Hello @chronic_nerve_pain and anyone who is interested in the subject of how do we live a semi pain free life now …as I “have” to be. This is a very interesting thread and I felt that your question on pain management to be a very pertinant and relative subtopic to the main thread. So I felt I should add what I believe that I have learned because I’m not sure this is as much a question of a danger of the class of drug as it is the way in which the policy is carried out. I was able to lower my dose and stay there for several years and not need more and more as the current propoganda states.
I was almost the same age as you when my life drastically changed for the “worse”. I was very active and life was good! But now almost 25 years later I am also leary of doing anything that might make it worse (or set it off), as the case may be. No heavy lifting, running, tennis etc. I have tried many many types of pain killers/ reducers suggested by doctors that may mean well but they do not understand this type of pain or the pain killers that they are writing prescriptions for. I don’t totally understand this pain and I have it! But I do know what works for me!
The thing about Opiates is that they “consistently WORK”…for me. And regretfully that is something that preocupies my decision process. And they are the “Only” thing that consistently works. There are days that it does not work as well as others but I did “not” keep going “up” in dose to get them to work…as the “country wide” propaganda says that I would…mabe I’m unique here…but I don’t think so.
The catch 22 (and your decision to use opiates, I guess) is that the current “Opiate War” is against “ALL” people who use opiates in the U.S. and it "does not seem to discriminate wether you have been going up or down in dose or not! I am uncertain and concerned (and a bit angry) because I could have eaisily taken the larger amount the pain doctor was first giving me, and I could have squirled away PLENTY so that I wouldn’t have to be concerned if I will or won’t have enough to last me because of some arbitrary drug policy decision or prejudice. I believe they are starting from a false premiss, which is, that all people that take Opiates are risking their life, and they are also dope fiends who are taking them to get super high. While this may be true for maybe 1/3 of the opiate using population I believe that our current fast paced, get an operation for anything that you want world has created a class of people that truely need to cure pain. So what is one to do? I want to be honest and show the doctor that I am trying to take the minimum, but if they are going to be dishonest and pull these hasty policy acts on the whole population what is an HONEST person to do?
They lied to me about the amount of people who have pain from this “proceedure” called a vasectomy, they lied about the degree to which this pain could mess up a persons life and their ability to function, and they lied about the ease of which I could have it reversed ( I have read articles that they knew this caused big problems for many as far back as the early 1900s’!).
I have tried Gabapentin and Lyrica but they made me so dizzy and uncoordinated that I injured myself several times (and by the way these are aparently also addictive). I use a small amount of Gabapentin when my known dose of opiates does not seem to be working completely or when I want to sleep. I’ve tried antidepressants, that were supposed to kill pain…but they only made me suicidal (honestly). As i tried to tell people and the doctors…i’m not in pain because I’m depressed…I appear depressed because because I’m in pain! And by the way…antidepressants are also addictive! I resent being treated like a drug addict because someone messed me up and allowed an operation to proliferate that can cause severe pain at the 1 to 2% plus level and not the .001 or .005 level which is the standard that used to exist for wether or not a proceedure was to be considered for even further testing on the public or not. I was one of the unlucky 1 or 2 in “100” that get the sentance of chronic pain for the REST OF MY LIFE! And I resent that they are lieing to me now (again) that the reason that the Opiates are so dangerous is because they are addictive or they kill people. There are many things worse …like cigarets, alcohol, and people driving under the influence of barbituates and alcohol. Etc etc.
Addiction is not good I agree. Methadone addiction is one of the hardest to get off of but methadone is one of the best drugs for this PVPS pain! It allows your head to remain somewhat clear and it kills your pain very well. But they won’t give you methadone because it is inexpensive (they make little proffit on it) and regretfully a few foolish people thought that they could get really high if they took a bunch of it. They would rather write perscriptions for these insanely overpriced pain killers that we are being forced to buy to stop this relentless pain if we get any pain killers as it is.
I better stop here because I will sound like I’m ranting. Maybe I already do. And i apologise for that but I could write for hours on this subject. By the way my pain regimine is to first use Adivil 600 mg then 7 to 15 mg oxycodone and then 100 mg of gabapentin if the oxycodone doesn’t cure the pain. Good luck …and i hope a truthful solution is soon found so we don’t have to ever use drugs for chronic pain…ever again!