Muscle Relaxer ?

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Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/15/2011 8:43 PM (GMT -6)   
I am having yet another fusion next month and need to come up with a better plan, to get rehabed.  My new insurance is great for everything except therapy.  100% everything paid, $10 dr visits, $7 prescriptions, but 12 visits per year for therapy (thats a combo of PT and OT).  My last lumbar fusion I went to water therapy 3 days a week for 4 months.  I am getting pretty worried.  I dont worry about the OT portion since that is what I do, but the PT part is definetley of great concern to me. 
 
Anyway, I think last time I made the mistake of not keeping on a medication schedule.  I was given a prescription for Robaxin but couldnt take it.   I cant swallow pills, I do have confirmed mechanical reasons for difficulty swallowing,  but I know part of it is psychological as well.  I have tried everything to get them down and nothing works.  My PM dr is the same way so he knows I am not making it up.  Every pill I need to take I chew.  I never complained just dealt with the muscle spasms for months.  Well Robaxin made me vomit, very bad tasting. YUCK. 
 
This time around I cant do it, I need to be more proactive and get moving on my own.    Every time I trust a dr when he tells me the pill is small, I pick it up from the pharmacy and it is huge!  I am looking for suggestions of different muscle relaxers that I can talk to the dr about.  They tell me there is NO liquid muscle relaxers, which I find hard to believe.  I need something very tiny, liquid, chewable or not bitter tasting to chew.  I did take flexeril for a while, I could get that down splitting it into 4 pieces, however all of the sudden last year I had an allergic reaction to it.  My face and neck blew up like a ballon, got bright red, rock hard, hot and painful.   Very weird that it happened, but thank goodness I was in the hospital for my c5-6 fusion at the time. 
 
Any suggestions would be welcomed.  Of course it is up to the dr in the long run,  and I will respect whatever they say but I think sometimes they get stuck with the same old prescriptions out of habit.  However, its not going to help me if I cant/wont take it,lol. 
 
Thanks,
Shell74
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 5/15/2011 9:18 PM (GMT -6)   
Doing a little quick research Diazepam is available in liquid. There may be others as well that can be prescribed for home use but that is the only one I could find in a minute or two.

I suggest talking with your pharmacist about this and ask what medications are available in an oral liquid or that could safely be dissolved in water or other liquid to allow for easier taking and then bring that list of medications to your doctor(s) for further discussion. While speaking to the pharmacist I also suggest asking about pain medications and any other medications you are on or think you might be put on.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3695
   Posted 5/15/2011 9:31 PM (GMT -6)   
Shell74
 
Well there is Baclofen, it come in tablet and injectable, an is often used in an inplanted pump, I do not know if it comes in a drinkaable liquid orr not. I know  I take it every 8 hours to control muscle spasms. Anyway you might want to do so research on it, something to think about anyway
 
Good Luck to you
 
White Beard
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16304
   Posted 5/15/2011 9:37 PM (GMT -6)   
Hi Shell, wow you do have a bit of a problem it sounds like with pills. First thing I would do if I were you is check with a pharmacist about a liquid muscle relaxant, another source is the good old internet. I would do a google search for liquid muscle relaxant and see what you come up with.

As far as actual muscle relaxer I had very good luck with Zanaflex and I am currently on Baclofen 10mg every 4 hours and I am having very good luck with that schedule. The Baclofen max is 60mg in 24 hours. These are not what I would call large pills and could easily be cut in half and possibly quarters. I think all of these meds are going to be very bitter if chewed and taste nasty. Why not just crush the pills up and sprinkle on a small amount of apple sauce or yogart? Do you have a small meat tenderizer at home, the little thing that reminds me of a hammer with jagged teeth, put the pill in a baggy and whop it a few times and sprinkle like I say over something like apple sauce or yogart. Not trying to be smart mouth or anything, but I bought one of those meat tenderizers and to this day I have never used it on meat. I use it to crush up pecans & walnuts for baking, lol. My husband has made more fun of me for doing this but it works, lol. I just put the nuts in a baggy and use my faithful meat tenderizer, lol. No mess to clean up & throw the baggy out when finished.

Yes, you really would do much better after surgery if you would put yourself on a regular schedule with your meds. It is much better to be on top of the pain, rather than under it. Most definetly after having a fusion. You will have, I am sure massive muscle spasms for a while, that seems to be the chief complaint afterwards.

As far as having to pay for PT, most places now will give you a nice reduction on the fees when paying in cash for services. No kidding, true story. Think about it, the insurance company cuts their bills to begin with and only pays on a scheduled fee, cash paying customers no insurance to have to bill & mess with, there are lots of people without insurance these days so these facilities are willing to work with people on reducing their fees. Drs even do this too. You might see what your insurance pays per day and then try to get them to accept less than that amount in cash, I would ask for another 25% off the top, you need to start somewhere. back when I worked in the legal field, our clients would have outstanding medical bills from car accidents, the drs & hospitals always gave us a reduction on their bills.

Anyway my 2 cents for now. Take care.
Moderator Chronic Pain Forum

ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 5/16/2011 8:47 AM (GMT -6)   
Have you thought about Amrix? It is long acting Flexiril and comes in capsules with little balls. It says you can open it up, sprinkle on apple sauce and swallow that way.
DX - Spinal stenosis - C 4-T1. Bulging disks C 3-T1
Severe pelvic adhesions from 4 surgeries *hysterectomy, removal of ovaries, ect...meds taken 0 Kadian 20mg, percocet for breakthrough. Compounded Cream.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5005
   Posted 5/16/2011 11:08 AM (GMT -6)   
I have trouble swallowing piils too - post-polio syndrome. I sometimes chew up diazepam because it's as good a muscle relaxant as there is. A little bitter, but tolerable. You could crush and put on applesauce too. I find half the smallest pill (1mg) is often enough. They may even be small enough for you to swallow, or if not, they snap easily with your fingers to half or quarter. It's also a cheap generic.

There are good pill crushers available from your pharmacist. Soft pills can be crushed in a teaspoon by pushing another teaspoon on top of the pill. Adding some strawberry jam, not jelly, works well even on aspirin. That's all that was available for kids when I was young!
Alcie
 
 

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/16/2011 12:14 PM (GMT -6)   
I would double check on the Amrix...I thought anything that is time released...which that is...should never be broken up....but I don't have the info in front of me on this...I get the samples of Amrix from my Dr. and love it for a muscle relaxer...

If you can do this...then I would absolutely go for this if your insurance covers it...

If not..then the regular Flexeril is a very tiny pill...I promise! And you could put it in a spoonful of peanut butter...or apple sauce whole and swallow and you wouldn't know it was there..

I agree that Robaxin and Skelaxin are huge horse pills...LOL...


Also...with the PT...i would ask your insurance would they cover more days of PT if written as medically necessary after this surgery...otherwise...I agree that you can go a few times and get the notes and correct ways you need to rehab and then do at home the regular exercises...and then go to a local ymca or county pool to do the water one's...

Good luck with everything!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 5/16/2011 1:02 PM (GMT -6)   
With Amrix it can be opened and the tiny beads sprinkled on applesauce and swallowed whole.

Never ever crush a time release med. That is just not safe.
DX - Spinal stenosis - C 4-T1. Bulging disks C 3-T1
Severe pelvic adhesions from 4 surgeries *hysterectomy, removal of ovaries, ect...meds taken 0 Kadian 20mg, percocet for breakthrough. Compounded Cream.

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/16/2011 3:40 PM (GMT -6)   
Ekkorose said...
ekkorose said...
With Amrix it can be opened and the tiny beads sprinkled on applesauce and swallowed whole.

Never ever crush a time release med. That is just not safe.

Well, any Flexeril product may send me right back into that horrible reaction I described.  We arent going to try that again,lol. 

I think I may ask him if the diazepam or Baclofen is appropriate.  What would you say the size of the baclofen is for a lower dose?  Mini M&M size is about all I can handle without chewing or crushing it up. 

Today I think I would chew a Robaxin if I hadnt flushed them all down the toilet, this weather is killing me. 


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/16/2011 5:03 PM (GMT -6)   
Hmm...usually an allergic reaction will happen immediately upon taking a medication...so I'm not sure how that would happen after taking Flexeril for awhile...so unless all things were equal and it was the only medicine you were taking to rule out any other reason for this reaction...You say you were in the hospital for a fusion so it could have been any of the meds...

But I can understand if you want to stay away from it...just my analytical brain working...LOL

If it's just about crushing up a big pill....then Robaxin or Skelaxin is very cheap and very effective...

I wouldn't go for Valium as a muscle relaxer...that is primarily used for anxiety and has a low tolerance level...

Baclofen is a good choice as well...

I do wish you luck!!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/17/2011 4:18 PM (GMT -6)   
You are right Snowbunny21.
 
I thought them stating that it was the Flexeril that caused the reaction was very weird too, since I had take it in the past.  It wasnt recentely, probably several years before, but I had taken it briefly.  I thought it was likely the antibiotic but they said no, that should have happened the night before if it was that. 
 
I am also allergic to Celebrex, I got a nice anaphalactic response with 15 minutes of taking it.  Since both Celebrex and Flexeril both have a Sulfa component they want me to stay away from all Sulfa drugs.  I figure its better just to be safe rather than try again, I just remember crying and rolling back and forth in pain for what seemed liked days.
 
Guess its kind of like me and wasps, each time I get stung my reaction is 10 times worse.  Started when I was pregnant 17 years ago, never had a problem before that, but every since I get worse and worse.  Now I have an epipen. 
 
I have crushed both the Robaxin and the Skelaxin.  They are so bitter I gag and have even thrown up.  Even when added to yogurt, pudding etc.  its the same thing. 
 
I have weird pockets in my throat that have limited peristalsis (movement that makes the food go down), everything beyond thin liquids can get stuck.  Sometimes I gag for hours before I can get things dislodged.   Today it was a piece of chicken from my chicken noodle soup.  It sure is a blast when the macaroni gets pushed up and comes out the nose.  shocked I love those days. 

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/17/2011 7:18 PM (GMT -6)   
We need to find something better like chocolate pudding or ice cream to put your medicine in so you won't taste it!! :)...

I totally understand about the Flexeril and not wanting to try it again...I know Celebrex and antibiotics have sulfa in them but I didn't think Flexeril did...so for others (not you, Shell), that might not take it because of this, I would double check on this with the pharmacist...

I definitely know about bee/wasp allergies and glad you carry an Epi-pen...I was a volunteer Firefigther/EMT for 10 years and saw many people go into anaphylactic shock...Thankfully most can be treated in time these days..

How about checking about the Amrix with your Dr....can you call them and ask? That would be the best if it doesn't have any sulfa, and it can be opened and the capsules poured out!...it's a really great 24 hour medicine!

I'm sorry that you have so much trouble with these type of things as it makes things harder when choosing medicine and taking it..

Wishing you well..
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3695
   Posted 5/18/2011 1:16 AM (GMT -6)   
Shell74
I take three 10 mg tablets every eight hours, I just measured the tablet they are a white, oval shape, and they are  7/16  inch long and 1/4 inch wide and 1/8 inch thick and you can split them so there is no reason that you could not crush them and put them into apple sauce or something. Usually with baclofen they start you off on a small dose and work you up in 5mg increments till you get to the dosage that is effective for you. I believe that 80 mg is considered to be average  maximum  daily dosage, Baclofen is a potent medication and it is not to be abbruptly discontinued  but rather like so many medication one it supposed to be wean off of it gradually. I have found that Baclofen also helps with relieving pain, and my pain management doctor  told me that allot of people have also found that to be true. 
 
White Beard
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/19/2011 7:45 PM (GMT -6)   
Thank you everyone.
 
I saw my PM doctor today and we had a long talk.  He agrees that the fusion needs to be fixed and to wait for the SCS.  He is not usually quick to suggest surgery.   He is thinking the valium may be the way to go for me, but wants to talk to the surgeon to make a plan.  He did mention about giving me scripts for a couple pills of several meds and I could figure out what worked better before my surgery date, so I am not sure what I will end up with. 
 
Since this surgery will only stabilize and hopefully prevent more damage, I am not expected to get any significant pain relief from the surgery so I will likely continue on the LA meds for a while.  I wish they could just do the SCS at the same time,lol. 
 
He is very upset with the chain of events from the first surgeon but that is water under the bridge.  I would love to write that doctor a letter but I would probably end up with a restraining order against me,lol.  One of these days I will explain. 
 
He also said he wants me to think about SSD and LTD after this surgery.  He said that my working is not doing me any good at this point.  I agreed that we would talk about it after my surgery and recovery.  I dont want to make that descision till I see what the outcome of this is going to be.  Felt like I got kicked in the head hearing that, but I knew it would come someday.  I am to young to retire shakehead
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.

Post Edited (Shell74) : 5/19/2011 7:58:01 PM (GMT-6)


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3695
   Posted 5/19/2011 10:08 PM (GMT -6)   
shell74

I am sorry that the doctor suggested SSD I know how I felt about it and it is hard. I had not been in nursing all that long only 5 or 6 years after getting my license. But I had two daughters in college at the time and I had to have some stable income. The hospital would not let me work, and few places will hire some one in nursing on high pain meds, the condition I am in. You know shell I spent 22 1/2 years in the military and I had three diffferent job careers, I had been in photography, and they turned the career field over to civilians so I went into simulators, and they did the same to that career field, then I went into data processing communications from which I retired. I then went to the local junior college and took alll the aptitude test they had. My best match was college professor, and then anything in medical, well my mother had just past away and had hospice nurses and I was so impressed with them that I thought I could be a nurse too! So at the age of 41 I went back to school to be a nurse. I loved it. Nursing was my calling, to this day I keep my license current and up to date, and I get the nursing magazines and read them alll the time. And even though I have not worked in the field for over ten years, I just can not let the license go. It was an achievement that I am extremely proud of, and well there is the saying you can take the person out of nursing but you can not take the nurse out of the person. I am just wondering if you are feeling kind of that way about your career? You will always have it inside you, even if your not working in the field. I know it is hard and your young yet, but you do have to consider your health, and well being! I do wish you well, and hope that you future is bright!

Good luck to you

White Beard
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/21/2011 1:11 PM (GMT -6)   
White Beard said...
I had been in photography, and they turned the career field over to civilians so I went into simulators, 
 I am just wondering if you are feeling kind of that way about your career?
When I was in high school I was to be enlisted in the Navy for an Aerial Photography position of some sorts, or at least that was the plan according to my recruiter after basics.  What area were you in?  My parents changed their mind while I was at my swearing in ceremony (I was under 18 so they needed to sign).  I then went to college for something else that they wanted. 
 
Ended up getting married, having kids, then going back to school for OT.  My CP issues started the summer between my junior and senior years.  I can work in many areas, I have tried acute rehab, but it was to physical for me.  I have settled on school based and geriatric activities, which are not very physical.  Thankfully, I am not in a position that I would need to disclose meds. 
 
My doctors reasoning for LTD and SSD is that even with good pain control, that wont do anything for the lack of reflexes, neuro damage, instability and general inability to sit, stand, lift etc...   Also, in order to get "good" pain control, that I dont have now, I would need to up my meds significantly, which I refuse to do due to the safety issues I need to keep in mind to drive and keep up with everyone.  He doesnt have to many people that chose to be in pain, just to keep their career.   Thats why the SCS was something I thought would give me a few more years.  Maybe it will, who knows but I will need to wait till they will do it now.  I know that its just masking the pain and damage, but not sure what else to do.  However with the new Syringomeylia DX and the increase of RSD/CRPS symptoms they may need to stick the SCS in my brain to cover everything (joking of course). 
 
I guess I dont really take care of my health and well being to good at this point,lol.  nono  
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.

grainofsalt
Regular Member


Date Joined Aug 2010
Total Posts : 215
   Posted 5/21/2011 10:07 PM (GMT -6)   
Shell I also have a similiar issue in having difficulty swallowing pills whole. sometimes ill try to swallow it and it doesn't go down or it starts to go down and I choke/cough it back up along with the water.

There's a few possibilities that might help. Zanaflex is a moderately potent muscle relaxant and it is considerably smaller than robaxin and skelaxin. You might have less issues swallowing a medication like that as it is just slightly bigger than an Alieve and smaller than a Tylenol tablet.

The other possibility is using a sublingel muscle relaxant. Klonopin has muscle relaxant properties and at .5 mg dosage, in my opinion it is less potent on the side effects like drowsiness, although it will still make you drowsy. It also has a long half life so you can probably get by with just taking it twice a day. It is a benzo like valium and it has a relatively slow onset of action. I don't think klonopin is the best choice for a muscle relaxant, but its more effective than Robaxin and the pill can be disolved under the tongue. As for the taste, it is much much less distastful than Robaxin and has kind of a "minty" taste after a few minutes of being disolved under the tongue. The tablets are slightly smaller than that of Alieve.
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures have decreased the severity of pain but did not "fix" the issue. currently on 75 mgs of Nucynta (tapentadol) 2 to3 time per day. Its similiar to tramadol but with more opioid receptor activity. Can use percocet 5 mgs for breakthrough pain and 10 mgs of flexiril.

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/22/2011 7:30 AM (GMT -6)   
Thank You Grainofsalt. I think Zanaflex was one that I could get down by just splitting it. It is worth sticking it back on the list.

As for the first few weeks after fusion, I could care less about fatigue,lol. My first lumbar kept me in bed flat on my back for the first 2 months. That was per doctors instuctions too. My new doctor seems a little less restrictive, no TLSO this time either. I am a bit nervous about that but understand the theory.

Last time I took nothing but the vicoden every 6 hours. I was off LA at that time. I was in spasm 24/7. I want this time to go smoother of course. I have custody of my 2 1/2 year old grandson now and after the first couple weeks I need to be able to prepare light meals and keep an eye on him for a few hours a day(with help of a 13 year old to do the chasing). He is pretty good at this point. He has seen me have 2 surgeries plus the SCS trial and is always asking if I am OK and trying to help. The cutestest one was after I fell in the bathroom, he said "Nana back hurt, you ok Nana?"
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 5/22/2011 7:53 AM (GMT -6)   
You do know that you can develop allergic reactions to medications at any time right?
In fact you seldom are allergic to something the first time you are exposed-repeated exposure causes your immune system to recoginize the drug and react to it.

jessupl73
Regular Member


Date Joined May 2011
Total Posts : 28
   Posted 5/23/2011 11:05 AM (GMT -6)   
I have always found Klonopin (generic form clonazepam) to be an extremely effective muscle relaxer and overall pain reliever. I take about .5 mgs three times a day with my oxycodone. The combo for me has been the best combo so far. I know clonazepam is also addictive but it has helped me stay on a lower dose of pain medication when used together. I bring it up only as an option because I always chew them. They have a minty flavor..almost like a tums but not as sweet. I don't know why they are flavored that way?! Anyhow, just another option and something to think about. I've taken them for a long time and then sometimes I run out and I've never had any serious withdrawal type feelings when I stop, it just causes my overall pain level to be higher since my mucles get tighter again.
 
Jessupl73

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/23/2011 11:18 AM (GMT -6)   
Jessup...I just wanted to make sure that people know that if they have the Klonopin in the tablet form they need to take this whole and NOT chew...

If it is prescribed in the wafer form...then the directions are to let dissolve in their mouth...

Also..it is made for seizures initially...and also for anxiety...so it's not primarily used as a muscle relaxer..

I personally don't like taking anything that is 'off label' so to speak but everyone needs to make that decision with their Dr. on what issues they have and what medicine will help the problem best..

Shell...I can't believe your surgeon had you flat for 2 months after your surgery!...I've never heard of that before...They usually try to get people up and moving asap within reason to prevent any other issues...

I hope that you can get some help soon to ease the pain..
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

jessupl73
Regular Member


Date Joined May 2011
Total Posts : 28
   Posted 5/23/2011 3:38 PM (GMT -6)   
Snowbunny-

Thanks for the clarification. I wouldn't want the wrong info out there.

I've never seen or heard of the wafer form so good to know. And yes, using Klonopin for pain is off label, just the best form of pain relief that I've found and that works for me with the least amount of side effects (except, tiredness of course). Tiredness is pretty much a problem with all pain relievers but I'd rather be tired than hurting all day long, every day. It was really starting to get the better out of me and I stopped even wanting or being able to get out of bed. Yuck.

Thanks for the info. This is such an informative site!!

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/23/2011 3:43 PM (GMT -6)   
I'm glad it works for your pain Jessup:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/24/2011 7:14 PM (GMT -6)   
Snowbunny21 said...
Shell...I can't believe your surgeon had you flat for 2 months after your surgery!...I've never heard of that before...They usually try to get people up and moving asap within reason to prevent any other issues...
His instructiosn were flat on my back or sides with the exception of three 15 minute periods daily that I could sit up to eat.  I was permitted to walk with the TSLO as much as I wanted.  I was up to 2 miles a day by the 3 week mark, 1/4-1/2 mile at a time.  I had the leg pumps and basic exercises but that was it.
This new doctor is a bit more progressive.  No TSLO, just basic BTL restrictions.  I intend to be in the pool as soon as my stitches are healed.  Thats one reason I want to make sure I am medicated properly,lol.  I am getting anxious!!! 

DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/24/2011 7:39 PM (GMT -6)   
What is TSLO? I've only had the Cervical fusions...is it some sort of brace? So it looks like you were up and walking then...I was worried when you first wrote this that you were flat for 2 months!..

Thanks for the clarification...I'm sure the pool will be nice to help...obviously following the Dr.s orders....

And yes..being properly medicated after the surgery is crucial...I had such a jerk for my 2nd surgery...and the morning after the sugery as they were discharging me...less than 24 hours....he gave me 10 Percocet 5mgs....that was it for my recovery...He said.."You should be in no pain...I fixed you...I don't even take a Tylenol for a headache...you'll be fine"...

Well...It was pure agony..

So thankfully my last surgery my Dr. was so fantastic..and worked with the PM in the same center....makes all the difference in the world to healing..

I will keep hoping that you get everything that you need!
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 
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