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» LymeNet Flash » Questions and Discussion » Medical Questions » Is it safe to take narcotics for pain ?

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Author Topic: Is it safe to take narcotics for pain ?
Semia
LymeNet Contributor
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While waiting to see an LLMD and my igenex results im finding it truly difficult to cope with pain.. As im sure so many of you are.

A previous psychiatrist prescribed me tramadol to take some edge off the pain .. Do you guys take any pain killers aside to help or should I stay away from any of that right now ??

Posts: 123 | From New jersey | Registered: Oct 2015  |  IP: Logged | Report this post to a Moderator
Lymetoo
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Tramadol is pretty benign. I never found it to help very much, but perhaps it will work for you.

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96223 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
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I'd start with good liver support, magnesium, fish oil and also maybe curcumin or corydalis.

A gluten-free diet can also help reduce pain in gut and body. Good luck.


http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=3;t=030792;p=0

LIVER & KIDNEY SUPPORT & and several HERXHEIMER support links, too


http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=123746;p=0

Topic: MAGNESIUM - Informational Links set
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Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
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CORYDALIS

http://www.itmonline.org/arts/pain.htm

SIMPLE TRADITIONAL FORMULAS FOR PAIN

Shixiao San, Jin Lingzi San, Liang Fu Wan, and Baishao Gancao Tang

by Subhuti Dharmananda, Ph.D., Director, Institute for Traditional Medicine, Portland, Oregon

excerpt:

. . . Corydalis is added "to increase the pain-relieving effects of this prescription."


Corydalis . . . enters the liver and spleen meridians . . . to promote blood circulation and remove congealed blood . . . very effective for relieving pain.

- Full article at link above.

http://oneearthherbs.squarespace.com/diseases/the-nervous-systembrain-nerves-and-mind.html

excerpt:

* Herbs such as opium poppy and corydalis rhizome (Corydalis yanhusuo) reduce pain by binding to opiate receptors (Stansbury, 1999).

. . .

http://www.ncbi.nlm.nih.gov/pubmed/?term=Corydalis

PubMed Search:

Corydalis - 488 abstracts

Corydalis, pain - 35 abstracts

Corydalis, liver - 22 abstracts

Corydalis, inflammation - 9 abstracts (one lead to Curcumin)

Hypomagnesemia, pain - 64 abstracts


Links to mentions of it in seven different chapters of The One Earth Herbal Sourcebook:

http://oneearthherbs.squarespace.com/display/Search?searchQuery=Corydalis&moduleId=1405778


This is an excellent formula, intended for use before going to bed (follow instructions and caution with driving until you get used to it. Do not mix with sedative or alcohol).

This is also part of a lyme protocol.


http://www.hepapro.com/hepapro_product.htm

See #28 - HerbSom

Ingredients; Corydalis root, jujube seeds and Schisandra fruit.

Jujube is also called zizyphus. Schisandra is also spelled schizandra. Both can be searched at PubMed and at The One Earth Herbal Sourcebook ( http://oneearthherbs.squarespace.com )


http://www.ncbi.nlm.nih.gov/pubmed/?term=Curcumin

PubMed Search:

Curcumin - 8327 abstracts

Curcumin, pain - 117 abstracts


Detailed thread:

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/99055?

CURCUMIN - Turmeric

In my experience, Corydalis makes me sleepy. Curcumin does not.
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[ 10-31-2015, 03:31 AM: Message edited by: Keebler ]

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Lymetoo
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I take curcumin 3 times a day. It really helps.

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96223 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Robin123
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Yes to curcumin for pain relief - I second Lymetoo in suggesting try that first. I get it in bulk at the health food store and dip 00-size capsules into it. Pain relief happens pretty quickly.

Before I found out I had Lyme, I had fibromyalgia pain. I found that if I only took one kind of narcotic for it, I would get tolerance to it quickly. So I learned to rotate narcotics and pain meds, taking a different one each day. I think I was rotating around four of them. I did this with pain management specialists who knew I was doing several for this reason.

This plan worked for 17 years and then I got sick on all and backed off to only using tylenol, and when that one bothered me, then aspirin only.

That's why I'm happy the curcumin really helps.

Another pain reliever for topical pain, like a surface neck pain, or whatever, is 2-5% lidocaine patches. Very helpful when we just want to cover up a painful surface area.

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elara
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If you feel you cannot get by with NSAIDs like Motrin and need to move to a narcotic, you should consider Buprenorphine before a straight opiate like Vicodan or stronger.

Tramadol does bind to opiate receptor plus has some antidepressant effects. But its also easier to prescribe due the recent change in opiate laws which has doctors running scared.

Opiates have a lot of downsides so are a last choice. They only help for certain types of pain.

They cause constipation which is not helpful with Lyme since it can cause toxins to back flow into your system through your intestinal walls. That can cause hypersensitivity reactions.

Why?

Buprenorphine is a mixed agonist and antagonist with some properties better than the standard opiates like Vicodan.

Its taken sublingual so is very fast acting and does not pass through your gut which contains many opiate receptors. It is directly absorbed under your tongue and goes straight into your blood avoiding any direct gut issues.

It only needs to be taken once per day which prevents the "I need a pill problem" which is part of the opiate addictive mechanism like needing to hold a cigarette.

With short acting opiates like Vicodan, you lose pain relief in 2 hours and will begin withdrawals in much less than a day. Withdrawals can be mistaken for Lyme symptoms just adding yet another problem. You don't need that.

It does not get you high or create the elation of standard opiates which helps drive the "I need another pill" problem. No high or elation means less psychological addiction potential.

Its impossible to accidentally overdose since its a partial antagonist and will not stop your breathing like a standard opiate overdose.

It contains no tylenol so cannot destroy your liver.

Its used commonly in Europe for pain management but in the US, its not as popular because of its stigma of being used to wean opiate addicts. But if you take opiates for more than a few months, you will need it to be weaned.

If you took opiates for a year and went to a pain/addition specialist, you would be weaned with or transferred to Buprenorphine.

Like any opiate, it does slowly form a physical addiction with withdrawals but its once a day and no high minimize any psychological addiction.

Typical Vicodan users "want" another pill because it feels good and relieves both physical and emotional pain. That's in part why there is such a large Vicodan/opiate problem in the US with many overdoses and people moving to Heroin because its often easier to get than Vicodan.

People who exceed the recommended Vicodan daily dosage will overdose on Tylenol. You need a healthy liver if you have Lyme.

Its often used to wean standard opiate addicts off opiates by slowly lowering the dosage so it comes in a form that can be made smaller and smaller that allows easy slow weaning when its time to quit.

Its not as potent as the standard opiates but if you have one bad breakthrough pain, you can take more and then back off without any difficulties.

Buprenorphine has a higher affinity to opiate receptors than opiates like Vicodan. So if you cheat and try a Vicodan while taking Buprenorphine, it WILL DO NOTHING.

It blocks standard opiates until it wears of in around 48 hours. So its very hard for people who like opiates to cheat since they must wait a few days and risk withdrawals.

If you need to have surgery, you need to tell the surgeon and wean down before. Otherwise it will block the opiates given for surgical pain. Not good. But a good anesthesiologist knows how to over-ride it as long as you let them know.

That being said, opiates should be reserved for pain that cannot be dealt with in any other way.

The DEA recently rescheduled Vicodan to schedule II which makes it complex and worrisome for the doctor. But only approved doctors are allowed to prescribe Buprenorphine which is why its not well known.

Buprenorphine is a schedule III so can be refilled and is known to be overdose free and much easier to avoid long term addiction and easier to quit.

So No its not good to use opiates but when the pain becomes unbearable, there is another option of last resort before a real opiate.

[ 10-22-2015, 01:37 PM: Message edited by: elara ]

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Robin123
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I guess we all have our own experience with pain med - not surprising, since our responses to treatments seem to always vary!

For me, I started with vicodin, and I took only the smallest amount of it, which was just a tiny particle of the tablet, basically. Then that amount went up very slowly for years. Any amount that I took covered up pain for several hours.

At the point that I got beyond a tablet, that's when I switched to another narcotic med, and I was able to again drop the amount of vicodin I used.

So my experience with vicodin was one of tolerance rather than a high or withdrawal - I had none of that problem.

The only med that caused me withdrawal problems was valium, which was the first med I ever took for unknown Lyme - had to get off of it 4x, and after that, didn't want to bother with it.

Posts: 13117 | From San Francisco | Registered: May 2006  |  IP: Logged | Report this post to a Moderator
   

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