Discussion in 'Fibromyalgia Main Forum' started by HOUSEOFBLUES, Nov 21, 2002.
because he said it is a narcotic. Anyone having problems with it as far as addiction?
I'm not sure but I don't think a rhumy can precribe narcotics like oxy, I may be wrong.God Bless, LindaGa
[This Message was Edited on 11/21/2002]
From my experience and from what I have heard from others with fibro, rheumy's don't like to prescribe narcotics, not that they can't. They would rather you have your primary care physician or pain specialist do the prescribing so they don't have to keep up with all the paperwork, etc. My rheumy has no problem at all with my taking them. She just doesn't want to prescribe them. I find most internal medicine drs. don't like to prescribe them either. My pain specialist prescribes what I need for pain. Perhaps you could find one in your area or ask your primary care physician if he believes in opiod therapy for his chronic pain patients. Good luck. Toots
I've gotten my Vicodin ES and Oxycontin from my PCP who is an internal medicine specialist. In my area, they seem to be the most knowledgeable and helpful as far as FM. I've had horrible luck with rheumies. Good luck to you.
Hmmmmmm........I'm at that stage now where I don't trust any of the doctors I've had so far, but, trying an Internal Specialist sounds interesting....
I just might try that next. I'm also in the process of getting together a regimen for myself with the help of this board.
Something's got to give somewhere.......(If not my mind) lol
dear house of blues;
my rheumy put me on it because he said it was better than taking 2 lortabs every 4 hours.i have been on it almost 3 years.i take 1-20mg in the morning.i am supposed to take it at night but i tried it once and it kept mee awake,even my therapist said it was okay to take it,the media has made where doctors are leary of given it because they don't take like they should ,so it makes it hard on people who need it .i don't know if it veryies in each state but i do know in ok you have to have it filled in two days thats the law.
i would try talking to him again about it because it's the lowest of pain medicine their is at 20 mg.there is a lot of other drugs were put on that is addictive also.
Good luck to you
For the most part, rheumies are useless. Most of them irrationally fear opiods. You need to see a pain specialist who works with people with our illnesses.
Please don't judge ALL rheumotologists the same if you have had a bad experience. In my case, a rheumotologist diagnosed me on my first visit with him. AND, he gave me the medications I needed, which includes OxyContin, to enable me to live a better quality of life. Also, Dr. Robert Bennett of Portland, OR is a rheumotolgist. He happens to be one of the top researchers looking for answers in our fight to cure FMS. It takes research to find a physician who understands and is able to treat you. It's a job in itself, but it takes getting on the phone and calling around to find a good doctor. Call the Arthritis Foundation, a local FMS/CFS support group, call the local hospital, etc. to find someone. Like I've told others, you have to find them...they don't come looking for you. Some physicians will diagnosis you but will refer you to a pain clinic for treatment. Many rheumotologists are now being educated in pain management. Our country is FINALLY recognizing a patient's right to pain relief. I think as the baby-boomers age it will become something that is demanded and expected. <ok...getting off soapbox now> Just as I don't judge all priests as predators, please don't judge all rheumotolgists as jerks. Forgive any typos...it's late and my fibro fog is setting in again!
Hello House of Blues!
I was worried about the same thing but all of my doctors have told me that if a person is constantly in pain they cannot become addited to narcotics.A person who doesn't normally take them and who is in no pain will.I have been on moraphine for quite a long time now for back problems and endocet for the same thing and it has not affected me.Mind you everyone is different.I also take other drugs for the fibro,helicobacter pyloria,2 antibiotics to prevent pneumonia because I have no immune system.
My opinion of rheumies is based not only on my own experience but also on the experiences posted here by many of our members.
I'm glad if you have found a good rheumy, but I fear that may be the exception rather than the rule. On the other hand, we do tend to post more about what is unpleasant than what works out well. Rheumies are good for diagnosing as they are usually the only ones familiar with the Arthritis Foundation's criteria.
All I am saying is that if you have serious chronic pain and your doc, regardless of his/her specialty, will not prescribe something for relief, see a pain specialist. Rheumies for the most part use meds which are designed for inflammatory problems and they try to make them work for our pain which is not inflammatory in nature.
I've been treated by the various medical specialists for almost 20 years now. A few years ago I was introduced to a board certified medical speciality that has been around for sometime now...doctor's who are physiatrists (PM&R).
I have never met a fellow FM/CMP/CFS who has been disappointed in the level of care and UNDERSTANDING of these doctors, as a group.
You'll find search databases with physiatrist locators on the internet.
My rheumy has a sign posted in the waiting room stating he does not prescribed narcotics.
So my last chat with him, he told me no narcotics. I said what do I do, live with? And he replied, everyone has to live with something!
And as I said, it was my LAST chat! I was in tears by the time I got to the parking lot. He did tell me though, if I wanted narcotics I should see a pain specialist.
Well, that is on my agenda in December.
Until then, primary has increased my Darvocet to 1 3xday, for fibro and my knee pain.
I asked my primary about Oxycontin and he felt it was too strong of a narcotic and I might get addicted. I guess that meant he wouldn't prescribe it for me and he is referring me to the pain specialist. I hope I get a good one with some helpful strategies.
Unfortunately, my experience with the one here in town prior to my diagnosis was most unpleasant. He was very egotistical, kept his patients waiting forever, and was very accusatory in his conversation with me. Because I had once worked as the fund developer in a low-income non-profit dental clinic where we treated high-risk patients, he asked my why I engaged in such high-risk behavior. He had an undergraduate degree in psychology and I think he was a frustrated psychologist wannabe. The first thing he did was have me tested for Hepatitis and HIV. His arrogance was unbelieveable. He claimed to be able to diagnose FMS, but he didn't even know where the tender points were supposed to be located.
There is some great reading material out there on addiction vs. dependence. I do not use Oxy...probably should try it and I am fine with what I currently use, which is a narcotic. It takes the edge off. I am never pain free and do not expect to be pain free and function at the same time. Much of my need for pain medication is not related to FMS.
Check out the latest on this topic of addiction vs. dependence. It will help you with your doc visits too. It is pretty powerful reading and it is easy to see where you fit in the picture. I fought taking medication for a long time. My doc even said that I was in denial about my condition until the roof fell in (so to speak).
I had a fairly recent in depth back exam in SF with an orthopedic spine surgeon and an osteopath. When I received their 9-page report, one of the comments was "no pain behavior." I thought they were saying that I was not in pain, even with my extensive spinal conditions. Last week I asked my doc to explain the comment. She said, this is very good. It means that they see you as someone in pain and not someone with "drug seeking behavior." So, the reason that I add this is that for me, my once healthy self-esteem has been greatly reduced with my illness. I question myself at times...so back to the literature again...read, read, read and help to educate our doctors. This is serious business and we must somehow find the energy to be an advocate for ourselves and for others who live in chronic 24/7 pain.
Hope I am not over the top on my reply...your post just inspired a few thoughts on the subject of pain management.
Take care HOB,
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