Dilaudid for bone pain

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kak
Regular Member


Date Joined May 2009
Total Posts : 85
   Posted 2/6/2011 6:56 PM (GMT -6)   
My husband has had terrible pain in his arm (he has mets in his shoulder). He had been taking t3's , but they were only working about 2 hours and than the pain was back. Had to take him into emergency today and the doctor said it's time to switch to something stronger he was put on dilaudid. He took it , but took 2 mg and didn't work in one hour took another 2mg and took a good hour before started to work. We have a call into his oncologist and are hoping they may do radiation to help the pain as he had it in his leg and has had no pain in his leg since. I was wondering if anyone out there is in the same situation and could give us any tips for pain management.

Willie B
Regular Member


Date Joined Jul 2010
Total Posts : 155
   Posted 2/6/2011 8:06 PM (GMT -6)   
Hi Mary here,

Willie was in dreadful pain from compression fractures and was given long-acting morphine 60mg, twice a day.

He also had short acting morphine for break-through pain, as needed.

Before that, he was on Oxycontin but it did not work well for Willie.

He's had one treatment of Taxotere, chemo, and his pain is less than half of what it was.....seems the chemo has reduced it?!

I hope you can get the oncology resident on call asap and get some pain relief for your husband soon.

2 mg of anything seems like a very small dose to me......try 10 mg or call your local hospital for advice.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 2/6/2011 8:32 PM (GMT -6)   
Fentanyl is a VERY powerful pain reliever. Its a synthetic opioid, addictive, Comes in time release patches of different strengths. it works when nothing else does..I would ask about it...

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/6/2011 10:11 PM (GMT -6)   
I was on dilaudid for a while last year when I was in one my long term pain periods, I found it wasn't as strong or as effective when I took it in pill form, as it was when I was on it with an IV administering the same drug. On the IV, took away all the pain but in pill form, it took over an hour to start working and didnt find it as effective as a 10/500 Loratab to be honest
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

kak
Regular Member


Date Joined May 2009
Total Posts : 85
   Posted 2/6/2011 10:37 PM (GMT -6)   
Thanks everyone: He finally got some relief had taken after taking a 3rd pill and 2 t3's . His Doctor is awesome as phoned her and she told him to take the 3rd pill and the t3's and than called back 2 hours later to see how he was doing. This is his GP. We are hoping to see his Oncologist this week, but not sure as it's tough to get into see him, but at least he has something to help for now. His GP said he should of been a little loopy after the 3rd pill, he wasn't at all didn't even make him sleepy, but thank goodness it helped with the pain.
AGe 54 diagnosed March of 2007
PSA 107
Gleason 8
2007Radiation and hormone therapy 2007 to present
Apr 2010 bone scan positive for mets in right femor
Aug 2010 stay on lupron, possibly add casodex as testosterone level is a little high
Chemo in the future and waiting to see if accepted on trail for drug to add to chemo

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/7/2011 12:13 AM (GMT -6)   
thats good to hear, effective pain management is so critical in a situation like you describe
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Willie B
Regular Member


Date Joined Jul 2010
Total Posts : 155
   Posted 2/9/2011 12:58 PM (GMT -6)   
Kak, I noticed you posted that your husband is now on morphine and am hoping that it's helping him cope with the bone pain.

Good luck with his upcoming chemo treatment as well.

Sending you positive thoughts and prayers.

Mary

kak
Regular Member


Date Joined May 2009
Total Posts : 85
   Posted 2/9/2011 1:39 PM (GMT -6)   
Thanks. He is doing better just feeling very tired and achy. I assume this is from the medication.
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