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| Opium, Opiates & Opioids Opium, codeine, hydrocodone and other opiates & opioids. |
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#1
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Doctors and poor pain management
My friend recently had his appendix removed and it was done the old fashioned way, ie one big cut as opposed to keyhole surgery. You know what the doctors prescribed for him? Fucking panadeine forte! That's right, a dude has some pretty serious surgery and all he gets are tablets with 500mg paracetamol and 30mg of codeine. WTF!? Is this normal?
Swim had surgery for appendicitis when he was in America and at least he got Vicodin, which seem much stronger than panadeine forte. Honestly, what is wrong with doctors who underprescribe pain meds? If you ask me they should have at least prescribed endone (paracetamol + oxycodone 5mg) considering we don't have hydro in Australia. It just seems that they're scared to prescribe anything stronger than absolutely necessary, even if it means less effective pain relief for the patient. Sad. |
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#2
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Re: Doctors and poor pain management
Some doctors are ridiculous. A friend of mine had an accident in spain last summer, slipped on a pool edge, broke his nose, split open his lip and forehead, needed 6 stitches, guess what he was prescribed for pain? 400mg ibuprofen pills, Helped with swelling i guess, but crap for pain management.
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#3
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Re: Doctors and poor pain management
Around here it´s just 2 -x days of piritramid (Dipidolor tm) it works, but they´re afraid to prescribe/give it to their patients for more than 2 days.
This is ridiculous, as you need a year to develop a serious opiat dependence, not to mention that pain seems to be an antagonist to any form of opiate dependency and they´re afraid of dependency even when giving a few days opiates. -"One shot and you´re on!" *lol* Sad but true, how this prejudice made it to academics, who should know better. |
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#4
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Re: Doctors and poor pain management
"You need a year to develop serous opiate dependence"?
Source? Science behind your statement? Opiate tolerance develops much quicker than that |
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#5
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Re: Doctors and poor pain management
Never in my life did I get opioids for serious pain, not even after surgery for post-operative pain, nor when I had an inguinal hernia which was the most painfull experience in my life(in most cases it doesn't hurt much, in mine it did!)
The only country where opioids are prescribed in abundance seems to be the US, but in Europe prescriptions for opioids are rare, unless you're dying. Ofcourse there is the odd exception, but this is certainly a general rule, a lot of people who need opioids don't get them, because doctors are afraid to prescribed them. |
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#6
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Re: Doctors and poor pain management
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I read in an enceklopedia that it would take at least 1 months, with multiple morphine injections a day to develop an addiction, with withdrawl and all the fun-stuff. |
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#7
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Re: Doctors and poor pain management
as swim said in a previous reply, we need to stand against doctors in the uk and europe and make them see that not all ppl are drug seekers and not all back pain can be cured with anti imflamatories, paracetamol and exurcise.
swim has had chronic back pain for 7 years now, and the pain is getting worse, its in swims legs, arms, lower and upper back and in most cases it states that if the pain in your back moves to your legs then somthing more serious then back pain is there, but still swim is refused pain relief, becuase... its too addictive. all swim is given time after time is, a refural to a rumatologist, paracetamol and an anti imflamatory. WTF. |
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#8
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Re: Doctors and poor pain management
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He first got: Diclofenac sodium 25/50 mg dual release he didn,t like them and got Co codamol 30/500 mg and they wern't strong enough now he is on Tramadol. Can he push for something better ? And what will be the best thing to say ? He doesn't want to piss them of either. It appears to swim that the bigger pain someone is the more he will be helped. |
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#10
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Re: Doctors and poor pain management
yeah swim has chronic pain but swim doubts she will EVER get oxycodone, as that is for cancer patiants, at least around here.
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#11
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Re: Doctors and poor pain management
When SWIM was about 14, he had appendacitis and had to have surgury. He was in the local ER for a few hours, didn't give him any meds til his parents were telling them he needed them, finally got some morphine. Then he was transported to another hospital with an adolescant surgeon and had surgury that day. He got morphine in the hospital, got out the next day and then didn't get ANYTHING. He was crying all day because it hurt so bad, he got tylenol from his mom, who was a former nurse. She should have fucking known better, because she's also been in the same situation.
That's fucked up. Even though age was only part of it, he didn't even get some ibuprofen, maybe his parents never picked up the meds for a reason, but still. It was the most fucked up thing he's ever been through. |
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#12
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Re: Doctors and poor pain management
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For back-pain e.g. dexamethasone is prescribed, I liked testosterone and dianabol along with some diclofenac or, which worked along with the anabolics without any dose increase, 0.5mg dexamethasone every other day. Withaout anabolics (AAS) I had to take 8mg dexamethasone/day and it didn´t do much, except for sides. With AAS, no sides, no pain, no dose-increase, as estrogen is needed for the upregulation of the glucocorticosteroid-receptor anmd AAS for the estrogen and to even out the HPTA negative feedback. |
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#13
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Re: Doctors and poor pain management
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#14
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Re: Doctors and poor pain management
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Opiate dependence and tolerance begins very quickly. After the 10 to 14 day mark ones own body will discontinue the production of endomorphins (a type of endorphin which is most similar to Morphine) and the brain will become Dependant on the introduced opiate because the brain is no longer producing its own endorphin which the opiate mimics. As use continues the endorphin pumps will no longer even work until full withdrawal and reconditioning of the brain has occurred. In some instances people have permanently damaged these endorphin pump systems which has resulted in a full blown depression which cannot be recovered from. For more information and links to help provide the proof for this one may look at "what makes an opiate" thread or other threads one has posted in to substantiate these facts. Hope this has been of help or insight.
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#15
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Re: Doctors and poor pain management
Swim was hammered 10-20mg´s of morphine equivalent into his arm at a hospital for 8 days and there was nothing... absolutely nothing even hinting to any kind of addiction, pain-increase after discontinuation or depression whatsoever.
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#16
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Re: Doctors and poor pain management
Apparently opiates used therapeutically (ie, to relieve physical pain) do not cause nearly the same dependance as the same dosages used purely recreationally. Plus, we're all different; some people just react differently to different drugs.
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#17
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Re: Doctors and poor pain management
I have a serious wrist injury and am prescribed Percocet. It is chronic pain, but Percocet is a strong drug. I have had Vicodin and it touched it lightly, the Perks work wonders though. I am shocked at how other countries handle patient's pain, that's ridiculous.
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#18
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Re: Doctors and poor pain management
Quote:
Hope this has been of insight
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#19
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Re: Doctors and poor pain management
SWIM has had chronic neurological pain for years and appears to have been lucky as she lives in the UK and gets good pain relief. SWIM has fentanyl, codeine/paracetamol, gabapentin & baclofen.
SWIM had a little "blip" a few months ago and started using heroin, she thought the GP would stop the pain meds but he didn't and she now gets methadone as well. SWIM'S current problem is that she started reducing the methadone and found her pain was getting bad, GP upped the fentanyl and SWIM was able to reduce the methadone further. She has now reached a point again when she can't go any lower on the methadone and the GP says he can't increase the fentanyl (now on 125mcg) so she's waiting for an appointment with the pain clinic to see if they can find an alternative to methadone for the pain. |
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#20
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Re: Doctors and poor pain management
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Oxycodone in it's time-release form should and is typically used in chronic pain rather than accute, but the oxycodone/acetominophen(paracetamol) preparations most certainly are used for accute pain and not just for chronic pain... at least in my state. On the other hand, who knows what regional differences there are as the U.S. is a fairly large country. |
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#21
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Re: Doctors and poor pain management
swim has never ever received oxycodone or oxycontin (time release oxycodone) from a doctor.
Thank god for swim he has other ways of getting the pills, they are amazing. and 10-20mg is nothing.. for swiim it takes at least 60-90mg per shot to give a nice rush and a good nod. |
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#22
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Re: Doctors and poor pain management
Oxycodone is used for Chronic pain, at least for me since I have a wrist injury that deals with tendons, etc. Anyhow, each state would probably be different I'd imagine.
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#23
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Re: Doctors and poor pain management
The type of opiate prescribed is dictated by a number of factors
1] the doctor prescribing it. 2] the type of person he see's you as. 3] the type of pain it is 4] how intense the pain 5] how prolonged the pain is likely to be. it is a combination of these determining factors which dictate which drug the doctor will prescribe. Any number of these combinations can steer his decision in different ways. A big factor is also "promo's" and "Bonuses" . Example: Doctors receive cash bonuses in some instances depending on what brands etc they prescribe. This can also help to dictate what they are likely to prescribe you. Oxycodone can be prescribed for both acute and chronic pain, but it depends on the above factors weather or not that is what you will get. Hope this has helped.
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#24
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Re: Doctors and poor pain management
If swiy is unhappy with what the doctor is prescribing him than he should go to other doctors and pain clinics. At least in the US, one can usually find a doctor willing to give him stronger/better/more appropriate meds. It just takes some searching and a lil bit of luck.
Swim has ACL sugery recently and was given morphine by IV for the 2 days in the hospital, then 60 5mg percs, 40 vics, and 40 lorcets. Swim was in so much pain he had little recreational effect from the pills but they did keep him from going crazy from pain. Swim can't imagine being given anything less as he was in lots of pain. Swim thinks its wrong to give useless meds to those that are in real pain and in need of real relief. So if swiy thinks he needs something more effective than he should go find a doc or clinic willing to give him those meds that will work more effectively. If one does have real, legitimate reasons, than it shouldn't be too hard. Just look around. Swiy will find something better. Peace |
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#25
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Re: Doctors and poor pain management
Quote:
Hope this has been of some help
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