Hi AgAiN ((((All))),
I have to see my pcp today. For those following my inadequate
"treatment" 12 days post op w/Myofascial Pain flare on top, this is
the continuing story of Dr. circus & Yay for pain control(?!).

Since morphine (msContin) is the Only thing helping I'm still so
underdosed I'm goin' nuts (30mg x2 a day). I'm opiod tolerant to the
max due to being on pain meds for many yrs but I had quit taking them
till my gallbladder/hernia repair surg. forced me.

I don't know how much or what to ask for mg. -wise. I'm thinking of
120mg x3xday. I'm afraid if I don't have a clue I'll have to go thru
yet Another week of undertreatment. I think this is what I need tho.
Does this sound fair or should I ask for more & just take it till it
works & save the rest???!!!

HELP QUICK PLEASE!!!
Kindly,
LoriB.o.B.
or should I ask for something else? Opana? dunno if our BlueCross/
Blue Shield will cover it but should.
TY as always!!!

On Nov 20, 10:56 am, "LoriB.o.B." comcast.net> wrote:

On Nov 20, 5:37 pm, Legend gmail.com> wrote:

I have not been following the doctor saga, so this suggestion
may have already been discounted.
But one of its actions is the inhibition of reuptake of
norepinephrine and serotonin. The two primary mediators
of chronic pain.

http://www.supportiveoncology.net/journal/articles/0103216.pdf

On Nov 20, 9:13 pm, "LoriB.o.B." comcast.net> wrote:

I don't want to be the only one suggesting something for
chronic pain without anyone else coming in on it.
After all, this is a chronic pain group. But I don't have it.
I deal mainly with fibromyalgia and post-polio people, and
there are very few on opiates, so I can appreciate your input,
as well as Lori

On Nov 20, 9:26 pm, Michael B bellsouth.net> wrote:

I've been on it for a year. It helps, but I think if I could find a
doc who would be willing to prescribe it in a dosage higher than the
one I'm on now, it could actually maybe even help me control the pain
instead of just keeping me at the edge of intolerance.

Trisha in MO

On Nov 21, 7:38 pm, Michael B bellsouth.net> wrote:

You're able to do medical-speak, have you considered
going for an SNRI as a supplement? Since the
serotonin and norepinephrine are known to mediate
chronic pain.

http://www.rmgh.net/content/view/298/2/

(One of the people I deal with gets her milnacipram from
Europe)

On Nov 22, 8:05 am, Michael B bellsouth.net> wrote:

The two SNRI's prescribed in the US are Effexor XR and Cymbalta.
Unfortunately both of them are in extended-release form, which I
cannot take due to being post-gastric-bypass. I don't absorb extended-
release medications effectively so it's like dumping them in one end
of a straw and letting them pour right out the other end because of
the short time they are actually in my gut; it prevents the effective
absorption of the drug. All my drugs are immediate-release.

Thanks for the suggestion though. I appreciate it.

Trisha in MO

On Thu, 22 Nov 2007 09:14:01 -0800 (PST), trisha f
centurytel.net> wrote:

On Nov 23, 3:43 pm, Mike Berkowitz
pacbell.spamfreeremovethis.net> wrote:

I can't take Effexor - timed release and all - and Celexa gave me a
nasty reaction. Within 3 days of starting Celexa I was coldly and
calculatingly planning a murder and dismemberment in detail. Scary
sh*t. I had to stop that baby.

I do Lexapro...funny 'cause its side effects are supposed to be worse
than Celexa's...10 mg twice a day. I take Xanax, 0.25 mg in the
morning and 0.5 mg in the evening. I take Methadone, 5 mg every 6
hours. That combination leaves me at a 5-6 if I do nothing more than
slug around the house in my nightgown and slippers with the occasional
burst of energy to feed and water the chickens and collect eggs.
Anything more than that I do, I pay for in pain. I have to decide if
what I want or need to do will be worth the consequences.

Sucks, but that's how it is.

Trisha in MO