Posted by bulldog2 on April 18, 2010, at 9:09:37
In reply to Re: ultram, really... » ed_uk2010, posted by floatingbridge on April 17, 2010, at 18:50:57
> Hi Ed,
>
> It sounds like you might have some experience with pain issues--hope they are resolved....
>
> I have lower spine issuses confirmed by an MRI a few years ago--damage and some osteoarthritis. The pain & range of motion issues have increased and now involve the upper back, neck, and head. I see a psyatrist next week for an evaluation.
>
> I also have severe fatigue from undetermined source. Have had the basic string of diagnostic tests.
>
> Life has never been a piece of cake since day one--I can hear the violins playing--like many babblers, unfortunately. I mention this because I have accepted discomfort unquestioningly. Now my ability to compensate has seemingly diminished--and the pain increased. My pdoc noticed my issues over time--I didn't really realize, hadn't been to doctors, avoided tylenol, etc. So pain management is a new term. Apparently preventing pain flares can decrease a future eruption's intensity and duration. I'm sure you know that.
>
> Through my reading, I'm compiling a list of possibilities. Some first line meds--savella, cymbalta, say--might be contraindicated for me--I reacted badly to strattera (caused an unremitted raynauld's presentation & head and body aches).
>
> Effexor I tolerated years ago--. Most tca's might exacerbate fatigue, except for what Bulldog is currently trying.
>
> Anyhow, I'll see what the physiatrist says--I'm sure a multi-pronged approach is needed.
>
> O.K. Enough of me. Thanks for inquiring! If anything has worked for you, I'd be curious to hear your experience.
>
> fb
>My doc put me on the opana-er because he said the current trend in pain management is time released opiates. That may work better than immediate release. It is easier to keep pain under control with a constant flow of meds as opposed to immediate release when there is a flare up and than large doses may be needed. Once you get the correct dose of the time released product pain will be well controlled and should free your life of constant pain worries. For some reasons the doc said that sometimes some actually lower the dose. So for constant chronic pain time released may be the way to go. There are now many good time released products on the market.
I also tolerated chronic pain for a long time. But when I just wanted to be asleep to escape pain or sit in the easy chair gritting my teeth and thinking about pain all the time I knew something had to be done.
Tylenol just doesn't cut it for me. Maybe for mild pain and maybe others respond well to it. Look for a time released product without acetimoniphen. There was an article in the Life Extension magazine that that med is truely toxic and will damage your organs. Personally I would rather take an opiate long term than a nsaid or acetimoniphen.
By the way they make an extended relief ultram product that works 24 hours.Can't think of its name. I know one lady on it and she really likes its pain relief properties and calls it her happy pill.I think she has been on it 6 months without a dose increase.
No perfect solutions only a best solution.
poster:bulldog2
thread:943398
URL: http://www.dr-bob.org/babble/20100416/msgs/943809.html