Practical Pain Management Community Advice

Hi everybody, I just joined this group in hopes of sharing and meeting others, who can relate to the MANY issues that arise in the life of people who suffer with chronic pain. I have been taking Oxycodone since 2005, following two major back surgeries. The first one required fusions at levels C-1 thru T-4. my second surgery was laminectomy of lumbar, L-1 thru L-4. I am currently under the care of a pretty great pain management doctor,
who also happens to be board certified anesthesiologist.
Can anyone offer any information on the benefits of taking methadone along with their pain meds? I am experiencing a LOT of break thru pain, any suggestions would be welcomed...( that is..if anyone out there is awake besides me??) :-D

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I do not know how to help you, I hope someone does.

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From what I understand the medication that you are currently taking is also available in an extended release if I am correct (I only know what I have learned from my many years of chronic pain 24/7 due to a very bad accident that nearly killed me) my pain mgmt. Dr. was going to put me on the medicine OxyContin (after years of hydrocodone & Motrin 800mg due to what these meds do over time to your liver & in my case kidneys I just had to stop them both especially the Motrin 800 which was a Godsend for me) but this was 8 years ago & I was absolutely terrified of OxyContin & everything I heard & read so he put me on the 10 mg oxycodone which I believe is the exact same medicine but instant release. I was started at 10 mg & have remained on the same by my choice. I admit that it does start to feel as if it isn't working as well as it used to but I see my Dr monthly & discuss many things with him-always make notes before you go. He told me that he was adding another medicine because I truly was suffering so my insurance company suggested the medicine methadone instead of mscontin only because it was covered & I was by no means getting on methadone!! I am very lucky to have a doctor that goes to bat for his patients & explained that it was in his opinion medically necessary that they pay for the mscontin-they did!! It took a few weeks but they did agree to pay for it & I only take both of these pills as needed-which like I said is always but I never fill them when I could because I still have some of both- more the mscontin & I truly had to comment when I read your post because I was shocked that you were also going to take oxycodone with methadone just as my insurance company told me they are very similar drugs I do not believe that for a minute!! My doctor never would have put me on that combination anyways-so that tells me same. I've managed to miss a dose as often as I can & I use lidocaine patches (great!!!) or the lidoderm which is the same but in a cream not a patch & it works 1000x better for me!! Those names I may have reversed but the cream I believe is name brand & the patch generic ... My insurance covered the patches only & then they said I could only get the name brand-go figure!!! Which I found worked so much better for me so that truly was a blessing!! This was years ago like I said so now I get both-really go figure- lol. If I were you (and you're not afraid to try the extended release ask your Dr about OxyContin & maybe I tiny bit higher dose because if breakthrough pain is the issue than wouldn't that make more sense?) I HATE HATE all of the prescription pain medicines to be honest & I do everything in my power to avoid them but that really will not be an option so I try to take less & use my lidoderm. That is non-narcotic & is like Novacaine does from the dentist. I also get the 3 sets of shots 3 times a year but they only last a few weeks for me. Great immediately after!! I feel like I can do a kart wheel like the good old days!!!! Keep your chin up I'm sure that you have figured this out already but I've never heard of those to drugs together & I would think you would be flying!! From what I understand methadone is very strong as is oxycodone & I personally would never try it. Let me know please if you can. I'm so curious now as to how you are doing. I still walk my dog for exercise but now my knees are really starting to catch up!! I'm not overweight either but if I don't get outside I will go crazy. I spend 75% of my life in my home-at least!!!! Take care of yourself!! Best to you!!

JS

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Dear gr8ful1, try going to a pharmacy that is associated with a pain management organization. You will find them less judgmental of what you are taking let alone having a pharmacist from one of the major pharmacies tell you to go away because they don't serve people such as yourself. There are so many folks out there who don't get it and think we should be able to take care of the pain with our minds or a bit of acupuncture and a biweekly swim. I wish you luck and hopefully freedom from your pain.Cheers.

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Really? The stigma? If you are really in pain you will likely be house bound without meds. Then people will call you agoraphobic. Now there's a mentall illness that carries some stigma, I imagine. Anybody judging your pain management program obviously has no idea how chronic pain can change your life. Just tell them to be grateful they are not suffering like you are. And then remind them that it's a pain in the ass to be on opiate analgesics, and you really wish you didn't have to use them as part of your treatment but your doctor feels your functioning would be too low without them....for right now. Not forever. You can ask them if they understand that you don't get high from them.....why would they think you did? Maybe because they have used them when they had no pain. That's when people can focus on the high.......perhaps they have used them when life got difficult.....to escape reality? You don't have that luxury and if they think they could function with your pain and no pain management......well, they have no idea....perhaps they should cut back on their OxyContin and face reality. Amazing, that someone would judge you like that....I am sorry to hear it.

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