tolerance to pain meds?

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keepingthefaith
Regular Member


Date Joined Aug 2006
Total Posts : 331
   Posted 9/10/2007 9:30 PM (GMT -7)   
I posted on the crohns site too, but, also wanted to here.  I take Lortab 7.5/500 4x daily.  We started humira hoping it would take care of my aches (entire body, neck, hands, feet).  Anyway, it seems as if the pain meds aren't working well anymore.  What would the next med to try?  I really don't want to switch, but, I know something needs to be done.  The humira is helping a little for the lower back stiffness but not the aches.  I have an appt at the end of Sept & wanted to be prepared before I talk to my gi. 
Dx with CD 1987, 3 resections, 3 abcess sx, OA back & hips, bulging disk, Major depression/anxiety, kidney stones & sx to remove, now 44 yrs old.  Still trying to figure this disease out & of course all the little extra complications that come with this rollarcoaster of a life with CD. 
 
Meds:  Hurmira every other week 40 mg, Imuran .75 daily, cymbalta 60 mg daily, Lortab 7.5/500 x 4x, fish oil, fovia,vit e,folic acid,Vit B12,inject monthly,
 
         
 
 


Circa1988
Regular Member


Date Joined Aug 2007
Total Posts : 90
   Posted 9/11/2007 11:17 AM (GMT -7)   
Hi,

well there are a couple of options. There is a stronger version of lortab with 10mg of hydrocodone in each pill and 325 mg of tylenol. There are also many other kinds of short acting pain meds you could try. There are things like percocet (oxycodone and tylenol), morphine IR, Dilaudid (hydromorphone), or Opana IR (oxymorphone Instant Release). What may be better for controlling your pain however if you are taking pain meds 4 times a day and it is not covering your pain is a long acting pain med like Oxycontin, MS Contin, Methadone, or Opana. All of these pain meds act for 8-12 hours and instead of 4 hours like the short acting meds you are taking now, so you do not have to take so many pills in a day. You can also add a short acting pain med on top of the long acting one for when you have 'breakthrough pain'. This is severe pain that 'breaks through' your long acting painkiller dose, so you have to take another, short acting pain med. For example, I myself am on Methadone with Dilaudid as needed up to 2X a day for breakthrough pain. Also remember that all of the meds I mentioned come in a number of different dosages.

One of these options WILL control your pain, you have to have that attitude, and also remember to keep trying for solution to your pain and to never give up pushing on, but that doesnt mean not treating you pain in the mean time. Anyway I wish you luck getting your pain under control and hope that you can find some relief soon.

Hope everyone is having a good pain free day,
Circa

Post Edited (Circa1988) : 9/11/2007 12:26:49 PM (GMT-6)


BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 9/11/2007 7:17 PM (GMT -7)   

Hi. Wanted to respond b/c sounds like were in a similar situation; I had to move to the CP forum for support b/c, it seemed to me, that chronic pain was discussed very little on the UC forum, even though CP is common w/CD&UC.  Anyway, several years ago MD gave me Vicoden (as needed) to help w/the pain (same as Lortab) and it worked for me.  Last year had a major flare and had to move up to something stronger Endocet 5/325 (same as percocet) take as needed.  Recently MD said that CP wasn't managed well and added Oxycontin SR 10mg X2 day, as well as, the Endocet for "breakthrough pain."  See, it wasn't that I built up a tolerance, it was that I wasn't managed appropriately.  You don't want to wait until the pain gets unbearable and then you take a pain reliever, not as effective.  A constant, extended release of medicine is best, especially w/CD&UC b/c our illness is very unpredictable; you know, o.k. in a.m. and by 7 p.m. you can have bad cramps, diarreha for hours, etc.  I also suffer from chronic stomach pain, headaches, fatigue (all related it seems)--just posted yesterday on the IBS forum about it, looking for other sufferers.  If you're not already aware by others posts, getting pain meds from doctors is, hummm, challenging to say the least, GI doctor's are famous for not giving them, so I went to a pain specialist for three years and now my general practitioner supplies them b/c of my extensive history and b/c he's very compasionate.  Good luck.


Dx Ulcerative Colitis 1999; IBS; CP: Asacol x3 x3/day, Rowasa, Proctofoam, Prilosec, Prozac, Endocet (as needed), multi vit, probiotic, fish oil caps x2/day, calcium 1200 mg./day, Prednisone (off/on, unfortunately).


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 9/11/2007 10:32 PM (GMT -7)   
I know its frustrating to say the least putting up with CD and then have CP on top of it. The pill thing can really be a drag too, but lets face it, we need the pills whether its for one thing or another. I cannot take Vicodin/Lortab, its like speed in my body, actually makes my pain worse because it revs me up so bad, I end up in knots. I don't think the vicodin is for you since its not really covering the pain. By all means talk to your dr about this. There are just too many different meds available that can help you. Susie


Stella Marie
Veteran Member


Date Joined May 2005
Total Posts : 601
   Posted 9/12/2007 2:48 AM (GMT -7)   
Everyone has given you great advice.  I can only add that it tookd me many trials of several different medictions and combinations to come up with what WORKS for me.  I think I trialed about 8 different medication and endless combination to arrive at my magic mix.  Circa is so right in saying to have faith because they will find the magic mix.


Stella Marie

Dx:  Rare progressive neurodegenerative disease called Multiple System Atrophy (brain rot, autonomic system failure, neuropathic pain and a whole lot more).  Added improvements:  Intrathecal pump and a spinal cord stimulator and a new brand new power wheelchair with shiney horn,.

 Medications: Sinemet, Requip, Klonopin, Baclofen, Provigil, Lyrica, Fentanyl patches, Lidoderm patches, Dilaudid, Fentora and Zofran

Post Edited (Stella Marie) : 9/12/2007 3:45:07 PM (GMT-6)


keepingthefaith
Regular Member


Date Joined Aug 2006
Total Posts : 331
   Posted 9/12/2007 12:41 PM (GMT -7)   
thanks again everyone, I'm going to print this thread out so I can bring it to my GI appt.  God Bless!

Dx with CD 1987, 3 resections, 3 abcess sx, OA back & hips, bulging disk, Major depression/anxiety, kidney stones & sx to remove, now 44 yrs old.  Still trying to figure this disease out & of course all the little extra complications that come with this rollarcoaster of a life with CD. 
 
Meds:  Hurmira every other week 40 mg, Imuran .75 daily, cymbalta 60 mg daily, Lortab 7.5/500 x 4x, fish oil, fovia,vit e,folic acid,Vit B12,inject monthly,
 
         
 
 

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