Posted by bulldog2 on April 18, 2010, at 10:30:13
In reply to Re: ultram, really... » bulldog2, posted by ed_uk2010 on April 18, 2010, at 9:59:31
> >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.
>
> Definitely. IR opioids are not generally appropriate for chronic severe pain because they are much too short acting.
>
> >There was an article in the Life Extension magazine that that med is truely toxic and will damage your organs.
>
> Well it will, if you overdose on it. Therapeutic doses are almost always free of side effects, which makes it rather unique. I appreciate that it doesn't help your pain however, and so there is no point in taking it :)
>
> >By the way they make an extended relief ultram product that works 24 hours.
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> We have one here called Zydol XL. Most doctors prescribe the 12 hours brands though. Not sure why.
>
> There are plenty of difficult decision to make when treating chronic pain. Opioids cause adverse effects frequently, but they are sometimes the only meds that help. In men, hormonal disturbances and sexual dysfunction are very common side effects in the long run. Hopefully, we will have more effective and safer pain relievers in the future. Analgesics are very profitable for pharmaceutical companies because pain is such a massive problem. Lets hope that they are doing plenty of research into new treatments.
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>Yes sexual problems seem common and also on the ssris. I'm trying to determine wether it is basically a raised prolactin issue. That seems to be the problem with ssris and may also be the issue with opioids. In that case dopamine agonists may be of some help. Dostinex seems effective for that but now I read there is some problem with heart damage. I don't know wether it is dose related and may be safe at lower doses.
yes better pain relievers with less sides. Also better ads with less sides.
BUT I wish docs would like into ways of helping people with sides. If we know that raised prolactin is causing sides how about some creative doc looking into meds that lower prolactin. Most docs just shrugg their shoulders and say oh well you just have to deal with that.
poster:bulldog2
thread:943398
URL: http://www.dr-bob.org/babble/20100416/msgs/943822.html