I have been diagnosed with MS, fybromyalgia and arthiristis in my joints, I have had knee, elbow and shoulder surgery. the Ms is in the beginning stages, But Iam on oxycodone 10 mg 4x day, hydrocodone 10/325 2 x day, celebrex, and tizadine( a muscle relaxer), there are days that all of these meds. do not help the severe muscle pain in my entire body to where I can barley get out of bed much less even walk... Is there any one medication that would help . Instead of taking all these meds everyday, iam only 47 not over weight, but I also have type 2 diabetis, high blood pressure, high cholesterol and glaucoma. I want to stop taking so much medications.
You should see a good pain management Dr but speaking as one who has chronic pain 24/7, there are some days where no matter what you take, you wont be "pain free" Pain free, for many of us, is an unrealistic expectation. You should however, expect pain relief where you can manage some or most activities, most days. The pain should be tolerable or manageable. Focus on improving function rather than pain relief. Not being able to get out of bed, get a shower and get dressed is not a good thing and those kind of days should be rare but they may still happen no matter what you are on. I agree with Kaismama in that you should be managed with a long acting drug around the clock rather than a bunch of short acting drugs. My guess is that your PCP treats your pain and he is kind but he doesnt know how to manage pain, most PCP's dont. Many fear giving long acting drugs when they are probably less a risk for becoming habit forming than short acting drugs.
The reason I say that is this, short acting drugs flood the opioid receptors in your brain with drug. This flooding causes you to feel that opioid "rush" or "buzz" and in spite of best intentions, the brain becomes conditioned to equating "feeling" the drug effects to pain relief. Long acting drugs keep a more consistent drug level in your blood at all times there fore it prevents pain rather than chasing it. You take a long acting drug at regular intervals like every 12 hours or every 8 hours by the clock rather than as needed. Chronic pain is just like any other chronic illness. If you are diabetic, they give you drugs every day by the clock to prevent your blood sugar from spiking too high. Chronic persistent pain should be treated in the same manner-you prevent the pain from becoming overwhelming. Once the pain is very bad, it takes a LOT of drug to get it manageable again. If you never let it go out of control, it takes less drug to maintain control. You would probably do well on Oxycontin 20mg twice a day and leave the hydrocodone for breakthrough pain but it will be up to a PM doc to decide. Ask your PCP to refer you to Pain Management.
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