My pm doctor is suggesting and has been suggesting for a couple of visits now that I go off my pain meds for a time period and then go back on them. Her theory is that for some people, narcotics can actually make your pain worse, if you have been on pain pills for a long time, your pain medications can be attributing to your pain instead of helping it. So her solution is to take a break from pain meds. I am not sure how long she is talking about taking a break from, I did not ask her, I think she is talking 30 days. It would be 30 days of pure hell I can tell you that because I have significant pain from DDD, arthritis, migraines, etc. We went through the entire stages of verifying what I do have, she ran her own tests, some really not necessary, and some were good. I don't understand this hyperalgesia stuff and what I do know about it all the literature I have read says its is poorly understood. From Wikipedia it says: If an individual is taking opioids for a chronic non-cancer pain condition, and cannot achieve effective pain relief despite increases in dose, they may be experiencing opioid-induced hyperalgesia. In this case, they may benefit from complete withdrawal from opioid therapy.
But for me I have been on the same strength for quite some time now, I have not gone up in strength, and in fact went down, I am on Avinza 45mg, I WAS on 60 mg and felt that was TOO STRONG and asked to go down to the 45mg. I also take 15 mg of Roxicodone for breakthrough pain as needed up to 2 a day. So I take 45 mg of Avinza a day and 2 Roxicodone's a day if needed (15mg). I fail to understand how I would fall into this category of Hyperalgesia, if I have not go up in strength in medication, it is not making any sense to me at all. I am not really willing to through the pain and torture of being of pain medication because this doctor thinks it will help me, I think she is wrong, what are some of the opinions of you guys??