My daughter, 19, had her wisdom teeth out a few weeks ago. She was given vicodin 50, 1-2 every 4-6 as needed for pain. She found 1 was not enough and was taking 2 every 6 hours. She ended up with complications and an extended recovery and pain, so the Dr. gave her a new script. We asked for 75 as 50 wasn't working and 2 x 50 (100) was too much, making her really high and sleepy. The 75 seemed good and after cutting to 1 a day one weekend, she decided to stop as her tooth and jaw pain had subsided.
From the first taking the vic she could feel the effects of the vic wearing off, and wanting to take more, but we thought it was all pain related. WELL, on the Monday she stopped, having cut back to one a day since the previous Friday, she was nauseous, achy, awful headache, shaking, tons of mucous and hot/feverish, and could do little more than drag herself to classes (in college) feeling like she was 'dying' and curling up in bed in between. She insisted she was just sick as a bunch of kids on campus were also sick, but it seemed too coincidental to me. I googled vic withdrawal and was stunned to find the withdrawal symptoms matched. WHY GIVE THIS TO ANYONE? I had 4 wisdom teeth out at the same age and survived on tylenol!
She continued to insist she was just sick but by that night was so miserable she agreed to take one vic. She felt a little better, but still not great, so without telling me she took another 2 hours later and all symptoms vanished. She's so pissed! She wants to stop but can't go cold turkey and curl up in bed in the middle of the semester.
Since then we are trying to wean off. We asked for the next script to be 50 and she is taking two a day and doing pretty well, still gets headaches and stomach issues but they are tolerable. My question is this, at this point is it better to stretch the time between doses of 50 making it gradually longer and longer, or still do 2 a day but cut them in half?
Hi there and welcome. Unfortunately we can't post any taper schedules here,but you have come to the right place. If you go on to our "Health Pages" section there is something called the Thomas Recipie which is a great tool to use. Please search through the Health Pages as I'm sure you can get some insifght for your situation there.
It sounds like her body became addicted to the drug. Not her per say,since it sounds like she isn't really exhibiting any other behaviors. The fact that she is willing to stop is huge. Take advatage of that. Maybe talk to her doctor about what has been going on? They are the best at advising you as to how to taper/wean off the drug.Going CT is hard,both physically and mentally. See if you guys can get a tapering schedule from the doctor and go from there.Keep us posted.Stay strong and good luck to you!!
I agree with tomskat. Now is the time to get her off of them. I hope your holding the pills for her. Even with the best intentions, opiods are highly addictive. She might feel yucky fo a bit once she goes CT but the WD will go away. She needs to just know this is all part of the process. I hope she is well informed of pain med addiction. A lot of people start off taking the meds for pain and end up full blown addicts. I'm not saying this to scare you but knowledge is power. Maybe she can come here and read some posts and it will give her a real idea of what can possibly happen.
She's so young and we just want to see her get off the meds.
Thanks. We did tell the doctor and he agreed to give her the 50. We have not asked which is better, longer stretches or halving the dosage. I'll take a look at the Thomas Recipe.
She definitely does not want to keep taking them (though the urge to take and feel better is strong). I should have added the worst symptom right now for her when she starts to feel like she can just stop is sleeplessness and anxiousness. She didn't take any yesterday as she wanted to go to a party. She's woke up at 6 am this morning despite going to bed at 2am fully awake and not wanting to be, headache etc., but she also had drinks last night so......
She's trying half to see if it will help her sleep. If she can tolerate we'll stick to half. I just don't want her to drop too much too soon and end up curled up in bed again.
Well she is on a low dose which will make the WD easier. At some point she is going to have to go CT. Drinking alcohol is not going to help in any way. Alcohol is very dehydrating and shes probably already dehydrated. Get a lot of Gatorade for her and have her drink it all the time. Also get some Imodium, liquid. It helps, I took it twice a day.
Her body is addicted and will make her sick so she will keep using. It's a vicious cycle.
Seriously, she will need to just stop and go through the WD but there are so many OTC remedies which will ease her suffering.
Thanks! I know, and she knows, that at some point she will have to stop entirely, just want to know the best way to ease into it so that she can still function and go to class.
As for the drinking, yeah, I know, but she's already pretty angry that this happened to her and there's no way she's going to give up going to parties with friends. In a way it MAY help as we have told he she CAN'T drink and take vic so she's more willing tolerate the crappy withdrawal symptoms as she sees being able to go out as the reward. The bigger problem I see on the weekends (she does not party during the week) is telling the difference between a few too many drinks and a few too few vics....
Yesterday was none (she wole up too late to take any as we've told her no vic after 1pm if she's going out) and today a half this am to help her sleep. We'll see how it goes....
Congrats on getting off vic, it must have been incredibly hard at that dosage! I don't understand why this drug even exists....
There are real reasons for the pain meds to be around. The problem is when we do from pain needs, to dependence, to addiction. It is quite a dance. Some people walk that walk everyday. Some are just more likely to get addicted. She now knows how easy it is. Doctors for the most part do not get how easy the slide is. My dentist will give 15 hydro when it is bad and that is usually it. He know that most pain will not last past 2 days after he has done the work.
The problem for her was the complications which led to a revisit, additional work on one extraction site and needed daily, invasive, painful rinsing. Doc advised she would need more vic to cope. When the pain was gone she was ready to stop, apparently her body wasn't.
But again, I had the same procedure and survived on tylenol. The downside seems to outweigh any advantage.
Just saw a news story that there is a hospital in FL where 30% of the babies are born addicted to these meds....this is a huge problem and needs to be addressed.
I agree. I probably my took close to a 1000 pills if not more in my active addiction without one MRI. no one in my life new I was/am a pain med addict. It's very easy to hide it.
Sounds like your daughter will be fine.
There is no way to ease her out of this by prolonging the usage.This is a small dose and she needs to take a weekend off of partying and get through it.There is no sense in a taper at this dose.The longer you take these the more they sink their teeth into you.This is how we get worse-taking more for relief.
Totally stopping she could not function. She has successfully gone from 75 2x a day to 50 2x day and is now cutting them in half for 25 2 x day. Every other site I've seen recommends tapering or supervised CT. As she's away at school she can't do supervised cold turkey. Her week at reduced dosage went well, so I'm planning to have her keep goingm reducing again. My only question was whether it was best to keep the same dosage, 50, and spread the time out between doses, or cut the dosage, but thinking about it, cutting the dosage seems best.
I am not holding them for her, she's away at school, but she is eager to get over this. She had no desire to use other than for pain and is very unhappy with the results. She was having a blast as a first semester freshman, does not do any drugs, and just wants to be able to get back to normal.
I have shared the dangers after researching this, but I do not want her reading the horror stories here. Right now she wants off and is confident she can do it. To have her read the tremendous pain here would not help. I've shared enough scary detail, but I don't want her being overwhelmed by it and deciding she can't do this.
It has only been 22 days, but she appears to be very sensitive to meds. Two years ago she was suffering post concussion sleep problems and an extremely low dose of a med meant only to help her sleep sent her into a deep depression.
Crossing fingers that this week goes as well as last. If it does, next week goes to either to 0 or 25 only once a day.
Undersand. Thanks, I'm going with the cut the amount, not extend the time between. Seems more logical if the intent is to teach the body to do without. The same dose spread out still means a bigger impact every time it is taken, versus a smaller impact and hopefully less dependence and easier withdrawal.
If it were me, I would recommend her taking her last dosage on a thursday night, calling in sick Friday from classes (ask a friend to take notes) and tough it out for fri, sat, and sun..by monday she might not feel GREAT but she wouldn't feel like death warmed over and then the whole thing would be done with. Tapering CAN help but it also prolongs the misery...and the less time she can stay on these, the easier it will be when she finally stops.
If she wants to continue with the smaller doses for awhile that's fine...but eventually the doses will have to stop, and if she tries what I recommended when she does stop, she'll probably get the best results.
best of luck to her...what a bummer, I understand not being able to curl up in bed and tough out withdrawals. I'm a mom of 2 and pregnant with #3, but earlier this year I decided to stop a pain management program cold turkey and I had been taking 5mg vicodin 3x a day for months, and pain medicine of different types and dosages pretty regularly before that. I had no abuse issues but like your daughter my body was hooked. I quit the same week that we closed on buying our house and had to move AND fix up the new house with paint and renovation...AND watch my 2-year-old and 9-month old by myself.
SO if I can tough through that I'm pretty sure your daughter can tough through a friday of withdrawals if she absolutely can't miss classes...it really stinks, but it won't kill you and it definitely makes you appreciate how dangerous these drugs can be even when you don't abuse them.
Thanks for sharing your story! Yikes! Good for you!
The missing days are a concern as she missed classes for the surgery, which was ok, but then missed more when she had to return home for the revisit.
I do like the idea of stopping on Thursday though, perhaps even Wednesday, as when she stopped before she knew she had an issue, she stopped on Friday and Monday was D day, so a Wednesday stop, in theory, would lead to a terrible Saturday and hopefully an OK Monday. Going to let her take the 25 x 2 til Wednesday and if she's ok, have her try stopping. If the 25 x 2 isn't quite cutting it, will have her stay on the 25 x2 for a week (as she did at 50) and then try.
Thanks again, I'd have her try CT right now if I wasn't concerned that her grades would suffer!
It is not that you are teaching the body to do without pills.Every time you take one you are teaching the body to stop producing endorphins(endogenous morphine)This is our natural stuff.When the pills are consumed the body produces less and less endorphin.The longer you take the pills the body will stop producing endorphin completely.Cutting the amount and adding 3 weeks will not help in the end and will probably make it harder.Ashelen is dead on right about this.Also the drinking is completely counterproductive to this process whether she only takes the pill in the morning or not.They stay in our system alot longer than 4 or 5 hours and alcohol is a serotonin draining depressant.
At this point I'm not adding 3 weeks, but rather 2, at worst, 1.5 at best, and as mentioned she can't miss anymore classes so CT is not an option. I'm aware of the endorphin issue and have advised her to add endorphin producing activities, like exercise, while she does this. Hopefully it helos somewhat, there are those who have added exercise and report it helped. She's also on a high grade multi.
Thanks for the input. While tapering may not be ideal, missing class is just not an option so we have to do what we have to do. Others have had success with tapering so it is a viable alternative. In the end she will have to go CT, but at the lesser dose I am told it is easier.
Also, I know, the half life is around 3.5 hours, hence why we told her no vic after 1. They don't even begin to get ready to go out until 10 pm. Ideally she'd not take any at all, but again, she tried that and could not function. I realize drinking is not helping, but she's not going to give up per weekends, and as I'm not her roomie, I've turned it to the best advantage I can and let he know mixing the two won't work so she needs to not take the vic while drinking. She's complying. Could be worse. She could be taking these for fun and drinking. She's not and she only drinks on weekends. She already feels like she gave up a lot of fun with friends during surgery, complications and recovery. She wants a little normal and if this is working, I'm on board. If it isn't, we'll change course.
Hi there, and I'm sorry, but thank you for supporting her. Many people don't have that. It's wonderful of you!
Now......down to business. She really needs to read the THomas Recipe and maybe as her doc if she could get some medicine to help her through the WDs. Clonidine is a non addictive med used in treatment centers for WDs, and it's wonderful for stopping the WDs. At least by 80%. I took it and couldn't have done without it. This way she can stop CT and be done with this! There are very good OTC meds that help also! What's happening now is that it's getting dragged out. That's not good for her right now while she is in school. Or for anyone in my opinion!
Since the dentist knows the situation or that is the impression I got from your post see if you can get some Clonidine. It is a very big help with the withdrawal symptoms. I did a taper. The Clonidine was a huge help with the withdrawal but I took it at night because it made me sleepy.
Keep in mind that clonidine "lowers" blood pressure. As it was described to me by my Dr the purpose is to lower this wd stress on one's system, and help with sweats. It was prescribed to me with a 'stern" warning. Do not take more than what the Dr says. It is not a sleeping pill. If it is abused by taking more than prescribed, it can lower one's blood pressure so low they could have a stoke. Not a blood clot type stroke related event, but deprievation of oxygen to the brain...So be careful..This is not a pill that means takuing more gives more relief or sleepiness.. 0.1 to 0.3 mg taken at bedtime is the normal amount prescribed..Whether 0.1 or up to0.3 (one pill vs three) is determined by the Dr and what history he knows of the individual he is prescribing it to....It will help though..
She ought to be able to recover from this quickly though as long as she doesn't get caught in a mental trap of thinking about it too much. Symptoms do mimic the flu..And it is possible she may have been experiencing a combination of wd with some flu like symptoms as it is "bug" season. My kids and other school students have been having flu and cold type problems the past couple of weeks..And as littlebit says, if she is having toilet issues, immodium works wonders. And normally one doesn't need to take that more than 2 or 3 days before that issue subsides.
She's struggling with the 25 2xday, migraine and sleep issues seems to be the biggest problem last time we spoke (our power is out due to the storm so normal communication is compromised). But she's sticking to it and wants to come home this weekend, I concur. Have read the Thomas Recipe and have all the supplements, though not the valium. Sleep is an issue for her, but am hoping Alveril (sp)(natural sleep aid) will help. The clonidine sounds scary, especially given how sensitive she seems to be to meds.
Planning to have her take her last vic Wed or Thurs, depending on how she's doing. My goal is to start the WD process but still make Friday classes, then have her into the worst of it by Saturday (hopefully day 3, as I've read day 4 begins the process back to normal). Then have her back in school Monday with a plan to continue on the Thomas recipe.
As for flu, she thought so too, but her symptoms vanished once she took vic again. Isn't it odd to wish your kid had the flu.....wish she did......that I know how to handle...
All the advice is greatly appreciated. Did anyone take other pain meds with weaning? That is, while she's cutting back on the vic, can she take tylenol to try to ease the headache?
I'll update when I know more. Thanks for the support, it is making this scary process a little easier for me, and hopefully with the great insight, a lot easier for her than it would have been going in blind..
If the main aim of the clonidine is to lower blood pressure, would high doses magnesium (chelate so as not to make the runs worse), which naturally lowers BP, potentially be a safe, if milder, help? Or does clonidine have other benefits? Will google....
Hmmmm..it is a BP med....like me, she has pretty low BP to start, so this is concerning.....going to try the Thomas Recipe without this, but with magnesium chelate and Alteril (L-Tryptophan, Melatonin, Valerian and L-Theanine.)
You don't need the tranks...it is used to literally put one to sleep for a few days! I did not use it and it was fine. My sleeplessness was due to restless legs. The dr. would have to recommend clonidine and they may not. But it is used to help some with W/D. It is an off label use at that point. Do NOT forget the imodium (liquid is best, but pills will work). Not only does it help with the opiate trots, it seems to help with w/d symptoms as well.
Thanks. Planning to buy both forms of immodium just in case. Daughter was not doing well on 25 on Sunday (day 3), she tried taking half a tab, 25, which didn't help. She ended up back at 50 x 2 on Sunday (I found this out MOnday as we're without power, still). Monday 50 x1 and 25 x1. Today she feels sick, could not sleep and is off to take an exam.......She's going to try to stay on the 25 x2, but perhaps it would be better to let her do the 50 x2 til Wed then CT for Thursday-Sunday. At least then she can function and sleep til probs late Friday/Saturday based on how she reacts (misery strikes day 3)....This *****.....
What a great mom you are! I think it's great she'll come home for the weekend to do this. She'll have you to take care of her and be in her own bed.
Staying hydrated is VERY important. If she has diarrhea or is vomiting, she needs to be able to take at least a shot glass amount of fluids every 15 minutes. Gatorade will help with the electrolytes. If she doesn't like Gatorade, any clear liquid will work: apple juice, flavored water, ginger ale. For some reason, Coke helped settle my stomach a bit, as did tea w/a little milk and sugar. Everyone is different but the things she likes when she's sick with the flu will likely work for her. If she can't eat for a day or so, it's not as big of a deal, but again, comfort foods in small amounts she may be able to manage. Soup, scrambled eggs, toast. Ensure or a protein drink/shake also will help.
I wasn't able to CT due to underlying health issues. I tapered and was fine with it, other than it does sort of drag out the withdrawals. When tapering, the slower you go, the better you'll feel. I have a daughter in college and I understand they need to go to class. It's not always possible to miss a day.
You may want to get the Hylands Restful Legs in case she has trouble with restless legs. It's all natural and can help a lot. I find Alteril to be great for sleep, it worked much better for me than melatonin.
Thanks! Though I'm feeling less like a great mom and more like a helpless one (not a feeling I'm used to!!).
Will be taking all this advice, including the thought that CT is not for everyone. She did very well cutting from 75 to 50. The leap to 25, not so well at all. Will see how she manages today and try to decide if a slower taper is better than quick or CT. She needs to function 'til Friday and be back in class Monday and I just don't know if this will happen that fast.
So this is harder because she's trying not to take the vic! She hates how she feels, so she keeps stretching it out, trying to take less, until she feels so completely awful that she's takes 2 x 50 to get back to feeling ok...
Had her buy a pill cutter and after nothing today (trying not to take it, mom!), had her take one 50 before bed.
Tomorrow, 2 x .75 x 50 (37.5 x 2). In other words, 75% of 2 x 50....plan is to do this for 2 days and see how she's doing, then, if possible 66%...
Home this weekend will start Thomas Recipe.
If 66% works.....50%...then 33%, then 25%......
She's trying so hard to do the right thing and it is having the opposite effect, stuck on 2x50 with a couple of days of so-so in between.....
Slow and steady with the taper! It doesn't help to go too fast or she will feel lousy and then have to take more to feel better. The Thomas Recipe will help. Stay at the cut dose for a few days to stabilize and then cut. I did the same thing when I tapered. I just wanted to be off so I wound up cutting too much too often. It really is miserable. Hope all goes well this weekend and keep us posted how it's going. And hot soaks in the tub when she's feeling achy will help more than you can imagine!
Thanks, figured we would keep at each dose for at least 3 days and if she's good, drop, because it is usually on day 3 of not taking or cutting back, that she really feels it. So I'm hoping if she feels ok on day 3 it will be okay to take the next step. If not, will stay at that dose until she does.
The problem I'm having is getting her to take it! She waits and waits, not liking how it makes her feel, and wanting to stop, then she is so far gone she needs to take a full 50 usually followed in a couple of hours by another! So she has cut back in a way (2 x 50, but not every day), but not in a way that will lead to stopping.
One step forward, two steps back.....we'll see how today went in a few....
I can relate to how she feels. I did the same thing when I tapered, and I really just hurt myself and it took longer. Day 3 is usually the worst when you're in withdrawal. When you stop taking it, it can take a while for withdrawals to kick in and then they get progressively worse. Hopefully she can do what you're telling her, and in the end, she'll get off it quicker. She's just torturing herself now.
Even during tapering, hydration is really important. You have to really push the fluids. Everything is worse when you're dehydrated.
Is she coming home this weekend? If she is, hopefully you can guide her a little more :) It's hard to do when she's far away!!
You'll get through this. Hopefully she can understand she needs to stick to the taper so she won't feel awful and finally get off them. It's not easy.
Just spoke with her 5 minutes ago. She said she was in a lot of pain last night by waiting and only taking one, plus tummy issues. We agreed that's not the way to make this work. She understands, but it is easy to put off taking when you're feeling okay and busy at school.
She was feeling ok, just a slight headache, when we spoke, but took the .75 x 50 and will repeat at bed time. Same plan for tomorrow, then, yes, she's coming home. Will do the same for Saturday and if all is well will try .66 on Sunday, then back to school hopefully well underway with the draw down.
Will integrate Thomas Recipe as needed, Alteril for sleep issues if they arise. She already has a great multivit (I'll need to supplement with mag chelate and potassium as they're not 100%, have them here), though I doubt she's taking as she should....The l-tyrosine and b-6 seems more for when you stop, right?
Will remind her to hydrate! She's looking forward to a nice warm bath, only showers at school!
My daughter started on 2 75's a day. She was able to drop down to 2 50's with some discomfort, but it was tolerable. We tried having her cut her 50's in half to drop down to 2 25's, but it was too much, too soon. Mary recommended a pill cutter to allow her to accurately cut other dosages. This way she can taper less radically.
So the 75% I mentioned is 75% of a vic 50. So by cutting a 50 to a 75% and 25% piece, she can drop from 50 to 37.5 rather than the 25 we were trying. She'll save the 25% pieces and take when she has three of them (which should be tomorrow at bedtime).
I'm thinking she may not see the decimal point as there is no such milligram higher than 10mg in a Vicodin prescription.
So it makes sense that she is saying 75 for 7.5mg and 50 for 5mg
The weaning off those should be pretty easy as it's not a very strong medicine so if she is splitting up 5mg....it shouldn't take more than a day or so.
Most people have had this medicine after minor surgeries or dental work and really don't need any weaning schedule for this medicine and don't have any withdrawal symptoms...(I've used it many times over the years)
I wonder why she is having so much trouble with such low doses? I wonder if she has a virus or is sick with something else that is affecting her?
I haven't seen the current bottle, as she's at school and picked it up there. But I have seen others refer to this level of Vic as vic 50, why? No idea, new to all of this.
She does seem to have strong, unwanted reactions to meds. And the problem may have occurred when her script was extended due to complications, so rather than a few post op days, she was on for 17 days when she first stopped taking and experienced severe flu like symptoms, with the shakes, which vanished when she took vic again. So no underlying illness unless vic is a cure for the flu.
Her dosage did not start at 5, it started at 10 every 6 hours (2 5's as 1 did not touch the pain). We then had it cut to 7.5 when she needed a refill due to complications as the 10 was too much (buzzed and tired) and 5 wasn't enough.
When she tried to stop she was still on the 7.5. We asked for a 5 to get her weaned off.
Splitting the 5's into halves leaves her in pain, with upset stomach and very restless and irritated, unable to sleep, enough to be disruptive and she needs to keep going to class.
It may be a low dose for some, but she is also not a big kid, she's 5' 9" and 118 pounds. I know my hubby, who is taller and much heftier, can take a much larger dose for back trouble without trouble. Then again he's never stayed on it for days and days.
She is very thin (underweight by bmi standards)...so I can see where the medicine could affect her much more strongly then.
Hopefully with now going to the 5mg...and then splitting those in the next day or so she should start to feel better.
Does she take any other medication? Does she drink caffeinated sodas or things like Red Bull? Those can have a big effect on the medication as well.
I'm not disputing that she feels the way she does...so I hope I don't come across that way...It's more that it's just unusual..for being on a medicine less than a month to have such severe withdrawals...
Nope, she's not a big soda drinker at all, she loves milk and water!
She seems sensitive to drugs. Two years ago she had a pretty decent concussion and it was causing major sleep disruptions which made her headaches worse. A neurologist prescribed an antidepressant.
When I asked WHY an antidepressant? He explained that he was giving her less than 10% of the dosage he would give for depression (and that it would only help her sleep. She was only taking one per night before bed. It did help her sleep......but it also made her increasingly angry and depressed...a few days in she could not stop crying and repeating over and over "I'm not crazy, this isn't me, I'm not crazy....". In the privacy of her room, she took a knife and made 8 neat cuts in her arms, not scratches, cuts, she still has the scars. It scared her and she came to me, hysterical, to tell me what she had done. Keep in mind she hadn't even pierced her ears because she's not a fan of pain.
When I asked her why she did it, she said it felt good to feel something and the concentration it took to make them parallel made the awful feelings go away while she was doing it. Clearly even this super low dose of a "very safe" med, put her over the edge. She'd never done anything like that before or since. When the med was stopped, in a couple of days she returned to normal.
No other meds, just vitamins and the occasional probiotic. I think she's just sensitive to meds.
I should add she wasn't underweight when she had the bad reaction to the AD, she's was a swimmer and was in great shape, but she had mono in June and lost a lot of weight. I think she's lost even more on the vic......
My daughter is a swimmer, too!! And she also is very sensitive to a lot of medications. And anesthesia. So while it may be unusual for someone to become physically dependent after a short time, it's not unheard of. Everyone is different. We have to be very careful on what my daughter takes as her reactions range from mild to very severe.
I'm sure she'll be happy to be home this weekend. Nothing like being with mom when you're not feeling your best. And it is hard when they're at school to remember to take things regularly. I hope the taper goes well this weekend and before you know it, she'll be done with them. I feel so bad for her having to deal with this at such a young age.
I'm sure she'll be anxious since she's already felt a taste of withdrawals. Sometimes the fear and anticipation of it makes it worse. Just try to ease whatever symptoms she has with the suggestions you've been given. They do help. She'll get through it. It was probably already mentioned but if she gets the restless legs (or restless anything) bananas will help or tonic water with quinine, along with hot baths (as hot as she can stand it.) The hot baths help a multitude of symptoms. There's also a product called Hylands Resful Legs that you can find at most pharmacies. It's worked for a lot of people.
Hopefully, though, if she sticks to the taper, she'll have minimum withdrawal symptoms and be able to taper until she's off without feeling totally miserable. The fact that she's young, hasn't been on them long and is at a low dose are all in her favor!
This has been interesting to read and I feel for this girl...
I have a few questions and you don't need to answer them:
Have you had a doctor advise you during any point in this "taper"?
Is the pain she's feeling come from the dental procedure or the symptoms of withdrawal?
I'll share a few things that I know and maybe it will help...A taper should always go down. Once it goes up, it's hard to regain any ground. Very hard. The message our brain gets becomes a mixed signal.
Once we're at a certain,lowered dose we'll begin to feel it (the lack of the drug). This is where it's important to try alternative therapies for the symptoms. Treat the tummy issues,headache with more appropriate meds and sit tight at that dose until you feel as though you can drop a little more.
At this stage,she's already at a low dose and it's going to be time to just stop it pretty soon. It will become far more mental than physical if it hasn't already. Headache is a major withdrawal symptom and one that prevents so many from being able to stop. Unfortunately, the headache is caused by the drug most times and it's a rebound pain.
Some things are so important during any taper: hydration,food,and exercise along with love and support (there's no lacking there!!). Again, I feel for her and hear some frustration...I know this is tough for everyone.
There are all natural sleep aids containing only amino acids along with herbal remedies such as Valerian root for relaxation. The list goes on...
I don't mind answering. We have not consulted a doctor on the taper, though we did tell the prescribing oral surgeon that she ran into trouble when she stopped taking the vic and he agreed to another script for the lower dose. As she's away and has already missed class for the surgeries we didn't want to pull her out of class for a consult. We do have some doctor friends we can turn to if this doesn't work, but honestly I found after my daughters run in with the AD that sometimes the folks are more informed than the docs.
1) One neuro wanted to put her on tramadol for the POST CONCUSSION headaches.....he advised her not to drive while taking it...she was a Junior in a very rigorous private school..if she would be too impaired to drive seems not a good match for a student. It also came with a huge "May cause seizures in those with a history of head injury......" I did not fill the script and found a new neuro.
2) Neuro two advised she take massive doses of magnesium oxide, fortunately I knew this was the least viable form of magnesium and would have given her major diarrhea....I bought chelated magnesium instead....it did help. But he was the dude who gave her the AD that caused her to spiral into major depression. When I told him what happened he didn't blink and listed a boatload of other AD drugs we could try.....we never went back.
3) I kept telling the neuros that her stomach was somehow involved as her headaches and concussion recovery changed after two major bouts of gastrointestinal upset. They indicated I was wrong and reaffirmed it was Post Concussion Syndrome...after the last neuro I continued researching on the web (we were months into this ordeal). When I finally eliminated PCS from my searches, and focussed on the symptoms without the concussion, I found lots of interesting information...on gluten sensitivity....the symptoms matched. I was not convinced this was a lifelong problem for her. She had also been on and off antibiotics all winter for sinus infections. We took away gluten and put her on a great probiotic, her headaches lessened and disappeared. She had been experiencing a constant headache for over a year with spikes of migraines. After a couple of months gluten free and on the probiotic we reintroduced gluten (the poor kid LOVES pasta) and she was fine. I am convinced her gut flora was way out of whack from antibiotics and the two illnesses and that was the source of her apparent gluten problem and constant headaches. She's been fine ever since. Had we listened to the neuros she might be on an AD to this day.
The web has so much information and if you do your homework, use good sites and cross check information, it is amazing what you can find. And folks who have walked your path are sometimes better than docs who haven't.
The pain from the surgery went away, she's getting awful headaches when she tries to stop, and mild ones as she tapers, along with an upset stomach. Anxiety and inability to sleep by day 3....
We will hopefully be stopping soon, but my #1 goal is to keep her in class so I want to take it slow as the fast attempts always end up throwing her right back to full dose, then we have to start over. If she were on break we'd probs go CT and get it over with, but we're not, so one tiny step at a time. As you pointed out, rushing and rebounding is worse!
She has been exercising which is good. I hope she's eating enough, we have very different opinions on this.....
We have Alteril (which I bought back during the sleep disturbances after her concussion and failed treatments) but if that doesn't help I'd love to hear alternatives!
I'm hoping motrin will help with the headaches, though when her stomach is already upset this becomes questionable. I'd rather not dose up on the tylenol as that can cause rebound headaches as well.
I'll remind her to stay hydrated. I'm hoping the slow taper will make this as painless as possible, though I've already warned her she WILL have to feel crappy at some point, just hoping to lessen the crappiness!
I meant to add that looking around, many docs give MORE meds to help with this and given my daughter's apparent sensitivity, I don't want to trade one drug for another. I'm reassured by those here who have managed to get over this with the Thomas Recipe which, except for the vallium, seems pretty harmless.
I just want to let you know that Vicki gives incredibly good advice!!! And she's very careful in what she suggests.
Maybe Vicki could chime in on this thought: if her stomach is giving her trouble, maybe OTC Prilosec would help. I had a really bad time, due to medications and not protecting my stomach, and when I got on the Prilosec, things improved. I LOVE my ibuprofen. It's what helps me most. I had to go off it for a while and it was really hard. I'm back on a lower dose now and am a little happier. And if she can tolerate it, Excedrin works for many people with headaches. (My other daughter, 13, gets migraines and they told her to take it at the first sign of a headache and so far so good.) Though if the headaches are sort of rebound headaches from tapering, I don't know if it would help.
Vicki is right about going up and down on the meds; it does confuse your body. I can see why she did, though, when she was feeling so bad. Maybe when she's home you can get her to stick to the taper. I think the trouble was she wasn't taking it and then wound up in the withdrawals and it took more to get out of them. The trick is to go slow but go down.
It can be hard to impress upon kids the right way to go about things, and it's even harder when they're not at home. My daughters and I have different views on eating. I don't think they eat nearly enough. But getting her to eat healthy during her taper is important, though hydration, I think, is most important. Hopefully she'll eat well while she's home this weekend.
There does come a point when you have to, as someone else said, "be okay with not being okay for a while." I know she has to get to her classes so hopefully she'll just have to deal with some very mild symptoms for a day or two. It's one thing to go through your day with a small headache or being a little queasy but it's another thing if you're vomiting, have diarrhea or migraines. Definitely encourage her to push herself a little if she can. I can't remember if you said you picked up the Imodium, but that does help more than just the stomach upset.
Tapering can be tough since you have to go a while feeling not quite yourself and some days can be a little harder than others, but, again, Vicki's right in it's best to just stay at the dose you're at until you feel stable.
Hopefully, she'll get through this taper quickly. If not, Thanksgiving isn't too far off and she could do the CT then. And by that point, if she's still tapering, she would likely be on a really tiny dose and it shouldn't be too bad.
I think it's great you're giving her so much support and that she's keeping you in the loop. I think lots of kids wouldn't tell their parents what's going on.
Thanks again for all the tips. She was trying her own version of taper called stop 'til you feel like crap. And yes, she would then end up taking 2 in a short space of time to get back to normal and over super crappy.
Sounds like she's doing well today, day 2 on the new dose. Just before first dose time (around 1-2pm) she starts to fell ehhhh, not too great but tolerable, and she would normally wait. Not letting her wait. She'll take the second .75 before bed tonight.
SOOOOOOO tempted to drop to .66 tomorrow, but won't. I really think day 3-4 is critical. But .66 on Sunday if all is well.
If all goes as planned .5 by Wednesday, .33 by Saturday, .25 by the following Tuesday then.......nothing on Friday and through the weekend. Fingers crossed. Realize these small steps may look silly to the 'more experienced', but I agree with you that the small steps are the best way to get over this while minimizing the fallout (hopefully!).
She'll tough it out. She was when she thought she was just sick. She dragged herself to class, feeling like she was going to die, in her words, and in between curled up on bed shaking, feverish, migraine, nausea, loads of mucous, unable to sleep and anxious. I'm hoping round 2 will be less severe.
She is a great kid and does share (sometimes too much, LOL, not really!) and she wants off so badly I've no fear she'll not do what she should. My only fear is she'll want to rush it, though she seems to get that taking it will help her get off it. Counterintuitive for her, and she hates how she feels taking it, but she now gets why she needs to do it this way.
The suggestion of the pill cutter was GOLDEN! Thanks!
I was only asking if there was a doctor involved here. I wasn't suggesting it was the best thing. :)
Your girl is VERY sensitive to medicine. That should always be included on any health records!
You're doing fine here. It doesn't have to be a rush,trust me. I understand about the classes and the pressure on her. I just wanted to share a little of what I've learned. I believe in tapering everything and in being comfortable during the process.
I think Alteril is a great product and,as a matter of fact, I told Mary about it.Depending on her tummy troubles, I'd stick with Motrin but in a smaller dose than I take which is 800mg. That and fluids seem to help a headache of this type. Excedrin is great but has Tylenol in it. So,I don't know how you feel about that. I'd probably be taking Tylenol in between the doses of pain med because the withdrawal from Tylenol can also precipitate a headache. What is her tummy trouble exactly? Diarrhea? Gas? Upset?
Nausea? I'm not certain about the Prilosec. It depends on the issue at hand as I asked about. Sometimes, some peppermint tea is perfect if it's an upset stomach!
Okay, I've covered sleep and stomach...now anxiety: Valerian root is very calming but not in a bad way. Actually, The Alteril contains Valerian,Melatonin,and L tryptophan. Any ONE of those will promote sleep or rest for the nervous system.
Mary is right: A taper needs to be slow and steady; punctual. Otherwise it will fail. That's why I said to wait to see what happens after the last dose drop. The thing is, once you get down to the smaller numbers, you feel pretty much the same if you take nothing at all. That's a general rule but she may be different. You just need to see how it goes. Sometimes, at this stage, it's just torture for the person so you have to stop or take more. Taking more isn't an option.
She'll soldier through this. She has great support. It's so crazy how these meds get their claws into us so quickly.
Crazy is right! I knew people abused these meds, but I had no idea 'normal' use could lead to this.
Her stomach complaint so far has been nausea which comes on first with the headache and is the first sign she has skipped or waited too long. Also when she cut from 7.5 to 5 these arose though were tolerable.
We do have some peppermint tea we keep around for the kids when they are under the weather, which they like, and some ginger tea, which they don't!
The combo of headache, stomach and ehhhhh....begs the question, how does Vic impact serotonin which is involved with all 3. I know vic works on endorphins, but is there an involvement in serotonin levels?
I would love to know exactly what is happening chemically with the WD. Anyone know?
Yes, I'm sure you would! So would I! If we knew exactly we'd be two very rich Mothers right now!
It's really a good question and frankly there has been "talk" of using small amounts of opiate for depression among the psychiatric community. But, it's more to increase endorphins in hopes of knocking out the depression.
There is serotonin involvement and we know that because of the depression that occurs post withdrawal. Every brain chemical gets involved and mostly I'm talking about addiction and/or long time use. But, this does happen with folks who are not addicts; like your daughter. It happens to folks who take post op pain meds after a joint replacement and they are so unprepared for what happens.
I think there's an article I can find for you. I'll look now and shoot you the link.
The peppermint tea works very well. I like all the teas really. Sleepytime is nice and green tea is the best. Once you can start treating the symptoms and show her how to, this will go quickly!
That leads me to wonder if 5-htp would help with the post WD depression.
The idea of using opiates for depression, solely to raise endorphins, seems silly. Not that depression is silly, but why not raise endorphins naturally with WD free exercise! Though when I stop exercising I def have a bit of WD....get cranky.....
Toooooooooo many pills when there are completely normal, natural, safe, positive lifestyle changes that can solve much of what ails us.
I love Dragon Well green tea, have a few cups a day, very, very good for you.
Would love to see the article if you find it, thanks!
Daughter just got home, she looks and feels good, too thin though, we discussed again that this will get harder in a few days. She's off to see friends which is good, too! Sure there's some hugs going on which stimulates endorphin production!
VIcki, you are a GEM!!!! po_d mom, VIcki was my savior!! Seriously. I kept trying to taper too fast and was making myself miserable in the process. I was doing what your daughter did; not sticking to the taper and skipping doses, stretching times out and it was too much. I"m pretty sensitive to a lot of meds as was my mom and as is my daughter. Good idea to have it included in a medical record. I worry about my daughter when she goes to the doctor at college. I keep reminding her that she seems to have a reaction to a lot of things and if they prescribe something she needs to let them know. THe worries of mothers!!
If VIcki lived close enough, she would have got a big hug from me on the Alteril suggestion. Sleep deprivation is awful. I need my sleep like most people but when I"m not sleeping well for a long stretch, I have a melt down.
Lots of people have been caught my surprise with becoming dependent and/or addicted. Doctors should be more forthcoming with what can happen but they aren't for the most part.
I think you're a fantastic mom to do all this research for your daughter. As long as you can get her to stick to the taper and not be skipping doses, she'll be fine. Trouble is, some of us are slow learners :) It takes a while for symptoms to appear. You think when it's time for your next dose, "Oh, I feel good. I can skip this one." Next thing is the withdrawals kick in and you're back to square one. Even though it seems to take a long time and you'd rather it be behind you, tapering sensibly takes less time than skipping, going up, going down, etc.
If she sticks to the taper, when it's time to stop, she'll be fine. Her symptoms, if any, should be mild enough to not bother her too much. I'm looking forward to when you post that she's all done and feeling great!!
Thanks for the article! I won't share with daughter the TWO things that naturally release dopamine, I'll just tell her to eat more, and buy her some chocolate. LOL!
Interesting that it said to beware dopamine producing activities, I would have thought that it would be easier to transition if you were replacing the crappy drug with nicer sources, almost like a taper.....
She may already know about the "two things"! These kids are smart and see it all on Youtube!
Yes, 5htp is excellent. There's a whole amino acid protocol for people who are detoxing that can also be used by the general public. All of it balances brain chemicals so it's not recommended if someone is taking an AD as you can understand now.
When I metioned the opiates for depression that was for a select group of folks who do not respond to anything, including exercise. That must be horrible.
Sounds like she's good! I bet she turns the corner soon here...
After my daughter's debacle with the AD she was much better in a couple of days, but was then 'cycling' up and down, really happy one minute, teary the next. As two dr.s (neuro and pediatrician) both wanted her on AD to treat the headaches I started searching for a more natural, safe alternative. Put her on 5-htp and the see-saw of emotions stopped, unfortunately the headaches didn't...
Oh!! Mary is an angel!! We're old friends by now...That's what caused me to read your thread. I was checking on someone here and saw Mary writing away and thought: "Who is she saving today?" LOL Then, I couldn't help but join you both. Mary and I can both relate ourselves and by the fact that we have daughters...this could be either one of us!
All that you've done for your girl is very touching to me...
Things seemed to have gone very well, though she did end up taking her 2nd 3/4 dose a couple of hours early on Friday (she takes at bedtime at school, and originally said she planned to stay up late with friends and take it later, then ended up taking it earlier). Saturday she took the first at the beginning of the normal window (1-2pm), when usually I need to remind her around 2 to take, and again took the 2nd by 10pm (normal bedtime, for her at school is 12.....ish......).
But she's sticking to the reduced amount and says she feels pretty good. The plan today is .66. We'll see how she does. She's leaving to go back tomorrow morning, very early.
The plan is to send the Thomas Recipe 'ingredients' back with her in case they are needed and to continue the step down every 3 days. That is 3 days on a dose and if she's tolerating decently, drop.
Have been stressing that at some point she is likely to feel very challenged and will need to weather through. She says she understands......wish this could be happening here....
My biggest concern, as great as she is, she WILL want to drink this coming weekend with friends and while she has been very good about not mixing the two, stopping the step down to drink will, in my opinion, throw her right back. We have not yet discussed the step down in relation to the weekends back on campus. I don't want her mixing the two, I don't want her stopping the step down, I'm honestly not sure she'll give up the next two weekends of going to parties. I know to all the adults here that sounds incredibly short sighted and irresponsible on her part, but from her 19 year old perspective she's already given up much more of her first semester fun than she would have liked, this is not her fault and she's already po'd this happened.
To all who are tempted, skip the lectures on how she needs to take this seriously, I know, in her way, she knows, but time for a 19 year old is different that time for those of us with a little more of it under our belts. She will be on 1/2 dose by Friday and .33 for the remainder of the weekend. Am I correct in remaining concerned that she should absolutely not mix any alcohol with even this relatively low dose?
Keep in mind that she's a kid who has been straight as an arrow her entire life, sports, job, school, volunteer hours (she still watches Disney movies with her friends, these are good kids!), and the weekend parties, alcohol, no drugs, is her one indulgence.
If she can't assure me she can skip the alcohol this weekend, I am tempted to bring her home again, though I know there are friends at school she only sees in the weekends and she'll want to see them. I don't think she would lie to me, but I do worry that once back at school, with all her friends getting ready to go out, she'd end up deciding to stop the step down and go out, assuming that since she's doing so well she can handle it. I already suggested a couple of weekends ago that she should be able to attend parties without drinking......yeah....not gonna happen.
So, here's my dilemma, I can insist she not drink, stressing that she needs to get through this first and hope she complies. I can make her come home for the next two weekends and make her comply. Is there any in between? Or am I right that mixing even a low dose of vic with any drinking is NOT to be done.
You are absolutely right - NO drinking, even with a reduced dose. It's not JUST the narcotic (hydrocodone) that you need to be concerned about mixing with alcohol, it is also the aceteminophen. Mixing tylenol with alcohol can be VERY dangerous and can cause serious, permanent damage to the liver, sometimes even when taken together only once - especially since your daughter is already so sensitive to medications and such, I would definitely not want to even test the risk.
My only question is, since she will be on 1/2 dose by Friday - IF she does decide to skip her dose and party with her friends, she really SHOULD be able to just continue not taking the meds and do a CT from there. I guess my point is, if she can manage to make it through without the meds so that she can go out and drink with her friends, there really should be no reason she couldn't go without the meds from there on. You are also right that IF she does skip the dose in order to be able to go out with her friends, and then has to take more of the meds to get her through some w/d feelings, she really is setting herself back. However, at even 1/2 dose of the 5's (giving her 2.5 mg of hydrocodone in each dose), any w/d symptoms she does feel should be mild - and since it will be the weekend at school, she wouldn't have to worry about going to class if she wasn't feeling quite 100%.
Thanks for your thoughts! I did consider having her go CT at the end of this week, the problem is the last two times she did this the worst day was Monday. The first time she made it through Saturday fine, Sunday took 1, by Monday she was curled up in bed with all the problems mentioned earlier in the thread. The second time she intervened sooner, taking 4 halves (she was trying to step down and failed) on Sunday. So my concern is she'll do fine Saturday and maybe even Sunday, then find herself in a world of hurt Monday. And if this is the case we are back to beginning or she's trying to go to class in the worst of it.
I guess if this is the route I'd have her stop during the week and 'hope' that she is either fine by the weekend or so sick she can't go out, but then I'm counting on her persevering after a relatively short step down process (she's only on day 4 of the latest attempt right now).
Also, I know for many here that 1/2 of a five is a low dose, time to stop, but it is a large percentage of the amount that did this to her. That is, some folks here were taking incredible doses, so getting down to 1/2 a five was a huge leap, was like stopping. For her the 1/2 of a five is still substantial, or at least it seems to be, it is 25% of the dosage that made her dependent. What is 25% of the amounts some folks here took? Does that matter? I have to think yes and that her apparent sensitivity is an issue.
I'm tempted to bring her home, but that will mean 4 weekends home in a row (Thanksgiving soon), then back for finals, and home again for an unusually long winter break. I know, this is serious, but am trying to find the least crappy solution to a crappy problem that was not of her doing while getting a 19 year old who is trying to do the right thing to comply with what feels like, to her, Draconian measures.
Well, discussed the conundrum with daughter. First, it turns out she only took a little over a half last night, just cut it wrong, and was fine, though not too big a surprise as it usually takes longer being without or reducing to feel awful, but a pleasant surprise in that she's already in a stepdown and the 'even less' was ok and was still okay today before taking her first for today.
So, the new plan, as she's not game for giving up another weekend, is to ramp up the step down. .66 tonight (she took .75 at 1 before telling me and forgot it was a stepdown day) and Monday afternoon, .5 Monday night and Tuesday afternoon, .33 Tuesday night and Wednesday afternoon, .25 Wednesday night and Thursday afternoon....Alteril to help with sleep issues if the stepdowns at night are problematic....other Thomas Recipe intervention as needed.
We'll see......fingers crossed....she's determined, but also on vic right now....
Gemini is so right about the alcohol/Tylenol combo! Dangerous!
About the alcohol: My daughter would love for you to be her Mother! As democratic as I always wanted to be with her, the alcohol could not enter her life. Mainly because it's illegal under 21. That's a problem now, it wasn't when we were kids but it's huge now with law enforcement and for her own protection it was always: "No and if you get caught you'll have to call your Grandmother". That seemed to work...
Well, worked for my daughter, too, only it was, 'you'll lose your license'. But then college came, and her campus is large and very practical. They know they can't police all the drinking, so they limit it to those clearly impaired. Daughter has already been to a huge number of parties broken up by security/cops. It's "Just go home, kids."
The clearly impaired they detain, of those 40% get an ambulance ride, so the level of impaired must be significant.
Two things, I'd rather she be honest with me. Her roommate, for instance, drinks, a lot. Her mother does not know. I'm not sure all kids who say they're not drinking aren't. In fact, growing up it was my friends with the strictest parents who were doing the worst stuff. My parents hog tied me with, "We trust you to do the right thing." Not an angel, but more angelic than any of my friends! That said, I am strict in some ways, my daughter's nickname for me is THE WARDEN. LOL, I love it!
Second, I personally hate that the drinking age is 21. So you can be held responsible as an adult, get an apartment, buy a house (well, until recently) and last but not least, die or be maimed for your country, but you are not mature enough for a beer? Pffft! Europe has this one right, take away the taboo, have safe public transit and stop treating 18 year olds like children. At the very least, it should be legal on campuses to keep those who would drive off the roads.
I don't like a LOT of things but that's the law and no one asked me to approve. LOL I stay in the boundary of that and I can't help it...I've seen some otherwise wonderful kids get ruined by a bad choice...
The thing is, and I'm not judging here, she has a medical situation going on with some narcotics. She's been very sensitive to the taper,even at low doses. It begs the question: "How is she with alcohol?" If you're not there then you don't know. For her, it's especially important to not drink now and maybe ever. I don't know but when a taper plan is interrupted or may be because of the weekend parties...that needs to be looked at. This is very important for her and she could probably stand to give up a weekend. I'm not getting it,I guess. She's po'd because this dependence happened but is unwilling to give anything up to fix it. Hopefully, she'll taper off to nothing this week and the rest will be moot!
Well, she gave up this weekend, plus others. No drinking here.
How is she there? She drinks more than I'd prefer on the weekends. But to be honest, so did I at her age. (Successfully running two businesses, so I think I turned out ok). And, as I mentioned a ways above, she sometimes shares too much, but not. I'd rather know, it gives us a chance to talk about it. I know kids doing worse and with parents they can't talk to, or more importantly, parents who will never get the chance to talk to them.
It isn't so much that she needs to drink, she doesn't here or during the week. It is more the social aspect that all her peers are going to parties on the weekend and being able to have a beverage is part of that.
She's not unwilling to give up anything, it is why she came home this weekend and gave up a weekend of fun at school. She's just reaching an enough already! point. It is why she has decided to hasten the stepdown. She wants her life back and, yes, it includes being able to have a beverage with friends on the weekends.
So she has given up quite a lot so far, including feeling like crap and telling friends she's just going to nap when she has tried to stop and they want her to join them doing whatever during the week.
Very interesting thread if I must say so myself. I myself too am amazed that your daughter is having such a hard time getting off a very weak opioid after being on it for no more than a month. Before strong opioids like morphine and percocet, I would get a vicodin prescription every blue moon for periodontal surgery, wisdom teeth extraction, cessarian section, taken for up to 2 months at a time and never felt any withdrawals after stopping them CT after the pain was gone.
Are you sure there isn't anything else going on?? Alcohol causes withdrawals as well, and one of the more common symptoms of alcohol withdrawal is severe headaches. Alchies love to drink the morning after a binge as it gets rid of the withdrawal (not refering to your daughter as an alchie by any means, just an example). Vicodin of course has this same effect. It is nice that your daughter is being honest with you about drinking and partying but the real question is how much is she really drinking? Some kids are affected more by alcohol and appear more intoxicated than others and they are unfortunately the ones that get picked up by the police. But, that doesn't mean your daughter isn't drinking too much, she just may know how to hold her liquor well...so to speak.
I noticed that in many of your posts, you state how concerned you are about your daughter missing classes and that she must not miss any classes. But what about missing studying time. If she is out partying every weekend and then crashing and waking up with a hang over, that doesn't sound like she is getting the most out of studying time. Studying and getting the concepts is way more important than going to class. And yes, I am a college grad working as an engineer in the Aerospace industry.
About the medications, if you read other posts within this pain management community, you will find many that are on a large amount of opioids for chronic debilitating pain. Stating that you don't understand why medicines like Vicodin exists bothers me as I am great mother and breadwinner of my family and my medications are what enables to get out of bed every morning, go to work, and provide for my family. Without them, I would be bedridden. Not every pain scenario is curable and when there is no cure, opioid or narcotic medicines make life bearable so that those of us unfortunate enough to be dealt a bad hand can make the best out of the life we have left.
There are many that abuse, become addicted, and those are the stories that make it on the news. The "pill mills" in Florida, etc. But they never show how some one is able to take a walk around the park with their grandson who otherwise without medications would be confined to a bed to wither in pain.
I feel sorry that your daughter's body is dependant on vicodin but it is not a bad drug. There are so many other substances the body becomes dependant on. Caffeine for example, and you can pick that up in the grocery store and go to Starbucks.
As for the Clonidine. I agree this can be very helpful with opiate withdrawal as opiate withdrawal typically increases blood pressure some times to dangerous levels (you should pick up a blood pressure monitor and monitor your daughter's blood pressure throughout the withdrawal). However, as many have stated, Clonidine has its drawbacks. If stopped abruptly, it can cause rebound hypertension that can be deadly.
Valium is NOT harmless. Valium is in a class of medicines called benzodiazepines. The body gets hooked to these drugs as well and while opiate withdrawal is most often not lifethreatening, benzodiazepine withdrawal can be life threatening as a serious side effect of the withdrawal are seizures. Typically when prescribed by a physician for opiate withdrawal, they are stopped within a month or so before the body becomes dependant. But, given that your daughter became hooked on Vicodin in less than month, she may easily have a dependancy to Valium once she is free from the vicodin and then a taper would need to be performed for valium. Tapers never cold turkey for benzodiazepines. Valium's family includes Xanax, Ativan, and others. The show "Celebrity Rehab" had several on there that were addicted and dependant on benzos. I myself have taken Valium for over 6 years but I except the risks and understand that the don't outweigh the benefits in my situation. Again, Valium is a drug that is very helpful not just for pain but for anxiety and panic attacks which can be extremely hard to cope with without a rescue benzo medicine.
It is all about understanding what you are signing up for when you pick up a prescription from the pharmacy. Read the prescription leaflet, ask the pharmacist questions and make an informed decision before swallowing that first pill.
The alcohol really isn't good for her and think about what the alcohol is doing to her brain. From the posts, it seems like she is partying every weekend or almost every weekend and that is a recipe for disaster. Stating she wants to go out and drink is not a good statement, it could mean addiction is brewing. Perhaps, it is fad as it is a lot around that age. Something new and popular to do and that may very well be the case with your daughter. I don't know her and you know her best.
My recommendation would be to step off at 2.5 mg on this round of tapering and be firm. Instead of partying on the weekend, she can go through the withdrawal but I am concerned that she is having a mixed withdrawal from the alcohol from all the partying on the weekends and the vicodin. If you can have her stop the alcohol until she is completely off the vicodin, that would be best as then you could isolate the symptoms.
I know I sound anti-alcohol and that's because I am (somewhat). Moderation is the key. I haven't drank in a very long time and when I did it was very little (capful of Kahula in a cup of hot cocoa for Christmas). I have an alcoholic father such that if he stops CT from alcohol, his system would shut down and he would die. Many have died from acute alcohol withdrawal as alcohol is another drug you don't CT off of. So to me, if we get rid of vicodin, we should get rid of alcohol too!
I wish you and your daughter the best on weaning off of the vicodin. I am very sorry this happened to her. I just hope she would not drink so much. Not saying stop drinking (even though she should because she isn't 21) but cut down and drink a little more in moderation. Have a mid week drink or two instead for 4 drinks all at once at a party on the weekend, for example.
Yikes! How did this become about me?? No, I'm not breaking the law but I'm sure I break one or another every day. When I was 19 the drinking age was 18 and THOSE were the days! LOL It's a much different world now.
Honesty, of course. It's important. She's breaking the law when she drinks, that's all I'm saying and there are consequences for that if she gets caught. I didn't make the law and I may not like it but that's what it is. She is very sensitive to substances and that's a concern. It sounds like she's given up a few things and she has. This ordeal has put a kink in everything!
I hope she can get this behind her this week!
Wow! Lots to cover so I will try to take it paragraph by paragraph:
Surprised by 'sudden' addiction: Me, too, or I wouldn't be here, but looking back at her reaction to the only other 'serious' med she's ever had I guess I shouldn't be. Will be aware in the future.
Anything else, like alcohol withdrawal: Well, she's been going to parties since we dropped her off and this problem didn't arise until the Vic made an appearance, and she's home this weekend, no alcohol and no issues, needing alcohol etc.
Study time: Her grades are great. She studies all week, including the weekends, she just also chooses to go out Fri and Sat. night.
The need for pain meds: Agreed, but in my experience docs prefer to push a pill rather than get to the root of the problem, THEN recommend a med. Not just from my daughter, but also my mother. Not delegitimizing the need, just questioning how quickly the pill is the option.
Caffeine: Yeah, but never ended up in bed unable to function from a missed cup of tea.
Chlonodine: NO plans to try
Valium: See chlonodine
Pharmacist: yeah, not sure anyone could have predicted her sensitivity
Drinking on the weekends at school: been there, done that, turned out ok, if it interferes with her grades she knows she's DONE. Trusting her at 19 to find the balance. If she never has to confront a choice she's not going to find her feet.
Stepping off at 2.5: Nah, since dropping to 2.5 was a big problem, will step off at 1.25 firm, already told her flush whatever is left after she reaches her final dose on Friday and suck it up. She, at this point, has agreed. I'll be following up. She's been honest, I expect no less this week.
Alcoholic father: That would shade anyone's advice. My daughter has a friend with an alcoholic father, she, too, does not drink. My daughter doesn't have that baggage. Just as you avoid alcohol and have strong opinions about it, so do I, now, have strong opinions about meds. All a matter of personal experience. Sorry you had to deal with a parent with an addiction, not fair and really *****.
Best wishes: Thanks!
Drink during the week: NO! The fact that she can isolate the drinking to free time on the weekends while still studying and not need to drink during the week is GOOD. I went to school with kids who drank during the week.....not good.
LOL, well it sorta became about you when you intimated that you NEVER put a toe outside the lines.
Thing is she seems very sensitive to meds, but not alcohol (hey, maybe that's why it is legal).
We have allowed her to have wine or a beer, for a couple of years now. Never to excess,meaning ONE, never a problem. And, totally legal. It has only been the two times the 'medicine' was given that she has run into trouble.
She is home, without access to alcohol, happy as a clam. Social act, not dependancy.
As for if she gets caught, that's why she's good here, but honestly, on campus, it is a given. I'd rather she find her way there, with my knowledge, among friends, than in the larger less tolerant world. She's been warned that getting to the point of campus detention WILL result in serious, unwanted consequences. She was also warned that if she EVER drank and drove we would sell her car, no questions asked.
THE WARDEN...the best wardens know exactly what's going on and when to step in.......
I stay in the boundary when it comes to underage drinking. LOL That's what the reference was! Oh Lord! I can break the rules for myself (I'm older and have better insurance!) but I don't let my daughter. That's what I meant!
It sounds like you are very on top of things with your daughter. I commend you for being so involved in her care.
I wasn't saying that the pharmacist would be able to detect her sensitivity but they would be able to advise her of the side effects and the withdrawal symptoms, which she now knows are very uncomfortable. Understanding what was behind swallowing that pill could have deterred taking them whenever pain struck and rather waiting until the pain was unbearable and using sparingly. For example, starting off with 2.5 mg and if the pain persisted, adding another 2.5 mg instead of taking the full 10 mg because the bottle said so.
Yes alcohol is legal but that doesn't mean it is safe. Too much alcohol can kill you, but too much marijuana just makes you stoned out of your mind and it is illegal, federally. I don't drink just solely because my father is an alcoholic, in fact I went to a couple of parties in college and got completely slammed on my 21st birthday and I just didn't like it or the way it made me feel. I don't drink now because it would interfere dangerously with my meds.
As for physicians handing out narcotics like candy. That happens especially in Florida as they are doing it for profit not for the good of the patient. But in reality for those of us with chronic pain, we went on for years suffering until a physician trusted us or until a diagnosis was found. I dealt with both of those scenarios and my pain went undertreated for years until someone finally did the right tests and believed that my pain existed. Also, dentists write prescriptions for vicodin or percocet after oral surgery frequently and they have been typically writing them for too many pills as only two days worth is needed. And I think personally that the physician that keeps prescribing more vicodin for your daughter's taper is just fueling the fire. He should have prescribed only when the pain existed and then cut her off. She won't die from opioid withdrawal and within a week she would be feeling better.
Due to all the bad press about opioids, dentists are starting to be more cautious and conservative in their prescribing practices. Your daughter just unfortunately had a rare experience from the vicodin and a rare physician (or dentist?) that keeps putting in vicodin refills. But the general public does well with vicodin after oral surgery and have zero withdrawal symptoms. So dentists prescribe according to level of risk and in general it is low when prescribed temporarily for dental procedures. There are many non-opioid medications that come with serious side effects that affected 1% of the controlled population. Your daughter is possibly in that 1% and many meds can affect her more severely as you posted earlier about her experience with an anti-depressant. It would be wise to have her sensitivity to meds listed on her medical record to alert doctors of this, especially if she is in an accident and unable to speak for herself (God forbid) but it could mean life or death in a situation like that.
There are many chronic pain sufferers that underwent surgery to "fix" the root of the problem only to come out with more pain than before they went under the knife. Surgeries only have a certain % of success and it is not 100%. For many like myself, chronic pain becomes a disease where pain signals are continually sent to the brain even after the injury has healed and currently there is not a fix for that. So it is an unfortunate turn of events for many of us chronic pain sufferers such that our only remedy is pain medication for the rest of our lives. If you ask any of us if we enjoy taking narcotics, all or most of us would say NO. Taking opioids or narcotics long term comes with many harsh side effects and they never take away all the pain. All chronic pain sufferers deal with some level of pain everyday and some days are worst than others. Reason, opioids can only be increased to a point as infinite increases would lead to more pain relief (of course) but it also leads to more side effects, many of which, are intolerable. So the goal for us is to strike that balance where the pain is tolerable with the side effects tolerable as well.
As for tapering the vicodin, it is important to realize that she is going to have some withdrawal symptoms regardless, whether she steps off the vicodin at 2.5 mg or 1.25 mg. There is no escaping the withdrawal unless she goes into a rehab center and withdraws under sedation. Not sure 2.5 mg or 1.25 mg is going to make much of difference. But what will make a big difference is the longer she continues to take the vicodin, regardless of the dosage, the longer the situation is prolonged with possibly worse withdrawal as the body is getting more used to vicodin (regardless of dosage, the body knows it is getting something).
I am sure you both have learned a lot from this experience and I hope I have given more insight into the reasons pain medication exists to hopefully deflate the exaggerated stories from the media. Those pill mills in Florida are really making it hard for us with legitamite pain to continue to get our medications. We, who use them responsibly and as prescribed. It is awful that evil physicians like those in Florida exist and I hope they get a handle on it soon without penalizing those with a sincere need for pain medication.
I would doubt your daughter has an alcohol problem. She sounds more like most college kids. My daughter rarely drinks. I think seeing what alcohol did to her dad made her leery. She is also very sensitive to things, a lot of makeup gives her a rash, several allergies to antibiotics, doesn't tolerate anesthesia well (after coming out of it.) She has drank and knows I don't like it but I also know that she doesn't do it often since even one or two tend to make her not feel good (like me.)
But I wouldn't chance any alcohol with the Vicodin due to the Tylenol in it, even thought it's a small amount. I actually tell my kids to avoid Tylenol for a lot of reasons and I think ibuprofen works better anyway.
It is rare to find someone that becomes dependent so quickly but we're all wired differently and the fact is it happened and now you're trying to fix it.
If she doesn't want to give up the parties, then hopefully stepping up the taper will work well. And if it doesn't, she'll likely be feeling any withdrawals over the weekend.
Kids feel time in a different way than we do. This has been going on for a while with her and I"m sure she's fed up with all of it. And I think some kids seem to manage juggling all the things that come along with college fine. My daughter works 2 jobs, gets great grades, does volunteer work, goes to parties and social things and seems to be okay. She's not looking tired or anything. And she does know, from different experiences, that if you do get caught drinking, it is illegal and you have to face the consequences. She had some friends that got into a bit of trouble over drinking. (Though the police confiscated a six-pack between 13 kids. A neighbor called about the noise but they were really just being way too loud. Out of the six pack, only 2 were open.) But it happened in a town that has a serious zero tolerance policy as a young girl died a few years before after drinking at a house party. All the kids had to go into court and they all had to do a certain number of volunteer hours. She wasn't directly involved but she could have easily been there that night.)
I've dealt with chronic pain for a long time. I think some doctors do push pills at you and others don't prescribe when they should. My pain clinic does a lot more than pills. I've had 9 surgeries and countless procedures (some unpleasant.) And I believe at one time they had me over-medicated, which is why I came down on my own (and with Vicki's help!!) But I like knowing i have that option. It's hard for people to really understand chronic pain ... the kind where it's all-consuming and you can't even enjoy the basic things in life. But you have to know the risks and you need to be aware.
I struggled with it for a long time. It's likely there will come a time that I will think of going on something long-acting. Maybe it will be for a short time or maybe not.
But I think for your daughter she has to make the decision to be off the Vicodin if she wants to have anything to drink because it's just not safe with the Tylenol (the narcotic part of it has other issues but the Tylenol really is a big worry.) About 6 years ago, there was a girl who was a senior in high school who died of liver failure. She wasn't drinking. But she was ill and had taken a number of different cold remedies that all contained Tylenol. She had no idea and neither did her parents. It was tragic.
And I do agree with you that I'd rather my daughter over share than not. So far we're pretty much on the same page with most things (the other kids, I'm not so sure of!) At 19 she knows that she will be the one responsible if she makes a bad decision.
The dosage was 5mg-10 mg every 4-6 hours. She started with the 5mg, under our supervision, it didn't touch the pain for her. She has always been sensitive to pain, in fact, she didn't pierce her ears until she was 17 out fear of the pain. I've no doubt this goes hand in hand with her sensitivities, they all seem connected on a chemical level. We are sensitive to her perception of pain and allowed her to take the ten after five left her in distress.
Alcohol, like anything, should be enjoyed in moderation, for some, including very close friends, moderation equals NONE, they just can't have any. For my daughter, the same seems to be true for some meds. At the very least, we will proceed with caution. You need levels of meds she just can't tolerate. She can consume alcohol, so far, without it becoming a problem. If it does, I'll be the first to step in. We're all chemically different, which is my my close friend is 20 years sober, and I have a beverage every evening. On the other hand, percocet, prescribed twice for pain (wisdom teeth and a shattered bone in my shoulder) made me vomit. I stuck to tylenol.
NO, our surgeon was helping her get through a problem that was unexpected. Cutting her off would have resulted in days of misery and missed classes. He did nothing wrong. He had no way of knowing her sensitivities. On the one hand you complain no one knew your pain, but then question someone else's? She was in pain, and her pain lasted longer than anticipated due complications and a repeat procedure. His last stepdown script was needed.
As I've mentioned a few times, I've let her know that she WILL reach a point of stepping off and discomfort, perhaps great discomfort, but given our experience so far, walking her down before that moment will hopefully lessen the impact.
Yes, now with two reactions we will be more careful, one reaction was not a pattern.
I would not want anyone suffering chronic pain denied relief, but I would wish that more physicians explore the root of the pain and I fear our culture is more prone to fixes in a bottle. Just from personal experience on both ends. My daughter would be on AD for no reason, and my Mom suffers chronic pain from disc problems in her back, but, they've let her take massive amounts of tylenol based pain killers, shot her up with meds that left her in pain after 24 hours, without the ability to return for 3 weeks, rather than move her on to a surgical implant (the unit Jerry Lewis ended up with, they admit she's a candidate, but must go though months of other treatment first). She's 71, what are we waiting for? It wasn't until my brother attended an appointment that the doc signed off on sending her to the next level, until then it was do what we say and stop complaining.
I agree, at least not any more problem than the average freshman.
Agree on mixing, too. We're moving toward getting free and flushing the rest by Friday.
Sounds like your daughter is doing great!
My mom suffers from chronic pain, but I still do worry that Western doctors do no delve deeply enough, and then when there is a real need they worry about the 'narcotic police' hitting them for overprescribing.
My comment that this med is overprescribed was not meant for chronic pain sufferers, but for those in temporary pain who could manage with lesser intervention. That said, I survived the same surgery as my daughter on tylenol (the prescribed percocet made me vomit). She needed 10 mg of vicodin at first, after trying 5 mg without relief. Would she have been better on tylenol aloe and a little suffering versus this....hard to say. I don't feel pain the way she does.
She's made the decision to be off by Friday and I'm planning to keep her to it. Slow was an option while she was on board, a little faster is now the choice. She's experienced the down side and made a decision. That is over half the battle, I think. The other half is now on her as well.
So sad about the tylenol case you mentioned. I do worry about mixing and will stick with the plan, no vic with alcohol. I know she will choose to go out, so, no matter what she's done Friday. I guess everyone needs a reason to quit, hers is no less valid than anyone else's. It is hers and if it helps her get there, I'm in.
I do wonder if the chronic pain in the US is at epidemic levels for a reason and if there are other factors at work. I know my mother doesn't want to hear this as it sounds to her as though she is to blame, but I know she's not, I think we have been misled by bad science, but that is another conversation altogether....
I hope you'll update us on how it goes for your daughter!!! And you're right; whatever motivates her to take that last jump is a good thing. I think most parents would prefer their kids wait until it's legal to drink but kids are kids and I think their safety is most important. The women in my family seem to be extra sensitive to alcohol (the majority of them.) Colleges have a tough time enforcing drinking on campus. I'm just glad my daughter never gave me the time I gave my parents!
Hopefully she'll have minimal discomfort when she jumps off. Distraction helps a lot so if she's busy with friends she may not even notice if she has some mild withdrawals.
I think chronic pain stems from a lot of things. And I personally think that there are a lot of diseases that are yet unknown. Fibromyalgia was once considered "all in your head." I think we'd see better results if there was more of a blend of Western medicine along with alternative and complementary therapies.
I've done every procedure available for the nerve pain I wound up with. The worker's comp insurer was paying over $3 grand a month in pain medications when I decided to come down off things. The one thing I haven't tried is acupuncture. I cannot get them to approve that for the life of me. It boggles my mind that they're so short-sighted.
Like I said, my reason for pain meds is due to an unsuccessful joint replacement that caused me to have RSD and nerve pain. I have other pain issues but I had figured out ways to manage the pain myself. I have bad arthritis in a lot of joints and I got it young. It seems the women in both sides of my family have been hit hard with it and each generation it starts younger. I'm hoping my girls avoid it. But I could manage that with ibuprofen and a really intense exercise routine.
I was diagnosed with fibromyalgia after I had my last baby. One of the theories about fibro was it comes from a sleep disorder, and in my case it made sense. He was really sick and never slept more than 20 minutes at a time for 10 months. I tried all the things the doctor's suggested and nothing worked and eventually figured out where diet and exercise would work for me. Might not for others but it did for me. I'm still hopeful that there will someday soon be different alternatives for me for the nerve pain.
I have a fairly high pain threshold but it was the constancy of the pain that wore on me. Most pain management patients don't get total relief of pain. Most seem to have flare-ups and need to deal with managing the pain they do have. For me, I haven't had a lot of luck with pain medications. Narcotics just don't work great for my type of pain. But it takes the edge off and I'm glad I have an option.
I can't imagine taking just Tylenol like you did for your surgery! My neighbor and good friend, at 78, had open heart surgery and only took Tylenol. I was amazed. But narcotics made him sick as well and he said he'd rather just deal with it and it wasn't that bad.
I think in the years ahead we'll see more options to deal with chronic pain. And patients need to do their parts, as well. I know right now my pain is increased because I'm not hitting the gym. (Back in the summer I was hospitalized for an illness not related to my pain and I'm still regaining my strength from that.) And it's hard for people to exercise when they have chronic pain but almost everyone can find something they can do, especially if they can hook up with a trainer who specializes in rehab. When I first started, I seriously could do one length in the pool and that was an effort. It wasn't long before I was at the gym for 1.5 to 2 hours every day.
There needs to be a balance. And more doctors need to be educated on chronic pain. Few really understand it and they pass patients off. And when patients aren't given enough pain meds, they often take more than they're supposed to.
There are really no right answers. Everyone is different and everyone has to deal with it in their own way. I'm glad your daughter is doing well with the taper and I'm glad she'll have the Thomas Recipe ingredients if she needs them. This will all be behind her very soon and you did a great job keeping her on track.
So sorry you are having to suffer with chronic pain. It is surely real, but I wonder if there are things we are doing (lack of sleep, as you mention) as well as dietary insufficiencies that are setting us up for chronic pain and other problems. Growing up never heard of fibromyalgia or autism, for instance, now it seems I know several folks with one or the other, or some other chronic problem. They are real, but are we bringing them on?
Have you tried adding omega-3 for the arthritis? Read a recent study that tested rats prone to arthritis (by design) who were given omega-3 in their diets. They had 50% less arthritis than the control group.
The nerve pain involved in fibromyalgia makes me wonder if we didn't really mess up by telling folks to eliminate, in my opinion, good, natural fats, and replace them with unstable and dangerous fats. I'm personally a big fan of saturated fats, in moderation of course, over other 'good' fats. I've never given up butter, LOVE butter, but my numbers are great! I just don't overeat and I workout. Fats are key in the brain and in the nerves, is it a coincidence that when I was a child we were told to eat unstable dangerous fats, and I'd never heard of fibromyalgia, and now, after years of bad science (they now realize transfats are really, really awful, and many vegetable oil are unstable) fibromyalgia is a household word. I don't know much about it, have not done any research, but I am suspect that we have done this to ourselves.
I know there are no simple answers, but I would love to research the trend in fibromyalgia by culture and diet....
It sounds like you have found some coping mechanisms. Not fair, I hope you continue to find increased relief.
I think new diseases, illnesses, etc. crop up for a number of reasons. I know at one time they thought fibromyalgia was brought on by one of several things, including the sleep trouble, a virus, trauma and probably more. When I was diagnosed, I tried lots of things the doctor suggested but nothing really worked. It was finding the right exercise routine that helped me.
I think diet can help a lot of things. Some foods have anti-inflammatory properties. I haven't done much research on this but I'm starting to due to an unrelated issue. Once I got my fibro under control, I rarely had flare-ups.
The nerve pain, for me, is from so many surgeries. In hindsight it was probably inevitable after having the same incision site opened 9 times.
I think we're better off eating things that are natural in moderation (butter vs margarine.) I do take Omega-3 but have been told that my arthritis is too far gone for anything to be of much use. There's no cartilage left to help rebuild.
One of my boys has ADHD but the hyperactivity part is much more subtle now that he's older. I can remember being a kid and there may have been a few kids who would fit that diagnosis but not like today. We did try some medication but the side effects have outweighed the benefits. There was a study started about 10 years ago using fish oil in ADD. It was too late for us to get in it but I did give it to him at home, though not at the doses they recommended. He's just learned how to cope.
Again, IMO, I think a lot of it comes down to how we're wired. Some kids autism seems to come after a vaccination but most kids don't have that result. And we have so much exposure to so much more now than we used to. I think some of it does factor in.
I've told my kids that they need to watch out for certain things, arthritis in particular as it seems to hit the women in my family younger each generation. I'd like them to avoid what happened to me.
And genetics come into play. My dad is 83. He still smokes and is healthier than I am. He uses about a 1/2 pound of butter a day, little vegetables and some fruit. He's healthy as a horse. My mother, who was much more diet conscious, had a million things going on with her.
If the 'poor' diet doesn't do it, the stress of always trying to eat right will!
My motto is everything in moderation, including the 'bad' stuff I enjoy.
It is interesting, though, that when coconut oil became evil and folks who had lived on it forever switched to vegetable oils, their rates of disease rose dramatically....
Spoke to my daughter this morning and she seems to be doing really well. I think sticking to the stepdown, rather than pausing for weekend frolicking, has really worked. She dropped down to 1/3 last night on her own (was to have been 1/2) and today says she's ok.
Tapering IS hard. Some people can't stick to their taper and take too much. And others, like your daughter (and me) think, "Oh, I don't feel bad, I'll skip a dose) and then you get slammed! I hope she'll stick to it no matter how she feels. When she comes off, if the anxiety gets to her, Valerian Root really is amazing. And she could try ibuprofen or Excedrin for the headaches. She's getting there, though!
I believe in everything in moderation too, though some people can't do that. I have a friend who is a foodaholic. Moderation is not something she can do. She wound up doing OA and found it really helped her but it is extreme. For me, as long as I exercise, I can eat pretty much what I want. But I find when I exercise, I"m more drawn to healthier stuff anyway.
I've never used the l-theanine. But I do find the Valerian Root helpful. You can take from 1-3. They could make her drowsy, though they don't have that affect on me. It just relaxes me when my anxiety level is high. Sounds like things are going great!!! When is she planning on stopping completely? (This week went by so fast; it's hard to believe the weekend is here!)
It does seem to be going well, of course she only been stepping down, the real test will be day 3 after she stops. But the plan is to toss whatever is left and persevere through whatever comes next.....
So happy to hear this!! She's had a rough time (and you've had a big worry, like most mom's would have.) When was the last dose, Friday? How has she been feeling over the weekend? Keep us posted. She may have a little depression from coming off (or not.) I know I always had some mild depression when I came out of the hospital for any reason. Couldn't explain it but the nurse said it's very common and shouldn't last long, and it didn't.
I'm hoping she has no residual withdrawals when she comes off but if she does, they should be very mild and easy to treat and short duration.
It will be great that this worry is gone from her. Now she just has all the other normal college worries!!! :)
Well, just spoke with her and she's........FINE! The toughest times for her were when she tried going from 7.5 to 0 (felt really sick), when she dropped from 7.5 to 5 (manageable headache and nausea) and from 5 to 2.5 (anxiety, sleep issues, stomach and head).
Once she got on and STAYED ON a regular, super slow step down (that is, small steps rather than big, but actually over a pretty short time) she was fine!
Knock on wood today is day 3 and she says she's good, adding that getting together with friends today she thinks helped keep her distracted and stress free.
So, I think she's done and good to go!!
Thanks, all, for your advice, with a special shout out to MARY for supporting the slow and steady drawdown. It worked well and disrupted my daughter's school life the least.
I wouldn't call her weight unhealthy, I just would not want her to get any thinner...
She was endlessly hungry and getting increasingly annoyed. She went to the gym and now all is well. I have to think that she's wanting to pig out and workout to replace the dopamine blast the vic used to provide. At least the workout works!
Anyone else have the experience of wanting to pig out after stopping vic?
Well, my kids have always been at the very bottom of the BMI chart, tall and thin, it is just their build. My son ALWAYS gets the "You're underweight" note from school when they do the BMI measurements and he eats like a horse! (14 and growing taller by the second).
Until the last couple of years I was "underweight", and I can tell you I wasn't. Now that I'm "normal" I'm actually a little chubby, grrrrrrr! The BMI is an ok guide, but not accurate for all body types.
That said, I'm happy she has an appetite back. She did seem to eat less on the vic and she certainly did not need to lose at all.
I think the BMI is a useful tool but I don't think it tells the whole story. I actually got REALLY hungry when I came off my meds. I felt like there wasn't a moment I wasn't thinking about what to eat. Some of my medications made me not eat. I just wasn't hungry. And one actually made me crave really sugary things ... things I'd never ever eat and had me adding sugar to my coffee, which I had never done.
And like WG21 said, after having her wisdom teeth out and all she went through, she's probably just compensating for not really eating during that time.
Glad her appetite is back ... just in time for turkey day!
I have to reply to this comment of yours, about the anti-depressants she was put on. Was it by chance Effexor, or Neurontin? I have been on both in the past, and surprisingly, they both made me crazy and WORSE. I ended up anorexic, cutting myself, suicidal, because of these meds. I recommend doing a LOT of research yourself before letting your kids take any drugs, even if the Dr. says they are ok.
Also, as for the Vics, I hope all is well now for her. I didn't read the entire thread, but I read enough to tell that she is having problems getting off them. I recommend that you just have her come home for a 4-day weekend, forget the day or two of missed classes, and get the WDs OVER WITH. The longer she takes the pills, even trying to taper down, the worse and longer WDs will last. I am extremely familiar with the wanting to just take one to feel 'normal' again, but keep reminding her that if she wants to feel normal again, she has to get over the hill. Taking another Vic in the middle of detoxing will just restart the clock, and make it harder to get through. I went through literally YEARS of having full CT withdrawals from morphine and Vicodin every single month. I have destroyed my body, trying to detox so much. She's lucky she has somewhere to go and people to help her through it, because most of us do it alone.
And I agree that these meds should not be handed out like candy. Anyone can go to the ER complaining of certain pain and get a free script of Vicodin. But then there are those of us who have 'invisible' chronic pain for years and years and are denied pain meds because the Dr. doesn't want to take responsibility of long-term pain care.
About the appetite thing, I went through WDs pretty much every week, cold-turkey for several days, then back on, then back off, because for a year I had no pain management, so I was so sick constantly that I could not eat anything, and when I did eat it went right through me. So after months and months of this up and down, I finally got off the pills, and then when I felt half-way 'normal' again, and started eating normal, I gained a ton of weight! (Being disabled and with chronic pain I can't do much exercise!) So yeah, once your body is done craving drugs and is done being so sick, it will want the nutrition again!
I am new to this board... I've gained some good knowledge here. But i took myself off of 12 Norco a day (with no help at all) and down to 4 vic's. Right now my liver enzymes are up. Many, Many surgeries including 2 neck that failed. As soon as I get down, I end up back again. It's a vicious cycle and Vicodin is not meant for long term use. Try 8 years of it mixed with NORCO 10 mg. I pray and I pray and I still don't cut it. Where do I go to get off of this killer drug??? Any websites handy? I'm not going into rehab, I've seen what they do in there. I think Cold Turkey is the only way. Help,