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Narcotics and Nerve Pain

davedave Posts: 883
edited 06/11/2012 - 1:35 PM in Chronic Pain
Meydey, you almost got it right in regards to narcotics and nerve pain. I definitely have to differ with anyone saying that narcotics do not help nerve pain. As it stands right now, its the only drug I have left that provides any relief. It's not 100%, but beggars can't be choosy.

As for those of you that say narcotics don't help, why do you continue to take them? I really want to know the answer to this question. I have heard so many people come on here and say that narcotics do not touch their nerve pain and yet they still take them.

Dave
meydey321 said:

I just wanted to mention that narcotic pain medication can be effective against nerve pain if it is prescribed in high doses, and so much more when it is done by using a pain pump delivery system.
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Comments

  • Go back to the original thread to see my response. Thanks
  • First off I moved this to a separate thread rather than hi-jack someone else's.

    Not trying to pick a fight here. I'm disagreeing with your premise that it takes high doses of narcotics to treat nerve pain. I am unable to take the nerve prescriptions that you have mentioned and I can only tolerate small doses of narcotics before they totally screw up my system. I'm only able to tolerate up to 30 mg of Oxycodone a day. It's not a lot, and believe me when I tell you if could tolerate a larger dose, I would. It's all I have and I'm very thankful for what I get.

    Dave
    meydey321 said:

    What do you think I got wrong? I also agree that narcotics play a role in controlling nerve pain but it has to be dosed right in order to be therapeutic, and this falls on the expertise of a pain specialist. I also think that medication such as Lyrica, Neurontin, or Cymbalta should be used along with narcotics for better pain relief. This of course has to do with taking oral medications.

    From what I understand, when you use a pain pump, the doctor hopes to get you off the nerve pain medications. Some patients will have to stay on it, but at a reduced dose. This is what I've been told and they hope I can get by on 30mg of Cymbalta instead of 60.

    I also believe that those who do take narcotics as part of the regimen for nerve pain mgt, go on to do so even if they think it doesn't do much good because it's better than taking nothing. They are probably underdosed and may need a nerve pain medication to supplement whatever narcotic they take. The combination of both will not take the mechanical and nerve pain away, it will only make it manageable. I'm saying this from my own experience. I take 80mg of Oxycontin daily, 40mg oxycodone daily, 60 mg Cymbalta, and muscle relaxers. My nerve damage is permanent and I also have bilateral sciatic pain. My stim trial failed a long time ago and I also had a morphine trial that was successful. I think that I will get better relief with a pain pump once I have my surgery, since during the trial I had better relief than the stim trial.

    Again, I'm speaking from what I went through. What works for one may not work for the other- it comes with the territory when you're dealing with chronic back pain and sciatica.
  • Hi,
    I have both nerve pain and pain pain.
    My neurontin does nothing for my pain and my pain meds do nothing for my nerve pain.
    Thats how it is for me.
    Patsy
  • The same is true in my case, as well.

    Rusty
  • For those with mechanical pain, this question is not for you. It's directed at those who have damaged nerves and say that narcotics do not touch there pain yet still take them.

    Dave
  • You know me, I don't go around instigating O:) I have read that it take high levels of narcotics to make a difference with nerve pain. I can't recall where I learned that info and I'm sorry I can't relay it to you right now. I do feel bad for you since you can't tolerate anything higher and I understand how miserable this is. Also, I want to say how considerate you were to move this discussion in order not to hijack the previous thread. Did you say if you were contemplating trying out a stim or pump for your pain? Does you doctor have any plans for you? I really hope you get relief somehow. Take care :H
  • I'll be doing a trial stimulator sometime in the near future. Just waiting for all the i's to be dotted.

    If you research neuropathy, arachnoiditis (my problem) or any of the other nerve type problems, they all say that treatment with narcotics, particularly opiates (not synthetic), can be effective in treating nerve pain.

    I'm sorry, it irks me when someone says they don't help. The only way they can truly answer that question is to only have the narcotics available to help them, nothing else.

    Dave
  • I hope your stim trial is a success and you get your surgery soon.
  • I take narcotics for my nerve pain. I can't take Lyrica or anything like it because of bad side effects. I have problems with meds and have to be very careful what I take.
    I take 15mg Oxycodone every 4 hours or as needed.
    It has helped my leg and foot pain but does nothing for my back pain. Go figure...

    Patsy W
  • I have both regular old mechanical pain and nerve pain from severely damaged nerves due to CES and arachnoiditis. I take both nerve pain type medications and regular pain meds as well.
    I won't say that the nerve pain meds cover all of the pain from the damaged nerves, or that the regular pain meds cover all of the mechanical pain either. Together, for me, they are better together than apart or separately.
    I got horrible burning pain in my legs, along with severe muscle spasms from my lower back, down my buttocks, thighs, calves and down to my feet. At times, the muscles spasm so hard around my hips and into my groin that it feels like they are going to rip my legs off, and I almost wish that they would.
    Anyway, it may be that for some patients like yourself that oral pain meds might in fact, help with the nerve pain, but for the majority of us, I think that we need both to get the best level of pain relief that we are going to get at this time, without having a pain pump installed or a scs.
    It may come out in time that there may be yet another option for us, but we aren't there yet, so we each must work with our doctors to find out which option we have is best for us, individually.
    Sandi
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