Monday, October 20, 2014

Thursday, April 02, 2009 Leanne, Community Member, asks

Q: what is the strongest medication for chronic pain taken orally?

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Answers (1)
Karen Lee Richards, Health Guide
4/ 3/09 1:22am

There's not really a good answer to that question.  People respond differently to different medications so what is effective for one may not be as effective for someone else.  And different medications are designed to target different kinds of pain.  Although we think of opioids as being the strongest pain relievers, for some types of pain they don't work all that well.  Also, the dosage prescribed plays into the equation.  Ultimately your doctor is the best person to determine what might work best for you.

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BILL, Community Member
5/ 2/09 2:30am

ATTN; PAIN DRS/SPECIALISTS!! MY DR. SAYS THAT HE "CANNOT" WRITE "MUSCLE RELAXANTS WITH PAIN MEDICATION?? I HAVE HAD MY BACK BROKEN AT LEAST 3 TIMES "MAYBE MORE"?? PER " MY NEUROLOGISTS/NEUROSEURGEON", AND THAT FROM "T2-T12 HAS BLOWN COMPLETELY AND TOLTALLY OUT", WITH BONE SPURS PENETRATING AND ENCROACHING THE SPINAL CORD. MY ARMS AND LEGS FLOP LIKE A FISH AT NIGHT. AND MY BACK TIGHTENS UP "SOOO TIGHT THAT IT FEELS LIKE IT IS LITERALLY GOING TO BURST. BUT, HE KEEPS CUTTING MY PAIN MEDS BACK. HE HAS ME TAKING "PERCOCET 10MG EVERY 4 HRS AND ALSO HAS ON THE BOTTLE "DO NOT MISS A DOSE"!! BUT, HE ONLY PRESCRIBES ME "QTY 65" A MONTH. HOW, DO YOU STRETCH THAT OUT?? I SUFFER WITH "SEVERE CHRONIC PAIN, CLUSTER MIGRAINES, ARTHRITIS, BACK BROKEN AT LEAST 3 TIMES "MAYBE MORE"?? AND ALSO HAVE BONE SPURS WHICH ARE ENCROACHING AND PENETRATING MY SPINAL CORD AND PRESSING ON SOME NERVES ALSO!! I ALSO HAVE A "FRACTURED "R-HIP", KNEES ARE SHOT, HAVE AT LEAST "2 BRAIN ANEURSYMS ON THE BASILAR ARTERY TIP AND HAVE WENT FROM 2 1/2 CM-4 1/2 CM. BUT, THEY "WILL NOT" DO SURGERY DUE TO WHERE THEY ARE LOCATED?? THEY "MY DRS" HAVE ORDERED ME TO NOT BE AROUND "ANY TYPE OF LOUD NOISES OR ANY KIND OF STRESSFUL SITUATIONS. "YEAH RIGHT"!! THEY SAID AT 3-4 CM THAT THEY COULD AND POSSIBLY WOULD RUPTURE AND I WOULD JUST 'FALL DEAD ON THE SPOT' BEFORE ANYONE COULD DO ANYTHING?? I KEEP THESE CLUSTER MIGRAINES FOR "WEEKS AT A TIME" THEY ARE "PURE HELL ON EARTH"!! MY DR. ALSO HAS ME ON "KADIAN 100MG "1 X DAILY" WHICH ARE NOT CONTROLLING THE PAIN. ON A GOOD DAY "WHICH, ARE FAR AND FEW BETWEEN" MY PAIN IS "MERELY BEARABLE OR TOLERABLE" TO SAY THE LEAST!! AND ON THE BAD DAYS WHICH I HAVE MORE BADD THAN GOOD DAYS. THE PAIN GETS "SOOOO  BADDDD, THAT IT LITERALLY SUCKS OR DRAINS THE LIFE "COMPLETELY & TOTALLY OUT OF ME"!! I " DO NOT KNOW WHAT TO DO?? OTHER THAN JUST COMMIT SUICIDE AND GET OUT OF THE WAY!!  THE PAIN IS SOOOO BADD THAT I CAN'T EAT ANYTHING AND AM BASICALLY BEDFAST!! IT'S AS IF I'M BEING EATEN FROM THE "INSIDE OUT IN MY BONES" "LITERALLY"!!!  NOONE SHOULD HAVE TO SUFFER LIKE THIS, NOT EVEN YOUR "WORST OF WORST ENEMIES OR EVEN A "MANGY OLD DOG" IT'S "NO LIFE FOR ANYONE" YOU HAVE NO LIFE!! IT NOT ONLY EFFECTS YOU PHYSICALLY, BUT, MENTALLY, EMOTIONALLY AS WELL AS PSYCHOLOGICALLY!!! IF, A HORSE BREAKS IT'S LEG?? THEY AT LEAST GIVE IT THE DIGNITY TO "NOT HAVE TO SUFFER"!! THEY, SHOULD LET THE PEOPLE WHO ARE HURT WHO HAVE WORKED HARD AND GOT HURT ON THE JOBS. GIVE THEM THE OPTIONS AS LONG AS THEY HAVE "RECORDS SUCH AS MRIs, X-RAYS, CT-SCANS, ETC; TO PROVE THAT THEY HAVE THESE PROBLEMS? LET THEM LIVE "PAIN FREE". I HAD TO SEE A "PSYCHOLOGISTS AND A PSYCHIATRIST" AT THESE PAIN CLINICS. TO DETERMINE IF OR WHETHER YOU ARE "PHYSICALLY OR CHEMICALLY DEPENDANT ON "PAIN MEDICATION"?? ON EACH ONE I HAD. IT CAME BACK THAT I "WAS NOT "CHEMICALLY DEPENDANT" BUT, THAT I WAS PHYSCIALLY DEPENDANT ON PAIN MEDS TO GET THRU A DAY AND TO FUNCTION AS BEST AS I COULD!! SO, DO NOT JUDGE ANYONE!! IF, YOU SEE SOMEONE OUT AND THEY CAN'T DO THINGS THAT THEY USED TO DO?? PLEASE "DO NOT" PUT THEM DOWN. WE BEAT OURSELVES UP ENOUGH INSIDE. WE FEEL USELESS, UNNEEDED OR WANTED. I HAVE WORKED AS LONG AS I CAN REMEMBER. I HAD DREAMS OF MY OWN JUST LIKE ANYONE AND EVERYBODY ELSE  DOES. BUT, I'M VERY LIMITED TO WHAT I CAN DO. AND THEY TELL ME THAT IT IS AND WILL ONLY GET WORSE?? I CANNOT HANDLE ANYMORE PAIN THAT WHAT I DEAL WITH NOW?? IT'S NOT "WORTH IT" YOU HAVE "NO LIFE, YOU JUST EXISTS. WE DIDN'T ASK TO BE IN THE CONDITION WE ARE NOW IN. WE WORKED "VERY HARD FOR IT" AT LEAST I KNOW THAT I DID!! GOD BLESS HAVE A GREAT DAY!! GOD LOVES YOU!!  BILL !!!!!!!!!!!!   JUST REMEMBER THIS!!  "I HAD VISIONS & I HAD DREAMS TOO, I'VE EVEN HELD THEM IN MY HANDS. BUT, I NEVER KNEW THAT THEY WOULD/COULD SLIP RIGHT THRU, LIKE THEY WERE ONLY "GRAINS OF SAND"!! I HAD ALWAYS PLANNED ON BEING A DR.                                                             WAS            ZZZ; 

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cindi, Community Member
5/ 6/09 10:23am

hi, i do not blame you for writing in CAPS, i sometimes feel like writing this way also...but anyway...have you tried a different dr. or pain clinic?? i have been to 2 pain clinics, and because i din't follow "the rules " at one clinic ( iwent off oxy, because i thought it was too high a dose) and because my husband asked numerous  times for b/t pain meds, they didn't "like the way he treate the staff" i was dropped from this clinic, actually i was going to drop them after 2 years of no results. i can understand how you might want to commit suicide because of pain that never goes away, but PLEASE, PLEASE..try and get ths out of your mind, you must have some relatives that you can depend on...or have you thought about going to a therapist?? i will tell you something, i have only told on private messages to one person....after not getting any results from the 1st pain clinic i went to and then went to another pin clinic and he basically came right out and said i was drugseeking, Yell...i came home that day and being in one of the worst pain days i have had...spilled out all my pills on my bed and just looked at them thinking, this is one way i will never feel pain again.....but i went for a walk ( which i can barely do) and thought about things...emptying out my head and THOUGHT about not only would that be the end of ME, but what would this do to my family??? my father blew his head off with a .38 not yet a year ago, my mom nad passed 6 months prior and he depended on her for everything, he had rhuemotoid arthritis and was in horrible pain but the drs, wouldn't give him anything else for the pain.....imagine the look on my face ( i had called the floriida police because i had not heard from in days) when the police wallked up to my door and the Cry...excuse me reliving this is so hard...but i was in shock and then you go thru guilt , i still feel guilty....this was very hard to write as you can imagine, but if i can heelp you,  i will put my "secrets" out there...PLEASE PLEASE talk to soomeone...me if you want altho i am not a therapist, i surely can try and help you get thru the "realrough" times..but please consider going to a therapist, you can let out ALL yoour feelings to her/him and it seems you need to let out a lot...pain is so hard to go thru, i have lost a lot as so many people on this site, but we keep on keeping on. its hard, yes,...but LIFE is so much better than not...if you ever need to talk..i am here, and i really hope i got thru to you about seeing somebody!!..the best to you cindi...write to me or someone on your worst days, believe me these people have helped me like noone has!!!

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Me, Community Member
12/ 1/09 7:06pm

I am sorry for your pain. I too have cronic pain and it is hard to live with. The only thing that keeps me tied to this world are my children, I could never put them through my commiting suicide. I am also lucky to have an awesome pain management doctor, she is a saint. Very understanding and helpful, we work together to come up with what works for me. Please hang in there you never know what miracle might be just around the corner. My prayers and thoughts will be with you tonight.

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aalen08, Community Member
4/ 6/10 11:20am

Hey there, I am so sorry about your condition and I hope that you have found some relief. I am going through a simimar battle right now. My doctor is one of those "try to heal naturally" and is reluctant to give me medication because she is afraid I will become dependent. B.S.! I have a 7 month old and the birth was difficult, leaving me with multiple slipped discs in my S1-L5. There is nothing I can really do about it and I am also not a candidate for surgery. The most depressing thing about my condition is that I can barely lift my child without yelping in pain. I can hardly walk, I can't sleep because I cannot find a confortable position, I am just plain tired and cranky towards my poor husband. Overall, just miserable. If it weren't for my little girl I would totally agree with the lame horse method. No one should have to suffer so long. I have asked for cortizone shots and different meds or suggestions to manage my pain and I have talked to numerous physicians and they are all useless!!! I want to be able to play with my girl and go o t and enjoy nature and hiking and kyaking this summer- but that may just be wishful thinking. Anyhoo, I wish you the best and just wanted you to know that you are not alone. Take care of yourself and keep your chin up.

-A

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lf555555, Community Member
4/20/11 5:17pm

 Dear zzz,

                I also have experienced excruiating pain, and drs who seem not to care. was on fentanly patch uped to 100mg plus morphine for break thru and was still in level 10 pain! my care taker lost 4 patches so I had to go thru withdrawls HORRIBLE, they wont replace etc. Then moved and couldnt find ANY dr that would refill fentanyl (which quit workin for me) Also couldnt find dr to help me get off! (withdrawls) what a nightmare! but I survived and now over year, I'm back in really bad shape and trying to avoid nursing home I know that would mean way more pain! (they just move you around no matter how much it hurts! I also thought suicide And feel my kids would be glad im NOT IN PAIN! (they don't take care of me too hard for them I believe) I don't want to go back to opioids again especially since don't work good, although I'm trying to get vicoden from visiting drs, can't get out so we will see what happens. I would like to know what is happening with you now.

 

lf 

 

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By Leanne, Community Member— Last Modified: 04/20/11, First Published: 04/02/09