Hi Me, no, thats a very good question. I did not go thru any withdrawals when my pump was implanted. The meds that go in the pumps are much more stronger than orals meds to begin with, the catheter is placed in the intrathecal space where the pain receptors are located that sends the pain signals to the brain. The medication basically drips in this space. I am on much less pain meds w/my pump and it also bypasses the liver. Try thinking of it in terms of being given IV pain meds instead of orals meds but w/o any drowsiness or feeling goofy. Now, we did a couple of people who posted here that they went thru w/d, but those people were on really high doses of orals meds too. At least thats what they posted. I just really can't fathom a dr voluntarily putting his patient at risk. I was also given BT meds and still receive them in addition to my pump. I suggest that you ask your pain dr about
the withdrawl thing and if he gives BT meds with the pump. Some drs do not give BT meds with the pump. Also, ask your dr if he decided or something happened that he was not going to be seeing his patients, does he have a backup dr that will take care of his patients.
You are started out on a low dose of pain meds when the pump is initially implanted. Alot of drs will see the patient every two weeks and slowly increase the doseage. Ask your dr what his schedule is regarding increases in the pump. This has to be done slowly to make sure you are going to tolerate the meds ok. My system does not tolerate medications well at all. I am not speaking of pain meds either, its any medication. I either had allergic reactions or terrible side effects and we ran out of pills to pick from. My pain was also in so many different parts of my body that one pill could not handle it all. This is why I have the pump for chronic back pain. I have Dilaudid, Sufentanyl, Clonidine & Bupivacaine combo in my pump. My meds come pre-packaged in one large syringe from a pharmacy to my dr. I highly suggest this form of getting your pump meds too. I do not like the idea of a dr playing pharmacist with different vials of medication to mix in his office for the pump. He can program your pump in any manner needed to release certain meds at whatever rate. I take Dilaudid for BT meds.
The pump has been very good choice for me. I am much more mobil and functioning at a much better level than previously and in alot less pain. Oh yes, I still have pain, always will, but it at a level I can tolerate. If I have a bad day its usually from overdoing it. I am my own worst enemy in this situation. The pumps are not for everyone to say the least. For some like me it can be a life saver. I will say that if a person has ran the gambit of drugs, procedures and failed surgeries and no surical people & still no relief and they have no quality of life, then the pump may work for that person and in my opinion its very much worth trying, you have nothing to lose and maybe alot to gain. I am the type of person that will try anything reasonable if it will give me the possibility of having a better quality of life. I do not limit this to just chronic pain, I have many other health issues. Alot of people are afraid of the pumps and those people do not need to have one. My pump is on recall simply because of the model number, my pump works just fine and I have no intention of having it taken out and replaced. If it ain't broke don't try to fix it and my dr agreed. A good pump dr knows what to look for in a pump that my be starting to malfunction. There are alot of uneducated pump drs that are using the wrong medications in these pumps and causing many problems for the patients including granulomas at the tips. This is from using too high of a dose or the wrong medication. Not just any drug can be used in a pump.
If you have anymore questions please post them. If I can help out in any way I will. Susie