Re: difference in effective pain medications/Bennie

[Guest guest]

Bennie wrote:

> Oxycontin did not work for me but Oxycodone did.  I am on hydromorphone which

is Dilaudid. 

Hi Bennie

Oxycodone (Percocet helped after my surgery, but Oxycontin (long acting Percocet

minus

the Tylenol) did nothing for me. Now my psychiatrist manages my pain

medications, and

will only give me Lortab and Klonopin for breakthrough pain. The Klonopin also

helps

with my anxiety disorder.

We can respond differently to variants of medications. I have never tried

Dilaudid, but my

doctor refuses to prescribe it or Percocet. Although he did offer Fentanyl aka

Duragesic patches

if that makes sense. That is something, for me not necessarily for others, to

save for later, if I had

some kind of painful Cancer or other disease. Let me clarify that I do NOT

object to those

who use it now for pain relief.

I realize you personally know the differences in these medications, but I

through out

the details for the sake of those who don't.

My psychiatrist manages me pain medication, because I also live with Bipolar

Disorder,

so he is the logical person to handle all my medications.

Lyrica helps, with my post knee replacement surgery, because there was nerve

damage in both knees. I have to live with the mental fog, and a bit of weight

gain,

because I have not found an effective alternative. Fortunately, those have been

the only adverse reactions.

Sorry about the meandering. Just to clarify yet again, I know you are not

the one who has had knee replacement surgery.

Kaylene

[Guest guest]

Kaylene wrote:

>Sorry about the meandering. Just to clarify yet again, I know you are not the

one who has had knee replacement surgery.

Kaylene,

I know your weren't : ) Isn't it ironic how some Doctors will not prescribe

Dilaudid versus Oxycodone when it is listed in the same class of pain

medications. Also the Fentanyl is listed as a same class of pain medication and

some Doctors will not prescribe it because they state it is stronger.

I pasted the pain medication ladder below which Doctors usually go by, it was

developed by the World Health Orginizations.

I also get so frustrated as the classification that people with Cancer

experience more pain and the pain medications are classified for cancer patients

not non cancer patients. (ex Actiq)Actiq was first classified for cancer

patients and some insurance would not pay if you were non cancer patients.

http://www.eorthopod.com/content/medication-approach-chronic-pain

Now, I am not insulting patients with Cancer but I am sure some neurothophy and

arthritic patients would state their pain is just as great and I agree.

I have seen patients with migranes, arthritis, MS pain, neuropathic, spinal,

fibromylagia, and other pain would care to differ their pain is just as

quantifiable.

I do not think someone should be denied pain medications because they cannot

prove their pain is as bad as others. Pain is subjective and I used to

have the highest pain threshold, I was embarrassed to admit I had pain and when

I got Fibromyagia I couldn't stand for anyone to touch me and

I would cry in pain.

Everyone deserves to have their pain controlled and shouldn't have to " prove "

their pain. I am glad you have someone monitoring you pain but

I don't we should ever worry about the pain medication selected being in a

higher classification if it allows you to have your pain controlled and you

have a functional life. I allowed this stigma to control me for years and

finally let someone treat my pain appropriately.

I am just talking about my situation and others may not experience this and that

is the reason we need to advocate for ourselves and research all we can.

I think it ia a good thing that your Psychiatrist manages your medication

because he seems to keep up with the side effects and assist you.I understand

you

" saving for later " but don't thing you should do that if you have uncontolled

pain.

You weren't rambling or meandering, I followed your train of thought and my

husband teases me about me doing that all the time. I think I put hydrocodone

for

Dilaudid when it is hydromorphone and a Class 3 medication.

I agreed Lyrica was effective but I had the visual disturbances it causess and I

found the longer I was on it, the worse it became. I don't know if

others are being helped with Savella and Neurotin didn't seem to help as much so

I am glad you can tolerate the side effects of Lyrica.

So I will stop rambling also and I copied this fchard from the internet on

classifications of medications . I agree with you. Bennie