View Full Version : Narcotic Question (chronic pain)


Laserbeak
09-19-14, 05:03 PM
Ok, as many of you know, I'm currently taking oxycodone (5mg 3x/day) for chronic pain from a radial head fracture that required two surgeries.

Now, I'm going to a pain doctor soon and their policy is to not write prescriptions on your first visit. So I've got probably another two months' oxycodone from my GP, but she's not going to continue it forever at least without the blessing of the pain management specialist.

My psychiatrist was kind of wish-washy about the oxycodone but said he definitely would write me a prescription for suboxone, which is mainly used for heroin withdrawal and stuff but also used for chronic pain as is methadone.

I imagine if he'd write me a prescription for suboxone, he'd write me one for methadone if I need him to, depending on what this pain doctor does. So what is better, suboxone or methadone for chronic pain?

Little Missy
09-19-14, 06:24 PM
Neither, they are both crap drugs with crap side effects and they both cause worse withdrawals than oxycodone. Oxycodone is a good pain drug.

But, I'm opinionated and I am a firm believer in proper pain management. Best to stick with medication that is intended for pain management rather than using substitutes intended for not using opioids.

Laserbeak
09-19-14, 09:23 PM
Neither, they are both crap drugs with crap side effects and they both cause worse withdrawals than oxycodone. Oxycodone is a good pain drug.

But, I'm opinionated and I am a firm believer in proper pain management. Best to stick with medication that is intended for pain management rather than using substitutes intended for not using opioids.

Oh I agree, I just hope this pain management doctor does too.

Laserbeak
09-20-14, 07:40 AM
The problem is these pain doctors often want to use nerve blocks (synthetic cocaine analogs) to shutdown certain nerves, but this is for my hand I need to type to do work, I'm a computer programmer/administrator, and I've had a nerve block before for surgery and it lasted exceptionally long, even the doctors started getting worried, but thank God it did finally wear off. But my whole lower arm and hand was like a lead weight for days.

Little Missy
09-20-14, 08:46 AM
Just say "no", I also scream B.S. on nerve blocks too.

I'm loudly opinionated on this subject.:)

Laserbeak
10-20-14, 05:55 PM
Well I got a prescription for subutex (buprenorphine) which doesn't have naltrexone in it to test, I still have my oxycodone. Hopefully it will be good enough, my psych who wrote the script said I was a very low dose of oxycodone and this might actually be more powerful.

We'll see. If not, I'm going to have to try something else or find a doctor that will write oxycodone forever.

Little Missy
10-20-14, 06:03 PM
That is a bunch of crap and the withdrawals are even worse than oxycodone. Don't take it. Just say "NO!"

Maurice
10-20-14, 08:33 PM
Ok, as many of you know, I'm currently taking oxycodone (5mg 3x/day) for chronic pain from a radial head fracture that required two surgeries.

Now, I'm going to a pain doctor soon and their policy is to not write prescriptions on your first visit. So I've got probably another two months' oxycodone from my GP, but she's not going to continue it forever at least without the blessing of the pain management specialist.

My psychiatrist was kind of wish-washy about the oxycodone but said he definitely would write me a prescription for suboxone, which is mainly used for heroin withdrawal and stuff but also used for chronic pain as is methadone.

I imagine if he'd write me a prescription for suboxone, he'd write me one for methadone if I need him to, depending on what this pain doctor does. So what is better, suboxone or methadone for chronic pain?

Wow! Very tough decisions here for you to make. I just finally quit all my narcotic pain killers starting in January and started to get back to normal by the middle of March. I had ten surgeries for giant cell carcinoma on my right forearm. Ended up taking 1 gram of Morphine [1,000mgs.] a day plus 6 X 30mg. Oxycodone Ir for breakthrough.

Yes, your doctor needs the pain doctor's blessing as a CYA policy. They are all petrified of the DEA boys. The suboxone is used to supposedly help people with withdrawal form heroin and any Rx opiate also. The thing they are probably not mentioning is the withdrawal from Suboxone is even worse than the withdrawal from Morphine and or Oxycodone. As someone else already mentioned.

I don't think you even want to think about Methadone. It is very very dangerous. The reason is because of it's very long half=life. People overdose on it taking as prescribed for that reason.

Forget the nerve blocks. I was offered that one too at one time. The first thing I thought of was me being absentminded how easy it would be to put my hand on something very hot, like a stove, and not realize that I was burning myself until I smelled burning flesh lol.

Best of luck to you. I really really would not take that crap ANY longer than you absolutely have to. Read up on withdrawals!

P.S. Feel free to p.m. me if you need any additional advice from someone that's been there and very glad they aren't anymore.

sarahsweets
10-21-14, 04:44 AM
I have a health issue and am able to take a narcotic if needed. Its limited to the lowest dose and only once a day. I've been very fortunate and never had an issue.

Laserbeak
11-07-14, 03:18 PM
The only thing that did was make me itch and the recommended dose was much higher than what he gave me. I got more oxycodone from my gp and now I have an appt. with someone new in about 2 weeks.

Maurice
11-07-14, 03:36 PM
The only thing that did was make me itch and the recommended dose was much higher than what he gave me. I got more oxycodone from my gp and now I have an appt. with someone new in about 2 weeks.

The itching is just one of the side effects.

Maurice
11-07-14, 03:39 PM
The only thing that did was make me itch and the recommended dose was much higher than what he gave me. I got more oxycodone from my gp and now I have an appt. with someone new in about 2 weeks.

If your'e hurting a higher dose is a good thing.

5mgs. = one percocet without the APAP.

I took six 30mg. oxycodone tabs for breakthrough pain.

Laserbeak
11-07-14, 07:56 PM
The itching is just one of the side effects.

Yes, I know it can be an opioid side-effect. I've had it with codeine and hydrocodone definitely. Only very slightly with oxycodone, and I don't think at all with morphine. IV Hydromorphone knocked me out so fast I couldn't tell, but in pill form I don't remember any itching.


If your'e hurting a higher dose is a good thing.

5mgs. = one percocet without the APAP.

I took six 30mg. oxycodone tabs for breakthrough pain.


Actually 1 percocet equals 7.5 mg oxycodone + APAP.

Laserbeak
11-07-14, 08:09 PM
I took six 30mg. oxycodone tabs for breakthrough pain.

Wow! It's hard enough for me to get 5mg tabs and I have part of my radius bone missing, removed by surgery and had an implant put in then taken out in a second surgery like a year and a half later. What happened to you?

Maurice
11-07-14, 10:21 PM
Wow! It's hard enough for me to get 5mg tabs and I have part of my radius bone missing, removed by surgery and had an implant put in then taken out in a second surgery like a year and a half later. What happened to you?

OMG!! Seriously?? That's just not right! I'd be looking for a new doctor. That's like a dose for a wisdom tooth being pulled.

I had multiple tumors removed off my radius. Five times. Since they kept coming back, finally ended up having a cadaver transplant. When I accidentally bent the steel plate holding the cadaver bone to my radius, they put a new steel plate on. Because they had to re tap and use bigger screws the cadaver bone broke. So then I had my second cadaver bone transplant. So after ten surgeries everything was good and I've been in remission from giant cell carcinoma for decades.:D

The six 30mg. oxycodone tablets were for breakthrough pain, I took a gram of Morphine a day also, 5 X 200mg. MS Contins a day,[morphine sulphate extended release].

Laserbeak
11-08-14, 10:48 AM
OMG!! Seriously?? That's just not right! I'd be looking for a new doctor. That's like a dose for a wisdom tooth being pulled.

I had multiple tumors removed off my radius. Five times. Since they kept coming back, finally ended up having a cadaver transplant. When I accidentally bent the steel plate holding the cadaver bone to my radius, they put a new steel plate on. Because they had to re tap and use bigger screws the cadaver bone broke. So then I had my second cadaver bone transplant. So after ten surgeries everything was good and I've been in remission from giant cell carcinoma for decades.:D

The six 30mg. oxycodone tablets were for breakthrough pain, I took a gram of Morphine a day also, 5 X 200mg. MS Contins a day,[morphine sulphate extended release].

Yeah tell me about it.

I was never given an option of a cadaver transplant, but that seems a bit icky I don't think I'd want that, but I'm glad it worked for you. We seem to have a similar problem, but your injury was caused by cancer and mine by mechanical damage to the bone by falling on an outstretched arm to break the fall on NYC sidewalk concrete.

So after I had a metal implant put in, I was still experiencing pain and so they did an MRI on it and said the soft tissue around it had regrown quite well and they could take the implant out, so I did that, but I was (and am) still feeling at least the same level of pain (if not more).

I was on Tramadol but then found out I shouldn't take it any more due to serotonin syndrome because I'm on a fairly high dose of Prozac. Therefore I was put back on oxycodone, but have yet to find a doctor who says they'll continue to write it forever, everyone wants me to go see some kind of pain doctor which are somewhat like unicorns around here, at least the type that actually write prescriptions not try to give you nerve blocks or therapy. Nerve block makes me lose all control of my hand which I need to type since I'm a computer programmer, and no amount of therapy will magically make my bone regrow.

So I'm like between a rock and a hard place here. I just hope this guy I see in a few weeks (actually the day before Thanksgiving) will be willing to treat me properly.

Thanks for all your support!

michaelaisabell
11-09-14, 09:03 PM
That is a bunch of crap and the withdrawals are even worse than oxycodone. Don't take it. Just say "NO!"

I would disagree with the withdrawls being worse. I've come off of subutex in the past. You just have to taper to a very low dose ( like a quarter of a 1mg pill) before jumping off.
Right now I'm tapering off oxycodone.
I'm prescribed 4 7.5mg pills a day but I don't want to be dependant on them anymore and my tolerance was going through the roof so I was abusing them.
Anyway this taper seems much harder than the subutex.

Maurice
11-10-14, 01:23 AM
I would disagree with the withdrawls being worse. I've come off of subutex in the past. You just have to taper to a very low dose ( like a quarter of a 1mg pill) before jumping off.
Right now I'm tapering off oxycodone.
I'm prescribed 4 7.5mg pills a day but I don't want to be dependant on them anymore and my tolerance was going through the roof so I was abusing them.
Anyway this taper seems much harder than the subutex.


Evidently you don't know the difference between addiction and dependence.

Honeybadger
11-14-14, 10:36 PM
With regards to pain management, all three are very effective at the doses you are using. 15 of oxy translates to a very low dose of sub or methadone, both of which should cause you zero withdraw and little to no side effects.

I see addicts every day and chronic pain patients every day as a medic. You're in the sweet spot for pain that is well manageable with a minimum of side effects.

I've seen patients on 1mg of delottid every 20 minutes. That is true agony.