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scoliosis w/cysts

Hello,im new here.I am hoping to learn and get advice.I just started seeing a dr because i recieved medikan which is similar to medicaid.I never recieved treatment other than chiropractic in past which helpd temporarily.I am frustrated with my situation because in 1995 i lived in a small town and neverknew that there was treatment for the pain such as pain clinics,so i treated my self illicitly by taking pain medicine not prescribed to me to function in community runs and yoga etc.And which only caused me to injure my knee due to lateral imbalance and running is tuff on joints.I was functioning ok and then heard of a dr that treated pain,and needless to say i had been treatn myself and my tolerance was higher for meds then it should be and i had to take higher then normal amounts to control pain and that due to playing dr.It finally came out in wash and contract was severed.Well i had this dependence and pain issue and heard of suboxone which i did until i couldnt take the side effects any longer,i took it off and on,until about 3 months ago.My ex-wife and i reconciled some what but because i couldnt afford to keep seeing that subox doc due to back interfering in my ability to function she paid for it.Until i was approved for medikan.Well the dr decided that since i had a past issue with pain medicine,he did told me he didnt feel he could treat my pain any longer and that i was referred to university clinic.I feel like i will always have a stigma on me now.And its disheartening we couldnt find an dose or medicine that works.Pharmacist says suboxone can stay in system for six months blocking the pain effects of other pain meds.Well the ones he tried were not controlling the pain as the dose needed to be titrated but he would switch it to another instead.Then of course he squashed it all together. I need pain relief and am anxious about surgery. What recourse do i have?Any helpful advice would be appreciated.Thanks.


  • sandisandi Posts: 6,343
    edited 12/07/2013 - 10:49 AM

    Unfortunately, you have created a big mess for yourself, due to taking medications not prescribed to you, and then taking astronomical amounts. Tolerance is one of those "issues" that people love to use as a 'rationale" for taking more than they are prescribed, but tolerance doesn't occur in nearly the amount of frequency that we often read about. Tolerance comes from being on a medication for an extended period of time, taking the same continuous dose, and not getting the same pain relief as previously gotten. It is not something that occurs overnight or suddenly, or after taking meds for a few days or weeks. I am at the same dose of medications,for the last three plus years, less in fact than I have been on for more than 7 years.
    Going on Suboxone was done to avoid withdrawal, and is used to maintain sobriety, or that's how it is supposed to work, unfortunately in your situation , you used it to avoid withdrawal from the abuse of opiates.
    I'm sorry that you are hurting, and have physical pain, however, given your track record, it may be very difficult for you to find someone who is willing to take the risk of having a patient who won't comply with the rules- urine tests, frequently, pill counts - randomly called in for, weekly or biweekly prescriptions and other methods to monitor your use.
    If you are not taking any illegal/illicit drugs at this point, then your tolerance should be what anyone else's would be who is not taking opiates. Therefore, there would be no need to be concerned about tolerance issues or needing higher doses.
    Suboxone does not stay on the opiate receptors for 6 months, but PAWS can continue for that long, depending on how much suboxone you were taking.
    I suggest that your best option might be to consider finding an addictionologist who specializes in treating both addiction and chronic pain complaints. They do have other treatment options to treat pain besides the use of opiates, and monitoring programs to prevent misuse or abuse of the priviledge of medications.
    The other option is to see a surgeon and have whatever physical conditions you have fixed and eliminate the pain.
    I strongly suggest that you look into a support program as well since dealing with addiction and misuse issues will certainly crop up again if you aren't taking care to address the problem in the first place.

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