plantofjoy (plantofjoy) wrote in pain_n_sobriety,
plantofjoy
plantofjoy
pain_n_sobriety

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RE: Have questions about pain mgt and sobriety

 Hello;

I am Josie and I am an addict and chronic pain sufferer.  I am hoping to find friends here that have similiar problems as I do.  I am in recovery from opiate abuse and unfortunately I have severe chronic pain that requires I take opiods on a daily basis.  I have a sober friend holding on to them for me, they only give me what I am prescribed each day no matter how hard I beg for more on "bad" days.  I am having less and less "bad" days mentally, but more physically. I am afraid to tell my doctor that my pain is not responding well to the dose of methadone I am on (I am on 60mg per day, that's 20mg 3X per day).  I have been on that dose for about 6 months now, it stopped being effective 3 months ago and its getting worse.  I just fear rejection, and possibility of my doctor "kicking" me out of the practice because I am being "difficult".  I don't know why I feel this way.  My doctor has been Ok increasing me in the past, but has mentioned that she would not like me to be on too high of a dose.  I wrestle with my mind, I think on one hand I would only need 20mg more per day that would take me from 60mg to 80mg and it would NOT give me a "buzz", I know fully 100% that I am NOT seeking a buzz, I have gone over and over this.  I am seeking more pain relief especially at night. I cannot get thru the night too well these days.  I am asking what others think of this from their own experience.  Should I mention that I think I need 20mg more per day, or just mention that I may need help in general and see what she says?  She knows I cannot take a lot of anti-inflammatories because I have stomach and bowel issues.  Maybe I should tell her how I feel and see if she either increases the methadone or maybe adds another narcotic "break-thru" medication or non-narcotic "break-thru" medication (I have tried Lyrica, and Neurontin, Elavil, Celebrex, and Vioxx, with some allegeries and others made no difference, and some made me too tired).  Thanks for any input.  

Sincerely;

Josie
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I'd mention that you need help in general and see what she says.

One thing I've found extremely helpfull in helping distinguishing between druk seeking and pain avoiding is to find an addiction specialist that specifically works in (or for) a pain clinic and letting them interview me.

In your case, you might want to have regular check-ups with such a doctor to help your prescribing doctor's peace of mind.

Good luck!!