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Medications in a pain pump for your back

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:20 AM in Pain Management
I was wondering if anyone knew all the common medications that are used when an indivdual gets a pain pump put into them from back pain?

Also could anyone tell me if they have ever heard of putting Fentanyl in the pump? Thanks


  • I am going in for a pre-op consultation on Tuesday for a Medtronic pain pump that will be implanted in my stomach area. The doctor I have has talked about filling it with a combination of Morphine and Baclaphine (sp?) I need a combo of muscle relaxer and pain control for my muscle spasm plus pain issues with my back. Unfortunately this combination hasn't been approved by the FDA, so I will be agreeing to do it off label....
    I haven't heard of Fentanyl being used, but I'm not any type of expert in the area! In most of my research prior to opting for the surgery I saw morphine being the most common drug. Just remember that you do a trial before implantation, and this can allow you to try different meds to see what works best. Also, whatever meds you get you'll only need approximately 1/100th of the amount you were taking previously since it goes right to your spine, so if you can back down from fentenayl to morphine all the better.
    Hope this helps a little!
  • Listen Please do not have fentanyl put in the pump. I had the morphine removed and replaced with fentanyl on the 17 of June and I ended up in the E R. They were determined to keep the fentanyl in so they lowered the dose but I still ran a fever and suffered the worst upset stomach I ever had. I survived kidney cancer and my wife thought she was going to loose me to a bad medicine reaction. I got the drug removed July 1 and now I am waiting for the morphine to get through the plpe line to the spine. But PLEASE do not get the Fentanyl. I have had Didlodid with no problems, But please stay very far away from the Fentanyl. This message for Pinkgirl
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  • bohica2753, I hope you're still out there and get this question. I have had my pump for 2 years and it is not as effective as it once was. Was the Dilaudid in the pump or taken as a tablet for break through pain? I am having excrutiating painfel legs and seems to be progressing to my cervical spine. I have stenoswis in the majority of my spine along with degenration in the entire lumbar region, parts of my thoracic and at least half of my cervical. I am only 48 and need a combination that I can live with for a long time. Again hope you're still out there and anyone who cares to comment please,please feel free. Thank you Marene or littlefishmamag
  • Again, this is another piece of info that stears me away from the pump,
  • I have a pain pump with Diladuid in it. Yes, they do put Fentanyl in them or Morphine or Prialt(this has serious side effects)
    Yes, some do have side effects from Fentanyl and some do not.
    They can also put a blend of meds in a pain pump. Bupivacaine is one that is sometimes added to the pain meds. It is a numbing agent that helps to reduce pain. I already have numbness in my legs so I can't use it.
    I have no problems at all with the Diladuid and it is a bit stronger than Morphine.
    Doses are in micrograms not milligrams and because it goes directly to the spinal cord much less is needed and side effects are reduced because it does not go through your system first.
    Hope this information helps you.
    Cheers :H
    Patsy W
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  • Thanks Patsy, once again thank you! Your info is always very helpful!
  • I am going to do the trial pain pump shortly & would like to know any experiences, good or bad that anyone's had. I'll remember the fentanyl. Was it put in your stomach or back. Mine wll be in the back.
  • Was your pump put in your stomach or back?
  • Sorry its taken this long to answer but I'm slowly but surely learning how to navigate thru chat rooms and forums. But, after my initial run with the test pump w/morphine I realized that for me this was almost a miracle. I hadn't felt that well in years. The side effects are minimal and the pain relief was thorough. Its been 3 years(almost) and I'm still doing well. I am at the top of the limit for the drip and am now using vicadin for breakthru and muscle relaxants for the twitches. I started to feel more intense pain than was normal about 6 mnths ago but after one test and much evaluation my dr and I understood the pain I now have is neuropathy. I'll soon be starting with nerve pain relievers. One of the features of having the pump is that because of the very small amount of drug that is used to be effective it leaves more room for additional meds if needed. My pump is intrathecal and is in my right abdomen closer to my waist. I had a choice of sides r or l but not front or back. I put mine on the side I did not sleep on. I hope this helped.
  • thank you for the response.
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