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long term morphine user needs HELP

I've been on 30 mg of morphine a day for over 2 yrs and percs for over 4 to treat pain from a significant shoulder injury that has resulted in 2 surgeries and over 80 visits of pt.  I'm now in unbearable pain from herniated disks and possible pudendal nerve damage.  My neuro says that if surgery is needed, it would be hard to control my pain.  My question is, how long do I need to be off of the meds before they will effectively work again?  I don't know how I'll live thru the withdrawl and the pain of my shoulder and back from coming off of them.  I can barely live now.  Any advice?

Mary
4 Responses
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1152183 tn?1273011695
Before changing your meds, talk to an ANESTHESIOLOGIST!.

I am sure there are folk who take the same medications that you take, and manage to have surgery without having to change their meds too much. If you change your meds for your surgery, you may face a difficult have to fight to reintroduce the medications that have worked for you all of these years..

Tale to an anesthesiologist before accepting your doctor's opinion.
Helpful - 0
656111 tn?1273820739
I apologize..... I overlooked that you mentioned you also take percocet as well. 30mg of Morphine is small dosage anyway so I think either doctor increase dosage OR switch to stronger opiates for breakthrough. You did not mention what milligrams it is for percocet? OR you choose to cut it down. Whichever you and doctor may decide what it would be best for you.
Helpful - 0
535089 tn?1400673519
Hi:

Unfortunately, you're going to have to cut down considerably until your tolerance levels go down. This can be done over a few months. You'll have to ask your Doctor to prescribe something along the lines of Clonidine which helps the w/d or Suboxone to taper off of opiates completely for a while.

This is what we Chronic Pain Patients face. Our tolorence becomes so high that rarely does anything work anymore. You need to do this under your Doctors care. I'm sure that between the two of you, you can come up with a good plan.

In my opinion and what I would do in your situation would be to cut back on the opiates as much as possible along with the clonopine. Ask your Doctor about this combination. It may be the key to success.

My thoughts are with you.
Mollyrae
Helpful - 0
656111 tn?1273820739
I would advice to have your doctor prescribe you "breakthough" meds such as percocet, vicodin, oxycontin.. with morphine.
Helpful - 0
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