What are the most effective non-opioid pain relieving drugs available?

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contract
New Member


Date Joined Feb 2012
Total Posts : 5
   Posted 2/7/2012 8:49 PM (GMT -6)   
I've been addicted to opiate-based medications in the past due to an accident. I absolutely cannot tolerate opiates any longer and need alternatives for acute pain relief. What are my best options?

CRPSpatient
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Date Joined Mar 2011
Total Posts : 1276
   Posted 2/7/2012 11:13 PM (GMT -6)   
Hi Contract and welcome.

I'm sorry for your pain. Your question really is a hard one - have you discussed this with your doctor? As you are writing on a chronic pain forum, I'm guessing that you're needing a breakthrough pain medication?

What exactly is the cause of your? What sort of maintenance meds are you on? Do non-pharmacological measures help? E.g. heat/cold packs, massage, TENS?

Take care, and look forward to getting to know you :-)

Laura
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

contract
New Member


Date Joined Feb 2012
Total Posts : 5
   Posted 2/7/2012 11:36 PM (GMT -6)   
Hi Laura,

I actually don't suffer from chronic pain, so this might not be the right forum - however, I'd still really appreciate any advice. Like I mentioned in my first post, I did have a problem with opiate medications after an accident years ago, and therefore have done everything possible to stay away from them for years. Just a few days ago I was forced to take some vicodin for a dental procedure (the pain was unbearable and I resisted taking the meds for about 6 hours until I gave in), at which point I realized that I need to explore alternatives. I'm really just trying to prepare in advance, as I'm sure I'll have times in my life which will require strong pain relief, and I'll need to understand my options.

I'll check with my doctor but I also wanted to get as much feedback online as possible.

Thanks in advance.

rjbeck
Regular Member


Date Joined Feb 2008
Total Posts : 257
   Posted 2/8/2012 4:57 AM (GMT -6)   
The best non-narcotic pain med IMO is Toradol it is in the drug class called nonsteroidal antiinflammatory drugs (NSAIDs) but this drug can only be used for about a 2 week time due to the problems it can cause to your stomach. But this medication was the one drug that finally broke thru my pain when I had a chest tube inserted, I did have some major narcotics on board but the toradol gave me the relief to relax with that tube in my chest..another drug is Ultram but it doesn't work for me..
AVASCULAR-NECROSIS (AVN) in 6 joints. HIPS,KNEE'S and SHOULDERS-Replaced RT shoulder.Left hip 2011
Bilateral Empyema-Thoracotomy with Decordication.(Removed the Lining of left lung)Bilat Pneumothorax (2005-2008)
COPD.
MED'S-methadone 45mg's Bid---oxycodone 30mg's Bid--nucynta 100mg-Prn
Former Respiratory Therapist/Perfusionist

cogito
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Date Joined Oct 2010
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   Posted 2/8/2012 11:55 AM (GMT -6)   
I try to keep my opioid use down and so have sought out many alternatives. Whether you find one or another helpful will depend very much on the type and location of injury.
But, here are some to consider:

NSAIDS OTC pills: Ibuprofen, Tylenol, naproxen
NSAIDS prescription: toradol, there's also time release naproxen and others.
Patches: lidoderm, flector (Diclofenac)
Topicals: voltaren gel (diclofenac), tigerbalm, etc..
Ice packs, heating pads, tens, etc.
trigger point injections (usually local anesthetic plus steroid or anti-inflammatory)
stretching, massage, acupuncture, etc..

For dental pain, try orajel or other benzocaine solutions.

And as was also mentioned, Ultram, which weakly bonds to the opioid receptors but can be effective for some types of pain (I use it daily). Similar in mechanism is Nucynta.

Suboxone is used sometimes for people with abuse issues who find themselves in chronic pain.

Lastly, there are Tricycles and various SNRI's as non-opioid treatments for chronic pain (though these are usually adjuncts to opioids).
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

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 2/8/2012 12:12 PM (GMT -6)   
Since you do not suffer with any chronic pain issues..(Yea for you!! That is always good news and reason to celebrate!)...

I would just work with any Dr. you happen to be with in an acute situation and let them know of your previous issues with narcotics...They can prescribe other things like nerve pain meds, muscle relaxers, steroids, anti-inflammatories, etc.

If for any reason you absolutely have to be prescribed an opiate than they can give you a small amount and have a family member hold them for you and give to you when needed...
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
 
 

contract
New Member


Date Joined Feb 2012
Total Posts : 5
   Posted 2/8/2012 1:57 PM (GMT -6)   
Understood - thank you all for your advice. Despite injuries and crashes snowboarding and skydiving I'm managed to stay away from opiates for a few years (except the dental pain which just became too much at midnight after 6 hours) so hopefully I'll be able to go for many more without having to resort to them.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 2/8/2012 3:06 PM (GMT -6)   
Usually dental pain is caused by the inflammation...This is where a Dr./Dentist if you tell them about your previous issues...could even write for a prescription strength anti-inflammatory.

Good luck in the future!
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
 
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16796
   Posted 2/8/2012 6:51 PM (GMT -6)   
Contract I broke my arm almost 2 years ago and I am on an opioid for chronic pain and it did nothing for the pain I was having with my arm. My neighbor is an RN and he told me there was a lot of inflammation involved with the break. He brought me a bottle of Ibuprophen over and I took that only and had no more bad pain with the arm while healing. In fact my PM dr will tell her patients to add Tylenol or something along those lines to their BT meds if they stop working as well.

As the others had said there are many thing available to help. Good luck.
Moderator-Chronic Pain Forum

newname
Regular Member


Date Joined Jun 2011
Total Posts : 95
   Posted 2/10/2012 1:50 PM (GMT -6)   
Here's a little something I think you should know. If you tell a doctor you want an effective, non-opioid painkiller, he or she might put you on something called Tramadol (also known as ultram). But don't let the fact that it's not yet a controlled substance in most states fool you. It can indeed have narcotic-like effects and if you're on it for an extended period of time, do NOT stop taking it suddenly. The withdrawls can be hellish.

Dagger
Veteran Member


Date Joined Apr 2008
Total Posts : 1522
   Posted 2/10/2012 7:35 PM (GMT -6)   
I agree with newname. Stay away from tramadol if you had a problem with opiates.
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