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How do u ask for a stronger pain med (w/out sounding like a pill seeker)?

by jennifer567, Jul 12, 2008 12:59AM
Hi everyone! My question is how do I ask for something stronger without sounding like a "pill seeker" or drug abuser? My Lortab 10mg is like regualr tylenol to my pain. They already have me on Cymbalta, Lyrica, Lortab10mg, Soma, Xanax and Ambien BUT I AM IN SUCH PAIN! It is unreal!

I know it's not a good idea to double up or whatever but I have in desparation- it does not help! My legs give me the worst trouble. I take magnesium, calcium and a few other natural things. I do swim exercise religiosly now BUT the pain is beyond any pain I've ever been through including natural childbirth!!!

How do I ask a doctor to put me on something like Percocet or Oxycodone? Or just anything that will be wotrth taking?? This Lortab is USELESS!! But I've been told if you ask for something specific they think you are just there to get pills for the wrong reason. HAS ANYONE ASKED THEIR DOCTOR FOR SOMETHING STRONGER, AND HOW DID YOU GO ABOUT IT????

By the way thanks in advance for any ideas, thoughts, suggestions or sharing.
Jennifer
Member Comments (47)

by idesofmarch, Jul 12, 2008 08:24AM
To: jennifer567
If you are taking all those meds at the same time, you may be a pill popper.  Are you taking magnesiem atleast 4 hrs from taking anything else?  If you take it along with other meds-the other meds will not be aborbed correctely into your system, like you won't get the true effects.  Have you tried positive feedback or hypnosis for the pain.  Try positive thinking and speaking.  Yoga breathing exercises.  Physical therapy, swim less in a heated pool. Stationary bike slowly for five minutes to restart a new ecercise program. You won't be happy with harder drugs, most pain killers don't even work on fibro type pain believe it or not.  I've tried morphine and I've tried oxycontin (doctors choices not mine) and they did nothing but make me tired.  Watch how you stop your meds too, get doctors help on how to do that or else it could kill you.  Good Luck and God Bless

by kitty51, Jul 12, 2008 08:48AM
To: jennifer 567
just tell your doc that what you are taking is not working and in my opinion nothing does that i have ever had,so i stopped takng the lot and i dont seem to be any worse off cos the pain remains the same ,and and i clear each med out of my system before i try something new.hope this has been of some help to you,and ask him how long you shold wait before you try something new.

by luckydzack1, Jul 12, 2008 11:34AM
To: jennifer567
I agree with kitty 51 just tell the doc that what you are taking right now is not helping at all with the pain. Ask if there is something else. I was taking percecet one 3 times a day. Which did nothing. I was afraid to overdose so I just suffered. Then a friend of mine told me that his wife is also on them and she takes two at a time which helps. So that is what I did. It did help. I told my doc & he said no that is to much and then switched me to morphine. Just tell the doc what you are taking is not doing a thing. See what he says.

by paige1641, Jul 12, 2008 08:24PM
To: jennifer567
I have been wondering the same thing! I am scared to ask too, I am on lyrica and ambien and I am still having a really hard time! I am not on any pain medications which I have taken before and they do help some, I hope you find out, good luck! Also if you do find out let me know, I want to ask too but am scared!

Paige

by jennifer567, Jul 13, 2008 03:40PM
To: everyone
I wrote this post when I was in dying pain. I do alternate between Rx meds and homeopathic treatments/remedies. I also do water exercises and emotional therapy. AND I take a break about every 5-6 months from Rx meds, so that I do build a tolerance or harm my other organs more than I do. I have Post Traumatic Syndrome with Panic Disorder on top of FMA, TMJ, and likely MS.

I do not like that I have to take any meds at all and since posting this I have quit Lyrica because I thought it might be a culprit to my involuntary jerking and shaking. Also, I do not take pain meds daily, only when needed. And I am not going to apologize that sometimes I NEED something to take away this pain!!!

I encourage everyone when reading someone's post/question to really understand that they are being honest, open and putting theirselves out there. Also take in mind every one of us hurts but none of us know to what extent the other persons pain may be or what their threshold for pain may be. What you may not be able to tolerate, maybe I can or vice versa.

Let's all remember why we are here and that this is the one place we should all feel free to be open, honest and ask whatever is bothering us. Non-suffering people in our every day lives do not have a clue so this is the only place we can come to.

I've rec'vd some private messages regarding this and so I had to come back and post this comment. Everyone is free to express their opinions and suggestions- just keep in mind real people in real pain are behind each post!!

Jennifer

by neldwn2me1227, Jul 14, 2008 01:45AM
To: Good luck with pain manegment.
I do not know how it is for others, but for me I have never been able to get a Docter to give me more meds for my pain. I only take my cymbolta and busepar and balacet. And sometimes I feel as if im going mad. But my doc wont help me. So i go to the emergency room and they always help me.

by PlateletGal, Jul 14, 2008 12:00PM
To: jennifer567

A supplement.. well actually it is a type of sugar, has been shown in research studies that it can improve pain and quality of life in many CFS & fibro patients.  It is called "D-Ribose"... you may want to check it out.  Here is a link to the article;

http://www.medicalnewstoday.com/articles/37399.php


(((HUGS)))

PlateletGal

by feelingempty, Jul 14, 2008 01:02PM
To: EVERYONE
HERE'S INFO ABOUT ME THAT'S ON MY PROFILE SHOWING ALL.... MY MANY AILMENTS.  I'M POSTING THIS 2 SHARE MY STORY & MAYBE U'LL UNDERSTAND WHY I TAKE (HAVE TAKEN) SO MANY DRUGS ETC.!!  

MANY, many health problems!!
*L4-5 FUSION 11/2006 **but be4 that i had a botched "clean up" & obtained an infection of pus & fluid in my spine 9/2005. Had 2 have a pic line put in for IV antibiotics & weekly nurse visits for 8 + wks.
*C5-6 FUSION 3/01
*STILL have 2 hern disc's in lumbar, 2 in thorasic, 1 in neck
*Scoliosis
*Degenerative Disc Disease
*Arn. Chiari DAILY headache/migraines for 13 yrs. now
*Fibromyalgia
*Rhem. Arthritis
*DAILY chronic pain

I take 11 perscriptions for my ailments: Some include;  lyrica, cymbalta, etolac, percocet, ms contin, zanaflex!  They HAD me on MAJOR strong stuff  3-5 yrs. ago including: Dilata's, Methadone, Soma & Clonopin.  Couldn't handle ALL the side effects & was house bound & became severely depressed & OVERSLEPT constantly.  

============================================================

In the PAST my dr. has tried EVERYTHING........... w/ my chronic pain:  tramadol, darvocet, vicodin, loratab, celexa, bextra, MANY diff. anti-depressants ETC.  

~~ I go 2 the dr. EVERY month for pain management. I LOVE my dr.!  I've been seeing her for quite a few yrs.!  And she's VERY conservative about giving pain meds.  SEE................................ the thing is MOST dr's WON'T give pain meds for fibro. INCLUDING my dr.!!  She prescribes my pain meds for my torn up spine, neck & head.  The herniated disc i have ARE pinching nerves etc.! So, she is compassionate that i HAVE 2 have SOME quality of life. She's SEEN me NOT be able to hardly walk & or stand up straight.  I'm DEFINITELY not a pill seeker.  Since i've refused pain meds MANY times.  JUST because one is on a lot of scripts doesn't make them one.  

**I've TRIED ALL kinds of natural herbs & alternate relief. Phy. Therapy/Chiro (made it WAY worse) biofeedback, injections, hypnosis, weekly massages, acupuncture, low impact aerobics. YOU name it i've tried it. And SOME of these made my pain MUCH worse.

AS far as ASKING 4 something stronger............. if u have a good relationship w/ u'r dr. they should be willing to try something stronger on you if what u'r taking ISN"T working.  If they give u the run around FIND a dr. that's compassionate & maybe even SPECIALIZES in u'r ailments.  

Meditation/Yoga, positive thinking is THE BEST DRUG there is. BUT w/ out my reg. meds I'd be in bed........ praying for god to take me & end my pain!! I've been there be4 & it's NO place for our minds to go.

GOD BLESS YOU ALL
PEACE, LOVE & HAPPINESS TO YOU ALL =)

by missouriangel, Jul 14, 2008 06:23PM
To: Jennifer567
I'm new on here, and I understand I'm in alot of pain too. They are not sure if I have Fibromyalgia or neuropathy but I take Darvocet now and was on Percocet. They do nothing for the nerve and body pain. I only take them for the Migraines, and that pain doesn't compare to the pain in my legs. As far as meditation I've studied Martial Arts for 17 years, and as it is helpful - I am still having trouble copeing.

by feelingempty, Jul 15, 2008 12:21PM
To: Jennifer
Has u'r regular dr. ordered any specific labs; like SED RATE, Growth Hormone etc.?? If they did & then sent u 2 a fibro clinic u could find out EXACTLY what's going on w/ ya.

I'm sorry u'r having a hard time coping. :( I feel for ya sista.  We all have bad days & some good.  Hopefully, today is a good day for u.  I TRY to FOCUS on the fact that @ least i'm NOT wheelchair bound. Or that i could be legless or have 1 arm or something. I guess i'm just trying to say.... "i have to say in my head.......IT COULD always BE WORSE"!  It might sound kinda silly. But, it works for me.  Try 2 find something that works for you. Remind u'rself of that & focus on u'r blessings. ;)

Bless you

by droopy56, Jul 15, 2008 02:43PM
To: Jennifer567
Like most of the others here, the meds don't do much for my pain. I've found that how I feel on any given day depends on the quality of sleep I got the night before. I sleep on an air bed (Wal-Mart, $10.00) on my floor.
I keep a chair close to help me get up in the morning. You have no idea how much difference that little change made! Any inner-spring mattress feels like I'm sleeping on a sack full of doorknobs. I also take .5 mg Clonazepam at bedtime. I hope this helps

by littledixie, Jul 25, 2008 10:00AM
To: jennifer
I have had all kinds of physical therapy and all kinds of drugs. I have found nothing to relieve the pain. As well I have been on many meds and am allergic to most pain meds and come monday I have no choice but to go back on morphine. Last time I was on morphine it almost caused a divorce. My new husband said it made me very mean and it was him or the morphine. Well my doctor at my last appt. told me that no matter what I had to get back on the morphine for my sanity and for the pain. It is all I can do now to get out of bed. I have had 3 false heart attacks in 2 weeks time. Because of over doing on my good days. The muscles around my heart were the weakest in my body so that is were the fibromyligia (fibromyalgia) attacked. May God Bless you and ask your doctor for something that is going to work because you feel like you are going in saine with the pain you are in. I have had firbomyligia for 11 years now and was just diagnosed 5 years ago. I have been stuck in bed for more than 6 mth and confined to a wheelchair for over a year. I am now back up slowly and gingerly and can't make a full day of things but I am atleast out of the house. Believe in yourself enough to not let this disease take you over. No matter how bad it hurts at least step outside and check the mail or walk down your side walk.

by telephofee, Jul 27, 2008 04:40AM
Percocet and other drugs in that category aren't good long-term.  You can evaluate what you are taking.  See if any dosages can go up or try another kind of medication.  With antidepressants for example, there are many brands and medications for that.  They work for the same thing, but have different ingredients and work differently.  What may work for one may not for the other, as well as what may work for you may not with something similar.  It is also good to find out what is causing for you to feel worse (even with the medications) and just to talk to your doctor about it.  I don't know of anything that works for my fibro problems, but everyone is different.

by ozarkqueen, Jul 27, 2008 04:26PM
To: Jennifer567
http://www.medhelp.org/posts/show/568259#
Post Comment
Jennifer567 and to the rest of you who are fibro sufferers. I too am a fibro victim as I call it. When you live in so much pain and nothing seems to help and because of it your life is spinning out of control... I would like to share with you something that has helped me and for the last 3 1/2 years. I have had very little pain in that time. None most of the time. If I overdo it or don't get enough sleep then I will have some pain but nothing like before. And it has restored my sleep! So I o longer feel like I'm half awake and half a sleep all night.
When I discovered this I was on ten medications that the dr's were giving me to help control the pain. And I literally watched a clock to see when I could take another dose of pain medicine not because it got rid of the pain but it did ease it up where I could tolerate it a while longer. Nothing else not even diet or exercise which I have tried in my search for something to make a difference. So here it is it's a juice made from the mangosteen fruit. If you like me your first reaction will be that is crazy! No juice can help with what I'm dealing with. But I hope some of you will be desperate enough to try it. Make sure that you get the whole fruit mangosteen, which there are many out there that are not. Give it at least time to work 3-6 months drinking at least 3 ozs 2 times a day. I don't know if this post will be even allowed to be posted but I had to try. Many of your dr's won't believe that this can do anything for you. But what do you really have to loose? It's not a cure all but it does have natural anti inflamatory properties that help to reduce the pain like nothing I've experienced for my own pain. And there is scientific and medical research on mangosteen fruit.  As I decided I had nothing to loose. I pray this information is beneficial to some of you.

by Shanannagins, Jul 30, 2008 01:29AM
To: jennifer567
I understand and empathize with you as far as your pain in concerned.  I currently take 1 30mg oxycontin 2x a day and norco for breakthrough pain.  I used to just take the norco but as anyone who has been on opoids knows you build a tolerance to these meds.  I just switched to the oxycontin 2 weeks ago and I am ok with it but the side effects suck.  I get headaches and am constipated all the time.  (but I guess that has helped with my IBS some right!?!?!?)  My doc is awsome and really listens to me.  I do my research and bring it to him.  He does not assume I am pill seeking but knows that I want to be active in finding a solution.  He brought up at my last appointment that he was interested in putting me on Duragesic patches.  I told him to let me research it first and we can talk about it on the next visit.  That's why he put me on the oxy.  I am still not too stoked on the patch idea and would rather use that as a last resort but it is for people with opoid resistance and may be a good solution.
My advice... don't  be afraid to talk to your doc and do research and give him suggestions.  He (or she) may be a dr but they can't keep up on everything going on with every illness.  If your doc doesn't want to listen to you...SEE SOMEONE ELSE!!!  
It is a special relationship we have (especially us in chronic pain) with our docs and it has to be based on respect and trust.  If your not getting that find someone who will give that to you.
Stay strong and I wish you the best!

by tryingtosmile, Jul 30, 2008 05:13AM
To: jennifer567
Hi,
I have had Fibro for almost 7 years in addition to Trigeminal Neuralgia, Sphenopalatine Neuralgia, Cluster headaches, TMJ, High Blood pressure, Interstitial Cystitis, Crohn's Disease and Reflux. It (Fibro) started really bad then got better once I lost weight and excercised regulary no matter how much pain I was in I would atleast walk a little. I as with everyone else tried a ton of stuff. Now I only take the occassional Flexeril at night and the D-Ribose that was mentioned by someone previously is a lifesaver. 1 tsp. in my coffee every morning. It's a tasteless white powder you can get at any health food store, not too cheap, worth every penny. It takes about 10-14 days give or take to kick in but WOW. The pain subsides and the energy level SOARS. It is awesome. I know several people who have tried it and are like new. They have quit taking their regular meds. Don't get me wrong I know how bad Fibro can be, I know some people suffer more than others, I hope you find something that works for you. The narcotics just aren't generally the way to go with this type of pain. Good luck to you.

by wait2long, Aug 25, 2008 12:29AM
i have taken every pain med there is on the market...i am now on buprenorphine..it is useless for the pain also..
there is not a medication that will take this pain away...NOTHING!
the cymbalta, neurontin, amitriptyline, klonopin, suboxone, oxies, methadone, percs, vikes, morphine, tylenol, advil...there just isnt a thing that gives me any relief..i have stopped searching because i've tried it all, and nothing works, plain and simple.
i really dont know how people can live like this, or for how long.

the only relief i get is an occasional prescription of prednisone, 5 days worth...10 days of relief. 40 mgs a day
i gave up looking for relief..now its just finding ways to learn to live with it..yippee.

good luck..i hope someone here gets relief without chemical dependency or addiction kicking in, this really is something to think about IF you can put the need for relief aside for a bit, not meant to be sarcastic like it may sound.....it is sheer torture to live like this.
narcotics dont work for this type of pain, usually, and are not meant for long term. please try safer alternatives first if you can.
and after being on narcotics for so long, they can actually worsen pain. your pain receptors will play tricks on you...
good luck everyone

by Ghilly, Aug 26, 2008 06:36AM
Hearing what all of you go through with your doctors and your pain meds, I thank God every day for my PM doc.  I have fibro, but that's not the reason I see a PM doc.  I also have adhesive arachnoiditis, which doctors have described as living with the pain of cancer without the release of death.  

When I first started seeing this doctor, he had me taking Norco tablets.  He didn't want me on them long term because of all the Tylenol in them, but my finances at the time wouldn't allow for anything more expensive.  As soon as I was able to afford it, he switched me to oxycodone, which works like a charm for me.  Without it, I would be bedridden.  With it, I can work a normal week and do almost everything that I could do before I developed the arachnoiditis, within reason, of course.

As someone said, with opioids, you develop tolerances to them, which necessitates adjusting your dosages to be able to get the same effect over time.  I see my doctor every other month (I have an appointment tomorrow, as a matter of fact) and the first thing he asks me is "are the meds still doing their job?  Or do you need more?"  He has NEVER made me feel odd or embarassed to have to ask for a higher dosage, and when I tell him that I'm just about making it the 30 days because of having to titrate my doses higher, he increases my prescription accordingly.

The key to being able to successfully manage a chronic pain disease is to be blessed with a doctor who isn't afraid to treat the disease aggressively, and who trusts you, as his patient, to be honest with him about your pain control needs.  My doctor is a well-known neurosurgeon/neurological oncologist, it's not like I go to one of those fly-by-night storefront clinics where all they do is write prescriptions for pills.  He does random drug testing of his patients to make sure we're taking our meds the way we're supposed to and not selling them (as so often happens with the people who visit the storefront clinics), he does periodical assessments in the form of informal interviews that, we find out afterward, were actually psychological tests to determine our propensity for becoming addicted.  He monitors each and every one of his patients very carefully and we all love him!  

My heart goes out to people who have to suffer because they can't communicate with their doctors for fear of being misunderstood.  I wish that you could all be blessed with a doctor like mine.  It's difficult enough living with chronic pain without having to do battle for everything that might possibly help to lessen that pain.  You all deserve better.

Ghilly

by PlateletGal, Aug 26, 2008 11:46AM
To: Ghilly
"I also have adhesive arachnoiditis, which doctors have described as living with the pain of cancer without the release of death."

That sounds awful ! I am so happy to hear that oxycodone is working for you. And I like what you had written in your last paragraph, "you all deserve better".  I have CFS and fortunate that my pain (although present every single day) is tolerable without medications. I do on occasion have severe headaches and found only one medication, fortunately non-narcotic, works for me. (Relepex)

by destinyplease, Aug 27, 2008 11:41AM
To: jennifer 567
I have tried all you are on and they do nothing.  I have been on a duralgesic patch plus percocet for quite awhile now and they feel like taking an aspirin to me.  Just ask the Dr. and be persistent.  My family Dr. doesn't believe fibro. exists so had to go to a specialist.  Ask to go to a pain clinic!

by destinyplease, Aug 27, 2008 11:47AM
To: jennifer 567
Appreciated your comment about real people in real pain.  We suffer enough because our suffering is not visible.  I am in the process of applying for disability and they are putting me through Hell.  My own children think I am faking.  I don't understand why they think I would rather spend my life in bed or on my couch in agony rather than golfing everyday like I use to.  My pain has gotten so out of control that I have often wished I didn't believe in God so I could end my life.  I am so tired of people saying you look fine!

by destinyplease, Aug 27, 2008 11:59AM
To: Ghilly
My family Dr. says only women get fibro. because it is in our heads!  Lucky I have a specialist and go to a pain clinic.  I have had fibro. for about 25 yrs.  I use to take Tylenol 3's to golf or play baseball or volleyball.  I worked 3 jobs and raised four kids.  Now at 49 my body has said, "forget it!"  I am on several meds without much help. I have had injections in my spine for the arthritis and it helped some.  
I am so tired of family, friends, colleagues looking at me and saying you look fine.  
Luckily, I am dating a wonderful, understanding man who will give me long massages or help out when needed.  He is a very patient saint.  
If I am denied disability I don't know what I will do.  When working I came home and went to bed immediately and spent weekends in bed.  I can't go back but, I know it is hard for fibro. sufferers to get it.  
They ask if I would go back to work and I said, "I would love to be cured and go back to work!"
I feel trapped in a cocoon of pain.

by PlateletGal, Aug 27, 2008 12:59PM
To: destinyplease
"My family Dr. says only women get fibro. because it is in our heads!"

I'm sorry to see that the abuse is still continuing. There are abnormalities in fibro patients and your physician should be keeping up to date on the latest research. Shame on him (or her !).

My recommendations for those of you who are in pain and not getting relief from your current medications would be to discuss this with your physician or specialist... but also bring up your concerns about taking such strong medications.

by dialectialdarlin, Aug 28, 2008 03:31PM
I am lucky I have a dr. that understands me and my pain but it took me about 7 years to get to this point.  I have found that oxy and oxycotin does work for me I am on a oxy ir for immediate pain and a long lasting oxycotin for long coverage.  there are other pian meds that I have tried and they don't work.  every person is different and need different care.  I make sure that my dr knows that I am concerned about taking high doses but when I need an increase I just tell then\m that I have had to double up on my pills inorder for them to work and they will usually increase them.  but again it has taken me a long time and I had to go through a pain specialist before my dr would prescribe anything.  sometimes it is a matter of having that second dr (like a pian specialist) inform the dr that this is what you need it takes the pressure off the GP dr.  
good luck and you will find something that works for you.
D

by rocmonkey, Aug 29, 2008 06:27PM
Ghilly...and the rest out there suffering,

I have had docs who were so bad I recorded their 'meanness' to me. Ghilly, you are so fortunate!! For the rest of you, never be afraid to ask for more meds. NEVER! If you are suffering you should ask. If they act like an *** then go find another doc. There are plenty who will help. One of my former docs- Dale Stott here in St. George, Utah- tried to cause me to go into toxic shock by refusing to refill my scripts w/o warning. The reason? i asked to have a part in my pain management/treatment program because "I" was the one hurting. That's a doc who is in it for the money, folks.

I found this just now---
"Tolerance" simply means that you get less "bang for your buck" from the medication over time. In other words, over time you get less pain relief, or you need more medication to maintain your pain relief. Tolerance seems to occur in some people but not in others, and many patients have to increase their dose at the beginning of treatment but then are able to maintain stable doses for long periods of time. The key point is that tolerance does not mean addiction! While people who develop addiction often develop tolerance (i.e. need more medication over time), many patients who are not addicted, and just have chronic pain, also need an increased dose over time. One of the most common mistakes people make is mixing up tolerance with addiction.

Its under ADDICTION at this website----

http://www.painaction.com/painaction/Article.aspx?channelId=2&contentId=42


or look here for other pain help---

http://www.google.com/search?ie=UTF-8&oe=UTF-8&sourceid=navclient&gfns=1&q=aware+pain

Have a great day all!

by rocmonkey, Aug 29, 2008 06:43PM
This is a website I found in the early 90's when I was suffering so hard and when I was taking about 100mg a day of methadone and oxy-codone/contin-- this drug saved my life!!!

http://www.druglibrary.org/SCHAFFER/asap/index.htm
or type in "ASAP pain" in your browser and hit enter.
Mr. Baker was a voice I needed so desperately then and, unknown to him, he helped to save my life by his knowledge of pain, its devastating effects on us and the lack of concern by the government and docs. I learned from him that it was "I" who had to get help for me and not someone who doesn't hurt. Today, I use pot as well to help. Though its illegal I don't care. If the law cared for me they would help me (us!) more. Well, that's my view of it anyway.

by Coolio Hernendez, Aug 31, 2008 10:38AM
I have Lymes disease taht has turned into Fibro and a few other things....I was always able to talk doctors into giving me more and more and stronger and stronger pain pills......Trust me thats not the way to go..
I dont think that there is a right way to use strong narcotics...

I am now on Subutex and let me tell you...atleast you dont have to count pills and you cannot abuse and they last 24 hours.
Subutex when used for cronic pain is a big step but maybe look into it and see what you think.

by dollface7376, Sep 02, 2008 09:35AM
To: jennifer567
Just ask is my answer.  I told my doctor....my pain is increasing, what are my options and she took it from there.  It all depends on your doctor.  Narcotic pain killers were the only thing that allowed me to function daily, keep a job, take care of the house, be happy, and care for my children and husband.  The ONLY thing.  I didn't read everyone's post and I am sure you are aware but ... the risk for dependency/tolerance/abuse is very high for some people.  I was one of them.  I used the pain meds to deal with the pain, the stress of the disbelief from family, the stress of not being able to be the person I was and I have an addictive personality so I was doomed from the start.  My point is....be very careful with narcotic pain relievers, be monitored closely, I believe that nacotic pain relievers are perfect for some fibro patients, and watch yourself for abuse (one extra won't hurt...watch for that because kickin opiates is THE WORST thing I have ever experienced in my life).  And be careful if someone tries to reccomend a non-narcotic pain reliver called tramadol/ultram a so called "non-addictive" med....withdrawals from that are not pretty either.  But as for your original question.....just be frank and ask.  

by Phtartist, Sep 04, 2008 02:14PM
For the women out there with Fibromyalgia there is another opiod that works better on women's brains.  It seems women's brains are more receptive to Kappa opiods than other opiods like the oxy's or hydrocodones.

It comes in a patch, nasal spray and a pill. Only the pill is what we would use.  

Simply ask your Dr.  

Some drs. do not prescribe certain drugs because they are not certified to do so.  They don't tell us this.  Morphine is a level 4 drug. A GP does not have a license to prescribe level 4 drugs.  Sometimes they use the strong arm method instead of explaining their limitations.

I use Dr. Devin Starlanyl's book "the fibromyalgia advocate"  it has a purple cover.  Take the book with you after you have read the areas on meds, areas that validate your pain levels etc.  Use it as a tool to support your claims.  

I am an addict/alcoholic and I ask my Dr. for stronger meds.  When I am in a flare-up, I need her help, and I ask for it.  She monitors my use, so do I.  

by cronicpaingirl, Nov 14, 2008 04:44PM
i'm new here too....i had a virus in my spine called transverse mylitis...which cause leisons in my lower spine and caused major nerve damage...my nero *****..... he gave me neurontin and tramadal which do NOTHING for my chronic pain i am 31 yrs old and my quality of life *****....i'm depressed and i'm in pain every day of my life my primary doc just suggested i go see a new neuro and put me on cymbalta this disease i have is very rare happens to 1 and a million people.......lucky me! i have tried to ask for something for the pain but they refuse me it's crazy....people that aren't even in real pain get pain meds and i was payralized from the waste down and have leison in my spain and can't walk for more then 5 mins without crippleling pain......was on morphine and loratab in the hospitol and now nothing....i'm miserable i don't know what to do???? any suggestions????

by patsy10, Nov 15, 2008 08:11AM
To: cronicpaingirl
Was the TM recent?  Did they say you would recover in time?  Did they rule out lyme disease as a possible cause?

by MEETHADONE_Cll, Apr 05, 2009 12:52AM
To: jennifer567
Jennifer, sounds to me like, first off you posted this last summer so I hope you got all the help you needed before now, I also seen subutext or suboxen mentioned in the above feedbacks for pain.....NO they will NOT help you....... You can get on a much stronger medication at a much smaller dose like Methadone and trust me jennifer it is worth it to take this drug "that is if you can get your doctor to write it" being that it is a Cll medication but I would say that 40Mg a day would help you out so so so greatly and if you still read this then see if you cant get on that, I don't advise anyone to go on OxyContin because it is so addictive and so easy to abuse in about 3 different ways and when you abuse it in those ways you get a heroin feeling and then your hooked, but methadone is safe if you take it as directed or you could actually take your whole dose at once if your only gonna get like 40mg and that dose will keep you pain free ALL DAY LONG I know this because I Take It and I have multiple things wrong with me so what have you got to lose? ....hope this helps

Sincerely,

Dustin Campbell
Pharmacy Tech

by erbub1, Apr 24, 2009 05:47PM
To: jennifer567
Hi Jennifer...I also see how old your post is and hope you have had resolution by now, however my two cents is this...it is all in the relationship woth your doctor.....I have been with my doctor for 8 years and we have been through it all together and he hears everything I say....I currently take 40mg of Oxycontin 4 times a day and 15mg of oxycodone (up to 4 times) as needed per day for breakthrough and he asks me during every visit how I am handling things etc....so we have built our trust and I have never not been able to fill a request, have a test done, do a drug screen in those 8 years so we have a mutual trust and he is in tune with me. So if your relationship is one of straightforwardness you should have no problems...
Good luck

by tails387, Sep 11, 2009 01:22AM
To: jennifer567
i feel you completely , i have had  too many injuries to speak of here, but mainly the first thiing is to stick to one doc , even if you know the system..... to make it short i have broken both legs, right one twice witch was a compound fracture at 21 and fractured growth plate in same ankle at 14 , also at 18 fracturing the left leg and ankle. I go to a pain managment clinic and they are still pretty stingy im prescribed 150qty norco 10mg/ 325mg a month with 90qty flexeril celabrex  cymbalta  and in no way shape or form is that even close to enough i can have my pain meds gone within a week and a half. My point being just 1 and a half months before they were prescribing me 90qty norco. So my advice is persistance but knowledgeable of certain or all prescribing pain meds , them it seems as if u are talking of a place you have allready been to and mention the internet, doctors are put out of there element when you do because they dont know what you have or what you havent been introduced to.

by fibrohurts, Sep 11, 2009 04:56AM
To: jennifer567
Dont be ashamed of the meds you take or how much of them you take. The pain is real even tho there are those out there who will act like its not. I understand how you feel completely. I have very severe pain all the time. Im on the worst end of the FM spectrum. You have to remember that not all of us have the same amount of pain... Some with FM have pain that is more tolerable and there are those of us who can barely manage.

Alot of us FM'ers have overly tolerable systems and it takes high doses of our medications to work!!!!! Meds that did work may quit working after a short time. It is because of our messed up systems and because reasons for the pain is very complicated.

I went thru a long process of being afraid to ask for stronger pain killers and just asking for them at all. There are a lot of docs who think all FM patients are drug seekers. Its very frustrating!! I finally found docs willing to help and even tho I still have pain, these big time pain meds help alot, they help it to be more tolerable. Keep me from crying and rolling around in pain, Seriously.

Just explain it to your doc. Try to make him understand. Just be honest and tell him your fears of being thought a dope head. If he is a butt head about it, you may consider finding a differnt doc. It is not uncommon for us to have probs with finding the right doc so dont be afraid to do that. Try to do a little research in your area, find some other people with FM and the docs they go to, etc... Look, I am taking Opana ER, Percocet, and Lyrica for pain and that doesnt include all the other meds for all the other symptoms... It is alot and I dont take it lightly. I take it to try and survive this ****. Dont let the non-understanding people make you feel guilty or bad about taking the meds that YOU think you need. Nobody else is in your body but YOU!

by fibrohurts, Sep 11, 2009 05:09AM
Also, for best results,You need a  Pain Management doctor to handle all meds related to your pain relief needs. They can prescribe any type and strength of narcotics and this is their specialty so they also know other ways to help with the pain. Docs have to have a special license to dispense these types of meds so you will not be able to get much from your GP and you will prob have to ask your GP to please please refer you to the PM doc. You cant go to a PM doc without referal. I tried all the other things out there for my pain and all that my fibro doc wanted me to. He is great and he finally saw that none of it was enough and when I asked, he sent me to the PM doc. I thank GOD that he did!!!!!

by enlighten05, Sep 15, 2009 02:56AM
To: dollface7376
I didn't read all the replies but I noticed you mentioned Ultram. My doctor said this pain medicine was actually for Fibromyalgia. It works better, has fewer weird side effects, and is not a narcotic. I love this stuff. The other narcotics can increase the pain without the narcotics over time, requiring an increase in pain meds, Ultram is less susceptible to this. Look into it!

by beatlette, Sep 24, 2009 11:20AM
To: jennifer567
Maybe print out articles on how pain meds work for Fibromyalgia pain. If you tried Lyrica or Savella/Cymbalta and can't tolerate side effects you should be able to request pain meds. The doctor isn't at home with you to see you in severe pain. He sees you come into his office and not the daily pain you go through! He's not sufferin with this is he? No.
I found that Methadone works for me. It lasts 24hrs in the system so there is no need for over use. I found this out after having to take methadone when I became pregnant 2 years ago. I couldn't just stop the percocets for it would put too much of a strain/stress on the baby. I was monitored and now have a healthy baby girl..she'll be 2 in Nov. -- I want my PCP to prescribe Mthadone so I don't need to run to the clinic every morning. But I brought it up and he refused. I see him again on Oct2nd and I am going to bring in a couple of articles on how well methadone helps me with the Fibro and also my Period which has gotten worse since having the FM 10 years ago. Suggest a contract. Where you sign a contract stating that you'll not overuse the medication and will come back when called to check how many pills you have left. -- Methadone lasts 24hrs. It's a narcotic med. Stronger than your perks/vikes Oxy's...I had to take up to 7 perks a day to keep the pain at bay. Ask for Methadone. I'm on 110mgs at the clinic but will be a bit lower in pill form..that's IF my doc agrees. Try to wean down your meds as well. You need to get them organised. Hope for no more pain!
Keep updating.

Hugz,
       daytripper

by BoHager, Sep 26, 2009 11:27PM
To: jennifer567
hello all brand new to site and first post.I to am out looking for help and knowledge with my fibro. Also have arth. DDD, spondylosis, cardio-myopathy, IBS, sleep apnia (apnea) (use a c-pap) and depression. My list of meds just keep growing but with no benifit!! forgot to put in my favorite Insomnia. List of meds include lyrica,sevella (just started) vicoden HP,flexerill,HCT,coreg, vasotec,valium and remeron. Only take vicoden and flexerill when pain is to much to bear.In the last 12 months have had 13 differant spine and cervical joint inj. nerve blocks and thats not counting numerous TPI inj.I have a simaler prob. as you do Jennifer. I havent been able to work for a year now so there for lost my health ins. and had to go on the medical card. So i lost my Dr that had been treating my fibro for years cause he dosent take the medical card. So I thought I would try our 1 reumotolist (bad speller lol) in town he dosent take card either. Oh it gets better lol I go to family Dr that the medical card suggests. 1 he dosent do RXs for narcotics 2 I would have to go to pain clinic out of town to get narcotic script. 3 I asked him if he read my chart i go to pain clinic in my town for inj. And lastly he beleaves fibro can be treated by diet and exersise ( I of course got smart and said if i wasnt in so much pain i might exersise urghh). I know with all the obstacles we fibro. people suffer or daily pain, the dilema to many pills or not enough or even wich one. incompatant DRs (good exp. in just a min.). Also the stero-type that we are just complainers. We have to stick strong to our belifes and values!! Goverment is another thing that really scars the bajeebers out of me with this health care bill looming and being a fibro person. My last complaint for the night lol is also my funny Dr story remember i had to go to a second pain clinic for pain meds. I told Dr other Dr was putting me on Sevella for the fibro. This (goverment apponinted Dr) Tells me there is no such drug it must be cymbalta. I told him NO it is Sevella he insisted I was wrong. Even better told him i was on vicoden hp ( wich is 10mg vicoden and 660 hydrocoden) He informed me the biggest they make was 750. So just incase there was a prob. I reached into my pocket and showed him the bottle. He didn't say a word and wrote me a script for 550 lol All i can do is laugh and thank our goverment for there pain spec> referral. So I shrare the feeling of being scared to ask, thats why I try to stock-up untill the pain gets to much. One last funny I almost forgot I take lomotol for my IBS stops diarera. It's a narcotic wont give rx have to go see another spec. ahhhhhhhh

by Kimmons, Sep 27, 2009 01:15AM
To: Jennifer567
Hi Jennifer,
I have had to ask for med changes/increases over the years as the meds I was on gradually stopped working. I think a big key is the relationship that you have with  your Dr. How often do you see him/her? Do you trust each other implicitly? Have you asked for increases or changes before? How long ago? The bottom line is that there are Dr's out there who believe that just about anyone asking for pain meds is a med-seeker and there's nothing you can do to change their minds. If you don't have a strong, trusting relationship with him you may think about changing Doctors. That said, be direct, honest, and let him know just how much pain you are in. If he doesn't suggest a change-you bring it up! If he doesn't agree with a med change, find a Dr. who UNDERSTANDS the horrific pain of fibromyalgia and will treat you appropriately. There is no reason that anyone should have to suffer with this awful disease. I have had it for years and my symptoms are severe. Over time, my meds have been adjusted several times to accomodate my tolerance for the meds I was on. I am currently on several medications for a variety of illnesses but for my fibromyalgia pain I take oxycontin-120 mg every 12 hours, percocet-10 mg three times daily, and soma 350 mg three times daily.I have no side effects whatsoever (I started the oxy at 20 mg twice a day and have increased slowly to my current dose after 5 years). That said-I started out with tylenol #3 years ago!  I am lucky that I have a Dr where there is a lot of mutual trust. I see her monthly. Good luck, and let me know what happens! Kimmons

by opus88, Sep 28, 2009 07:00AM
To: Kimmons
OMG that is a HUGE increase in 5 years Kimmo! I hope ur also on neurontin or lyrica?
I just started on oxycontin and I'm on 10 and 10 with percocet for breakthrough now he has added another 10 so its 10- 3x per day alng with the 2700mg or neurontin....
so I know the oxy is still at a low dose. Its NOT doing anything for my pain which maybe a. fibro b.neuropathy d/t DDD  c. polymyalgia rhue?
In fact if anything the oxycontin has made my pain WORSE...so he is reluctant to raise it until we can figure out what is going on.
But you are on an extremely high dose, good that you have an understanding doctor, I'm just worried for you...what happens when you reach the ultimate dose?
what will you be able to do for you're pain than?
we are sure between a rock and a hard place aren't we.

by fibrohurts, Sep 29, 2009 11:45AM
To: opus88
Most people with Fibro tend to have either a high or low tolerance to medications and especially when it comes to the pain meds. Also, different people have different pain levels so therefore needing different doses of pain meds. And,  After time your body becomes used to the dose you're taking and you have to increase in order to get relief and again, everybody is different in how long that takes.

by BeaAnn, Sep 29, 2009 08:32PM
To: All
Forget all those meds you have all mentioned. I have tried them all and i told my doctor they were not working. Just tell your doctor that you have tried butabol compound for pain before and it seemed to help. I have been taking it for 3 years now for my fibromyalgia pain and it has really eased it about 60 percent. I am on disability for it if that tells you how much pain i was in. Anyway just a suggestion.
Wish you all the best, God Bless!

BeaAnn

by Crochetya, Oct 03, 2009 09:41PM
To: All Fibro Patients
I have been on a pill called Deplin. My neuro-phyc Dr. says it is a type of vitamin. All I know is that I am feeling better. This pill with my other meds (Cymbalta, Wellbutin XL 150,HCTZ, Klor-con, levonthyroxine??) helps the meds work. My body was not absorbing the meds and I was taking everything as prescribed. I had alot of depression and crying. I gave up on pain meds. I take these if I absolutely have to. I tolerate the pain and when I can't, I take reliafen and go to bed.

I have other problems than the meds. If I don't have my cpap machine I just don't sleep. I have been awake more that 24 hrs at least twice a week. I get the fog and confused. I forget alot. I did notice that I cannot have certain foods. No eggs, no equal, some milk products. This just triggers the IBS. We need to listen to what our body is telling us. Everyone is different and that is why some meds work for some and not for others.
Once you just sit down and write down all the physical and emotional things that happened to you in your life. These stresses are what causes your body to have Fibro.
Stress aggrevates Fibro. When I looked at everything in writing, it was no wonder I had this Fibro.

To those of you who don't have family or friends support,the internet has alot of information you can download for free. Get the hardcopy and let them read about it.

If this post helps one of you it was worth the pain to state it. I will be looking in often.
Here's to taking care of ourselves.

Crochetya

by ckaye582, Dec 18, 2009 07:21PM
To: Group
I have scoliosis, sacroiliac disease (unstable hips), and arthritis in my right hip.  I suffered without medication until 2004.  I begged MDs for help for years, and all they did was tell me NO, I will not be responsible for your addiction - this after my trying nerve blocks, trusses, you name it.  Meanwhile, I was thinking about killing myself, but I guess addiction fears trump suicide any day (do they think of these things when a patient comes to them with a documentable problem and they just turn them away?)  I didn't find a doctor who would treat me for pain until 2006 and he treated me with suboxone until I could afford it no longer.  From 2004 until I found him I got pain meds from the internet.,   Now I'm on T3's and would also like to go to something stronger, but just dread the baloney around getting them - I'd rather bite the head off a small rodent, really.

I don't know quite how to explain this to people, but being allowed to just "tough it out" without help for so long has given me the bitterest attitude towards MDs and just about everything else.  I feel betrayed.  I tell them as little as possible.  I know as soon as I run out of money I will be SOL again, and this year, when I could not afford help, I developed either tachycardia or arrythmia or something like that?  I have a heart murmur and when I was most physically distressed (without medication of any kind for 16 and 22 day stretches) the heart went berserk - it sounded like 5 guys were in there manually sawing logs.  And the problem went away within hours of medicating again.

Does anyone know about this condition?  What can it do to me?  I'm worried that if I run out of money again I'll have a  heart attack.

by dustybrown, Dec 18, 2009 07:56PM
To: ckaye582
I am sorry to hear about your situation. Many of us have gone through struggles to get proper pain relief. I would be very concerned about the heart condition that you seem to be developing. Do you have insurance that would cover a visit to see a new doctor? You could begin by seeing a brand new primary care doctor. Get a referal from a family member or a friend.

Have them check your heart, go over your pasts tests, MRIs or X Rays that prove your spinal conditions (which I have some of that too, so I know the pain you're going through) and tell them about your heart concerns. Quantify your disabilities by giving examples of what you have trouble doing or where your pain is. Ask for a referral to a pain management doctor.

Have you been to see a pain management doctor in your area lately? Or just other options?

by ckaye582, Dec 18, 2009 08:26PM
To: dustybrown
Oops, forgot to mention that I was initially diagnosed in 1994, so 10 years without help.  In 1998 I was ridered by my health insurance against using it for my back, and in 1999 I was diagnosed with HCV, and after that diagnosis they refused to carry me anymore  - dropped me like a wet mop, so I haven't had insurance for 10 years now.  Nice, huh?  So whatever I can get I have to pay out of pocket for, and believe me, that isn't much.
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