Addiction Expert Forum
meds
About This Forum:

Questions in the Addiction forum are answered by a medical expert.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

meds

I+HAVE+BEEN+ON+FENTANYL+75+%40+3+DAYS+FOR+2YRS.+IT+HAS+MY+DIGESTIVE+SYSTEM+ALL+MESSED+UP.MY+DIGEST.+DR.+WANTS+ME+TO+GET+OFF+THE+FENTANYL+AND+GO+ON+A+PAIN+PUMP.+MY+PRIMARY+DR.+SAYS+NO+TO+P.P.AND+SWEARS+HE+CAN+GET+ME+OFF+WITHOUT+DETOX.+IS+THIS+TRUE.
Related Discussions
666151 tn?1311117976
what+is+wrong+with+your+keyboard??!!

You are talking about two different things-- a pain pump, which would be used only to control pain, and the issue of getting of pain meds.

If you are having severe pain that the fentanyl is not treating, MAYBE a pain pump is indicated.  But if your problem is that you are stuck on fentanyl and can't stop taking it, you certainly don't want to get a pain pump!

All a pain pump does is deliver opioids closer to the place where they act-- reducing (temporarily) the dose that is required to get relief from pain.  Eventually, tolerance develops to the pain pump, so it really is an option only in cases like cancer, where the person has a limited life expectancy.  I realize that other pain clinics insert them, but they are being used to enlarge the doctor's wallet in such cases, more than to help the patient!  

You are already bypassing your 'messed up' digestive system, and the dose of fentanyl you are taking is not maxed out--  so I see no reason for a pain pump, which besides the huge expense is a real hassle-- there is a risk of infection, you are tethered to a tube and a machine (there goes swimming!)--  that would be a last resort.

As for the doc boasting about not needing to have you detox, it is hard to say what he/she is planning.  There are ways to use certain sedatives to reduce the misery of withdrawal-- but the patient must be able to control the use of meds to some extent to make an outpatient detox work.
2 Comments
Blank
Avatar f tn
I+APOLIGIZE+FOR+ALL+I+HAVE+IS+A+CELL+BROWZER.+I+THANK+U+4+UR+ANSWER.+
Blank
Continue discussion Blank
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank