My Pain Dr Writes 5 8mg S Dilaudid And 1 Avinza 60mg S Time Released Morphine 1every 24 Hrs Ive Been On The For 7 8years Seem

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hurtalot Says:
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My pain Dr. Writes 5 8mg. Dilaudid plus 1 60mg. Avinza 1every 24 hrs. time released morphine, I have been on the dilaudid 4-5 yes. Seems they don't work as well as they used to. What I do take would keep most people from sedated but I still have some pain and can't seem to do much with or without my meds. any suggestions?

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David Says:

Sorry to hear about your challenges with pain. If I could suggest anything that might be of help, it would be to include natural treatment options that can safely be used alongside your medication(s) as a sort of adjunctive therapy. Depending on what type of pain your dealing with, I do know that some medical marijuana clinics offer a CBD/THC 50/50 concentrate that your spray a few times in your mouth and it helps relieve a very noticeable amount of pain in those facing chronic nerve damage and/or spinal disorders. Perhaps this is something you may want to do additional research on, but I am simply speaking as a witness from first-hand experience that this is one alternative medicine that is developing a better reputation for those seeking additional pain relief.

I hope this helps!

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Accountability4ALL Says:
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Find a good methadone clinic. No one requires that obscene amount of powerful narcotic opiates for a hernia toon of l5-s1 most folks survive with little or no opiate pain modality. Let's be real THAT IS A PERFECT EXAMPLE OF WHY WE HAVE A PUBLIC CRISIS AND MOST LEGIT PAIN PATIENTS ARE FORCED TO SUFFER. And she claims that combo. Of meds are ineffective ???) REALLLY comon folks

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Lisa Says:
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Yeah....your a drug seeker......get a life !
Its people like you that make the Dr.s stop writing to others that have real pain !

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Traci Says:

Scroll down for advice for hurtalot...

But first, to the haters who commented here:

How do you know how real someone else's pain is? I don't think he or she even mentioned the diagnosis or the source of pain, and even if the person had, unless the medicine was prescribed for a stubbed-toe (or the equivalent), I'd be inclined to give him or her the person the benefit of the doubt. Pain levels vary - if you've been in pain, I'm sure I don't need to tell you that. And this is particularly true of disc-related pain - after all, a herniated disc can put pressure on your central nerve.

And to be honest, I blame the non-thinking, overly reactive politicians more than I blame pain-fakers. Because the politicians who make the senseless laws and put pressure on doctors and create all of these aggravations for those of us with genuine pain, they are doing it solely for PR, so they can seem like they're fighting a war on teenage overdoses, which is great from a PR standpoint. But they give absolutely no thought to what the full consequences of their actions might be, and whether its a net positive or a net negative; and they probably don't even research the issues. But i digress....

To HURTALOT: I have a few comments and a few suggestions -

First, the long-acting medicine (the Avinza) is usually supposed to control most of your pain, and the instant release (the dilaudid) should usually just be for breakthrough pain, so the total dose of instant release is usually lower than the extended release total (ideally by quite a bit) - but yours is the opposite (60mg of avinza/morphine is equivalent to 12mg of dilaudid/hydromorphone). In theory, the extended release medication should be able to control your pain by itself the vast majority of the time, and the instant release medication should just be for breakthrough pain. But when too much of your pain medicine is in a short-acting form, you end up taking the short-acting medicine for regular pain control in addition to breakthrough pain, and this can ultimately result in your taking more than you need to, thus raising your tolerance fairly quickly - and, of course, the faster your tolerance increases, the sooner it is that your pain medicine isn't helping at all. However, what's done is done - the goal now is to manage your pain as well as possible without continually increasing the dosages.

One option would be to switch to a different opiate - you'd be somewhat tolerant to the new drug, since it is an opiate, but you're likely not as tolerant to the new drug as the current one (cross-tolerance effect).

Another suggestion, if you can do it (though I warn you, it may suck) - reduce your body's tolerance a bit. For a week, take half your usual dose (or do it over two weeks, instead, if you need to - a 30% reduction each week). After the end of the two weeks, your tolerance will be a bit lower and your medicine should work better. During the two weeks, you may be unusually tired, so you may want to take something temporarily to help you function (even if it's just caffeine pills - or hell, just drink a lot of coffee), and you'll want to take advil to help with the pain during that time.

Actually, you may want to add something like Advil or Naproxen to your pain management regimen anyway - it does help control pain (even if not enough by itself), and it's also an anti-inflammatory, meaning it reduces swelling (if there is any), and that helps reduce the source of pain.

Best of luck!

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Shorty Says:

Try oxymorphone IR, it relieves pain quickly and takes about 20 mins to take effect. Also try her sister opana er 10mg which lasts ten to twelve hours for around the clock pain relief. I know it helped me. Give it a shot.

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Cubswincubswincubswin Says:
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That's a pretty good suggestion but Opana would be the "parent"drug not the "sister"drug lol but it's a very effective protocol for severe pain relief.

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Lisa Says:
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Can you help me with his or her name.what area you in ? O need a dr.

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