medication suggestions for dr

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Regular Member

Date Joined Oct 2010
Total Posts : 21
   Posted 11/24/2011 4:19 AM (GMT -6)   
hi i suffer from chronic back pain and foot drop which results in chronic pain in my hips and legs, ive been on oxicontin 10mg 2x a day and tramadol 300mg 2-3x a day + ibruprofen paracetomol amytripiline and pregabalin for nearly a year. ive been asking for my drs to switch up my medication for a bout 6 months as this conconction isnt working but they tell me there is nothing else for me to try, ive also been on fentanyl patches before. has anyone tried anything or is on anything they can suggest to me? i cant beleive that with everything they can do in the medical world there are no other pain killers available? i get that im 23 and they dont want me to run out of things for when im older but i need pain releif now!!! i dont get how they dont understand this? any suggestions you have would be soo appreaciated. ive also tried acupunture, electro acupunture , tens unit, and spinal blocks and injections all of which didnt really do much i will say the tens unit worked best but you can rally walk around with it attach all day and the sticky pads dont stick very well, look forward to replies, im waiting for a phone consultation with a dr at some point today so asap would be great.
amber x

Retired Mom
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Date Joined Feb 2010
Total Posts : 1753
   Posted 11/24/2011 4:36 AM (GMT -6)   
Hi ambrdylz,

I wish I had some suggestions for you, but you are taking "most" of what I am and it is helping me some. I was using dilaudid and that worked great for a while, but it lost its effectiveness so they changed it to the oxy. I find that the oxy works much better for me.

I have recently added Soma to my regimine and find that it seems to help some. I don't really feel any different taking it (so I'm not sure why Dr's are so concerned about it) but it does seem to help with muscle spasms for me.

I hope you find the answer!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....

Regular Member

Date Joined Jul 2008
Total Posts : 75
   Posted 11/24/2011 9:44 AM (GMT -6)   
Have you tried Gabapentin on Lyrica for the nerve pain? Also I find that Cesamet helps as well.

spinal soldier
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Date Joined Dec 2009
Total Posts : 687
   Posted 11/24/2011 10:03 AM (GMT -6)   
the majority of your meds are adjvants or "potentators". your going over the ceiling dose of tramadol which is 600mg per day i think, the risk is serotonin syndrome that can result in high fever and seizures. an opioid is the foundation medication for someone who has been in pain as many years as you and all other classifications of meds are adjvants. Oxycontin 10mg 2x is nothing and the tramadol is considered a weak opioid, ideally a sustained release-steady blood level med and a fast acting med for breakthrough or activity related pain. some sustained release options are: Opana ER, several morphine sulfate products, Oxycontin, Levorphanol, Methadone, Duragesic(fentanyl)Transderm patch. some breakthrough meds are Dilaudid, Roxicodone, Morphine Sulfate IR, Opana(oxymorphone), Norco, people respond to different doses and different meds. you can rest easy in the fact you have a lot of room to go. then adding on meds like Soma, Valium, Lyrica, Cymbalta, NSAIDS can give you a good synergestic effect.

Regular Member

Date Joined Oct 2010
Total Posts : 21
   Posted 11/24/2011 10:51 AM (GMT -6)   
thankyou spinal soldier ive written all that down now wait for the dr to ring me so i can of load thankyou all for your replies, keep my fingers crossed :) x

Veteran Member

Date Joined Oct 2009
Total Posts : 4970
   Posted 11/25/2011 10:46 AM (GMT -6)   
Put a little water on the sticky pads of the TENS, and keep them om their plastic and in their plastic bags. They barely last a month, but keeping them moist helps. I get relief from muscle pain, but nothing from bone pain with my TENS.

Veteran Member

Date Joined Jan 2005
Total Posts : 9090
   Posted 11/25/2011 12:45 PM (GMT -6)   
Hi Amber...

May I ask what kind of doctors are managing your medications? Is this a pain doctor or clinic? Also one thing that helps many people with chronic pain is seeing a pain psychologist. Now don't get me wrong here...I'm not suggesting you're a mental case or anything but having someone to talk to about, and focus on, dealing with your pain can bring some quality back into your life. Also, a good psychologist will go to bat for you to get the medications you need since this person will know you well.

I hope you can find something that helps!
Moderator on the Fibromyalgia and Chronic Pain forums
Fibromyalgia, IDDM. UC, , Osteoarthritis and others slowly meandering their way through.
An investment in knowledge pays the best interest...Benjamin Franklin

Veteran Member

Date Joined Oct 2010
Total Posts : 924
   Posted 11/25/2011 2:10 PM (GMT -6)   
Tramadol 300mg 2-3x a day is a huge dose, and as spinal soldier noted, potentially dangerous.

In the U.S. doctors often prescribe only to 300mg and in other countries, 400mg is the standard max. 600 or even 900mg increases your risk of seizures, especially if you drink any alcohol or take other meds that increase your serotonin levels, including amytripiline.

On its own, there is little risk, but when you add another drug that increases serotonin or decreases your seizure threshold, the risk increases. See:

Be particularly concerned if you stop taking pregabalin, for it helps prevent seizures.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray
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