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Avatar universal

Again, not a question, but friendly advice

Duragesic patches and oxycontin are the two worst drugs in the world.  Even when taken as prescribed YOU WILL develope a dependency to these drugs.  Please understand I am not judging anyone, and I do understand people have untollerable pain.  Just please be careful, just try my theory out, go one or two days without any oxy or fentanyl and you will see that not only will the pain be worse, but you will have flu like symptoms??
Good Luck to everyone on these meds.
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535089 tn?1400673519
94:

It's not that you were being rude, the information you provided for us chronic pain ppl was irrelevant. Like I said with the drugs you had mentioned, I really need them and most of us have no option but to take them.  

When you say to be careful and get off of the drugs as soon as possible, well....that's just not an option for most of us in this forum. Most of us are here because of the fact that we have to deal with the daily pain and it never ends. We are looking for support and not for someone who obviously doesn't have chronic pain tell us to get off of the opiates asap or to watch out for addiction. We are not addicted, we are dependant...big difference.

OtisDaMan summed it up pretty good in his comment. That craving a drug is a hallmark sign of addiction. Like most of us, I do not have that craving.

Words of thought....Best regards,
Molly
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Avatar universal
Forgot to mention, Please understand by NO means at all was I critizing any of you, as I do know what you are going through.  I'm sorry if you though I was being rude.  
94
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Avatar universal
  By no means did I think you were critizing me and I do thank you for your opinion.  I just know some people who have never done any kind of pain meds before.  The idiot doctor put him right on oxy 40's, instead of trying percocet or vicodin.  Ever since then his life has been a living hell.  If you are on oxycontin, please for your sake try to get off of them as soon as you can.
  Believe me I have an addiction to xanax that I don't see ever going away.  People NOT in our shoes need to realize the addiction is a disease, not a choice.
  One more thing doctors who prescribe oxycontin often will only prescribe it for a certain period of time and then pull the rug our from under you.  You need to be careful of this.  Thanks for listening.  Kevin.
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Avatar universal
Happy New Year, all!

With regards to opioids and opiates, it is true that physical dependence may result. However, the craving for more that is a hallmark of a physical addiction is generally absent in chronic pain sufferers who follow doctor's advice. The reasons are simple: a) The use of opioids for chronic pain relief rarely involve rapid uptake and metabolism of the medication, unlike "recreational use" of these drugs where rapid uptake is a major goal to get the much desired (by drug abusers) euphoric effects; b) The chronic pain sufferer doesn't actively seek a high, they want pain relief. Once the pain relief comes, they are out getting on with their lives.

Unfortunately, and I'm guessing that 94helpneeded94 has experienced this, a small percentage of people run into trouble with opioids even when using them responsibly. I have run that gauntlet with tramadol some years back - see my profile for more info. As a chronic pain person, I can empathise with the Hobson's choice faced in this situation. If duragesic and fentanyl have been bad for you (and others on this site have had trouble too) then I still wouldn't necessarily rule out all opioids. Obviously a lot of care in monitoring a new choice would be required. Each person has their own individual response to these medications, so to some extent it is trial and error (or trial by fire?).

The main thing though, is that using opioid medication is more nuanced than a simple "no, don't do it" answer. In my opinion they are a lot safer for long term (ie life-long) use than anti-convulsants, another class of drug readily promoted for chronic pain relief. Chronic pain people don't have the luxury of ignoring opioid medication when major changes to quality of life are at stake.

All the best.

OtisDaMan.

PS: Lance Armstrong is in town (Adelaide, South Australia, Australia, Southern Hemisphere, Earth) for the local bike race. Even though he is a foreigner, I'm kinda hoping he can win.

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541953 tn?1262586226
tuck

you are such a wonderful person...regardless of what anyone says you are always so positive...you are truly a gem! take care
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547368 tn?1440541785
Scared and Molly... Well said.

94 please don't think we are criticizing you. We are just expressing our opinions and feelings. We are all entitled, including you. Please don't let us scare you away. You are welcome to join our community. We look forward to hearing from you again.

Peace,
Tuck

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535089 tn?1400673519
I will third that motion !!!!! I wish...I mean really wish that i could get on without the opiates but like the others, I have to have them just to get out of bed. I have been in pain for most of my adult life nad know very well what these med do to a body. I'm sure that the other members of the pain forum are just as aware.

I know you posted this as advise but I think we are all aware of this. We are all a very supportive group and know what everyone goes through. We also know what it feels like to go without for a day or two.

I just happen to take the Fentanyl and Oxycodone and have to disagree with you about the drugs. In combination, they are the only thing that has helped me and made it possible to function on a daily basis.

Some of us really need it and some don't. I take it that your one of the ppl that can funtion without it....If you needed it, you wouldn't post this advise.

Because of the constant pain I have, it makes it NOT possible to try out your theory. Most ppl wouldn't anyway.

Sorry if this came off in a negative way but the post to me was rather negative.

Please take care and do what makes you comfortable.

Molly

Helpful - 0
541953 tn?1262586226
I have to agree with Tuck, I wouldnt be taking morphine and perocets unless I needed them, it is basically a choice of living...if I don't take them I have no life as other will tell you, I am stuck in bed, in so much pain most of the time crying...I would love to live a life without them but that is not a choice...as tuck's doctor stated I am going to have to take them for life so yes I am dependant on them....most cp suffers have tried non narcotic meds to no advail, they just dont work....please don't judge us, it is again a choice of life...take care and good luck
Helpful - 0
547368 tn?1440541785
Hi 94,

Welcome to the Pain Management Forum. We are well aware that our bodies will develop a dependency, not only to the two you mentioned but to any opiate. None of us want to take these powerful pain medications. However many if not all of us have no choice. And of course your pain is worse when you stop taking a narcotic that controls your pain. You can also suffer what's know as rebound pain when you stop a narcotic.

I was extremely reluctant to take major opiates. It took almost six months before I agreed to take them routinely. I lived in denial as do many CP sufferers. When you are faced with the choice of taking a major opiate to function near normal or not take the med and remain in bed, unable to perform activities of daily living and suffering with excruciating pain the choice seems a no brain-er to me. I expressed the concern of my body becoming dependant with my physician. She says I will never be off these opiates. Without them I cannot function. If a cure is ever found I will deal with withdrawal at that time. But it makes no sense to be near bedridden and in pain while you wait for a cure that may never come. I am confident many other members on this community have faced the same decision and make the same choice.

I appreciate your concern. I hope I have been able to impart to you the importance of opiates for those of us that suffer with Chronic Pain. Our choices are not good, but we do what we have to do in order to function.

I am sorry that you have CP also. Others will post that may be able to express their opinion better. Pease let us know how you are doing. You are more than welcome here and we hope you will stay with our community. We are here to support you and listen whenever you need us. Take Care, Tuck
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