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cocktail of drugs & still waking up in chronic pain :(

Hi, any advice or opinions will be gladly received.

My MRI scan came back yesterday and I have two prolapsed disks my Dr said L4/L5 and another one in my tail bone area.... i can't remember the code it was S something I think

Anyway, each morning I'm waking g up between 4.30 - 6.30 in absolute agony, takes a minimum of 45 minute's to get out of bed. Sometimes the pain is just in hips or pelvis or both but most the time it's back hips and pelvis. .... Each morning I'm crying!

I've been prescribed Tramadol 50mg 1 or 2 up to 4 times a day, gabapentin 600mg 1 tab 3 or 4 times a day and diazepam 5mg 1 up to three time day.

None if this was helping with the morning issues so Dr prescribed me Zomorph 30mg... slow releasing morphine ...to take in the evening (Tramadol not allowed in evening nnow)

This didn't help either

Yesterday he increased my gabapentin to 1200mg at night to take wirh the zomorph.

I've woken up this morning with no luck, still in cchronic pain and crying.

It's really getting me down and can honestly see me going on happy pills if this chronic morning pain isn't resolved soon.

I'm seeing my specialist in two weeks but don't think I can be like this much longer.

It's draining and soul destroying


  • SavageSavage United StatesPosts: 5,427
    Wow! 45minutes to get out of bed due to pain!

    It sounds like you have been talking with doctor as he has been readjusting your medications. That is good.
    You said seeing specialist in two weeks, so I'm guessing that is not the doctor you have been communicating with.

    After you wake up crying, how long does it take for your pain to be managed to where you are able to get up and at least take care of your basic needs?
    Do you have morning medication re pain that you need to wait for it to kick in?

    I would communicate with doctor again.
    I'm not medical professional, of course, so wondering if maybe, if okay with doctor, would it benefit you to set your alarm a little earlier than your normal wake up time to take your am medication to have time for pain med to kick in before need to get up? I'd ask doctor.

    You mentioned a med increase by doctor "yesterday" and still no luck. Sometimes it may take time.
    What specialist are you going to see? Pain management specialist?
    Pain management was best thing for me!

    I'm not sure what you mean by "happy pills". But I would let doctor be my guide.

    Hang in there! Please keep us posted on how you're doing!
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • missnolegsmmissnolegs Posts: 4
    edited 08/15/2015 - 2:03 AM
    Hi savage, thanks for your reply!

    The 45 mins to get up usually consists of trying to get on my side then being brave enough to swing legs of the side pushing myself up a little then holding on to the back of a chair to sit up and get up! I feel like an old woman .... I'm only 36

    I'm in the UK so the Dr I've been seeing who has been prescribing medication is my GP the specialist I'm seeing in two weeks is a back surgeon who my GP has referred me too.... I'm crossing my fingers it won't come to surgery

    When I wake up the only pain meds I can take is gabapentin and over the counter ibuprofen and paracetamol, this usually takes a good hr to kick in, because the Zomorph is still in my system and don't want to take addition morphine which is in Tramadol. Zomorph is a 12 hr slow rreleasing drug, so I try to take at 8/9pm once it gets close to 8/9am the Tramadol is out the box and being swallowed!

    An alarm is a great idea but it wouldn't help me! As I can wake up anytime between 4.30am -6.30am. Once I take the drugs I can early in the morning and they kick in I try and go back to sleep and then 9 times out of 10 I wake up again in just as much pain as I did the first time, by that time I can take the Tramadol.

    Happy pills, I ment anti depressants! Thus has been going on for 13 weeks now the first 5 I worked through the rest I've been signed off work sick! I DON'T DO SICK!!!! So having to deal with constant pain I believe prozac or something is around the corner if I can't get my pain managed! I'm strong willed and normally a positive person but as everyone there's only so much you can take!

    I'm gonna play around with my medication over the weekend as my GP isn't open again until Monday!

    I just want to wake up where I can at least function and not use tissues!!!

    Thank you I will keep ya posted ☺
  • Can take time to start working. Perhaps changing the time of the extended release medication at night ( taking it a bit later) might be of some help. Gabapentin can take a few days to start seeing the benefit of.
    By the way Tramadol does not contain morphine.

  • Hi sandi123, thanks for your reply! I've found gabapentin really effective I just hope this new dose kicks in soon!

    I think I'm gonna have to play around with times etc, I've tried earlier tonight!

    Oh i thought all opioid drugs were morphine based! My bad! ☺
  • Hopefully you will be getting some good relief now, or within a few days. Adjusting the timing might be really helpful in getting better pain control.
    I hope it works out.
    Don't worry, many people don't realize not all pain meds are morphine based.

  • my pain is usually worse in the morning too. There are days where I am crying on the way to work. It eventually goes away once I start moving around. of course the next day it's back to square one. I am working with the doctor ad p/t to find a better way to sleep so that I'm not in so much pain.
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