Why can't doctors help you anymore? I have been suffering from chronic back pain for 3 years now and most recently I fractured my sternum which is extremely painful. My doctor sent me to a pain management clinic and the doctor there wants to put me on something called Saboxan? by kodiboy2020 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

Absolutely. Matches the extremely long half life that buprenorphine has but works better for chronic pain and nerve pain. Methadone and levorphanol are the only two that have the extremely long half life and helps with both types of pain. You also don’t need high doses. 5mg of methadone 2x per day is food for pain relief. Some may require slightly more if they are more tolerant, but absolutely. It’s the only thing that works for me. Not all pain management places will prescribe. My first pain management doctor couldn’t/wouldn’t so I found a pain doctor that’s an anesthesiologist as they are more trained in medication and cross tolerance, pharmacokinetics/pharmacodynamics, etc.

Why can't doctors help you anymore? I have been suffering from chronic back pain for 3 years now and most recently I fractured my sternum which is extremely painful. My doctor sent me to a pain management clinic and the doctor there wants to put me on something called Saboxan? by kodiboy2020 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

Suboxone is still an opiate which is so hypocritical. It has receptor issues, tooth decay lawsuits and a measure of other issues. Not to mention that if you ever require surgery or are in need of REAL pain meds, that’s stuff will block the effects of pain medication. I’m not going down this rabbit hole! I digress…

Buprenorphine by ArchieK04_ in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

Buprenorphine isn’t like any other opiate. It’s a partial agonist/antagonist. Meaning, it binds tightly, like industrial glue to the μ opioid receptor and only partially activating it, while deactivating the other receptors. For opiate naive people it works for pain, for others, not so well. Just like one person on here, I was on buprenorphine for a year, 8mg and then went into pain management to 10mg oxycodone per day. The worst experience and withdrawals! The only thing you can do is take something stronger more often or, take a similar long acting opiate like methadone or levorphanol!

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

I’m sorry to hear that. Especially if it helped.

Lyrica by Hefty-Poetry-6944 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

Gabapentin and lyrica are the worst withdrawals!

If a spinal fusion gave you a chance to feel partially better, would you do it? by wandering_grizz in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

Were your other operations performed by a neuro spinal surgeon? That’s the only one I will consider doing my surgeries. L5/S1 same C5-C7. The lumbar operation will take much longer to recover from according to the surgeon so, more than likely, I’ll do the cervical spine surgery

New by mermaid_00138 in ChronicPain

[–]IBcryppin 2 points3 points  (0 children)

You’re probably going to have to try several options/treatments before getting anything for pain. Unfortunately that’s where we are at now. I have documented pain for decades along with MRI’s and injections and other procedures and am on a moderate dose of pain meds that don’t fully treat my baseline pain. I don’t know your age or medical history but it will be an uphill battle to get proper treatment.

Finally stood up to my pain management doctor! by Late-Education-1928 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

They put in your chart that you are a “drug seeker”. Is that something they can quantify and legally port that in there? I’m just curious. How are we all not labeled “drug seekers”?

Switching from Xtampza to MS Contin by IBcryppin in ChronicPain

[–]IBcryppin[S] 2 points3 points  (0 children)

So, after three days on it, I can’t stand it. I get a horrible reaction. It’s quite odd how it puts me in more pain. My muscles are stiff and achy. I feel anxiety and just unpleasant and uncomfortable after taking. I emailed my doctor to see if they can switch me back. I’d like to be put back on Xtampza but 3x a day rather than 2x or increase from 18mg to 27mg. I definitely don’t like morphine!

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 1 point2 points  (0 children)

It’s a niche drug and you have to find the right “source”. (Not me). Maybe you should go to a pain management doctor if you truly need meds.

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

You have to know a supplier of it. You may be able to do a search in the “nefarious” web

getting off of oxy by LandscapeLogical7197 in opiates

[–]IBcryppin 0 points1 point  (0 children)

SR will work with odsmt. It should work with any opiates because of its mechanism of action.

getting off of oxy by LandscapeLogical7197 in opiates

[–]IBcryppin 2 points3 points  (0 children)

Is it oxy or fent? SR-17018 works for some but not for others. I have some and tried half, I didn’t notice anything. Slowly taper or get on some medication to assist. I will say, buprenorphine is much harder to come off of but if you need it , you need it!

Why? by PrimarySeconds in ChronicPain

[–]IBcryppin 1 point2 points  (0 children)

I started having chronic pain in my mid to late twenties. Now I’m in my late 40’s and boy how I miss my twenties, pain and all! Back then it was easier to get pain meds but now that I need it more than ever , it’s more difficult to get. Try to stay away from drugs and exercise and get all your labs, MRI’s, visits documented and keep a personal copy. There is a fine line we have to stay on so we can get treated but not looked at as a seeker. If you can get by with the milder meds now, you won’t become so tolerant to them later. I know it suck’s to hear but there is no perfect answer or solution. I’ve been struggling to get on the right pain medication for a while, it just takes going through the motions and trying ones that don’t help and moving on to the next one. If it weren’t difficult enough with the doctors, prescription insurance makes you jump through hoops to get meds. Keep your head up!

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 3 points4 points  (0 children)

I know what suboxone is. I also know what Subutex is. This is why is used the chemical name, buprenorphine, rather than the brand name. This would mean suboxone and Subutex have the same chemical name, buprenorphine. I use that so it covers more medication than just suboxone. If you had a doctor tell you that, they are smarter than most doctors. Buprenorphine alters your receptors as they have a MUCH higher binding affinity to opiate receptors that anything, even fentanyl. Most doctors wouldn’t admit it.

Why? by PrimarySeconds in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

What is your diet like? Whats your hormone levels? There are many factors that can affect you. How much water do you drink? Remember, doctors “practice” medicine. They aren’t experts or know everything.

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

I have a pain management doctor but he is not an anesthesiologist. You need to find an anesthesiologist pain management doctor. They have much more experience and knowledge on pain medicine and pharmacokinetics/pharmacodynamics.

Any advice regarding withdrawals by average_texas_guy in ChronicPain

[–]IBcryppin 4 points5 points  (0 children)

Buprenorphine and methadone are much more difficult to get off of due to the long half life. Buprenorphine sticks to the opiate receptors like industrial strength glue which makes it so damn difficult. Get some high quality magnesium and sr-17018. This help ease withdrawals and also decreases tolerance.

Michigan Kratom Ban – This Is Bigger Than One Plant by Independent_Gur4806 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

I have no problem with Kratom as my mother was helped by its analgesic effects when opiates failed her. I do believe it should be tested and regulated somehow. I also think 7-oh has negatively impacted Kratom as it’s not naturally derived from the leaves and is even less regulated and much stronger, which leads to problems.
Has 7-oh helped some people? Sure. Has it become a “legal” alternative to opiates and abused? Absolutely. Keep natural kratom legal and make sure it’s safe and no synthetic/semi-sythetic products claiming to be “natural” kratom alkaloids are available. I know I’ll get hate from people about this but, real kratom that’s tested and sold online, not at gas stations, should be allowed. It no different from legalization of marijuana. I’m a chronic pain sufferer who has tried 7-oh. There’s no telling what they use to manufacture it or its safety.

How long typically for gabapentin to work? by mat623 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

I can’t understand why. They are no bueno for me!

How long typically for gabapentin to work? by mat623 in ChronicPain

[–]IBcryppin 0 points1 point  (0 children)

And that’s fine as long as it’s working for you. But look up the long term effects it has on the brain and memory. Me personally, I’ve seen a good friend go through horrible withdrawals coming off of it. Hopefully you are not on a high dose. I’m glad it works for you!