pain meds and moods

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mala407
Regular Member


Date Joined Mar 2007
Total Posts : 103
   Posted 4/11/2008 2:08 PM (GMT -7)   
Hi Everyone,
  I need a little bit of help in realzing what I'm feeling is normal. I've been on percocet daily for almost 6 months now, although I've had my pain for 7 1/2 years. Do any of you find your mood and emotions are unstable? I feel that my mood can change anytime during the day. I dont feel depressed so much, it's just feeling good and then later in the afternoon feeling very drained and just a bit numb...is this normal? Sending you all a pain free night...
 
Mala
26 years old, living in Chicago, Chronic abdominal wall pain due to nerve entrapment. I have IBS-D and neuropathy. Gall bladder removed, failed exploratory nerve surgery, pancreatitis, several hospitalizations for IBS flareups. Medications: Welchol, Align, Lunesta, Percocet, Thiamine, Zyrtec-D
 
I am a dance teacher and choreographer who loves children and cats!


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/11/2008 2:41 PM (GMT -7)   
If you're saying your mood changes only started with the percocet, it could be a cause or at least a factor. It does affect the central nervous system, and can affect emotions. On the other hand, it's also very common for those of us with CP to also eventually suffer with depression, even if we have no history of it, because of what pain does to neurotransmitters. I would definitely talk with your doctor soon about your moods and have him/her help you assess what may be the major causes, and what your options are. I don't see an anti-depressant listed in your meds, and it may help you.

Great that you love children and cats and are still working. Dance is such a wonderful way to express emotions, as well as great exercise. Good for you!

Lakeside
Regular Member


Date Joined Jun 2007
Total Posts : 138
   Posted 4/11/2008 6:21 PM (GMT -7)   
Hi Mala! Thank you for your post on meds & moods---I think there are some other allied posts that have been active recently re this including the one on CP & depression, some specific to back pain, but very helpful overall. And I love that you love children & cats--when well, I teach 2nd grade and whether I;m well or not, I have 2 cats! But I can't dance to save my life, haha! I admire that--the grace of dance!

I find it interesting that you mention "later in the afternoon" as a time your feel drained/numb, etc. I just mentioned a similar feeling I get every day about that time to my mom last week. I told her it's usually between about 3-6 PM---I just seem to get really "down" and anxious & tired and discouraged,etc. It seems to "lift" (for no reason I can find) after supper & then the remainder of the evening is better. And in the mornings, I usually feel pretty hopeful, even w/ the pain etc. But later in the afternoon.....! YES!

Anyone else have this? My mom ( a retired RN) suggested it could be fatigue building up, but it seems to affect my thoughts as well as my body....my doc suggested it could be the meds (dialudid/valuim) & wasn't concerned b/c it is somewhat fleeting & ephemeral in nature--not all the time, etc and doesn't last long. He just thought it was still some burn-off from the stress of surgery, etc. But how interesting you should mention the SPEICIF time of day!

Hope you have a comfortable night---and if you feel start to feel "off" tomorrow afternoon again, please know you're not alone now!

~Lakeside
Nov. 06-- Lammy @ L4, removal of spinal cystic tumor @ L4/5(benign)
Dec. 06--Re-operation for post-surgical spinal fluid leak.  2nd surgery caused sciatic nerve damage & radiculopathy in R leg/foot,  increased spinal instability (grade 1 spondy, 17%), epidural scar tissue binding nerve roots, damaged facet joints & worsened DDD @ L4/5
Jan.  08--PLIF fusion/discetomy surgery w/pedicle screw instrumentation @ L4/L5, another lammy (@ L/5 this time) & bone marrow harvest from left iliac crest for packing bone around disc cages after total discectomy @ L4/5. Good relief from sciatica & leg/nerve pain, tho some residual CP--hope to be "Healing Well"...


mala407
Regular Member


Date Joined Mar 2007
Total Posts : 103
   Posted 4/11/2008 8:10 PM (GMT -7)   
Thank you so very much to the both of you :) I'm sorry if this is short but my lunesta is kicking in....I will write you back more tomorrow but quick question.....which of my doctors should I tell about this to? My pain management doctor? My internist? I'm assuming pain....thank you so much for your kind words and support...I'm here for you too :)

Hugs,
Mala
26 years old, living in Chicago, Chronic abdominal wall pain due to nerve entrapment. I have IBS-D and neuropathy. Gall bladder removed, failed exploratory nerve surgery, pancreatitis, several hospitalizations for IBS flareups. Medications: Welchol, Align, Lunesta, Percocet, Thiamine, Zyrtec-D
 
I am a dance teacher and choreographer who loves children and cats!


Lakeside
Regular Member


Date Joined Jun 2007
Total Posts : 138
   Posted 4/12/2008 6:07 AM (GMT -7)   
Mala, I would mention it to whomever RX'd it. But you may want to tell all your docs, esp if they are in contact w/ each other &know about your total condition.

Hope you have better day today! If yuou get in the dumps this afternoon, know you're not alone! It's probably pharmaceutical in nature, you are not going nuts, etc. Drugs are very powerful mood changers, either for good or bad...sometimes you get body pain relief at the expense of mental unrest! Ugh!

Best! ~Lakeside
Nov. 06-- Lammy @ L4, removal of spinal cystic tumor @ L4/5(benign)
Dec. 06--Re-operation for post-surgical spinal fluid leak.  2nd surgery caused sciatic nerve damage & radiculopathy in R leg/foot,  increased spinal instability (grade 1 spondy, 17%), epidural scar tissue binding nerve roots, damaged facet joints & worsened DDD @ L4/5
Jan.  08--PLIF fusion/discetomy surgery w/pedicle screw instrumentation @ L4/L5, another lammy (@ L/5 this time) & bone marrow harvest from left iliac crest for packing bone around disc cages after total discectomy @ L4/5. Good relief from sciatica & leg/nerve pain, tho some residual CP--hope to be "Healing Well"...


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40588
   Posted 4/12/2008 11:05 AM (GMT -7)   
Hi Mala,

Narcotics can make you depressed so you might need an anti depressant to fight that.

As Gramps stated though, you might need a longer acting pain med such as oxycontin. It could be the pain that is effecting you.

I hope that you feel better soon.

hugs, Karen
  Moderator-Depression
 
fibromyalgia, Chronic fatigue, depression,allergies


Toritoo
Regular Member


Date Joined Apr 2008
Total Posts : 184
   Posted 4/12/2008 1:59 PM (GMT -7)   
yeah  Hi Mala, Sorry for your pain and you sure came to the right place for help and understanding. I see you've already gotten replies from some of the best of the best on this site yet I can't help but add my 2cents. You don't really say you get depressed just down and moody ect. I'm on most of the meds your on myself plus a few more and I've found that by about 3 or 4 everyday I begin to feel very similar so I find myself taking a little nap at that time. When circumstances allow of course. When my daughter was younger I always knew it was nap time when she got a little grmpy and whiny.
With all the meds we are on and all the stress involved with our day to day living with pain it is no wonder we don't feel a little low, anxious, moody ect. Like you my mood picks up again in the early evening.
Sometimes we all need a little respite from our lives and there is nothing wrong with that. After you follow up on the other advice you've gotten here and talked to your dr. try the nap thing, it may surprise you. If your one of those people who just can't sleep during the day a half hour or more of quiet lying down and going some where else in your mind helps me also. Meditation is great if you can do it and believe in it.
I just saw my PC dr. and asked her about B12 shots for the same reasons you stated, I was told they only gave B12 shots to you if you have a deficiency (sp) and I don't so I'm sticking with the nap and quiet time, it works for me usually.
Good luck Mala and thats me out.
                                                   Toritoo

Muzz
Regular Member


Date Joined Mar 2008
Total Posts : 395
   Posted 4/12/2008 11:51 PM (GMT -7)   
Fatigue can make our minds as tired as our bodies. It could also be a flucuation in blood sugars, esp if u have eaten a high-carb lunch.
I am not my pain, it does not own me.


Lakeside
Regular Member


Date Joined Jun 2007
Total Posts : 138
   Posted 4/13/2008 7:10 AM (GMT -7)   
Excellent advice! And yes, when I feel that afternoon "slump" & start to get the blues, if I'm home (which is almost always now haha) I do take a nap & it does help! It also advances the time from afternoon to dinner time & that seems to help as well. Gramps, you are correct--when we feel good in the AM, we often get some things done & may over-exert ourselves, only to have it "catch up" to us after lunchtime. My doc said that as long as it wouldn;'t be a feeling I have all day, every day for weeks, that he didn't think it was depression, altho I did concur that pain & esp CP can cause those mood changes + the meds do too. He said to just watch it, do what I felt would help ( nap, meditate, etc) & that it should imporove as I continue to heal.

The weather here (Wisconsin) bears on it also, I feel. When you can't get outside & it's day after day of cold, dark, damp weather, like we had all winter, it doesn't help either! Now that Spring is here (sort of...) I find that getting out for a walk in the sunshine helps also.

Toritoo, I like your idea of the nap/quiet time & your example of when your little one would get grumpy/whiny in the afternoon...how well I remember that w/ my daughter & granddaughter! After their naps, they were like different children! All bright-eyed & bushy-tailed again!

So I will try all the suggestions & also just let time do its healing job. Another thing: those of us who are not working now, due to our receoveries or CP or both, that has changed our daily routines too. When I was teaching, afternoons were math/science time, then recess, then quiet reading b4 the busses would come. There was no time for me to feel "blue" & of course I was doing what I love, so why would I feel that way anyhow! Now home, waiting to fuse some more, I feel that loss & that could factor into the cause too. Just thought of that!

Anway, I love how we all support each other & I always read every post....thank you all for your your great advice & support--it's like getting a gentle hug from someone dear, who pats you kindly & says, "There, there, it'll all be OK." I think it will !

~Lakseside
Nov. 06-- Lammy @ L4, removal of spinal cystic tumor @ L4/5(benign)
Dec. 06--Re-operation for post-surgical spinal fluid leak.  2nd surgery caused sciatic nerve damage & radiculopathy in R leg/foot,  increased spinal instability (grade 1 spondy, 17%), epidural scar tissue binding nerve roots, damaged facet joints & worsened DDD @ L4/5
Jan.  08--PLIF fusion/discetomy surgery w/pedicle screw instrumentation @ L4/L5, another lammy (@ L/5 this time) & bone marrow harvest from left iliac crest for packing bone around disc cages after total discectomy @ L4/5. Good relief from sciatica & leg/nerve pain, tho some residual CP--hope to be "Healing Well"...


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/13/2008 12:57 PM (GMT -7)   
This has been interesting for me to read, especially about fluctuations throughout the day, part of which I think are normal, but agree with pretty much everything that's been said about how many factors can affect us throughout the day.

I thought I'd toss in one more aspect. Our bodies NORMALLY have rhythms that we cycle through during the day called circadian rhythms. They generally occur in roughly 90 minute cycles and reach their peaks at two time - 3pm and 3am - for more people. There's actually some rationale behind that 3pm nap for everyone, and I even have heard of employers encouraging a 20 minute meditation time in the mid afternoon. It's also when people go for those power snacks and more caffeine during workdays to help with what's our body's normal cycling. And the time when most accident occur for night shift workers, truck drivers, etc. - 3am. Not an accident. So what we may have as CPP's is added to that. Siesta time is really a healthy thing for everyone, but even more so for us!

Lakeside
Regular Member


Date Joined Jun 2007
Total Posts : 138
   Posted 4/13/2008 5:24 PM (GMT -7)   
PALady, how insightful! I totally forgot about those natural daily body rhythms! Of courrse! And they often hit about 12 hrs after your deepest sleep, which makes total sense, as most of us sleep well around 2-4 AM and then 12 hrs later (in the afternoon) would experience that let-down feeling! And as you say, we have CP as an added stressor, so we need that naptime/rest time/down time even more so! Genius!
I will think of you tomorrow as I zzzzzz my way thru the afternoon! Thank you! You are brilliant! And I am exhausted! (Attended a horse show this afternoon w/ my daughter & granddaughter, but man!! Am I sore/stiff/painful/ achy/ etc blah blah blah...you know the routine! Do something normal, pay for it dearly.)

BUT....! It was worth it, I shall rest tomorrow & thank you again for giving me ANOTHER reason to do so!

Hey! Sending some cold but clear weather! No rain today & 60's here by Wed! HEaded East, just for you! Yea! Something decent for a change!

G' Night all! I'm off to the nearest ice pak!

~Lakeside
Nov. 06-- Lammy @ L4, removal of spinal cystic tumor @ L4/5(benign)
Dec. 06--Re-operation for post-surgical spinal fluid leak.  2nd surgery caused sciatic nerve damage & radiculopathy in R leg/foot,  increased spinal instability (grade 1 spondy, 17%), epidural scar tissue binding nerve roots, damaged facet joints & worsened DDD @ L4/5
Jan.  08--PLIF fusion/discetomy surgery w/pedicle screw instrumentation @ L4/L5, another lammy (@ L/5 this time) & bone marrow harvest from left iliac crest for packing bone around disc cages after total discectomy @ L4/5. Good relief from sciatica & leg/nerve pain, tho some residual CP--hope to be "Healing Well"...


kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 4/13/2008 5:59 PM (GMT -7)   
My mood changes but I think mine is more stress from dealing with chronic pain not my pain meds. If you think your pain meds is causing you to have mood swings I would contact your dr. But I did notice when I was on percocet it made me had horrible mood swings. Talk to your dr. about it. I hope you have a lpn.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/13/2008 10:12 PM (GMT -7)   
Awe, shucks, Lakeside, I'm just lapping it up! LOL I have a lot to say about your earlier post - talk about the right words at the right time! - but I haven't been able to sign on most of the day (don't know why, this seems to happen periodically) so I'm just adding a few quick responses and will do a longer one another day.

Enjoy your siestas!

mala407
Regular Member


Date Joined Mar 2007
Total Posts : 103
   Posted 4/14/2008 8:21 PM (GMT -7)   

Thank you so very much to all the wonderful replies....it makes me feel better just knowing I am not alone with everything. You are all such wonderful people!!

Mala


26 years old, living in Chicago, Chronic abdominal wall pain due to nerve entrapment. I have IBS-D and neuropathy. Gall bladder removed, failed exploratory nerve surgery, pancreatitis, several hospitalizations for IBS flareups. Medications: Welchol, Align, Lunesta, Percocet, Thiamine, Zyrtec-D
 
I am a dance teacher and choreographer who loves children and cats!

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