New to CP forum, normally in AP or Fibro

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Mazfire
Veteran Member


Date Joined Oct 2008
Total Posts : 1683
   Posted 12/26/2008 3:45 AM (GMT -7)   
Hey guys- im struggling at the moment. I have different sorts of pain that accompany my different illnesses, but the strongest med they will prescribe me is codeine, or digesic. whenever im in hospital they give me a choice between IV Fentanyl or Pethadine, but then after surgery they send me home with either Panadiene Forte, Tramal or Paradex/Digesic.
 
im not sure how much more pain i have to be in before someone will take my pain seriously. My docs are hesitant to prescribe anymore narcotics as im on benzos for AP and in the past (way in the past) i DID use my prescription meds incorrectly- i just wanted to block
the pain of reality, numb the phsycial AND emotional pain. I have a highly addictive personality and they have expressed concern about me abusing the meds again.
 
Im not sure where to go from here. i see my doctor tomorrow, but he will just give me a script for Panadeine Forte.
sorry- im just stressed cos i hurt.
Maz XX
            'He heals the broken hearted and binds up their wounds.' (Psalm 147:3)                  
 
Panic Disorder, Agoraphobia, CFS, Fibromyalgia, TMJ disorder, Endometriosis, PCOD, Chronic E.N.T infections, Reactive Arthritis, GERD, Sinusitis, IBS,  Allergies, Glandular fever, Migraines, Anemia, Chemical/Noise/Light sensitivity, Trichotilomania, PTSD, Seasonal Mood  Disorder, OCD, Benign Vertigo,  Impaired immune system. Tachycardia, tinnitus, low clotting factor= bruising. Tendonitis, Bursitis.
Meds: Zoloft 150mg. Xanax 4mg. Celebrex. Mobic. Panadeine Forte. Digesic.
Multiple surgeries- I bear the scars of my poor physical health.
Age:28. First diagnosed at 14. Proud Aussie.
 
 


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 12/26/2008 9:41 AM (GMT -7)   
Hi Mazfire, welcome to the CP forum. I'm no Dr so I can't say as to why they won't give you something. Have you considered asking for a muscle relaxer? I jut know a friend of mine has TMJ & is able to get muscle relaxers. Are you in Australia? The US is cracking down on regular physicians prescribing the hard core meds. (oxycontin, patches, kadian- those . meds) so you may need to consider seeking help through a pain specialist. Thats what mostof us have on this site, or a neurologist. I can attest I have had some luck with cymbalta combined with lyrica for fibromyalgia... just noticed that was in your list of ailments. Do you have pain related to whats listed or something unknown? Don't underestimate the power depression, it can make you tense & sore. Thats why I was also thinking a muscle relaxer to help. Let us know! Hope you have a good holiday.
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Lindaloo
Veteran Member


Date Joined Sep 2006
Total Posts : 1713
   Posted 12/26/2008 12:05 PM (GMT -7)   
Welcome to the Chronic Pain forum. I'm so sorry you are not feeling well. I will say a prayer for you. Good advice from kttn about seeking a pain specialist if possible. That is who I see as well and she tries her best to keep me managing my pain. There are days (like today) when I am still in pain, but for the most part, my medication helps me a lot. By the way, I take percocet and lyrica for my fibromyalgia.

Hope you get to feeling better and that you enjoy the rest of the holidays. God bless and gentle hugs.

Lindaloo
Moderator Chronic Pain
 
Believe in yourself.  Be kind to fellow humans and animals.  Take time to smell the flowers and the coffee.
And by all means, when you are down, ask me for help.  I will be there.
 
Linda


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/26/2008 1:05 PM (GMT -7)   
Mazfire,
I also want to welcome you to the CP forum, but sad that you have to be here. I do have some thoughts about the issues you raise in terms of your doctor's reluctance to prescribe stronger meds. While it may have been awhile ago that you misused your meds, the body "remembers', so to speak. There really isn't an addictive personality, although it's kind of a term that's loosely tossed around. But we do have bodies, some of which can become addicted to medications and other chemically related substances very quickly. If you have any addictions in your family, that would give you a heads up that you may have a biological predisposition, but even without that when you got your body to a certain stage of tolerance of the medications, that means you will likely have cravings rather easily if placed back on similar substances. Despite your best intentions, the likelihood of falling into using more than what was prescribed is higher than for others.

I'm not a doctor and am not offering medical advice, but I've got some professional background in this area, so a couple of things I'd suggest are consulting with an Addictionologist along with a Pain Management specialist. An Addictionologist is a doctor with a specialty in addictions medicine, and if he/she worked with a pain mangement specialist they may be able to design a regimen that would be more helpful for you, but some parameters to monitor addiciton issues. Methadone is also used for pain management, although a lot of people don't know that, and it's got a stigma as being only for drug addicts. But a good pain management doc should be able to help you witih that. Delivery mechanisms like patches may also help decrease abuse, but they still need to be monitored. It might also help to talk with a therapist who has a background in addictions and pain management to help you deal with all this. Anti-depressants certainly can be helpful, as someone mentioned.

I would add there is a difference between addiction, physical dependence and tolerance. All of us who are on opiods and other substances that cause the body to become dependent will become physically depedent on the drug. That doesn't mean we're addicts, but one sign of addiction is abusing medication, which you have done. That's a good piece of knowledge for you to have so you can prevent it from happening again. If you have a genetic predisposition, your body may develop dependence and tolerance more quickly than many others, and keep "needing" more and more of the same OR a chemically similar substance to satisfy the craving. This is one reason a muscle relaxant would not be good for you, nor would alcohol. They are all chemically similar and would maintain an addiction in the body. So try to get a team of professionals with the right knowledge to help look at ways to manage your pain better that minimize future chances for abuse.

Hope this helps some.

PaLady

Post Edited (PAlady) : 12/26/2008 1:11:03 PM (GMT-7)


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 12/26/2008 1:52 PM (GMT -7)   
Hi Mazfire and a warm welcome!

You've gotten some great advice and hopefully you'll get some relief, finally. One piece of advice I'll share is don't give up! Sure, you messed up before but who of us hasn't messed up something in the past. It's not right that you be punished for life if you can prove you are capable of handling your meds now. Maybe a university/teaching hospital would have the type of help you need. I was unaware of the Addictionologist who can help work out a plan for you. That's such a great idea...thanks PaLady!!

Hope you get some releief!
Chutzie
Co-Mod Fibromyalgia & Chronic Pain Forums
~~~
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, collapsed disk, dermatitis herpetiformus, osteo arthritis in spine and other locations.
***************

The only difference between genius and stupidity is that genius has it's limits. Albert Einstein: (1879-1955)


Mazfire
Veteran Member


Date Joined Oct 2008
Total Posts : 1683
   Posted 12/26/2008 2:25 PM (GMT -7)   

thankyou all for your friendly and helpful responses. i have no genetic predisposition for addictions- its something that started with me when i was about 17 (im 28) but only with prescription pain meds, benzos etc. im on anti-depressants for Panic Disorder and Xanax for the same. I am going to ask about a muscle relaxant today as my Fibro has me in knots that wont undo- i also think its time to see a pain specialist. i just dont want whatever i take to impair me cognitively, as im a high school teacher, i cant afford to feel warm/fuzzy at work- cant have the students thinking im far too chilled out! rolleyes most of them know im unwell cos at times ive needed a cane to help me walk with the fibro, and kids are perceptive- one look at me and some will say "miss? you're having a rough day arent you?". they are pretty cool like that.

Thankyou again for your advice, i will take it on board and keep you posted. Maz XX


            'He heals the broken hearted and binds up their wounds.' (Psalm 147:3)                  
 
Panic Disorder, Agoraphobia, CFS, Fibromyalgia, TMJ disorder, Endometriosis, PCOD, Chronic E.N.T infections, Reactive Arthritis, GERD, Sinusitis, IBS,  Allergies, Glandular fever, Migraines, Anemia, Chemical/Noise/Light sensitivity, Trichotilomania, PTSD, Seasonal Mood  Disorder, OCD, Benign Vertigo,  Impaired immune system. Tachycardia, tinnitus, low clotting factor= bruising. Tendonitis, Bursitis.
Meds: Zoloft 150mg. Xanax 4mg. Celebrex. Mobic. Panadeine Forte. Digesic.
Multiple surgeries- I bear the scars of my poor physical health.
Age:28. First diagnosed at 14. Proud Aussie.
 
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 12/26/2008 2:43 PM (GMT -7)   
Maz
Hi my friend'
I really do think you need to get a pain management specialist
as others
'Have posted............

I wish you all the best hun
'Luvs
LYN
 DX: Crohns,Pyoderma Gangrenosum,Anxiety/Panic,
Fibro & Other DD

Donate at  www.healingwell.com
 
                               Moderator@Alzheimer's..
    CO Moderator @ Anxiety and Panic........Co Moderator   @ Crohns                    
                            ~ FIGHT the FIGHT with all YOU HAVE ~
               Look For The GOOD, Even At Your Lowest
  We Have Anxiety and Panic...................Anxiety and Panic DO NOT Have us         
   
..........LYN


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 12/26/2008 3:29 PM (GMT -7)   
Dear Mazfire,
I really would urge you to see a good psychotherapist with all you've got going on. You know PTSD can contribute to many physical problems, along with the psychological. Adding meds without the therapy piece probably will only help a bit, and you'll want more because of the unresolved underlying issues. Xanax also seves as a muslcle relaxant, so I doubt someone would give you anything on top of that.

Unfortunately, all meds come with side effects. We'd all like to stay mentally sharp but therer's always a trade off, although how each person reacts to a medication certainly varies. I really miss my ability to think clearly and crisply, and i know much of that is because of the medications.

There is a lot that can be done to help with the Anxiety, Phobia, PTSD, etc. although you may have already tried some of the CBT approaches. EMDR or similar "alphabet" therapies helps many people with trauma issues, but it's got to be done by a skilled therapist. I'm not saying this will be a cure, but like the rest of us you probably need to look at how can you best manage. Some things you may be able to tone the dial down on if you do some lifestyle changes, but other things....well, that's why we're all posting here, right?

Please keep us informed and we'll all try to help as much as we can. Pain is one thing we all know....too well.

PaLady

Mazfire
Veteran Member


Date Joined Oct 2008
Total Posts : 1683
   Posted 12/26/2008 6:20 PM (GMT -7)   
I see both a pyschiatrist and a pyschologist. i practice CBT. ive been in therapy since i was 14. your advice is right on, i need to see a pain specialist- my doc gave me a prescription painkiller today that has a muscle relaxant in it, but he was (rightly so) not willing to prescribe anymore narcs or benzos while im on Zoloft and Xanax. I dont even feel the Xanax. im sure its helping, but other people comment about how drowsy etc it makes them feel and it doesnt touch me. id say ive built a tolerance for these types of meds over the years.
 Thankyou all SO much for welcoming me into CP- i normally hang out in AP, Fibro and CFS, but i figured you guys would understand that my pain is such that it is interfering with my day to day life and its holding me back. every one of your comments is highly appreciated.
Maz XX
            'He heals the broken hearted and binds up their wounds.' (Psalm 147:3)                  
 
Panic Disorder, Agoraphobia, CFS, Fibromyalgia, TMJ disorder, Endometriosis, PCOD, Chronic E.N.T infections, Reactive Arthritis, GERD, Sinusitis, IBS,  Allergies, Glandular fever, Migraines, Anemia, Chemical/Noise/Light sensitivity, Trichotilomania, PTSD, Seasonal Mood  Disorder, OCD, Benign Vertigo,  Impaired immune system. Tachycardia, tinnitus, low clotting factor= bruising. Tendonitis, Bursitis.
Meds: Zoloft 150mg. Xanax 4mg. Celebrex. Mobic. Panadeine Forte. Digesic.
Multiple surgeries- I bear the scars of my poor physical health.
Age:28. First diagnosed at 14. Proud Aussie.
 
 


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 12/27/2008 11:38 AM (GMT -7)   
Hi Mazfire,

I just wanted to welcome you over to the CP board. It's too bad that you have to come over here because of pain, but we are happy to have you. I think you've gotten some good advice, so I don't really have much to add, but I did want to say hello. Welcome! I hope the new medication helps your pain!

Skeye

Green Grove
Veteran Member


Date Joined Oct 2008
Total Posts : 2424
   Posted 12/28/2008 1:56 PM (GMT -7)   
Hey Maz,

I sure hope you get to feeling better. My costo keeps acting up this winter season and I think I'm going to see a pain specialist myself.

Take care my friend! :)
Much Love, Hugs, Peace and Comfort!!!
Your Bro,
Sam
   
"And in the end, it's not the years in your life that count. It's the life in your years"
~ Abraham Lincoln ~
 
Not a medical professional.  Seek your physician's advice
before making changes to your meds or lifestyle :)

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