05/07/07 #8 - Migraines, fibromyalgia, and opiates?

Health Professional

Full Question:

I suffer from Fibromyalgia as well as severe Migraines. After running the gauntlet of remedies the Dr. put me on OxyContin 20mg. twice a day with a Percocet 5 to use when the pain is unbearable. My sister claims that the narcotics will destroy my internal organs. Is this true?? I have asked two other Dr's about this and been told NO! I was also very worried about addiction, but they said as long as I took them for the Chronic ongoing pain of Fibro. and Migraines and did NOT abuse them I would NOT become an addict! I use them ONLY when I am completely around the bend in pain and not able to function in a reasonably normal fashion. They have made my life worth living again, BUT I don't want to destroy my organs either. I have tried ALL of the new Meds. and have suffered a lot of allergic reactions to them. These two pills are the ONLY ones I have been able to tolerate. WHAT should I do??? Thanks for your help.



First of all, addictions have to do with people's behavior patterns; they have nothing to do with the medication agent per se. Your physicians were right about your internal organs being safe. Opiates are not considered first-line choices for pain of headache. You state you've tried them "all". I'll bet you 2 nickels I can come up with at least 5 agents your physicians haven't tried you on. It's just that we have many more newer approaches to chronic migraines and pain, now more than ever before. Lots of people use the term "allergy" in inappropriate ways to describe nausea or other side effects. Dosing strategies for many medications should follow a "start low and go slow" approach. Good luck! There is much out there to treat your symptoms.

Good luck,
John Claude Krusz and Teri Robert

About Ask the Clinician:

Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert. If you have a question for this section of our site, please click _HERE _. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.

_Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis. _

We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.