This is topic pain meds in forum Medical Questions at LymeNet Flash.


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Posted by Radha (Member # 8464) on :
 
do any of find that after a while you have to increase dose of meds like oxycontin or vicodin to get same relief you used to get? and how soon after starting a med like this did you have to increase the dose? how quick did your body get used to the original dose? i dont want to increase since the side effects of feeling lightheaded and dopey really bother me, but i am not getting any relief, i used to get alittle, not even that, i know i am taking very low doses. any input would be appreciated, thanks
radha
 
Posted by Aniek (Member # 5374) on :
 
Radha,

It's a biological fact about the way that opioid medications work that you will eventually have to increase the dose to get the same effect.

But, I find that after a few times taking one dose, I don't get a dopey feeling anymore. So if you are no longer getting pain relief but are feeling dopey, it might not be the best pain med for you.

Everybody is different. I was on Vicodin for over a year before I increased from 5/500 to 7.5/750. But it's possible you were never on a strong enough dose.

Also, have you changed Lyme treatment recently? Because certain meds have caused herxes that my Vicodin really just can't touch. And, if it's nerve pain, neither Vicodin or Oxycontin will do much.
 
Posted by Radha (Member # 8464) on :
 
my pain is deep bone pain and i really dont want to go stronger than oxycontin which does help, but not enough, but like i said i dont think i am taking enough, what is stronger than oxycontin, only morphine right? thanks for any input
radha
 
Posted by JeffM (Member # 8919) on :
 
I took tramadol for two years, and then switched to 15 mg morphine. Two months ago I improved so much I got off the morphine in a few days, no problem.

My daughter, however, has less pain tolerance? and deep bone pain like you. She has been on fentanyl patch plus 30 mg morphine for breakthrough pain, for over a year. She is only 19.

We went to a pain specialist Friday who is detoxing her from narcotics with a new drug called subutex. She got through today ok but has a few more days to go. She has to do it in his office. It is painful to watch but I am glad in the long run.

I guess subutex is also a narcotic, but only hits the pain centers, does not build tolerance nor is as bad for you as other narcotics. I guess she will stay on it until her pain lessens with more treatment. The pain doc says it is easy to titrate down if pain issues become resolved.
 
Posted by Hope4Better (Member # 10075) on :
 
i know what your experiencing.

i am on 5mgpercocet with 325 mg of tylenol in it.

ive noticed lately that it doesnt have the same effect.

i took 3 a day since end of sept 06.

in feb ive increased to 4-5 a day and im worried about all the tylenol toxic to my liver along with the herbs im on for bruhner core protocol.

id like to look into something longer lasting without as much tylenol but i only have WV medicaid and im having trouble talking to my doc.

who thinks i have "post-lyme syndrome" into giving me more than 30 5mg percs a month..its just not enough.

and ive got college and work. and i need to keep my pain down.

so yeah, i know what ur saying..but i get the feeling that my doc is weary of the pain meds and i dont want to ask for more or somthing stronger..
 
Posted by Aniek (Member # 5374) on :
 
Deep bone pain could be nerve pain. If that's the case, then you might need to try a drug like Neurontin.

It's not always a matter of stronger. Sometimes it is just finding the medicine that works best for your pain.

If the Oxycontin works, but you think you need a higher dose, have you talked to your doctor about increasing the dose?

This is a link to a publication by the American Pain Foundation on pain treatment options. It is a PDF file, so you need to have adobe reader. It may take a while to open.
http://www.painfoundation.org/Publications/TreatmentOptions2006.pdf
 


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