Is There A Pain Medication With A "patch" Delivery System That Can Bypass My Liver?

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HuckleberryHound Says:

I am in dire straits. I suffer extreme pain from endometriosis (pelvic pain) and from extensive joint disease. I have problems with tolerating oral medications due to gastric issues. Is there something strong for pain that is delivered transdermally? If not, perhaps suggest meds that don't produce gastric problems. I'm eager to receive legitimate information, please.

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1
Roy Says:

One strong pain medication which is delivered transdermally (via patch) is Fentanyl. If you have liver disease, however, it might not be a viable option. Based on your medical history, has your doctor given any thought into this treatment option?

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HuckleberryHound Says:

It's a long, sad story that trumps fiction any day...beginning with gastric bypass in 1987, followed by 3 major female surgeries 1992-1994 for stage 4 endometriosis. My bypass surgeon left me for dead, basically with NO aftercare. I had a phenomenal GP since childhood that took care of all of my subsequent medical problems, referring me to a cancer surgeon when it became necessary, for removal/treatment of the endo. I experienced surgically induced menopause at 32, in addition to all of the gastrointestinal problems that will be with me until the day I die. I digress...Both my GP and gynecologist/oncologist have retired as of February. It gets worse...The "economic downturn" robbed us of our jobs and benefits. Thusfar, I can't even book an appointment with a specialist without insurance coverage. I have an outstanding balance due of $3,000 for my last Synvisc shots in both knees...I'm too embarrassed to even go back to my orthopedic, because I can't pay her. I know it's hopeless. I'm even more so, as I write this. YES, I know that virtually all medications have an adverse effect on the liver. There is no miracle drug that is going to "fix" my pain. I have to weigh the benefits against the risks. I'm in a lose, lose situation.

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Rudy Says:

I'm an on-call [relatively young] doctor at 2 pain clinics; one in Virginia, another in NYC. New York City pain management residents have it tough until you get a certain age they lay off. Another option for you are methadone/Methadose wafers. Methadone is VERY strong and a decision you have to think about. I don't know your COMPLETE medical history, but you/he should have offered liqids...I think every opiate has a pure liquid; i.e. morphIne sulfate, codein, hydrocodone, oxycodone, hydromorphone, oxymorphone, methadone dissolving diskettes or straight liquid methadone (like cough syrup/fruit punch. You have lots of options. OH- and don't forget the fentanyl lolli pops as well. It's worth trying if you trust your doctor.

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4
HuckleberryHound Says:

Thanks for your input. I repeat...both my GP and my GYN/ONC retired in January, February 2011, respectively. Last year we lost lucrative careers, along with the insurance coverage they provided. My previous doctors accepted my co-pay, with balances paid in increments, just out of dr/patient loyalty. I can't even get AN APPOINTMENT with a NEW specialist without my insurance. Although I don't know where to turn at this point, I like the "idea" of a pain "patch", as oral meds tend to lead to projectile vomiting for me.

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5
Roy Says:

With or without insurance you should have access to medical treatments ... at the very least through whatever financial aid program your state offers. The first thing you would need is to get your medical records from your previous doctors if possible. Their offices might even be able to refer you for continued treatment. If you don't mind me asking, what state are you located in? Maybe I can help to dig up some patient assistance programs. There is always a way, it is just a matter of never giving up. Stay strong and I am wishing you the best!

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HuckleberryHound Says:

Thank you, but I have been told I do not qualify for any kind of state or federal assistance programs, based on assets (i.e.our home, vehicles,etc.)They've basically told me that I would have to be destitute to obtain any help from the governement entities, other than unemployment funds. I also contacted Cancer Treatment Centers of America, who referred me to Partnership Against Pain (dead end) I tried to contact the Prescription Assistance Program that referred me back to the state offices for public assistance (Medicaid) where AGAIN I was told I do not qualify. I tried to get an appointment with a "pain management" facility upon my orthopedic's referral, only to be told they require a full MRI within the past year. They would not accept my CT Scans and partial MRI performed in 2008. It's all redundant. If I still had insurance coverage to pay the astronomical cost of CT/MRI, I wouldn't have to beg a doctor to take me as a patient. Bottom line, I'm finding that no money=no matter.

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Becky Says:

Try this: JAKO KOKOTSU medicated plasters. They are all natural, cheap, very adhesive & one patch on pain area will last 2 or 3 days. $1.00 for a box of 5 patches. You can purchase them online.

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