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My reference to Duragesic being harder to abuse was a reference to it's method of induction rather than the type of drug being used. I'm of the opinion that being a patch it's easy for a doctor to arrange with the pharmacy to distruibute the patch one-at-a-time every three days in the 25mg. dosage.
Oral opiates for me are not an option. They are my drug of choice. I haven't used street drugs since 1988. It's the opiates that I can not control. I lose my ability to be honest with anyone and everyone including myself. That's when the abuse starts. I have been a member of NA for 2 yrs. and had 20 mos. clean before I hurt my back this time. My primary care Dr. has addiction experience with a family member (so he says) but he makes a much better enabler than a Dr. for me. We have a new arrangement that I get NO controlled substance from him. I am really glad for that....but this pain is totally out of control and the standards like Neurontin & Gabitril (both anit-seizure meds) are not working. The 3200mg of Motrin are causing bleeding and the 4000mg of Tylenol are killing my liver (hep. C positive) so, my options for meds are really limited.
Thank you for letting me share.
Bob