I strongly recommend you look into sublingual buprenorphine tablets. I was taking 60mg of Oxycontin per day and wearing a Fentanyl patch, and I was still in pain all the time. Buprenorphine allowed me to wean down to what would be the equivalent of maybe 1 or 2 Vicodin per day, and I'm in no pain at all. It has a half life of around 36 hours, so it isn't like the other meds where they wear off quickly. It originally was used to help in detox clinics - it actually helped HEROIN users detox without withdrawal symptoms - now they're realizing in the pain management world that it can actually be prescribed as a pain management tool - not even really to detox - but FOR pain management, and to help with the stigma associated with the drug, they put "for pain" on the prescription label.
Besides, heroin detoxers get theirs from a detox clinic, not from a pharmacy, like you would. A pain management doctor has to go through special training to be able to dispense the medication because it is VERY powerful. It comes in three forms - my personal favorite is the straight medication Buprenorphine in a sublingual tablet. I STRONGLY RECOMMEND AGAINST the patch. It sounds nice to think of a patch that stays on 24/7, but trust me, it is about half as effective. Does. Not. Work. The third formulation is the one that they give the detoxers in the clinics. It is also sublingual but it comes in an orange strip. What's different about it is that it contains Narcan, the drug you see ambulance drivers administer to someone in overdose. The reason this one is administered to the ones in the clinic is because, if they WERE to try to use heroin, it wouldn't work. The Narcan would simply keep it from working at all and they'd lose interest. It is the most common form that is prescribed, so don't freak out if you get the orange strips. Like I said, they get training, and the orange strips (Suboxone) is the one they're most often trained on. Once you get out of that pain cycle of the rapid ups and downs of the short-term pain pills, you will find that you will have a lot more energy and you can do things you couldn't do before, like go shopping at the grocery store and actually stand there without being in pain. It makes a big difference to quality of life.
I was worried, too... I thought I would spend the rest of my life like this, and I was going down the drain. You can live without the pills you currently use, and you can live a normal life. You probably will need pain management support the rest of your life, but it will be and feel very different from what you are experiencing right now.
And if you can get your insurance to cover it, I recently found an amazing constipation medication called Amitiza. It literally changed everything for me. Good luck! Let us know how it goes?
Meggie; thanks what a wonderful and compassionate answer for this lady. Ta2d; And to add to my dear friends answer go with that but it is so important that you have support and don't beat up on yourself. I still have to take Morphine and oxycodone as needed from crushing my leg many years ago But during my recent Cancer treatment and all the other medications they had me own until last month we were able to get me down to less than 1/2 of what I was on. where now I feel better than I have in years and the way they adjusted my medications and God only knows what the chemo did to me. But whatever you do dear don't try to detox yourself this is a job for a pain doctor and don't allow them to treat you like a druggy. I commend you for seeing you have a problem now and want your life back. Be the parent you want to be and the world well not revolve around pain medications. So keep your spirits up.
my 3 sayings that have helped me through this road, keep your faith no matter what it is, a good sense of humor and stay positive in your thinking and with what you hear and people you are around it has helped me more than anything. as they say, life gives you Lemmons make lemmonaid. This to be done right is going to take some time so you don't suffer ill effects and you and the doctor can figure out just where your pain really is. And possibly treat it with a non-narcotic pain medication. later but for now you have years of build up and it can take some time to slowly withdrawal from all the different medications. Try and be patient you well be so happy if you can get them down to a low dose of just different medications. And yes you well get energy back feel better you name it at the end of this all of these meds you listed work also like a depressant and drag you down so don't be surprised if they give you some type of antidepressant with this and believe it or not studies show that they do help with people with chronic pain, and help elevate your mood. But the place to start is with your current doctor that can slowly taper down your medications to avoid withdrawals and you can go to a pain clinic and have the evaluate you and see just what you might really need. Life well gets better my dear. And at the same time, you well start to feel like the person you want to be but it is important to have support around you. More than just your spouse like a support group they have them also at pain clinics and counseling. You can do this but please don't try it just by yourself every day you wait the longer this is going to take. But you want to do it correctly and permenttly. Please keep in touch with us and let us know how things are going for you and those wonderful kids.
You received some really good answers here. I wanted to add my experience with Narcan. Yes, it's been around for a long time. I came across it in the early 70's when working in the ER. We got really good at diagnosis what drug they took by watching, the smell of Placidyl, the behavior of Angel Dust and Ketamine. There were so many drugs out there. Narcan (opioid antagonist only) was usually given to an unconscious patient who would die if he didn't get it immediately through an IV. It worked within seconds! We would put the patient in restraints because they would wake up disoriented and fighting. The trick with Narcan is that it only lasts less than 1/2 hour. You would need to give him another and another thoughout the night or they would go back into respiratory depression and die. They would usually go home the next day. If they are using it for pain management now I'm sure they have made changes to the structure.
It would totally wake these kids up. Once they were awake, they would be angry that we ruined their high. After becoming unconscious several times during the night, they were grateful because they didn't realize how close to death they did get.
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