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522415 tn?1242937755

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

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
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Avatar universal
Tell your doctor that the pain is so bad that sometimes you have to take a shot of liquor. I've gone to two different pain centers and have had to tell each Dr that the pain was so bad I was taking a shot of whiskey at 3 in the morning. Also tell them that you are sleeping 2 or 3 hours a night because of the pain. And that you really do need to sleep. Hope that helps
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Avatar universal
This may help others in the future.  
My younger sister was on pain pills and still feeling pain.  
At her own expense she was tested for a genetic trait.  Her body is unable to process most of the pain medication that is given to her.  
This may be why your pain level is higher.
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20100145 tn?1490172960
The main thing that you need for chronic pain is a long acting opiate and not short lived like lortabs or Percocet. Always talk to a pharmacist in these matters. They can be better help and then you won't feel like an opiate addict.
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20100145 tn?1490172960
The main thing that you need for chronic pain is a long acting opiate and not short lived like lortabs or Percocet. Always talk to a pharmacist in these matters. They can be better help and then you won't feel like an opiate addict.
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Avatar universal
Btw, no idea why there are numbers in my post go figure.
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Avatar universal
That is a very good question that I would like to know I am a veteran which they don't like to give meds too by the way no matter what I'm on 20 milligrams of Percocet day fives 4 times a day but sometimes I need more than that because I have no one I actually do more physical work than I did when I was in the service or at least for the last 3 years and I read this article about the DEA and 2107 if they are getting prescriptions for. Are they seriously wanting an epidemic on our hands of people trying to self-medicate it's insanity I talked to my doctor little bit about my medication he said he would do no good to raise my medication he said he might have to put me on Dilaudid or Lorcet I don't even know what any of those two are but my thing is I'm doing more work bending excetera excetera so it's not that my body has gotten used to the medication it's my body is doing more stuff anyway if anybody's got not anything you say holler at me I don't care I'm for the girl asking if she can raise our meds or how to ask the razor men's I don't have an answer cuz I sure wish I knew myself considering that I'm getting everything from the dod I'm sure there's rules and regulations it's not even out there for the civilian world, I really do hope everybody finds relief for the pain without having a break the law because that's actually b*******
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Avatar universal
I think it comes down to how much your doctor likes you. I was in severe pain and my doctor told me he couldn't give me anything stronger than lortabs...I just had to have surgery. I had the surgery which lead to me nearly dying from an infection setting in. Had to learn how to walk again and spent 2 months in the hospital. I'm in more pain now but he upped me to percs. My boyfriend went today to the same doctor and told him the Lortabs weren't working and the doctor said no problem and put him on percs. Guess I don't ******** good enough.
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2 Comments
You do have ti have a good relationship with your doc and trust on both sides. The antidepressant/antiepileptic meds did nothing for my pain. Actually, made it worse bc I was soooo tired (falling asleep at red lights with children in the car) that I gained a bunch if weight which was more pressure on my body. This also lead to depression bc I felt terrible about myself, worthless, a danger, and became angry. How is this safer than narcotics? I quickly adjusted to them and when timed so I'm not driving while it's at it's peak, I'm able t drive safely. I was prescribed both at same time along with NSAIDS and muscle relaxers for at night only (which all the a-depressants/a-epileptics made me just as drowsy). Anyhow, after a couple years of trying various i.e Amitriptyline, Cymbalta,Gabapentin, Lexapro,Effexor, Topirimate, and others I decided no more. I c an no longer take Nsaids so just the Narcotics and occasional muscle relaxer. I have been suggested that pain was in my head to a degree despite obvious MRI results. It's just after so long, people with chronic pain learn to move thru it to get thru their day. I wish docs relized this. We have to find ways to take care if daily needs/duties no matter the pain and learn not to cry even when pain is severe. Just bc we don't appear as someone recently injured with new pain does, doesn't mean we're not equally, or worse, in pain. They all think we're trying to get more meds when really we've become tolerant to current dose and the pain level is increasing and it's becoming more difficult to make it thru the day. I break down almost daily bc I just can't take it anymore. How can I be a sufficient mom when I can barely make it thru dishes or cooking a meal (frozen usually bc I can't do much more). Done PT, injections, chiro, all of it. Finally they are considering surgery. Over the course of time, I did inquire about my tolerance and ways to address that. I suggested trying a different narcotic of same level as my theory was that a slightly different chemical makeup might make my body respond. They agreed to that. The one they gave me was too expensive as name brand only and wasn't good enough (there was a difference in my response) to warrant the cost. So after trying that I was switched from Norco to Percocet. I'm again running into the tolerance issue but with surgery now an option, I don't want to be on dangerous meds, at least at this level, indefinitely. But for others, be honest with doc. If they tell you it's in your head, stick up for yourself. We're paying them and if you don't like your doc, find another and start with clean slate so they don't come in with any prejudgement. Ask for MRI if they don't offer. I've learned you have to ask for things. I bet that with some docs, if you're in so much pain you're asking for expensive tests to find the issue, they may believe you more. Remember, they have to protect themselves and their patients from overmedicating as well as addiction. Also they have to protect the public from giving a combo that can make yoy a danger. Tell them what works and why as well as what hasn't worked and why. Lastly, depending on your state, you can look into medical marijuana as an option. Some docs will continue seeing patients who are taking it; however that may change medications prescribed.
You do have ti have a good relationship with your doc and trust on both sides. The antidepressant/antiepileptic meds did nothing for my pain. Actually, made it worse bc I was soooo tired (falling asleep at red lights with children in the car) that I gained a bunch if weight which was more pressure on my body. This also lead to depression bc I felt terrible about myself, worthless, a danger, and became angry. How is this safer than narcotics? I quickly adjusted to the narcotic pain meds and when timed so I am not driving while it is at it is peak, I am able t drive safely. I was prescribed both at same time along with NSAIDS and muscle relaxers for at night only (which all the a-depressants/a-epileptics made me just as drowsy). Anyhow, after a couple years of trying various i.e Amitriptyline, Cymbalta,Gabapentin, Lexapro,Effexor, Topirimate, and others I decided no more. I c an no longer take Nsaids so just the Narcotics and occasional muscle relaxer. I have been suggested that pain was in my head to a degree despite obvious MRI results. It is just after so long, people with chronic pain learn to move thru it to get thru their day. I wish docs relized this. We have to find ways to take care if daily needs/duties no matter the pain and learn not to cry even when pain is severe. Just bc we do not appear as someone recently injured with new pain does, does not mean we are not equally, or worse, in pain. They all think we are trying to get more meds when really we have become tolerant to current dose and the pain level is increasing and it is becoming more difficult to make it thru the day. I break down almost daily bc I just can not take it anymore. How can I be a sufficient mom when I can barely make it thru dishes or cooking a meal (frozen usually bc I can not do much more). Done PT, injections, chiro, all of it. Finally they are considering surgery. Over the course of time, I did inquire about my tolerance and ways to address that. I suggested trying a different narcotic of same level as my theory was that a slightly different chemical makeup might make my body respond. They agreed to that. The one they gave me was too expensive as name brand only and was not good enough (there was a difference in my response) to warrant the cost. So after trying that I was switched from Norco to Percocet. I am again running into the tolerance issue but with surgery now an option, I do not want to be on dangerous meds, at least at this level, indefinitely. But for others, be honest with doc. If they tell you it is in your head, stick up for yourself. We are paying them and if you do not like your doc, find another and start with clean slate so they do not come in with any prejudgement. Ask for MRI if they do not offer. I have learned you have to ask for things. I bet that with some docs, if you are in so much pain you are asking for expensive tests to sincerely find the issue, they may believe you more. Remember, they have to protect themselves and their patients from overmedicating as well as addiction. Also they have to protect the public from giving a combo that can make yoy a danger. Tell them what works and why as well as what has not worked and why. Lastly, depending on your state, you can look into medical marijuana as an option. Some docs will continue seeing patients who are taking it; however that may change medications prescribed. Oh, I have also discovered that pain meds work better with lower carb and low sugar diets as sugar and processed carbs lead to greater inflammation in the body. Naturally reducing inflammation decreases some of the pain allowings meds to feel more potent on an uncontrolled pain source i.e. compressed nerves, bone spurs, vertebrae, etc.
Avatar universal
I have recently become completely frustrated by my fibro. I work as a CNA and get told to change jobs, not gonna happen. I recently saw a thing about Inflamactin? Anyone else try this? Does it help. The meds Dr's prescribe don't work at all. I just am done with that mess. My primary wants me to go to a pain management dr but I just have given up on it.
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Avatar universal
have to go to pain management dr
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Avatar universal
dear kathy...i just saw your post.  how frustrating it must be.  it is either your doctor or where you live to makes it so hard to get answers, etc. for you.  you are in Canada?  well, anyways...there are solutions...you just need to find the right doctor, and dont let ANYONE tell you the pain is in your head!  It took me 2 years to find out about this burning pain in my mouth and gums!  they want to tell you  (cant think of the word now)...but this turned out to be something called Burning Mouth Syndrome...very rare.  But i had to research for 2 years to find out about it...and I HAD an injury that had caused a tooth nerve root to be damaged...which is what caused it!  Neither the dentist nor doctor knew about the disorder.  anyways...let me know if you receive this post and i maybe can find something to help you out...i mean a solution or idea.  I have Nerve damage, which causes my problems...not just talking about the BMS.  It is Peripheral Neurology with damage to Autonomic nerves.  i have appt. for Neurology test, but it sure as hell did not take 8 months to get the appt.  less than a month wait.  and that is not soon enough for me, with my problems!
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Avatar universal
dear Jennifer..not sure if you are still seeking answers..it was 2008 when you asked.  let me know if you are still having problems..i will try to help u with an answer.
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2 Comments
I have been in pain for over2 years and just yesterday I was diagnosed with fybromalgia, I have been taking lortab for my pain for 2 years and now this doctor wants to take them away. How do I convince him I need them for my pain I can't function without them! Please help! Thank you in advance.
Im having problems my name is Patty and I have similar issues and need help an dadvice. And I'm not sure how or what to say to make sure that somebody can get back with me but let me just say thank you in advance for any buddies input it is very serious I do need help no one seems to do anything about it it doesn't matter and if you ask for something that you know that help before which I do know because I had brain surgery but this is another kind of pain and I need something like what they give you the hospital I don't know how to get them to do that this Tylenol stuff is a joke along with or like if you can't sleep cuz they're going to give you trazodone or anything that's an antidepressant not because you're depressed but because it was supposed to cause drowsiness a really doesn't keep me asleep because it's not a real sleeping pill or you know something for anxiety Tizanidine know that doesn't help it's a weird feeling and it's not it just kind of hangs over not like if you were taking Xanax or valium or something which is good or relaxes the muscles calls you down you don't have the hangover facts and it gradually just wears a pretty nice day and if you need it you can take it again you know one another for you know four or five hours or whatever if you have a panic attack or anxiety attack or whatever but I can't afford to go to these different doctors I don't have any insurance and I still have stuff from the brain surgery along with two car accidents in the last month-and-a-half that were not my fault but nobody wants to help you they just want to give you little stuff even the pain management doctor say oh well you know I don't want to give you some for pain cuz it'll make you sleepy first of all bull crap I've had brain surgery right now it makes me sleepy second of all if it does great cuz I never sleep I have insomnia so bad and now I haven't even more because of all the pain so I never sleep and that cause a date anxiety even worse that I normally just have aside from having the car wax so can someone help me I would greatly appreciate it I don't know how to get back to this site but I'll try thanks for anyone's help I'm in the Dallas area but I'll go wherever it takes I even saw thought it was someone Ohio hospital that if you walk in there they're tired of messing with people so you going to tell him what you want or what's going on or what you need to give it to you and you leave they don't waste your time no more they don't waste your time with people trying to get whatever you know there's bad people trying to get stuff for drugs as people that know what helps them because they're hurting so bad and they can't afford to go to the doctor so you just go in there that gives you and you're gone I think it was Ohio I don't know somebody shut it to me I was like what they said no more problems no more waiting Lines no crap they get to see real people that need real help they give people their regular medicine that they know it works warm and it's done anyway have a blessed day everyone
Avatar universal
Sept. 1, 2015.  I have just come back from a doctor who told me that the two types of pain I have might all be in my head--very real to me, but psychsomatic!  
I told her my pain (lower and mid-back pain and fibromyalgic-like symptoms) are very REAL, that I NEVER see a doctor unless I can't stand it anymore, and that I HATE taking medications.  I need to regress to an emergency department visit July4 (my back, in particular, had suddenly become acute after being painful from the end of June, and my fibro symptoms were steadily moving up my arms and legs from the extremeties towards my core since mid-Feb; these two types of pain seem to be working in concert, each aggravating the other).  I was prescribed Cymbalta 30 mg, threw up for 3 days, and stopped (NO one is going to convince me to stick with it--if it causes that reactive a response, then it must be a poison, as far as I'm concerned-glad it works for many, but I'm not willing to throw up for 2-3 weeks if I can find another remedy.).  July 6, I visited my clinic, and was prescribed Lyrica 25 mg, which did nothing for back or neural pain, and which I stopped after 2 1/2 wk trying and saw my family doctor, July 22.  This was when MY OWN FAMILY DOCTOR told me that there might not be a name for my 'pains'.  I felt she had told me that she didn't believe me.  I left her office devastated, and realized that she had not given me something else to try.  Retrospectively, she prescribed amitriptyline 25 mg (has done nothing for either pain, and made me 'drugged' during the day, even when taking 1/2 dose). TODAY I saw a clinician again and was prescribed Effexor 37.5 increasing to 75 mg after a week for back pain.  [Interestingly, I had been on Effexor, the lower dose, for 20 years for mediating hot flashes associated with menopause, which worked very well, but which I voluntarily discontinued 19 months ago, as I am certainly now through menopause at age 65!]  I KNOW I tolerate Effexor well--BUT what I am trying to convey is that, here in Ontario, Canada, when I asked that there must be SOMETHING out there to try besides Cymbalta for specific back pain, she began this thing about my two types of pain might all be in my head!  itold her I was willing to persue any and all avenues to get relief, and AGAIN said that there must be SOMETHING out there that is non-narcotic that can help, at least, with the back pain. I had already told her that I had very little relief from taking 2x500mg acetominiphen every 4 hr [Tylenol] also with the maximum dosage of 6 muscle and back pain relief during the day [Robax Platinum=200 mg ibuprophen [Advil] + 500mg methocarbamol].  Hence the prescription for Effexor.  I don't know yet, obviously, if it will help.  But when the medical community accuses you that it might all be in your head because I don't 'present' like 95% of patients--that's just cruel.  I blatantly asked her, 'What if I'm the other 5%?', to which she gave no answer.  I have only ever had x-rays on my back, again because I don't 'present' abnormalities that 95% of the population would show.  So, AGAIN, what if I'm one of the 5%??  What do I have to do to get an MRI to see if there is something EVERYONE is missing????  As I have found, I'd have to LIE and say that the pain I have from the back is going down one side of my body (which it doing only slightly and only recentll) to get an MRI to check!!  Can't see a neurologist for 8 months!!  HOW DO WE GET THE MEDICAL PROFESSIONALS (this is now 5 different doctors-family doc, 2 emerg docs, 1 doc-associate, clinic doctor) to BELIEVE you??  And IF they believe you, why does it take 8 months to see a neurologist, who likely won't have any better answers?  There are no pain management centres near here. Now what????
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Avatar universal
Hey I'm new here but listen this has helped me SOO MUCH it's called kratom and it's legal and very strong.. it's short-lived so it's gotta be taken about 4 times a day but it works and is totally safe to mix with any pain medicine... It's also relatively inexpensive... There's tons of information online about it but if a doctor is gun a screw you by taking you off of what works this is definitely something to look into . I take about 5 grams 3 or 4 times a day .. anyway I've done my research and there's many vendors to choose from I'd only go thru coastal kratom it's a very reputable vendor with consistent quality product feel free to message me with any questions .. it's only 10$ for about 30 grams of tea definitely worth a shot I don't think you'd be disappointed
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Avatar universal
Hi Ghilly I suffer from fibromyalgia along with other pain issues and my primary care has been prescribing me percocet 15mg every 6 hours since 2004. Now all of a sudden she wants me off them. She says it's not the right medicine for fibromyalgia but for me it takes aways 80% of the pain and i don't know what i am going to do without them. Do you have any suggestions on how to talk to my dr about keeping me on them? Please email me at ***@****. Thanks so much
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Avatar universal
I take oxy's and they work for fibro ..I have chronic pain and I take 10 mg sometimes 6 times a day depending how much pain I am in ..I have tried all other meds such as Lyric which I found worse than the oxy's I could not even drive on them ..
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Avatar universal
I have to agree with droop. The little things make a difference, even certain things that get your blood pumping. Whether its a chair in the right place or the bowls and plates are stored lower. anything that will make your day easier and keep you from falling. Sex works good too, get yourself a vibrator i see ads on tv all the time, or have your husband help more. You got to be resourceful. As far as your doc goes, you need to explain to him your pain level has increased to the point you cant live like this and remind him that your relationship with him is based on trust, so your trusting in him to help you feel better, while hes trusting your insurance is up to date.
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10499853 tn?1415407007
I had to wait for a year until my pain was controlled, my PCP had me on the lowest dose of Vicodin 5/325  I had no idea that was a low dose of pain med. Finally after a year the PCP sent me to pain mgmt. why this was not done in the 1st place is beyond me, a year in pain all because of the DEA being involved in our health care.

I had to go to a pain specialist, Tell your doctors to send you to a pain mgmt.specialist or a pain mgmt. clinic for help, the Drs..and PCP's  will not rx stronger pain meds because they are afraid of the DEA

I cannot believe the Doctors and the medical community are not fighting the DEA because they fear prescribing a pain med with the DEA watching every thing they do.

I don't know why health insurance providers are not fighting this also, they are paying out more for pain mgmt. providers and medicare is paying out a lot more as well as Govt. health assistance.

I hope all of you receive the care you deserve.
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10499853 tn?1415407007
Agree! I know this is a year old post but if we do nothing we will get no help I have wrote to senators, reps and plenty of others, newspapers etc. I'm tired of the patients in pain needing to suffer because of the addicts who abuse meds. Its not right!
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Avatar universal
Thank you, Jennifer567.  You are RIGHT on the money.  I never realized what daily/constant pain really meant.  In fact, I couldn't imagine that it was even a possibility for a person.  I thought "surely, there's something out there in today's medicine that would keep pain away".  But now having experienced it first hand (8 hospitalizations in 5 months too) and they can't find out why am in constant abdominal cramping. I can't believe a person has to suffer like this.  I'm on Dylotted (hydromorphone) and experience pain morning, noon, night and in my sleep.  Even this strong medicine is not keeping my pain at bay.  I have just received copies of my last hospital stay and my own PCP!!!! wrote "narcotic dependency" in my chart (which has now bruised me for future medical treatments).  I am a well respected person and now I feel I'm being slandard!  Talk about adding insult to injury!  My own PCP?  And she didn't even have the guts to talk to me about it - just reduce the pain meds in the hospital every 6 hours till I had NOTHING left to help the pain.  Then they released me.

I'm in the process of getting my record amended.  Wish me luck.
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11041895 tn?1415038678
what I did was to be completely honest with my doctor about how much pain I was actually in. After a very good discussion, my doctor decided to put me on morphine extended release, so that I only needed to take 2 pills in the morning and two pills at night. I would suggest this, but I do understand how hard it is for people with any pain issues to talk to their doctor without sounding like a pill popper
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Avatar universal
Yes your right. The Docs think we are just looking for meds, and as far as exercise goes to help, I don't know about any one else but the next day the pain is worse. So I tell my Doc about something else to take and she say's their really is nothing else to take. They make you feel like a drug seeking liar. I wish I could find a Doc that has fibro, myofacial, and chronic pain disorder. That would be the one for us to go to. Find another Doc, look for a support group (that's what im looking for) and maybe you can find a better Doctor. Good luck Lee
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Avatar universal
IM SS JENNIFER AN YES I TOTALLY AGREE WITH YOU NOBODY KNOWS JUST HOW BAD WE HURT AN ARE FAST TO JUDGE US I TOTALLY UNDERSTAND WHERE YOURE COMING FROM HUN AN I JUST SIMPLY TOLD MY DR THE HONEST TO GODS TRUTH LIKE U DID HERE AN THEY KNOW HOW MUCH PAIN WERE IN AN WILL UNDERSTAND MY DR DOES AN THEY DO THERE BEST TO TRY AN KEEP ME AS COMFORTABLE AS POSABLE SO JUST LOOK UR DR SRT IN THE EYES AN TELL THEM WHAT YOU GOING THREW AN THAT U HAVE A FIBRO BLOG AN 1 OF THE PEOPLE ON THERE TOLD U IF THAT WASNT WORKING TO ASK UR DR TO GIVE U WHATEVER IT IS U THINK WILL HELP I HOPE U FELING A LIL BETTER HUN GOD BLESS


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Avatar universal
The reason why the doctors seem less compassionate is because they are now under tremendous pressure from the DEA and politicians who don't understand that there are people like us who are in terrible pain and do need the pain meds.  These doctors are now at risk of losing their medical licenses.  You need to write to your Senators and Congressional Reps, and the DEA about your experiences.  These terrible experiences are all over another medical website that starts with drugs.  And yes, the reason for the government's totalitarian control of doctors is because of all the illegal selling of pain meds.  Wish you the best.
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Avatar universal
Thank you for your initial post and subsequent post. I sympathize with your predicament. I feel the same about asking for stronger pain meds when talking with a doctor. I feel so scared that they are going to call me a pill head or drug addict that I don't ask. Case in point, two days ago I meet with a orthopedic surgeon to review my recent MRI which shows my third herniation  at my L-5, scar tissue from previous surgery, and now disc degeneration to the point where fusion is now the recommended treatment along with a referral to pain management. So after a rather emotional visit about this operation. I tell this surgeon, who is part of the same clinic as my PCP, that I took my last Vicodin that morning. The surgeon tells me he does not like to prescribe Vicodin and he prescribed Tramadol 150 mg and Nabumetone 750mg x2 daily. I had never heard of Tramadol nor Nabutome so I didn't press the issue. I had been taking Vicodin 5mg q. 8 hours for three weeks at that point. It was prescribed Vicodin for the sciatic pain that I felt, but before the MRI procedure, which concluded the herniation and disc degeneration. I had taken the Vicodin as prescribed mostly, sometimes waiting four hours instead of the prescribed 8.
While I was taking the Vicodin, I was able to drive my family to California for vacation, surf and dance with my wife. I then took the Tramadol and it is awful. It makes me nauseous, dizzy, fatigued and unmotivated. I feel as though I'm in a tunnel and detached from the people. I can't track a conversation. I almost slipped in the shower because I lost my balance. My world shrank to the couch. Looking at the dishes in my sink overwhelmed me. And it only knock the the pain from a 10 at times to a 8. I read about this medication on-line and found it to be a synthetic opioid that also act as an SSRI. Well I told myself that's that. I won't take any meds, I rather be in pain. I did this because I didn't want to call the surgeon back and ask for Vicodin. Well that plan lasted until late the following morning when my sciatic nerve went OFF. I was cuddled in a ball on the floor crying. I thought about going to the ER it was so bad. Finally the spasm settled and I hobbled to the Tramadol and took some. I still wasn't going to call that surgeon back and ask. I wasn't going to call my PCP and explain everything. Fortunately, I have a pain management appointment on Tuesday (three days from now). I'm waiting to talk with someone about this pain. In the meantime, I have severe sciatic episodes just walking half a block. I went to a function today thinking I needed to do something to get out of the house. I had to lay on the sidewalk to get the spasm to stop. I want off this Tramadol! I don't care if they give me Vicodin or not but I wrote a list of my expectations for successful treatment and I will not stop pressing until I get relief and my active life back. I'm so angry at people who abuse these pills- and help to unfairly stigmatize people who really need them. I do understand that addiction is an illness, I want to be compassionate. But their illness and behaviors makes everyone else suspect, which in turn makes doctors less compassionate towards their patients- like they need another thing to get in the way of that.
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