Cymbalta works for my pain at 60 mg 1 pill a day with the hydro at 4mg 3 xday...as far as the morphine u really shouldn't mix..You really need to be up front with the Doctor and let him know you are running out before your next prescription..Than he or she can recommend something else or bump it up.. If u have a understanding Doctor and talk than u will get the help..
With Cymbalta it took 2 wks before I noticed a huge difference while talking the hydro..I do find it u your pain is from nerve or muscle damage or both than it will work.. Usually it starts at 20 mg and ges up..Your Doctor will determine the proper dose with a pain narotic to help with break through pain still it kicks in..Than the Doctor should slowly taper u off the naroctic proper so u don't suffer to much withdrawl.. Hopefully this helps you..
With Cymbalta it took 2 wks before I noticed a huge difference while talking the hydro..I do find it u your pain is from nerve or muscle damage or both than it will work.. Usually it starts at 20 mg and ges up..Your Doctor will determine the proper dose with a pain narotic to help with break through pain still it kicks in..Than the Doctor should slowly taper u off the naroctic proper so u don't suffer to much withdrawl.. Hopefully this helps you..
Hydro or dilaudid is much stronger naroctic than morphine..it would take at least 80mg of slow release morphine to match with 4 pills of hydro at 4 mgs 4x a day..
As u I have many health issues as well..I have a throid, high blood pressure and nerve/muscle damage and ADHD.. So I take a throid pill, 2 blood pressure pills, 2 pills for pain, 1 pill for my adhd.. I have to say with all of this I am a much happy productive person and have no pain and started losing weight..I go out now and involved in painting..And looking forward to going back to work after a restless 7 yrs of pain and depression... I should tell u there are risks with any meds and should only do something with the consultation from your Doctor.. There is another pill that helps with pain it called Lyrica but I couldn't take that one because after a month had a severe allergic reaction to it..So all meds react differently to each person..
As u I have many health issues as well..I have a throid, high blood pressure and nerve/muscle damage and ADHD.. So I take a throid pill, 2 blood pressure pills, 2 pills for pain, 1 pill for my adhd.. I have to say with all of this I am a much happy productive person and have no pain and started losing weight..I go out now and involved in painting..And looking forward to going back to work after a restless 7 yrs of pain and depression... I should tell u there are risks with any meds and should only do something with the consultation from your Doctor.. There is another pill that helps with pain it called Lyrica but I couldn't take that one because after a month had a severe allergic reaction to it..So all meds react differently to each person..
Your right about Cymbalta that it is a psychiatric med but if u suffer from nerve or muscle damage it blocks messages to the nerves or muscles to stop the pain..usually u need a narotic to help with break through pain with the Cymbalta..Doctor's are very nerve about narotics but if u have documentation showing u have damage or pain.. A Doctor should not be nerve..A Doctor should however find medication that will help first without the narcotic first..Becasue there are meds out there..But of course there just starting to come out now..So its really hard for patient who have been taking narotic pills only to believe thse other meds work.. I have to say they do but u would need to find the right one for anyone.. Its sad because the people that have abused them wreck it for the ones that don't..
Sorry was talking about myself.. I did not want everyone thinking that if u take pills for a long time that we are all addicts..that was not my intention..I am having such a hard time getting off the naroctic and stay only on the cymbalta..Because both work well together I have no pain at all..I just hoped I could get off the naroctic only..
I truly understand chronic pain.. I know my post was taken the wrong way..So I'm sorry for that..My intention was to find a way to get off the narcotic and stay on Cymbalta that helps with my nerve and muscle damage..But as it stands with both the hydro and Cymbalta it works so well together that I have no pain at all.. Back when I was diagnosed with this damage my only option at the time was naroctic pills.. So I was given many different types of pain narotic meds to help and no matter what kind or the higher dose it never really took it completely away.. Than a Doctor told me I would just have to live with it..Well u know as well as I u don't u only suffer.. i couldn't live like that anymore..I had a life, work, family and friends.. Not until I finally switch my Doctor and reallized I wanted something better and I wanted to live again... This Doctor understood and listened and she started me on new meds like Cymbalta and hydro and in 6 months have changed so much..If u have a Doctor willing to listen and understand than anyone will be better off.. For me it did..After being off work for 2 yrs and the last 7 chaotic with severe pain..I don't have now!! Just really wanted to try getting off the naroctic because all the severe side affects will cause more damage to your health... So..I'm so SORRY it was taken wrong...
Yes shianne I dont usually run out but i dropped my whole bottle on my wheelchair ramp and probably about half or less went under the boards. lol but im not to worried about it. I have a few left and just not gonna take them every four hours. just gonna make them last till i see my dr. he is a great dr btw.... hey and ty for your comments.
So can i take a morphine pill now that i am out of my hydromorphone.. I see pain dr tommorow, had to go to the er yesterday to get a steroid shot and pain shots. I cant find anything on the internet that says
I have a strong feeling that you have no idea what its like to live with severe uncontrollable pain that interferes with your everyday life including the things you enjoy and the ability to support and make a future yourself and your children. It's true there are no pain killers that eliminate the problem completely but some make it more bearable than others and I am sure everyone physically reacts different to the options available for pain control as I know I do. But you have to choose the lesser of 2 evils if you want to have a life again and there is no point to living when you cant really and truly have a life. So be very careful who you call a drug addict. We may be drug dependent but that is absolutely NOT the same thing. People who take insulin, antidepressants, antianxiety meds, anticonvulsants, and so on and so on, are also drug dependent and many of them are also create a physical dependency, but that doesnt necessarily bring you to the level of an addict. People have a right to live as comfortably as possible and not have their whole lives taken from them because of this stigma towards opiates which happen to be one of the safest pain killers available which have been around for a very long time and studies have shown very few adverse reactions to the body over long periods of time as long as taken as prescribed, unlike all these newer non-opioid painkillers that eventually get pulled off the market within a few years due to terrible effects on the body. Although I am sure their are people who are drug seekers and abusers, those individuals can't be allowed to affect the lives of us who are severely suffering and just want a normal life again, or at least as normal as possible, as we are certainly entitled to that. Be careful when you judge as you might find yourself in the same predicament and find out for yourself exactly what living in chronic pain is really all about and all the ways it negatively affects your life which becomes a vicious cycle to the point of hardly even living anymore and I wouldn't wish that on anyone.
I have 4 herniated discs in my back, one of which is torn and leaking cerebro-spinal fluid onto the nerve. Apparently, according to my doctor, it is like having an internal chemical burn. I have had 6 corticosteroid injection procdures (at 2 different sites). Currently I am taking 60mg of morphine sulfate 2x/day, and oxycodone 10-325 2-3x/day as needed. The pain yesterday was still so excruciating that I could not walk. I have asked my doctor about switching me to dilaudid, and explained how my grandmother had sworn by it and explained how well it worked after her surgery. My doctor kind of ignored my request and told me I didn't need to switch anything, just increase my morphine. (I was on 30mg 3x/day before). The pain is still not bearable, and I find myself taking 400mg of ibuprofen 4x/day as well in an attempt to get some extra relief. Any suggestions anyone?
I know the burning and chronic pain from nerve damage.. My Doctor put me on Cymbalta at 60 mg and hydromorphone4mgs 4x a day.. it works very well.. somehow the cymbalta blocks the nerves that cause the pain..it takes about 2wks to work.. that is y u need another pain reliever for the break through pain..maybe suggest something like that...
There are other medication that help with what u have..Suggestions Lyrica and Cymbalta.. I've been on Cymbalta for 6 mths with hydromorphone and I have no pain at all...
Cymbalta works by blocking the nerves which cause the pain..For more info on it check internet..
Cymbalta works by blocking the nerves which cause the pain..For more info on it check internet..
I sympathize with your predicament. I have taken many different types of opiates and I absolutely agree that dilaudid works the best for me without a doubt. I am on 60mg MS contin 3x day and 8mg dilaudid 4x day. I cannot take ibuprofen or meds of that type anymore as it tore up my stomach after taking them for so long. When I first began taking straight opiates and was put on dilaudid every 4 hours I had decent pain control but when it needed to be increased after being on it for a while with my medical condition worsening they decided I should go on long acting opiates in combination with short acting. Thats when they tried every combination under the sun but nothing worked as well as dilaudid every 4 hours. Its so hard to find doctors that are willing to listen to what you feel works best for you instead of them deciding what does. I have had to change doctors several times but they all seem to have their own opinions about each opiate and they differ from doctor to doctor. I am tired of the stigma attached to opiates as they are really the safest pain meds overall. All I can suggest, which probably isnt going to be easy, is to look for a new doctor and find out what their personal opinions on the different opiates are because that has been one of the biggest problem I have come across. For example my previous doctor at one point had me on methadone with dilaudid but my current doctor does not feel methadone is safe. My current doctor previously had me on the fentanyl patch with dilaudid but my neurosurgeon says the fentanyl patch is dangerous and never prescribes it to his patients. Your doctor may be against dilaudid and therefore he may never prescribe it to you. I really feel for you as it really is a never ending struggle to continue to keep your pain under control and have some kind of life especially in the wake of michael jackson and anna nicole smith. I really am sick of their deaths interfering with my ability to have a life!
methadone for pain :)
Narcotics are not for arthritis pain. Arithritis pain is caused by inflammation. You need to treat the inflammation to decrease the pain. NSAIDS, steroids and ice therapies work better than narcotics. There are new therapies also. Ask your specialist about Gold Shots.
First synthesized and researched in Germany in 1924 and introduced to the mass market in 1926, Dilaudid (also known several other brand names as well as it's popular generic name Hydromorphone) is a very potent centrally-acting analgesic drug within the opioid class. It is a DERIVATIVE of morphine, specifically, a "hydrogenated ketone", making it a SEMI-SYNTHETIC drug.
It is generally used to relieve moderate to severe pain and severe, painful dry coughing. It is also gaining popularity in treating chronic pain as well. "Hydromorphone displays superior solubility and speed of onset, a less troublesome side effect profile, and lower dependence liability as compared to morphine and diamorphine. It is thought to be 6-8 times stronger than morphine, but with a lower risk of dependency and it is, therefore, preferred..." (2mg of Dilaudid is equivalent to 10mg of Morphine.)
On December 19, 2011, I underwent my second major scoliosis surgery, with a fantastic scoliosis & spine surgeon specialist this time around - Dr. Lloyd Hey. It was the pain medication I was given via my PCA IV and then by pill. It's been about 2 1/2 months since my surgery and I still take it occasionally for pain as needed. The only side effect I've seen is simple fatigue, which is to be expected when taking a narcotic. Keep in mind like any medication the effectiveness, side-effects and to what degree (strength) felt vary from person to person.
You may like this Opioid comparison chart - it's pretty informative! http://en.wikipedia.org/wiki/Opioid_comparison#cite_note-0
It is generally used to relieve moderate to severe pain and severe, painful dry coughing. It is also gaining popularity in treating chronic pain as well. "Hydromorphone displays superior solubility and speed of onset, a less troublesome side effect profile, and lower dependence liability as compared to morphine and diamorphine. It is thought to be 6-8 times stronger than morphine, but with a lower risk of dependency and it is, therefore, preferred..." (2mg of Dilaudid is equivalent to 10mg of Morphine.)
On December 19, 2011, I underwent my second major scoliosis surgery, with a fantastic scoliosis & spine surgeon specialist this time around - Dr. Lloyd Hey. It was the pain medication I was given via my PCA IV and then by pill. It's been about 2 1/2 months since my surgery and I still take it occasionally for pain as needed. The only side effect I've seen is simple fatigue, which is to be expected when taking a narcotic. Keep in mind like any medication the effectiveness, side-effects and to what degree (strength) felt vary from person to person.
You may like this Opioid comparison chart - it's pretty informative! http://en.wikipedia.org/wiki/Opioid_comparison#cite_note-0