Painkillers won't work forever

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Regular Member

Date Joined Jan 2007
Total Posts : 35
   Posted 11/7/2008 6:25 AM (GMT -7)   
I'm not sure if this has been previously discussed, but my last trip to my pain management doc revealed something I'm NOT looking forward to: opioids won't work forever, and actually make the pain WORSE!

My doc said, forget tolerance and the need for increased dosages. They've learned something new. Opioids are known for "breaking" the connection or pathways the brain uses to sense pain. While opioids work well in the semi-long term, like for cancer patients who are expected to live 10 years, longer usage results in the brain learning NEW PATHWAYS to sense pain. It gets better: doctors don't know how to relieve pain once those new pathways are established.

This discussion seems to be a recurring theme. I visited a Psychiatrist to learn pain-coping techniques. Since Fibro sufferers are usually in constant pain, the usually pathways the brain uses to sense pain are well established. Apparently even the slightest pain can be amplified along those well traveled paths. She taught me exercises geared toward breaking those pathways.

After explaining this to my sympathetic and very supportive neighbor/friend, he asked "WHAT are you going to do?"

my reply was, "guess I'm going to have to die in 10 years tongue "
Post-traumatic Fibro onset after accident 10/05, diagnosed end of 8/06
Total right hip replacement due to osteoarthritis 8/1/06
Extra Hemi Vertibrae on top of T1 and below C7 (call it C8??)
resulting in scoliosis, last measured 40+ degrees.

meds: Cymbalata 60mg twice daily,
Lyrica 150mg 3 times daily
Oxycodone 10/325 up to 6 times daily, usually 3 or 4
Fentanyl patch 100mc 1 per 48 hours
Provigil 200 mg once daily

Veteran Member

Date Joined Jun 2008
Total Posts : 846
   Posted 11/7/2008 7:37 AM (GMT -7)   
that's interesting! but not in a good way, obviously. I always thought the problem with opiods were dependency and tolerance build up. I hope these new techniques you are learning will help you. CAn you tell us more about teh exercises?
Waiting for appointment with rheumy (March 2009) to get an official dx. waiting, waiting, waiting....
Taking malic acid/magnesium combo, what a life saver! and amitriptyline

Green Grove
Veteran Member

Date Joined Oct 2008
Total Posts : 2424
   Posted 11/7/2008 10:37 AM (GMT -7)   
I did not now this, and now that I do, I will not be taking them and a as needed basis. Thanks for the info :)
Much Love, Hugs, Peace & Comfort :)
God Bless Each & Every One Of You :)

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