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Pain meds/new laws
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Hanzy56 posted:
Hi thanks for all your replies.I want to clarify a couple of things.I have been using the same pharmacy for years[as I agreed to in my "contract"> and he is not the problem,we are almost friends.He told me that the new laws that apply to his wholesalers severely limit the amount of medicine he can recieve,so he is trying to help as many of his customers as possible,which I respect him for,hence the 90 pill limit.I have talked with others & they have said their pharmacists have told them the same thing.Also,I do not take these meds for ms,I have so many things messed up in my back that I won't bother listing them.Finally,I HATE taking these medicines,I truly don't understand why anyone would take this for "fun".
I am curious about the difference between cancer pain & non-cancer pain,as I have not gotten cancer,at least not yet.Is there really any difference in severe Pain?
I recently went to a seminar @ our local hospitals pain center.I inquired about an intrathecal pain pump,which my first Pain Dr. had suggested,and his reply was that he would only do that to someone with a terminal illness.I'm not a Dr.but I know several others who have one it has been a blessing for them,much less medicine better results & it certainly eliminates the possibily of diversion & I would think overdose.I am curious as to why this is not an option for a person like me whose chance of recovery is about 0.
Again thank you all for your replies,I hope I get a lot more.I keep praying for a miracle,It amazes me that we can get 3-d pictures from Mars but we can't get relief from terrible pain without some form of poppy juice.
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annette030 responded:
I don't know where you live, but out here in the far west, there is no "pill limit" that I have ever heard of. I get far more than 90 pills a month of each of my schedule II opioid pain meds each month.

There is some controversy about cancer pain and non-cancer pain, I do not think there is much difference between them myself. I prefer mild, moderate, or severe pain, but it does seem to matter if it is neurogenic pain or not. Some opioids seem to work better than others on neurogenic pain.

I have mixed feelings about implanted pain medicine pumps. First, I prefer that surgical options be the last thing tried when all else has failed. If oral opioids do not work for you and you have already tried other forms of pain control, then an implanted device of some kind might be your next choice.

Also with things like the pump, you must consider financial costs. If you lose your insurance what would you do? One person who posted on this forum several years ago found herself in this situation. She could not get her pump refilled with medication, and could not get the pump removed either, she could not afford either. She was asking about oral meds to try. An implanted pump does not eliminate the possibility of overdose, as the practitioner who fills it might cause you to overdose by missing the port and injecting all that medication anyhow. it has happened. Infection is a constant possibility also with someone sticking a needle in you periodically. You are correct about diversion though. These are all things to consider when you come to making that decision.

Take care, Annette


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