Skip to content
controlling fibro pain with narcs
avatar
kiski posted:
Having a hard time keeping my pain under a 7 with Vic 5. And can't find a Dr who understands!
Reply
 
avatar
BetteK responded:
Kiski,

Doctors need their licenses. They work hard and spend big bucks to get them. You cannot expect a doc who doesn't know you and know you well to prescribe narcotics. The first thing you have to do is to prove to your doctor (family physician, rheumy, pain specialist, or other) that you will follow instructions and will not seek meds for pain that does not exist.

Somewhere in this trust building, you have to ask your doc if she prescribes opiates to any of her patients who have chronic pain. If not, you need to start all over with another doc. Sorry, that's the way it is. Doctors HAVE TO view every patient as a potential lawsuit or--worse--loss of license.

Once you have found this doctor, you will find she sends you for physical therapy, counselling, and/or other modalities unless your medical file clearly states that you have already done all that.

If none of these things can get your baseline pain level below a 7, THEN your doc will consider prescribing opiates. It's called due dilligence, and it is something your doctor has to be able to prove if she ever has to go before a state board.

I know that this sounds daunting. However, all along the way there are steps that might just help you lower your pain level. Physical therapy has helped many of us. Relaxation therapy is something we all need during flares--it can really help. Almost all of us use heat therapy at least some of the time.
During this time, a GOOD doc will be helping you find some non -opiate meds that might help.

There are many ways to ease your pain. Opiates are--and should be--a last resort. Even if your pain level stays the same, you will need more and more of your opiate to combat it. They are addictive so that if your pain level should even off, you will be faced with all the joys of withdrawl.

In all, this is a long haul. Your goal should be less pain, not more meds. As you go along you will find new ways to deal with your FM and new ways to enjoy this altered life you now live.

Towards better days,

BetteK
 
avatar
Anon_408 responded:
Drs. under the pressure of the FDA also, do not or will not prescribe narcotic pain meds for chronic pain conditions much any more.

Especially with a problem like fibro, a person gets used to a doseage, and have to increase the amounts or strengths.

Just the other day, I read an article that a script for vicodin will require a visit to the Dr. every 30 days. They will not be able to call one in, fax it to pharmacy, authorize more then a month at a time, at the most.

Along with long term use for chronic pain, so many abuse it, they are making it difficult for those truely in need to get it.

But trust me, you probably will have a really hard time getting much narcotic meds for long term use.
 
avatar
dakotaspirit1957 responded:
Hi kiski... I am wondering is there any {as my drs put it.... structure problems..} other than just FM...My structure problems are many and can be verified in MRI's and some even in E-RAY's... I also have other disabilitating illnesses that cause pain.. Parkinson's Disease and MS and RSD... Bone and Disc Deterioration Disease... Muscle and nerve damage... Neuropathy... etc... So I have plenty to treat...

Some unfortionate FM people are unable to find relief in opiates due to the brain processes the FM effects... Some are lucky like me and find most pain relieved... However in a bad flare nothing relieves my FM...

I feel FM pain pretty constant... 24/7... Along with my other pain... But the meds I am on keep my pain levels down to a tolerable 3 to 4 now with the help of epidurals... Not FM shots just epidurals... Now that my neck nerve damage is dealt with I feel the tender points of FM in my shoulders and neck... But not severe yet... I am still working on the first series of epidurals tho...

It still took me a while to get someone to listen and get me into pain management and get anyone to treat me with opiates... We tried all the FM usuals... Unfortunately... they didn't like me or me them lol.. So it was our last straw... I am now pretty comfortable... Not pain free and I do suffer with a lot of pain in the late afternoon and night every day but I can live with that... I have my self hypnosis... meditation... and imagery... and rest... and exercise... soft stretches throughout the day... and night...

I know pain is maddening... difficult to live with.. But I try hard to keep up my spirits and remain positive... I have been in and out of a wheelchair for years... almost 30... But in and out is not "in" one... I count my blessings... I do have some bad Parkinson "Dances" as I call my jerking and shaking about lol... but I can still type and come here and read and sometimes it may take hours to respond to someone or post but I have the patience.. every once in awhile lol...
Sometimes... Occasionally... Well on some days... lol...

My best advice to you is to read our post called our "Toolbox"... It can be found here...

http://forums.webmd.com/3/fibromyalgia-exchange/tip/5

I can't tell you how many times I have read it... Been like book reading now a days lol... It might be a source of some help other then meds... that might help you now... It was written by the members here about what helps them...

Hang in There and Pace yourself... For me that is the hardest thing to do... I even have to pace how much I sit up... And believe me I truly like to push too far there lol... But so far the past 3 days I have held my own.... This is my 3rd day up after a long illness... And I am not flaring as bad as everyday goes by.. I am still getting rest when I need it I guess... But I am still pushing just a little to gather more strength... I just have a fine line... Unfortionately I can be doing everything just right and still get hit hard... Oh well.. As I say... "Such is the life in Jan's World..." lol...

I hope you get to feeling better fast... I will keep you in my thoughts and prayers...

Take care... Love... Jan/Dakota


Helpful Tips

For All our new members
Welcome all new members, I want you to understand how important it is to be o.k. with coming here to lift your spirits and release ... More
Was this Helpful?
374 of 401 found this helpful

Related News

There was an error with this newsfeed

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.