Hello all its me! I have been gone for a while due to job but I am back and have a few questions to ask you as many of you have or will experience what I am going to talk about
. If you did not know I was on several pain medications over the years and none seem to be the right fit. Some did not last long enough others more consitpated etc. I finally found one that was great. It was methadone. I was on it for about
2yrs and rarely needed to take b/t meds for pain flare ups (not much constipation either). Anyway , about
6 months ago my doc informed me that his office could no longer prescribe methadone because FL legislators had passed a law that could put docs in jail for patients who died under their care while being prescribe methadone. These docs could also be put to death. So, needles to say I had to find something else or move to another state. I tried opana and now I am on morhine. I have been on many other long acting medications (avinza, oxycontin, opana, methadone and now morphine). Two of the medications worked best for me. The oxycontin helped with the pain the most but did not last long enough (even at 8 hr doses) I felt I was just popping pills and I hated it so no more oxycontin. Methadone helped the most. Morphine (which i am on now) helps. Heres the wierd thing. The cr version of the morphine that i take last long enough and covers the pain enough for me to manage. But,,,, when i have breakthrough pain or flare ups at work, in the yard, or on the roof I will take my morphine ir and it will do nothing. How is it the long acting works but the short acting does not? I have always taken oxy ir for breakthrough with all of my other long acting meds and it worked great. My doctor switched me becuase he said I was going to morhine cr I might as well go to the ir version since its the same active ingredient. I thought yea I quess your right. So why am I not getting relief with my b/t med if its the same as the cr? Also, I am having very very very bad constipation with the morphine. I have had constipation with other pain meds but it goes away and is not near as bad. I have tried many laxatives and pills but they dont let me have a good bowl movement.
I have been talking to my doctor lateley about doing a taper off of the morphine and getting back to what I started on years ago when I first started pain management to sort of clean my body out and see how my pain reacts. I am so tired of the side effects of all of these medications. I cannot go on with the constipation issue. When I find a medication that helps me there always seems to be a complication or side effect and I am worn out and tired of it. My other option is surgery and I will not do that now. I have heard horror stories about surgery. I think this appointment with my doc I will ask about tappering down the morphine and trying something different for b/t pain. What I really am looking into and have seen alot of people in PM online talk about it tapering down all your meds and see how your pain is. The one medication you would take would be the one you first started on in pain management which for me would be hydrocodone 10/325. I know this has acetamin in it but a small dose. Also, as I remember the hydrocodone gave me very little if any constipation. If i could taper all my long acting med down and just take the as needed hydrocone maybe at the most 4 times a day do you all think that would be a good idea? I just want to kinda start over and get this right. I have been on medication so long I dont really know how I would feel without it. Maybe I will not hurt as bad as I think and something like a short acting hydrocodone would do the trick. I also have injections lined up in a month.
To sum it up I am tired of trying to find a med that works for me. My body is tired. If I find one that works ... there is a side effect or some other thing that messes it up for me and i have to change. I am thinking tappering everything down and getting on just something like hydrocodone for b/t may be my best bet or maybe i taper down and hurt like hell and have to go back up. I dont know. I would be very happy if you all could give me some advice. Have any of you ever dealt with this? What did you do? I do know that I cannot deal with the constipation I am having and have to make a change soon. Thanks and please respond with comments.