Discussion in 'Fibromyalgia Main Forum' started by roma06, Jun 2, 2008.

  1. roma06

    roma06 New Member

    If anybody has ever had this experience...
    I have taken 40 mg of oxycontin for 2 years, 3 times a day. My body became immune to hydrocodine and recently oxycontin is not relieving the pain.
    My pain management doctor perscribed me 25 mg of Fentanyl patches but I have spent the first 24 hours on this new medication in EXTREME, UNBAREABLE pain.
    Will these patches eventually relieve my pain? Or should I go to the emergency room?
    I can not tolerate the pain any longer.

    I have been with FM for 6 years and I am a 52 yr old female. Thank you so much for your time and advice.

  2. PVLady

    PVLady New Member

    If you have just stopped the Oxycontin, I am kind of worried about you. You cannot stop it cold after all that time without help. In 3-4 days you may go into a severe withdrawal reaction.

    I was on MS Contin for 9 months a few years ago. I transitioned to Subutex and not only had no pain, but no withdrawal reactions. I cannot promise you will react the same -

    Subutex is normally used to prevent withdrawal effects when stopping any opiates. It also treats pain. A doctor must be specially licensed to prescribe it. They are trained how to transition you, etc. My pain doctor has 16 fibro patients on Subutex doing well - no pain, etc.

    Subutex fills the "mu" pain receptors in your brain but not like normal opiates. It is considered a mild opiate but the difference is you never have tolerance. I have been on the same 16 mg day for over 3 years and have no pain at all. Sometimes I drop down to 8 mg and still no pain.

    Once you have been on Subutex for a while, it is very easy to discontinue. It is like a step down from the opiates, however, you can easily stay on a maintenance dose if it stops your pain.

    I am so sorry you are going through this. I will warn you, many doctors have no knowledge on Subutex and only know it is used for addicts to get off opiates, etc.

    Rather than refer you to someone who can prescribe it, they would rather allow you to suffer the terrible withdrawal. Right now your body is screaming for pain relief . Those receptors in your brain are no longer getting the Oxycontin.

    Fenatnyl is not the same drug and will not stop this. I don't know where you are located but you are welcome to call my doctor and get information on the Subutex protocol.

    He sees patients from all over the US - he frequently speaks at worldwide pain conferences with other doctors, trying to educate them on pain management. I truly believe we are in the dark ages with pain treatment.

    My doctor is Dr. Rick Chavez. He is located in Redondo Beach, CA - phone 310- 798-1633. You can ask for his wife, Lynette. Tell her "Carol" a patient of Dr. Chavez referred you.

    If you have been on that dosage of Oxycontin you may get very sick with 3 days. If you happen to get sick please go to the emergency room. My mom had a severe reaction when a doctor tapered her too fast from her pain meds.

    On the third day she was incoherent, vomiting, etc. She was age 76 at the time and it still breaks my heart to recall her suffering. I took her to the ER and she was in the hospital for over a month.

    Please let us know how you are doing. It sounds like it was dangerous to allow you to stop the Oxycontin cold after that time. Please don't be afraid to call and consult with other doctors.

    People like to make us feel like it is our fault when we get in trouble with pain medications. Dr. Chavez is the most compassionate doctor I have ever met. Also, he does believe in prescribing opiates, etc. - I was the one who wanted to stop MS Contin due to side effects. I was shocked to find it controlled the pain.

    Lastly, with Subutex, you can take pain meds if needed eg. if you have a surgery, etc. There is another drug called Suboxone. If you do check into this, ask for Subutex, not Suboxone. With Subutex, if you have medical ER you can still take pain meds, etc. I had gallbladder surgery last year and did great.

    Here is a list of doctors in Dallas that prescribe Subutex and are pain specialists. Any of these can get you on Subutex and treat your pain at the same time.

    Philip Brown, M.D. Baylor Center for Pain Management 3600 Gaston Avenue Suite 360 Dallas, TX 75246 (214) 820-7246

    * Sullivan Bryant, D.O. 3534 North Hampton Road Dallas, TX 75212 (214) 631-5234

    * Robert Bulger, M.D. 8230 Walnut Hill Lane Suite 320 Dallas, TX 75231 (214) 265-9991
    * John Cather, M.D. 4541 Bordeaux Dallas, TX 75205 (214) 476-3001
    * Patricia Chandler, M.D. 6263 Harry Hines Blvd. Dallas, TX 75390-9067 (214) 648-1388

    * Howard Cohen, M.D. 5701 Maple Avenue Suite 100 Dallas, TX 75235 (214) 351-6600

    * Benjamin Cunningham, M.D. 1261 Recard Crossing Dallas, TX 75235 (214) 688-0078

    * Walter Elliston, M.D. 7777 Forest Lane Building C, Suite 833 Dallas, TX 75230 (972) 566-4591

    * Barry Fenton, M.D. 3710 Rawlins Suite 1370 Dallas, TX 75219 (214) 520-7575

    * Clifford Ferrell, D.O. 12900 Preston Road Suite 1117 Dallas, TX 75230 (972) 480-0000

    * Ronald Fleischmann, M.D. 8411 Preston Road Suite 712 Dallas, TX 75225 (214) 360-0720

    Robert Freele, Jr., M.D. Medical City Dallas 7777 Forest Lane, Suite C-833 Dallas, TX 75230 (972) 566-4591
    * Stephen Gist, M.D. 5461 La Sierra Drive Dallas, TX 75231 (214) 692-8541

    Justo Gonzalez, M.D., F.A.C.A., A.B.A.A.M. Medical City Dallas Hospital 7777 Forest Lane, Building C, Suite 538 Dallas, TX 75230 (972) 566-4890

    * Manju Goyal, M.D. 16800 Dallas Parkkway Suite 150 Dallas, TX 75248 (972) 733-7242

    * Irina Gromov, M.D. 8222 Douglas Avenue Suite 375 Dallas, TX 75225 (214) 905-5090

    * Robert Herbert, M.D. 12890 Hillcrest Road K-101 Dallas, TX 75230 (972) 233-9230

    * Joel Holiner, M.D. 7777 Forest Lane Suite 833C Dallas, TX 75230 (972) 566-4591

    Andrew Hopkins, M.D. Green Oaks Hospital 7808 ClodusFields Drive Dallas, TX 75251 (972) 267-1988

    * Manoochehr Khatami, M.D. 5939 Harry Hines Boulevard Suite 823 Dallas, TX 75235 (214) 631-0502

    Patricia Lowrimore, M.D. NeurobeMD, PA 9900 North Central Expressway, Suite 500 Dallas, TX 75231 (214) 692-1900

    * Eric Mayer, M.D. 5701 Maple Avenue Dallas, TX 75235 (214) 351-6600

    * Tom Mayer, M.D. 5701 Maple Avenue Dallas, TX 75235 (214) 351-6600

    * Candace McDaniel, D.O., M.R.O. 8021 East R.L. Thornton Fwy. Suite A Dallas, TX 75228 (214) 328-4848

    * Michael Methner, M.D. 302 North Zang Dallas, TX 75208 (214) 943-6700

    * Rodolfo Molina, M.D. 7777 Forest Lane Building C, Suite 833 Dallas, TX 75230 (972) 566-4591

    * James Montgomery, M.D. 7515 Greenville Avenue Suite 700, LB 520 Dallas, TX 75231 (214) 696-5015

    * Dhiren Patel, D.O. 1475 Prudental Dallas, TX 75235 (214) 522-4640x4

    * Pedro Perez, M.D. 8340 Meadow Road Unit 134 Dallas, TX 75231 (214) 369-5522

    * Luke Peris, M.D. 14800 Quorum Drive Suite 465 Dallas, TX 75254 (972) 661-2066

    Radhika Ravula, M.D. 8230 Walmut Hill Lane Dallas, TX 75231 (214) 265-9991

    * Ahmad Raza, M.D. 5323 Harry Hines Boulevard Dallas, TX 75390 (214) 645-4490

    * Samuel Remer, D.O. 2505 Wycliff Avenue Dallas, TX 75219 (214) 219-5551

    * Stephen Rodrigues, M.D. 5445 La Sierra Drive Suite 102 Dallas, TX 75231 (214) 572-0333

    * Leslie Secrest, M.D. 8200 Walnut Hill Lane Dallas, TX 75231 (214) 345-7355

    * Fazila Siddiqi, M.D., P.A. 5939 Harry Hines Boulevard Suite 315 Dallas, TX 75235 (214) 879-6500

    * John Talmadge, M.D. Dallas VA Medical Center 4500 South Lancaster Road Dallas, TX 75216 (214) 857-0835

    * Carlos Tirado, M.D. 5323 Harry Hines Boulevard Dallas, TX 75390 (214) 645-6981

    * Mark Unterberg, M.D. 8330 Meadow Road Suite 128 Dallas, TX 75231 (214) 373-8990

    * Harold Urschel, III, M.D., M.M.A. 8222 Douglas Avenue Suite 375 Dallas, TX 78225 (214) 905-5090

    Norberto Vargas, M.D. Mockingbird Towers East Tower 1341 West Mockingbird Lane, #710 Dallas, TX 75082 (214) 691-2975

    * Carlos Venegas, M.D. 8222 Douglas Avenue Unit 601 Dallas, TX 75225 (214) 363-5400

    Sidarth Wakhlu, M.D. Dallas VA Medical Center, Mental Health 4500 South Lancaster Rd., Bldg 1, 5th FL Dallas, TX 75216 (214) 857-0835

    * Jeffrey Wasserman, M.D. 7899 West Virginia Dallas, TX 75237 (972) 572-6101

    * Lenae White, M.D. 8222 Douglas Avenue Suite 390 Dallas, TX 75225 (888) 230-3554

    [This Message was Edited on 06/02/2008]
  3. roma06

    roma06 New Member

    pv ladY

    Thank you very much for you information.
    i am still in a lot of pain ,and i do not have de words to thank you forall the time that you take to give me this inf