Too much pain medicine?

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New Member

Date Joined Dec 2011
Total Posts : 1
   Posted 1/1/2012 1:08 AM (GMT -6)   
My condition is that i have nerve damage from a lung surgery(partial removal)as well as severe disc bulging. I am on 40mg. Oxycontin ER(3xdaily) as well as 6 #10 percs per day. Yet this does not seem to be enuf. I have had nerve blocks and steroid injections to no avail. Now I get panicky at times and dont know if this is due from all the drugs? Please,I.m looking for advice. Should I be upped on my meds,something different,etc... I need help with this soon! Thank you!

Veteran Member

Date Joined Nov 2011
Total Posts : 615
   Posted 1/1/2012 4:14 AM (GMT -6)   
Welcome Stix to HW forum....I am sorry you are having such pain. I also have nerve damage and I can tell you what I take for meds..120mg the morning, 90mg morph at bedtime, 900mg gabapentin 3x a day and amitrptyline 50mg. at bedtime. Gabapentin helps me with my nerve I have heard from others that Gabapentin was not good for them. Everyone reacts different to meds but maybe something you could ask your doctor about.

Well I am sure there will be more members who will come on and give you some advice....that is what is so great about this forum there are many members who suffer with similar pain issues. Keep us posted.

Take care, Amy
Chronic Pain(nerve), fibro, mild depression and a few others

Veteran Member

Date Joined Mar 2011
Total Posts : 1276
   Posted 1/1/2012 4:54 AM (GMT -6)   
Hi Stix, and welcome to the forum.

I'm sorry that your medications are not adequately treating your pain. Have you spoken to your doctor about it? What does he/she say?

None of us here are doctors, but something striking me is that you mention your pain is mostly nerve related. One problem with opiate pain killers (oxycodone, morphine, etc.) is that they are not as good against nerve pain as they are against other types of pain. Have you ever been tried on anti-depressants or epilepsy meds (e.g., Amitriptyline, Cymbalta, Lyrica, Neurontin, Topamax)? These are used quite commonly to treat nerve pain because they work differently on the body.

I'm sure everyone else will be along to welcome you soon too :-)

Moderator - Chronic Pain Forum

Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.

Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump

Regular Member

Date Joined Oct 2009
Total Posts : 175
   Posted 1/1/2012 8:52 AM (GMT -6)   
Hi Stix .123
Welcome to the site. It's hard for any of us to say what you should do. I can tell you that there are a lot of other choices out there. Others have mentioned some. There is also a pain patch that many find helpful. I had tried many different things and I have always come back to oxycodone and Oxycontin, But like others have said what works for me may not for you. You didn't mention if you are seeing a pain specialist. This would be my suggestion if you're not. A pain clinic will help you figure out what works best for you. Try and be patient because sometimes this may take some time to find the right combinations of meds that work for you. Good luck and keep us updated on your progress. All the best.
Chronic Back Pain, Anxiety, A little Depression, Left foot problems...foot growing in length and big toe growing out sideways, Osteoporosis,11 surgeries total..right foot twice, right knee 3 times, right elbow, throat/neck, spinal fusion, left elbow, left knee, currently deciding on whether to have surgery on left foot.
Meds: Oxycodone, Oxycontin, Clonazapam
Birthday July 18th

Forum Moderator

Date Joined Feb 2003
Total Posts : 16795
   Posted 1/1/2012 1:02 PM (GMT -6)   
Hi Stix and I too would like to welcome you to Healing Well's chronic pain forum. I am glad that you found us but very sorry that you have to be here. Dealing with CP can make a person feel so isolated. At least by coming here you know that you are not alone because every member here suffers with pain just as you do and we can relate.

As one of the above said regular pain medication has little effect on nerve pain. Perhaps you can go back to your dr with a list of the meds that we see used and he/she would be willing to try you on one of these medications.For what ever reason, nerve pain is just a complete different animal.

Anyway, I wanted to pop on and tell you welcome aboard. Take care.
Moderator Chronic Pain Forum

Veteran Member

Date Joined Oct 2010
Total Posts : 932
   Posted 1/1/2012 1:59 PM (GMT -6)   
A good pain management doctor will have a lot of options for you -- such as those listed by the other posters.

The longer you take your meds, the less effective they will become. So maybe it is time to talk with your PM about rotating to morphine, opana, fentanyl, or something else. Also, as others have noted, there are further non-opioid options for nerve-based pain.

Something else to consider is Tramadol -- though a weak opioid, it has other mechanisms that can help with pain, including nerve pain. Further, since it is a serotonin releasing agent, it may help with mood and anxiety.

It sounds like you might also benefit from something directly treating your panic -- that could be a benzodiazepine such as Xanax (there's even a time-release now), or an anti-depressant. Cymbalta could help with anxiety, depression as well as pain.

If you aren't being treated by a pain specialist, it might be a good idea to find one -- referred from who ever is currently prescribing for you.
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

Veteran Member

Date Joined Apr 2009
Total Posts : 856
   Posted 1/1/2012 7:15 PM (GMT -6)   
You've gotten great advice and I don't have any to add, but I just wanted to welcome you to HW. It's really a wonderful place for support.

Veteran Member

Date Joined Dec 2007
Total Posts : 1235
   Posted 1/1/2012 8:51 PM (GMT -6)   
Hello Stix and welcome to the boards....
The first thing that struck me about your list of meds is that there seems to be little to combat what appears to be neuropathic pain. Opiates do not treat neuropathic pain well at all, which explains why you are not getting the pain relief that you feel is adequate.
A bulging disc is not the same as a herniationed one. A bulging disc is simply one that extends a bit beyond the traditional landmarks on the vertebra. It is seldom painful just because it is bulging. Have you had an MRI or CT scan lately to attempt to narrow down the exact causes of your pain levels? If not, that would be a great place to start. If the bulge is in an area where it contacts or displaces one of the exiting nerve roots , that might explain pain in your back, but not all bulging discs do fact most don't.
The traditional or tricyclic anti depressants do wonders for neuropathic pain, as well as lidocaine patches, Lyrica, gabapentin, and other anti convulsants, in the right doses do wonders for reducing pain caused by damaged nerves.
Have you had an emg? That is a test that is done to determine if there is nerve damage, and at times can help to determine the cause and location of the damage. If you haven't had one, it might be well worth discussing with your treating neurologist or pain management doctor.
Before any increases are added to your current medication regimine, it would be well worth your while to investigate what exactly is causing your pain and trying  out some of these other medications, rather than increasing your opiates at this point..
I try to stick to the rule that less is more when it comes to opiates. Taking the right type of medications for the right medical conditions, is far more effective than adding more of the same , wrong type of medications that aren't what is recommended for the problem.

Veteran Member

Date Joined Jul 2009
Total Posts : 2042
   Posted 1/1/2012 9:18 PM (GMT -6)   
I really am in total agreement with CRSP/Laura and others that state that opiates/narcotics are often not very good at treating nerve/neuropathic type pain and I can state this from first hand experience.

I suffer from 2 main types of pain. The first is due a long list of back problems and the 2nd is from diabetic nerve damage. I take 2 different meds to cope with both of these pains. One is a narcotic and the other is a non narcotic (Cymbalta).

The narcotic does well for me in handling the pain from my various back issues but does not touch the nerve pain hardly at all unless I take a huge amount. The Cymbalta is just the opposite in that is works wonders on the nerve pain but does nothing for my back pain.

Combined it allows me to be on a low/moderate dose of the narcotics.

One other thing I would like to add. You might also need to be on some kind of anti-inflammatory medication in addition to various pain medications. One of my back issues is a disc bulge/herniation and one thing I notice is from time to time I can feel the area around that disc swell and increase my pain levels. When that happens often taking something like Ibuprofen helps reduce the swelling and lowers the amount of pain I feel. Before taking any though I suggest you do two things. Pay attention to how you are really feeling and talk to your doctor as s/he may have something better in mind.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.
Moderator Depression Forum.
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