I have fibromyalia,oseoarthritis and rheumtoid arthritis. I am in pain most of every day. I have pain meds but lately my dr. Does not want to give me pain meds. When I get my pain meds now I have to tolerate the pain as long as I can for fear that I may not get another prescription. How far is this arthritis does not get better or go away! Any suggestions?
I know right where you're at with stretching the script fearing no refill, and that really sux. All I can say is this; follow the instructions on the bottle to the letter, taking no more than prescribed and maybe just a little less. On parameter Drs use when prescribing pain meds is their observation of how the meds are (or in some cases, are not) being used. Too fast, and they'll cut you off. Too slow, and they'll wonder if you even need them at all. It's crazy-making I know, but they know our alternatives are limited. Eventually maybe a 2nd opinion or a switch in Dr is the way to go, but than again, that carries its own set of hassles. Hope this helps.
TOO HELL WITH THE DOC!!! Explain to him/her that your in constant pain & the games he or she is playing is ADDING TO THE PAIN BECAUSE OF THE STRESS HE/SHE IS PUTTING YOU THROUGH! If your taking your meds per the directions & YOUR STILL MISERABLE & can they PLEASE GIVE YOU SOMTHING THAT GETS RID OF THE PAIN OR AT LEAST MAKES IT TOLERABLE! What the doc is thinking is that they don't want you to become PYSICALLY DEPENDENT ON OPIATES,but hey most pain meds worth their weight in salt YOUR GOING TO BE DEPENDANT ON THEM TO GET RID OF YOUR DEBILITATING PAIN,no if &'s or buts!
If there not willing to treat your pain with a medication that works kick the doc to the curb,tell them nothing personal but your quality of life is crap & if their not willing to work with you with different meds until you find one that works,AND DON'T FALL FOR THE TRAMADOL BECAUSE IT'S PRETTY HABIT FORMING & doesn't (in my opinion work anyway,or at least not well enough to be dependent on it) You could some of the long acting meds that the drug addicts haven't ruined yet which eliminates the real O.C's,The original formula Opana(I don't know if they still make the pink 10mg immediate release Opana's because they work really well. There's always the extended release Morphine in 15,30,60,100,&200mg tabs (the 200 are for opiate tollerant patients only) Well that's my two cents & I believe what I've said is your options for a 6-7 on the pain chart. Oh,Dilaudid(Hydromorphone is the generic version) also & that's what I take & I know they've come up with a a long acting version called Exalgo that you only have to take 1's a day. They also make a long acting form of Hyrdomorphone in Canada called Paladone,but it's not available in the United States because if you drink(I assume the higher the proof the more dangerous because it causes the tablets to break down too fast & you get "DOSE DUMPING" which is the same as if you chewed up the old formula of OxyContin. Or the same if you chewed up an extended release Opanna. I find that by just taking more immediate release Dilaudid(they make them in 2mg,4mg,& 8mg(The 8mg are for opiate tolerant patients too) hope this gives you some options you may wish to discuss with your doctor,but be sure to mention(If your O.K being dependent on an opiate medication,but also being pain free or at least a manageable pain?) I myself don't experience any side-effects that are not tolerable,except constipation which can be dealt with without any harsh effects. Take what I said & try & discuss it with your doc & if he/she has any compassion they should have no issues giving you something to improve your quality of life. GOOD LUCK.
Hi Ms Eta, I just want to say since I have Fibro and have done EXTENSIVE research on the subject, that doctors do NOT LIKE to prescribe pain patients to Fibro patients. Narcotics do not work on Fibro. Other meds work, but NOT narcotics. That might be the reason your doctor hesitates to start you on this bumpy road of narcotics. I also know that their are several meds for rheumatoid arthrititis. You might want to see a rheumatologist about both types of arthritis. That might be your best bet! Celebrex also works really well for the arthritic pain. Believe me, you don't want to start on narcotics if you don't need them.
Best of luck to you!
I also have these three conditions diagnosed. My Father has RA and is 76. Neither his Rheumatologist nor mine will prescribe any kind of narcotic. They are different Drs and will only allow me to have advil, cymbalta and prednisone. My dad is on an RA med plus advil and prednisone.
My GP is the one who gives me the pain meds. I am blessed that he has known me for a very long time. When he is here, I am well taken care of, when he is gone, I am treated like a drug-seeking leper.
My RAololgist took me off everything and I thought I was going to die, now I am back on the minimum dosages of everything. He FINALLY explained, as was said earlier, narcotics do not work in Fibro cases, but with Osteo it starts to get tricky. He is trying to go as long as possible without introducing the RA meds because I am prone to infections (spider bite from years ago). Each case is distinctly different.
Cymbalta has been a true life saver to me. I ran out a couple of months ago and my pain was so intense, I couldn't even walk. I just forgot to refill, truly. My husband filled it and within 12 hours I was "normal" again. Until that incident, I had no idea how much work that pill was doing. AND WITH NO SIDE EFFECTS... Cymbalta is the drug preference these days for Fibro, so a nurse friend told me.
I refuse to go without narcotics anymore. I didn't ask for this and I have a strong record of not abusing them as I have been taking the same dose since 2007, except when the GVT outlawed my original dose. I have only once in all those years ran out before my 30 days and that was when I got rid of the patch.
We all have rights and those being a right to as quality a life as possible. I am doing all I can to help myself too, but not all of us are junkies.
You did not mention what pain medication you are currently taking. Also are you seeing a RA dr ?
Also are you taking Cymbalta ? It helps alot & I have not had any side effects & have been on it for 5 yrs.
If you could provide us with a little more information maybe we can help more.
Best wishes, Kathy
As a fibromyalgia sufferer, I can attest to the fact that opiates do not help fibromyalgia at all. I wear an opiate patch (not the lowest dose), which has kept me out of the ER for my migraines, but has not helped my fibromyalgia at all.
You really need to tell all of us which pain pills you have been prescribed, so that people can help you more.
I have to agree with msfinos answer about taking narcotics or opiate pain pills for arthritis & fibromyalgia. I have both but, also have neruopathy & a really messed up bad back that is the reason I take oxycodone. Not for fibromyalgia or the athritis. It really doesn't help those conditions. I have had fibro all my life & worked most of my adult life to raise my three sons as a single mother. Granted it wasn't always physical work, more of the brain kind, but I never took anything for pain until my bones started crumbling & that is very painful. I really think you should see a rheumatologist also as there are a number of different meds to treat both types of arthritis. Now if you get compression fractures in your spine like I do from osteoarthritis I can see giving you opiate pain drugs for a time until it stablizes, but not on a full time basis.
Too many narcotics are being prescribed for conditions that don't warrant them at all. RA can be treated with several different types of meds that will give you more relief than you will get from narcotic type of meds. I really suggest you get a referral to a rheumatologist & describe your pain & ask for something that treats it like the celebrex, & maybe methotrexate for the RA. Lots of people have done wonderful on it. Lots of good wishes coming your way... Mary
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