 I propose
4-send me a 3 week supply AS SOON AS U FILL! I will overnight your meds every week! All I'd need is postage and 1 of your 8mg 4 or 5 days of the week! That way you can be assured that you don't run out and get sick!
really, there aren't many pk's that are any stronger or that can legally wrote for on an outpatient basis! Use my username at gmail to contact me!
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 7 Jun 2010 • 6 answers
Posted 27 Jul 2010 • 3 answers
Have had chronic back pain for several years. Last treated with 7.5mg. Oxycodone 4 x daily for seve?
Posted 23 Jul 2011 • 2 answers
Posted 15 Mar 2015 • 3 answers
Posted 20 Mar 2015 • 1 answer