... sleepy. I ask her about Opana last month but she didn't want to subcribe it. The oxycodone & ultram for breakthrough pain is not working at all. The pain does not go away enough to call break-through pain. Please give me some drugs that I can ask her about. Thanks for your help
Okay, I go back to the doc next week to discuss drugs that will ease my pain without making me so?
- Asked
- 29 Dec 2010 by eyes on the sky
- Active
- 3 Jan 2011
- Topics
- opana, ultram, pain, oxycodone, breakthrough pain
Details:
Added 30 Dec 2010:
Yes, I receive facet blocks in my neck and lower back about every 4 months. I also receive epidural in my lower back. I asked the doctor to give my body a break from the methadone that I was taking to control the pain because I had gained 30 pounds and felt tired all the time. I also take neurotin for nerve pain, tramadol for breakthrough pain, xannax to sleep more than 2 hours without waking up and having to walk around the bed because the pain is so severe. I went through all the gambit of drugs when I was diagnosed with fibromyalgia and that was before my back got to the point I could not stand the pain. I can not stand in one place or sit for any length of time. I am at the point of only leaving my home to go to the doctor. I do have a compassionate pain specialist. However when I brought up the drug Opana, she didn't like that drug for some reason. I just want something that will not make feel so tired that I do not want to get out of my gown and something that will control the pain. I want my life back! Again I ask to go back to the oxycodone to give my system a rest from the methadone. I have had the nerves burned in my neck once and I thought I was going to die. That is why I choose to do the facet blocks. I am tired of taking all these medicines and would like to find something that will let me get off some of them. My list of meds go something like this
ALPRAZOLAM, BUPROPION XL, CARAFATE SUSPENSION, CHLORZOXAZONE, DICYCLOMINE, FLATCARS SPRY, GABAPENTIN CAP, PARATROOP/ALBERT SOL, INSEPARABLE DR DOT, LIDODERM PATCH, LISINOPRIL, MECLIZINE HCL, METHADONE or OXYCODONE HCL, PRAVASTATIN SODIUM, PROMETHAZINE, R-TANNA, SINGULAR, SUMATRIPTAN TABLETS , TRAMADOL, VIVELLE-DOT
I should have given more details and I am sorry for not giving you enough info. Between the allergies/asthma, pain/ muscle relaxers,meds for the gastritis and stomach spasms, the vertigo, high blood pressure, cholesterol drugs, I could scream! I only took the tramadol rarely when I was on the methadone. However this month with the oxycodone, I am taking them daily and I have had to take Tylenol PM to get any rest.
My pain specialist mentioned trying some type of patch that is changed weekly. She made the remark that the FDA may release them to start prescribing. However, I do not remember what the name of the drug was. Any suggestions on any medications that I might run past her? I have been seeing her for at least 6 years so we have an excellent relationship.
Responses (4)
christineATU
29 Dec 2010
Hi,eyes on the sky. The choice is pretty limited as the better medications tend to be opiates with the sleepy side effect. What's the source of your pain? There may be other treatments besides medication you could try. It all depends on what's causing it. If it's nerve pain, there's lyrica, neurontin, savella, etc. If it's spine related, there's epidurals, RFT's, facet blocks, etc. It really depends. Also, it seems your doctor isn't willing to step over that line in to stronger pain control like Opana. Since that's the case, she probably won't prescribe other morphine-based meds. What if you asked for a referral to a pain specialist? They would be more willing to address pain control with stronger meds. You could inquire about anti depressant's that have pain control properties in them. Sorry I couldn't help more. Good luck and hope you have a wonderful new year.
chris
oxyaaron
29 Dec 2010
ElizaJane23
30 Dec 2010
sweetas314
30 Dec 2010
w/o knowing your dx im gonna take a stab at this. I am also on Neurontin(Gabapentin) and Ultram(tramadol) for trigeminal neuralgia, fibromyalgia, carotiynia, and perephrial neuropathy. Neurontin however did not help right off the bat. I was referred to a pain specialist years ago who put me on Tegretol, the generic name is carbamazapine, and it was a miracle grug. Tegretol, however can have detremental effects on the bodies ability to make white blood cells and fight off infection. This can be simply rectified by quarterly or monthly bloodwork draws. It also is an anti-seizure medication like Neurontin or Lyrica, which by the way is excellent for Fibromyalgia. The only other side effect I suffered from with the Tegretol came after I had been on it for 5yrs, and there was a contraindication with the Tegretol, general anastesia and temporary vision loss. So just make sure you are under the care of a physician thile taking it.
Anonymous
2 Jan 2011
Dear Eyes, I know this isn't a drug,Hypnosis, but it is something you could at least try see if it would help. It is nothing like what is portrayed in Films or on TV, if you have ever been "in the zone," while reading, watching a movie, playing an instrument, and were very aware of stuff in the background, but stayed with your attention right where it was, this is hypnosis. You will NOT do anything you don't want to, can't be conned into doing something you shouldn't, and if you were in danger, your subconscious mind would alert you. I am mentioning this more because I see that despite all these meds, you still are in pain, the hypnosis could help with your pain. You can find hypnosis Cds in bookstores and online for pretty cheap and you also could see a psychologist who does hypnosis, there are some who try to help heal people with it. I have a cd by Dr. Andrew Weil and Stephen Gurgevich on healing yourself with hypnosis.
eyes on the sky
3 Jan 2011
thank you for your suggestion. I know this is going to sound silly. However, I would not feel comfortable going to one. In my mind, they are the same as mystics & our Bible warns of seeking out physics ect. I understand in my mmind, they are not the same thing. However in my heart, I would be very uneasy & think I was going against GOD's warning. It is a funny thing, when in doubt, I go with my heart. Thank you again for your comments.
eyes on the sky
3 Jan 2011
thank you for your suggestion. I know this is going to sound silly. However, I would not feel comfortable going to one. In my mind, they are the same as mystics & our Bible warns of seeking out physics ect. I understand in my mmind, they are not the same thing. However in my heart, I would be very uneasy & think I was going against GOD's warning. It is a funny thing, when in doubt, I go with my heart. Thank you again for your comments.
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Yes, I receive facet blocks in my neck and lower back about every 4 months. I also receive epidural in my lower back. I asked the doctor to give my body a break from the methadone that I was taking to control the pain because I had gained 30 pounds and felt tired all the time. I also take neurotin for nerve pain, tramadol for breakthrough pain, xannax to sleep more than 2 hours without waking up and having to walk around the bed because the pain is so severe. I went through all the gambit of drugs when I was diagnosed with fibromyalgia and that was before my back got to the point I could not stand the pain. I can not stand in one place or sit for any length of time. I am at the point of only leaving my home to go to the doctor. I do have a compassionate pain specialist. However when I brought up the drug Opana, she didn't like that drug for some reason.
Expand...
I just want something that will not make feel so tired that I do not want to get out of my gown and something that will control the pain. I want my life back! Again I ask to go back to the oxycodone to give my system a rest from the methadone. I have had the nerves burned in my neck once and I thought I was going to die. That is why I choose to do the facet blocks. I am tired of taking all these medicines and would like to find something that will let me get off some of them. My list of meds go something like this
ALPRAZOLAM, BUPROPION XL, CARAFATE SUSPENSION, CHLORZOXAZONE, DICYCLOMINE, FLATCARS SPRY, GABAPENTIN CAP, PARATROOP/ALBERT SOL, INSEPARABLE DR DOT, LIDODERM PATCH, LISINOPRIL, MECLIZINE HCL, METHADONE or OXYCODONE HCL, PRAVASTATIN SODIUM, PROMETHAZINE, R-TANNA, SINGULAR, SUMATRIPTAN TABLETS , TRAMADOL, VIVELLE-DOT
I should have given more details and I am sorry for not giving you enough info. Between the allergies/asthma, pain/ muscle relaxers,meds for the gastritis and stomach spasms, the vertigo, high blood pressure, cholesterol drugs, I could scream! I only took the tramadol rarely when I was on the methadone. However this month with the oxycodone, I am taking them daily and I have had to take Tylenol PM to get any rest.
My pain specialist mentioned trying some type of patch that is changed weekly. She made the remark that the FDA may release them to start prescribing. However, I do not remember what the name of the drug was. Any suggestions on any medications that I might run past her? I have been seeing her for at least 6 years so we have an excellent relationship.
As far as controlled substances, there's MS Contin, Fentanyl, OxyContin, Opana, etc. They are the stronger opiate medications. Be careful when using with all the other meds you take. You may be limited as to what can be prescribed because of the other meds. But there are good ones out there. MS Contin works well if the dose is right. And it's relatively cheap in comparison. The shorter acting meds like Norco, oxycodone, hydrocodone, I'm not sure would help you much. I can't look back to read, but are you still on Methadone? If so, maybe an increase in that may be useful. It's an excellent pain controller. If I can think of something else, I'll repost. I have an appt soon.
best wishes,
chris
Chris, I asked to go off the methadone. I was hoping to cope with the pain using the oxycodone and tramadol for breakthrough pain. I dont think I made a good decision. I know my pain doc would put me back on the methadone but I would perfer something that did not have such a stigma. I do the epidurals, nerve blocks in both my neck and lower back. Lifting way to much weight, car accidents, and a terrible fall does not do the back any good. I also have bone spurs on my spine.
You're so right about the stigma attached to methadone treatment. It's unfortunate because it's a good medication for pain control. You rarely grow tolerant to it and aside from the respiratory effects, it's pretty safe to use. Personally, I still would recommend MS Contin for pain control. Although it's similar to Opana, it's much less costly and works great for chronic severe pain. As long as the dosage is right. It's even allowed me to cut way down on my breakthrough meds. Hopefully your doc will considered a better med for you. I don't know why she's hesitant about prescribing a good med. Even the trams you take are addicting. But you said there's a new patch coming out you can wear for a week? maybe that'll work for you. Controlling this type of pain is tricky indeed! Best wishes.
chris