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Quick Tolerance to meds how many different meds are there for pain relief?

Emj1988EEmj1988 Posts: 45
edited 06/11/2012 - 7:44 AM in Pain Medications
I was prescribed vicodin and I built up a tolerance after one bottle.. I can take 1500mg and feel no side effect or nothing what so ever which is very scary. I am on 5mg oxycotton and 600mg oxaprozin now for my pain. The question is what happens when I build up a tolerance to oxycotton? This seems like the best drug on the market for solving pain problems but im only 21 and I dont what to build up a tolerance to meds like this especially when I will probably going to need a double fusion when I'm around 25-30. Thats when I definitely will need it. How many pain meds are out there? I take the oxy very sparingly and it works very well. I don't want to exhaust my options before the real hell begins.

L3-4: Mild bilateral facet arthroses.

L4-5: Mild desiccation and disc bulge. Mild bilateral facet arthroses.

L5-S1: Mild disc space narrowing and desiccation with a left central disc extrusion which extends dorsally up to 4mm. There is mild retrolisthesis of L5 on S1 of 2mm. There is mild ventral indentation on the dural sac and left S1 nerve root. There is no foraminal narrowing. Mild bilateral facet arthroses.


  • perhaps now is the time to speak to a pain medications specialist. there are a host of pain medications but you are a bit away from having to use severe pain medications. talk to a doctor and i am sure you can have alot of your questions answered. good luck and stop by anytime. Jenny
  • I was in the states and due to a situation ages ago, I was having to deal with pain management, and they did their damndest to make sure I found whatever worked for me. Now, I'm in England, I have seen a spine specialist and a PAIN SPECIALIST, all of whom have little or no interest in pain except that (with physio and time...how long nobody seems to know...but that's all i get) I had to act like a wild woman to get ANY oxy's at all, and yes, they do help, and I found that my tolerance has always been pretty tough, whether it's aspirin, vicodin, morphine, but the oxycontin is what's on the table for me now as well. I have had fentanyl patches before which rumor among a lot of patients is that it's the tough stuff, but it didn't do much for me, since the damn patches would always slide off. lol

    Another thing to keep in mind, is that you ARE 21, and in time ( I know that is such a horrible word to hear), but who knows what you're body will tolerate when it's time for that fusion later on down the road? Just hang in there, and be sure to tell the specialist all you can, and they'll try to help you, at least that's one reason I MISS THE STATES!

    I am not a doctor, and I am not trying to give you medical advice here, i just am on here to chat and share my own experiences to let you know you are not alone out there! PM me if you can, and let me know how it works for you. HAve you spoken to Straker on here? He lives here in England too, and I have no idea how he stays so tough, dealing with spinal issues for something like 15 years i believe, and his doses are insane to an average person, but if you listen to what his medical history is- I see nothing wrong with his doses while the man tries to keep surviving!

    take care,

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  • Before you can even think of pain management you need to find out what is causing your pain. Have you seen a neurologist? They can usually pin point what is causing the discomfort and they have a number of different ways to treat it.

    For example if the pain is from nerve pinching a neuro/seizure drug works great. If it is muscular from guarding then PT, and injections can work. Narcotics should really be used for post surgery or some of the very severe non-treatable problems. I would consider that a last resort for lots of reasons.
  • Thanks guys for you replies!

    Lets see; I have seen two chiropractors so far one I my opinion is the best in my state He spends 2 hours with me for the price of a normal 10min visit to a chiro. The other just screwed me up worse. I could throw stones at him :) I have done epidurals with not luck at all and nerve ablations with no luck either. I am now trying pt which is a waste of time because the good chiro taught me basically all the excersies im learning in pt. I walk a mile a day at the minimum. My othro surgeon told me that I reached my healing plateau and sent me on my way. I didn't have to much time to talk (only like a 10min window) and he didn't want to operate which makes sense because I would have my whole spine fused probably by the time I'm 70. My primary doc which im seeing now put my on the oxy im talked about above. Im going to get another opinion with another ortho in 4 weeks. I just hope my brain can function well from all of this nonsense when I go back to school this fall to get another degree :). Before I get the fusion in the future I want to exhaust all options such as the biostat procedure which would be in (eden praire or edinia MN) and adult MSCs injections.

    Yea if you try to make out the pic of my mri on the T-spine you can see the main nerve basically touching like 4 of the intervetebral bodies. I asked about his and they said that's not the pain generator which was interesting. I found out that its because my whole mid back is starting to straighten out. The mid back prob is a new fun prob of mine.

    -I would not be so frustrated now if this problem occurred on its own but I was hurt on the job because of the negligent management of my company. Its kind of hard coping with this and you all know what I mean. No more golfing, no more normal hunting, no more bowling etc...
  • Definitely a pain management specialist if you're having issues with med tolerance! And if you want to figure out what's up with your spine, a second opinion by another orthopedic surgeon might be a good idea.

    Since you are only 21, I'll give you a piece of non-medical advice. Keep very meticulous records of the meds you're taking and the dosages and understand what they mean. For example, vicodin comes in dosages that look like 5/500. The 5 is hydrocodone, the opiate. The 500 is acetaminophen, the ingredient in tylenol. So, as you see, there's no taking 1500 mg of vicodin.

    And the medications for "oxy" are "oxycontin" or "oxycodone" "Oxycontin" is a sustained release version without acetaminophen. Percocet is oxycodone and acetamenophen.

    So, know what you're putting in your body. You only get one. I can see you are trying. Whenever you get a bottle of meds from your doctor, come home and look it up and see what's in it, what the side effects are, what the interactions are with other drugs you are taking, etc.

    (sorry, was that too much like medical advice? If so, I'll delete it).
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