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Re: Scared about pending diagosis'

Posted by Caedmon on April 10, 2006, at 1:28:09

In reply to Scared about pending diagosis', posted by mopeck on April 9, 2006, at 23:13:15

Wow! You may not realize it but I found your post very engaging! <--- I am a nerd.

I don't know anything about the actual back physiology and only a little about pain management. The pain management clinic sounds like a good idea though I don't see why they would put you on less meds if you're in pain.

I read someplace that benzos are contraindicated in chronic pain. It's a sentiment that makes no sense to me, but I have heard that from doctors. It sounds like you just need more Klonopin. Dosing for panic disorder goes up to 4 mg, and that's a lot more than what you're on.

I'm not sure what hyperalgies is.

> MY QUESTIONS:
> 1) approx how long does Paxil 20mg take to get into the system? was told 2wks for 1st ffects then abt 4wks for full effects. (i am 35yr old female, 5ft8in abt165lbs-if it matters)

Yes, that's about right.

> 2) i had 2 panic/anxiety attacks the first night & took 1/2 my little yellow klonopin and waited & waited so my 70yr old mother, who lives over in beaverton called the tualatin valley crisis center line to ask what to do.... i don't think 1/2 of a 1mg tablet twice daily is enough. i am having these things/attacks/episodes between 4-7 times a day. worse when the phone or doorbell rings. TERRIBLE when i have to go out somewhere. (there are many triggers from my ex who OD'd, she was very abusive both physcally, mentally & emotionally)>

Yes, I'd say it's not enough either. You may just need more. It can't hurt to ask.

> 3) any suggestions for switch up on meds? in january it was either methadone, MScontin or duragesic patches (not the fentanyl ones) for pain, but nothing was talked about with the neurontin or the zanaflex and they just droppped the methocarbomol like nothing..>

I doubt more neurontin will do a heck of a lot and I don't know about the muscle relaxants. Benzodiazepines like Klonopin can have muscle relaxant properties as well.

I don't understand why the switch from oxycodone to MScontin, which contains morphine. I would think that's more "controversial", if anything.

Maybe you should ask about tramadol? It has some opioid elements, good for certain chronic pain states, and it has some antidepressant activity too (acting on serotonin and norepinephrine).

> 5) what about Dilaudid for breakthru since he won't give me the green 80's? (he said no way to the dilaudid, too addictive)he gave me celebrex (bloody bowels is not for me sweetie) and then called in Dolobid, which did nothing to touch my pain. >

I wouldn't expect dolobid or celebrex to do a ton, they are only NSAIDs after all. Sorry they aren't giving you the pain meds you need. Maybe you should do a few complementary lumbar punctures on your docs, see how they like it. :b

Er, my two cents.

- C


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