I was taking 3 a day of 10/325. It's no longer doing the job. I have TN1 and Peripheral neuropathy, I was assigned to a pain clinic and I know how people feel about having to take this drug but it was helping. So question where to from here? Should I push for morphine? I am afraid of the addiction of it. Is Oxycotton a better choice? Feed back please. Thanks in advance for any help you can give. Red can you give any advice? needing help. I'm stuck in a Power chair most of the day except when my keepers turn their backs.
A few thoughts, as you requested.
(1) Many TN patients aren't helped by opioids. Even among those who are, the commonly observed guidelines for greater or lesser pain moderating effects sometimes get turned on their head. So it's hard for anyone, no matter how
(2) Both morphine and Oxycontin are habituating when used for long periods at high doses. In chronic pain patients, the proper term is "habituating", not "addictive." There is little evidence of ever-increasing drug seeking behaviors or cravings on the part of severe chronic pain patients, which characterize many recreational drug abusers. What does happen is that pain recurs during and after drug withdrawal-- and patients find themselves in a hostile environment at emergency rooms.
(3) There are multiple combinations of opioids and other pain-suppressing meds, some of them effective for some people some of the time, and others relatively helpful over periods of months to years. But to use any of them, you'll need to be under frequent supervision by a clinically qualified pain management specialist -- and in the US you may have trouble with chain pharmacies being over-conservative in their restrictions on drug dispensing, even then. You will also need to be aware that with any of these meds in high doses, there is a risk of developing rebound pain over time, due to the opioid itself. That will need to be part of your monitoring. I would also suggest that you download our Physician Advisory form, discuss it with your principal care provider, and keep a filled-out copy with you at all times. It may also be in order to ask the PCP for a brief letter of confirmation that you are indeed in their practice and under monitored supervision for the worst chronic pain condition known to medical science.
Go in Peace and Power
Red
Excuse me: editorial typo: "It's hard for anyone, no matter how qualified, to predict which of the opioids will be most helpful for an individual patient."
Hi Red, Thank you I believe you well before any other sources I have thank you for the information.
Appreciate the validation, Wheels. But do please consult with your pain management specialist practice to confirm my input and discuss nuances.
Regards and best
Red
Sorry for the late reply, but what has helped me was to switch from Full-time Hydrocodone to full-time Methadone using Hydrodone only when I have break thru pain. I have been doing this for 2 years and it has helped greatly with the highs/lows associated with hydrococone