If you want it temporarily until you get over a bad flare I would agree with you. If you intend to rely on it continually for your UC I favor your GI.
One GI would never prescribe me addictive pain killers or anti-anxiety meds. His answer was always, "we don't like to use those because they are too addictive." He's right, the more you take the more you need to get the same effect. I've tried anti-spasmodics and find they actually either make no difference for me or make me have more urgency. This current flare was the first time I ever tried narcotics. I'm not sure I would use them at work though. They do kill the urgency and pain but they slow your thought process greatly. I would be a zombie at work using these.
My current doctor has no problem trusting me with narcotics at this time but knows I don't enjoy being on them unless absolutely necessary. I currently use oxycodone and xanax for pain and anxiety but try to push not using them as long as I can so my body doesn't build up a tolerance to them.
When I got out of the hospital last Tuesday I was requiring one IV injection of Delaudid every 3 hours. After being discharged that day I got a prescript
ion for oxycodone to take every 4-6 hours. My first dose lasted about
3 1/2 hours so I took the second dose before it was due. If I kept doing that I would eventually require higher strength medicine to get the same effect so, with my wife's help, I forced myself to hold out longer and longer. As I'm writing this I'm actually distracting myself from the current urgency and throbbing pain you describe (in my rectum, pain in lower back, left sided spasm pain) so I can hold out longer from taking my next dose of pain medicine. In doing this I have the reward that it's effect will be even more dramatic the longer I hold out...I'm going for 7 hours and am at 5 1/2 now.
A doctor told me that narcotic pain relievers lose their effectiveness over time because your body will tolerate the same amount of pain to a lesser degree knowing that you have that pain medicine coming that's going to make it go away. So the same pain will actually feel more intense to you than it would to someone else who just uses a heating pad for relief. That’s why so many celebrities get addicted to pain killers. They’re not in any more pain than the rest of us it’s just they’ve found doctor’s that will give them as much as they want.
So what kind of doctor do you want? I’m sure you can shop around for one that will give you the medicine you want but be careful.
43, male, UC diagnosed in 1985
March 2009 colonoscopy showed no signs of UC; azathioprine reduce from 100mg to 50mg
Started current flare August 2009, bleeding by October 2009, hospital 12/9-12/15
Current Meds: 150 mg azathioprine, 60 mg prednisone, 750 mg Colazal 6/day, 400 mg Asacol 6/day, Rowasa enema nightly, VSL#3 DS, Lialda, started Remicade on 12/17/09
80 mg solumedrol; demoral, Dilaudid, oxycodone for pain, Zolfran for nausea
Tegretol XR and valium for epilespy
Post Edited (Burli) : 12/20/2009 10:04:11 AM (GMT-7)