Pain Killer Recommendations!

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Veteran Member

Date Joined Apr 2006
Total Posts : 634
   Posted 7/8/2010 3:15 AM (GMT -6)   
I normally use tramadol when my pain is really bad, which luckily is not often. Now however i am on an antidepressant called Mirtazapine. I googled it and read about an interaction with tramadol. Apparently it can cause convulsions and high temperatures ect. Now this is not my GP's fault. I forgot to tell her about my tramadol when i registered the other day. The tramadol isnt on pescription as such. I just get a months supply of it as and when i need it.

So i need to change painkillers, any recommendations? Tramadol is fab, and i have the 50mg tablets. One of which knocks me out.
Dx - Crohn's (2006), Depression (2010)
Currently - Humira fornightly, iron infusion weekly, B12 3 monthly, prenatal vits+minerals, 25mg prednisolone, calcium supplement,
Tried - aza, pentasa, questran, infliximab
No crohns' surgeries to date, Episcleritis for 3 weeks x 2, pains in hands, wrists, hips, lower back, knees and ankles

Allergic to Infliximab
Was at uni, but have paused the course to try to figure out my health!

Regular Member

Date Joined Jul 2010
Total Posts : 22
   Posted 7/8/2010 9:01 AM (GMT -6)   
i take tramadol when you pain is bad i take 2   50 mg
that how i can get thought work
nothing works

Regular Member

Date Joined Jul 2008
Total Posts : 383
   Posted 7/8/2010 11:50 AM (GMT -6)   
Wow, that sucks. Tramadol is the only thing that I can take that doesn't make me loopy or nauseaus.
Dx'd w/ Crohn's in 1979 at age 13. Bad flare 2008 but no health insurance so I dealt with it. Colonoscopy in July 2009 caused a perforated colon, emergency bowel resection. 2 fistula's, perianal and perivaginal.

Humira, probiotic, a multivitamin, calcium, magnesium, zinc, and fish oil. I also take Tramadol 50 mg and Klonopin (for anxiety) as needed.

Life may not be the party we hoped for, but while we are here we might as well dance!

Veteran Member

Date Joined Aug 2007
Total Posts : 1202
   Posted 7/8/2010 12:04 PM (GMT -6)   
What about trying hydrocodone (Vicodin) or oxycodone (percocet)? I take Norco, which is a stronger Vicodin and it works great. I tried the Fentanyl patch but it just didn't ever really work for me.
1 fistula, crohn's colitis, limited to large intestine
Compounded budesonide 3mg/daily, Cimzia, MTX . Dx Osteoporosis 10/08 started Forteo 1/27/09

Veteran Member

Date Joined Apr 2005
Total Posts : 3763
   Posted 7/8/2010 1:03 PM (GMT -6)   
I take Norco, but this is after years of chronic pain, so my tolerance is a bit higher than some. You might need to see a pain clinic doctor, they really are the specialist in this area. A lot of us see them and they can really help find the right med to treat us to help us function without knocking us out.

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!

Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....

Veteran Member

Date Joined May 2009
Total Posts : 506
   Posted 7/8/2010 1:33 PM (GMT -6)   
When I was having pain, my GI gave me some Vicodin, and said for most people it is enough. Start with something less powerful and work your way up.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche

Regular Member

Date Joined Oct 2009
Total Posts : 111
   Posted 7/8/2010 2:46 PM (GMT -6)   
I start with Darvocet and it usually works quite well for me. If that doesn't manage it, I also have Lortab and Diluadid for major emergencies (usually only used to get me to the ER......).

I do like Darvocet though - I start with half a pill, then take the other half an hour later if needed.
chronic active colitis/unspecified IBD - still awaiting a PillCam
Lialda 1.2 mg 2x/day
Prednisone 10 mg taper in progress
Remicade - 2 infusions so far
Darvocet or Lortab as needed for pain

Regular Member

Date Joined May 2010
Total Posts : 88
   Posted 7/8/2010 4:04 PM (GMT -6)   
the only two things i can say that work for me are Dilaudid & Percs. nothing else even eases the pain.
imagination is stronger than knowledge -- myth is more potent than history -- dreams are more powerful than facts -- hope always triumphs over experience -- laughter is the cure for grief -- love is stronger than death.

Veteran Member

Date Joined Apr 2008
Total Posts : 1522
   Posted 7/8/2010 6:46 PM (GMT -6)   
It sounds like you are talking about serotonin syndrome. SS is considered rare. Mirtazapine is less likely to interact with the tramadol and cause SS than most other antidepressants. Many people take tramadol and antidepressants together without a problem, especially when the doses are low. 50 mg of tramadol taken occasionally may be ok.

You should check with your doc. Why give up a med that helps if you don't have to?

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 7/8/2010 11:20 PM (GMT -6)   
i take percocets- my gi would not prescribe any pain meds so i am seeing a pain doc-
also getting celiac plexus blocks- shots that block the pain nerves from the gut.
something's working bc i was puking the pain was so bad- lately i've only puked twice and that was bc i forgot to take my percocets.
36 year old male living in AZ.  Diagnosed with Crohns at age of 15.
Currently on 30 mg prednisone.  still taking Asacol.  Just had 3rd Remicade infusion 3 weeks ago
In the middle of a bad flare now for over a year...lost almost 30 lbs. -- gained most of it back now.

Regular Member

Date Joined Apr 2010
Total Posts : 68
   Posted 7/9/2010 3:17 PM (GMT -6)   
Darvocet N-100 works for me.
30yo/male/western NY
Dx with Crohns in 2001- Asacol and diet beat it into remission in 2004.
Nov. 2009- Crohns is back!
Medical Issues- ADHD, anxiety, depression, kidney stones
Meds- Vyvanse, Lexapro, Xanax, Darvocet, Cimzea

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