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Re: Need Names of Drugs Like Fentanyl avid abulia

Posted by Juanantoniod on July 13, 2003, at 0:02:17

In reply to Re: Need Names of Drugs Like Fentanyl, posted by avid abulia on July 12, 2003, at 23:25:45

The pain is muscle pain from muscles in my upper back (thoracic) cramping. I was previously on a cocktail of Gabitril (I think that's a neuroleptic), Skelaxin, and either Fentanyl, Demerol, Dilaudid or Vicodin. These helped the chronic pain, so I stopped taking them but I still have episodes of acute pain. So, I need something strong enough to deal with these.

My insurance company denied the Fentanyl Transmucosal (lollipops) when we submitted a Prior Authorization for them. So, I need to choose a drug from their "Recommended Drug List" (formulary). Unfortunately, the Demerol, Dilaudid and Fentanyl Transdermal (patch) do not help with the acute pain, even at high doses. (I once took 300mg of Demerol and got absolutely NO relief.)

As for Toradol, I think it does absolutely nothing to help. I recently had an injection at my pain management docs and it did nothing. I also have a history of severe muscle tension headaches where I have had to go to the ER or urgent care, and the Toradol they tried before giving me Demerol did nothing as well. However, the injectable Demerol took the edge off the headache but did not eliminate it completely.

I think I am opiate tolerant since even high doses of these meds does not take away the pain, or knock me out.

I'm anxious to try the DLPA that another poster, Larry Hoover, recommended to reverse tolerance and enhance the anti-pain effect.

Any other advice would be greatly appreciated. I'm considering trying to get Buprenorphine, an injectible pain medication. Since I already take injections for my diabetes and low testosterone, it would not be a big deal for me to have to inject a pain medication once in a while, if it works.

Thanks for any input you have.

Antonio

> Wow, it sounds like you've tried some pretty gnarly stuff there with no luck... what kind of back pain is it, might i ask? Because, opiods aren't very effective for nerve pain.
>
> Also, i saw someone mention Toradol. Have you tried using an opioid with a high-potency NSAID like Toradol? Also, adding a neuroleptic to an opioid can work sometimes, i've not only worked in an emergency department and seen some people get morphine with no relief, and then get demerol added to that and still no relief, and then get Toradol, and still no relief until they got Inapsine or Haldol... but i also have my own experience with some pretty darned bad headaches, to tell me that morphine dunt always do it, i need Toradol and Phenergan (a weak neuroleptic but strong antihistamine)... of course, it totally incapacitates me, i sleep for 14-16 hours after that, but i don't know how much the incapacitation is due to *just* drugs or if i sleep so long because of the migraine as well.
>
> ~AA


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Psycho-Babble Medication | Framed

poster:Juanantoniod thread:240948
URL: http://www.dr-bob.org/babble/20030708/msgs/241361.html