Opioid withdrawal need help!

Discussion in 'Fibromyalgia Main Forum' started by LouiseK, Feb 16, 2007.

  1. LouiseK

    LouiseK New Member

    I need some quick advice. I have been taking a small but very regular dose of Lortab and now just realized I am running out and it is a three day weekend.

    Of course my doctor told me never to call on the weekend for a refill as that is "drug seeking" behavior . . .don't ask . . .anyway she is not on call and I'm sure another doctor won't fill it. I think just asking for it means you are a crazed addict. But that's another topic.

    My question is how can I minimize any withdrawal symptoms.
    I usually take 7.5 mg twice a day (15mg) and I only have 27.5 mg left which will probably have to last until the end of the day on Tuesday.

    Should I hold off taking anything for longer than usual? Should I just take a small amount evenly twice a day? I don't know anything about how long this lasts in the body or if it is harder to deal with feeling sick from withdrawal if you let it start.

    Please help! ( Sorry I know this sounds sort of lame but I am in so much pain and misery that the idea of more seems terrifying, honestly)

    Thank you so much.
    [This Message was Edited on 02/16/2007]
  2. LouiseK

    LouiseK New Member

  3. LouiseK

    LouiseK New Member

    bumping

    thank you!
  4. blkkat

    blkkat New Member

    id like to say hi, and i do know what your going through. i take 5mgs oxycodone 6xday,oxycontin 10mgs 2xday so i can relate!!!! please do not contact your DR. it will put a red flag on your file! im sure you have a contract of some sort, and they mean what they say. i see you take 7.5 2xdy, really you could cut back to 5mgs 2x day to get threw this week end and if you can take ibprofen it should help with the body pain, ((( REMEMBER IM NOT A DR YOU ASKED , THIS IS JUST WHAT ID DO IVE BEEN DOING THIS PAIN MED thing FOR OVER 2 YEARS>))))and if you feel you need to go to a DR you know best. plus now your scared so your pain level is up! try and med itate, knit,do a craft to take your mind off your pain. you shoulnt get w/draw as long as some is in your body. good luck you can get through this!!! GOD BLESS - BLKKAT
  5. LouiseK

    LouiseK New Member

    Thank you for the help and sympathy. I don't have enough to take 5x2 for the next four days. how about I try 5x2 tomorrow, 4x2 Sunday and 2 1/2x2 on Monday and Tuesday?

    Ibuprofin? Is that tylenol? That's a good idea and I could take it at the same time and maybe that would help.

    What do you think of the schedule above.

    This totally sucks. I don't have any contract -- it's just my primary who prescribes it -- but she makes these (stupid) comments and I do not want a "red flag" -- I think your advice is sound on that. What about this dosing schedule?

    Thank you so much.
  6. pat460

    pat460 New Member

    Hi,

    I know you are worried but try to relax as that will help your pain more than anything. I am on 10/325mg Norco, which is same thing as Lortab only less Tylenol, and have been for many years. I take 6 a day, but can't ever remember having withdrawal as it is a short acting drug and only really lasts about 4 hours. I have been through withdrawal many times on other meds though and suggest you cut your dosage in half and supplement with extra Tylenol since that is what is in your medicine anyway. Just my opinion and of course you know I'm not a doctor.

    Best of Luck!
  7. blkkat

    blkkat New Member

    yes i think it sounds good . and no its not tyl.sorry cant spell for beans! its like advil helps me w/real bad pain/headache takes the swealing down. remember were here for you!!! your going to be fine. tell yourself that. do your nails,take a warm bath w/candle soft music. watch a funny movie next thing you know youll be at the dr and dont let them see you sweat over this. or tell them you ran short. im lucky my dr allows me 7days of meds extra in case of shes out or i go on a trip ect. but it took me bringing my med in every month and showing her she could trust me. again im here almost every nite ill help you get through this. GOD BLESS - HUGS BLKKAT
  8. pat460

    pat460 New Member

    Just wanted to add--you shouldn't be having the added stress of worrying about withdrawal. A primary is very hesitant about giving pain meds for very long. You need to see a pain doctor to evaluate your pain and proper dosage so this doesn't happen again. I have been in pain for a few years and really recommend it.

    By the way, I just answered your other post about Lyrica so you might want to go back and check. Hope you have many painfree days ahead!


    pat460
  9. larryh

    larryh New Member

    Not everyone goes through with drawl. On most days I take 10 mg of oxycodone time release morning and evening and as many as six 5 mg hydrocodone for break thru pain, but there have been days when the fog was way worse than the pain and I took nothing and didn't suffer for it.

    Like the others said....... worry is your worst enemy.

    Larry
  10. LouiseK

    LouiseK New Member

    ...about everything. Honestly I take so little of this stuff I'm sure I won't feel anything.

    All your thoughtful comments made me realize a couple of things. First, the agony I'm in all the time is very likely not because my tiny dose of Lortab has worn off as my MD likes to tell me. I hurt because I hurt! Just like anyone who is in pain and has the medicine wearing off and the pain returning.

    Second, a pain specialist is what I need. I've been on a really low does of narcotics like this for two years so clearly I'm not abusing them and I really do function better and have at least a couple of hours relief with them and I am actually entitled to that once in a while. Clearly my even sending out this message indicates that my doctor is intimidating me unnecessarily.

    Everyone makes us so ashamed in one way or another for having these diseases. I feel guilty all the time about everything and like any doctor that will even give me the time of day is doing me a big favor. I'm afraid to go to a pain specialist as I think my md will use that ans an excuse not to treat my pain any more and who knows what the pain specialist will do for me, if anything. I could be left with nothing for the pain.

    Thanks so much everyone. I'm not going to worry about the withdrawals that likely won't even happen. Instead I'm going to focus on all these other issues I clearly have going on. Thanks for the free therapy:) Sorry if I seem a wimpy whiner.
  11. blkkat

    blkkat New Member

    OH BOY HERE WE GO ANOTHER PERSON THAT THINKS JUST BECAUSE WE USE PAIN MEDS LIKE OPIATES-sorry cant spell WERE ADDICTS BLA BLA BLA OH YA AS MOST PAIN DR (WHICH I THINK DO NOTHING FOR YOU EXCEPT CHARGE AN ARM AN A LEG) MY REG FAMIlY DR TREATS ME, AND AT ALOT CHEAPER MAY I ADD!! THE PAIN DR FAV> SAYING IS ((((PUT YOUR PAIN BEHIND YOU)))) ID LIKE TO TELL THEM TO LET ME PUT MY PAIN RIGHT UP YOUR A-- IM SORRY SOME OF US NEED PAIN MEDS JUST TO GET OUT OF BED!!! LIVE W/IT 24/7 AND YOU TEND TO GET THIS NO CARE ATTITUDE AND JUST SAY HEY LEAVE ME ALONE AND IF U CANT THEN BITE ME!!! WE NEED TO DO WHAT WE HAVE TO <EACH OF US IN OUR OWN WAY! ONE THING DOESNT WORK FOR US ALL. AND IF YOUR DR ISNT TREATING YOU THE WAY THEY SHOULD THEN ,FIND A NEW ONE <REMEMBER WERE IN THIS LIVIN HELL THEY ARENT!!!!!!! SORRY JUST MY 2 CENTS TAKE IT OR LEAVE IT!!!
  12. LouiseK

    LouiseK New Member

    Well, it does remain to be seen if Lyrica and Cymbalta and Provigil and etc. are actually effective for numbers of people and actually don't have some bad side effects long term.

    Opioids on the other hand have been used for a hundred years and at least you know what you are getting into. The Tylenol they mix with them is much more toxic than the codeine, that's for sure.

    Addiction? People are in AGONY trying to get off Cymbalta for instance (or Paxil, etc.) so that must be six of one and half a dozen of the other.

    Best of luck to all and may you find the magic elixir that lets you wake up rested and feeling light as a feather!
  13. pat460

    pat460 New Member

    I so agree! I don't personally believe in addiction for people who are in severe pain. I think when the pain stops, so will the need for the meds. You have to be careful what type of pain dr. you seek help from. Once I tried a pain mgmt. clinic and they wanted to take my meds away and send me to a psychiatrist! I RAN out of that place--so to speak. Now I go to a pain research clinic where they do research studies and are always looking for new ways to treat pain. Like, recently they offered me a new study on Fentynl nose spray. If your regular MD will prescribe you adequate pain meds then that is the best way to go. All my local doctors stopped wanting to treat my pain. That's why I searched elsewhere. It just sounded to me like louisek was going thru the same thing and that's why I recommended the pain dr.


    pat460
  14. MsOnlyMe123

    MsOnlyMe123 New Member

    All members have very good ideas. If this was happening to me, this is what I would do. Call the doctors office and see who is on-call, it might just be your doctor...you won't know until you call. If it is, don't go into detail repeating what she has told you about not calling on the week-ends for medication refill.

    (Try to be on the calmer side if at all possible) You noticed today, after her office hours, that you don't have enough of medication to last through the week-end until her office opens again. You can begin telling her the date that you got your last refill and how much medicine you have left. Give her the name(s) of the medication(s) that you need refilled, the milligram, the quantity and tell her Brand or Generic. Also, have you pharmacy name and number ready.

    Now, if your doctor is not on call, tell the doctor who is the exact same thing. They will probably say no, since they do not now you. Now, back in your court, ask the doctor on call to please get ahold of you doctor and confront with her or better yet, let her call you. Then ask the doctor on call to please give a time frame that you could expect a call back from them or your doctor.

    Kindly, but firmly let this doctor know why you need to take this medication, (CFS/FMS or others) and you cannot bare the pain without your medication(s). Also, mention that by no means do you want to experience withdrawel symptoms and you certainly you do not want to experience a possible seizure.

    If and when you do speak to your doctor and she starts with that silly stuff about being a drug-seeker, again just say that you are truly sorry for bothering her on the week-end, but you noticed you do not have enough medication to hold you over until her office re-opens. She knows your not, but sometimes, and I see this alot besides doctors, anyone who has the power over other people, like in this case, just want to make sure we all know that they are the boss. That part happens to me quite often and then I "yes" them to dealth until I get what I need.

    You do not have to suffer for no-one's ignorance!!

    THIS IS JUST MY OPINION.

    Hope everything works out to your benefit.

    Eileen


    Best of luck


  15. suzetal

    suzetal New Member

    What you need to do is only take one dose a day thats it so it stays in your system and you WILL NOT GET SICK.

    If you do not have enough for that take half.as long as you have some in your system you will not get sick.

    It wont help your FM/CFS or what your taking it for.But you will not get sick.

    I know this for fact cause its happen to me.

    Sue
  16. Suzan

    Suzan New Member

    My two cents is...FIND A NEW DOCTOR as well. IMHO it is totally uncaring and unprofessional for a doctor to say don't call on weekends. It is also uncaring and unprofessional to not be fully treated when you are in pain. There are good doctors who will work with you to alleviate your symptoms..and your worries...GO FIND ONE!
  17. mujuer

    mujuer New Member

    will tide you over if you just ask. I have ran out of various rx's over the years with no refills and they always give me enough 2-3 to tide me over until I get in touch with the dr. Hope this helps
  18. LouiseK

    LouiseK New Member

    All excellent suggestions and amazing compassion.

    Thank you so much.

    Pain is a whole world, isn't it?

    Best to all.
  19. brensjoy

    brensjoy New Member

    I have ran out of meds before so i feel your pain. Thank God i have a wonderful doc. who actually know that fibro pain is real so i can call anytime. I am not a doc. but i would suggest u take your meds at night that way u will be able to sleep during the day try to keep busy. If your pain gets really bad u can always go to the emergency and they will give u something for pain. If your doc. said not to call her then i wouldnt. hope u b ok
  20. nightngale

    nightngale New Member

    Is if you are on a prescribed amount and you accidentally forget to get refilled in time, how is that drug seeking behaviour? With my insurance you can only get it refilled a certain amount of days before you run out. I can see if you ran out before your allotment is up, and want more....but if not why the big hoopla? Everyone forgets things once in awhile, especially if you are in a fibro fog!

    For next time, maybe make a note in a day planner or something. I have a small one I write everything in the world in, I can trace the last 9 years of my life with them!

    Good luck!

    Reminds me of a time I went to my PREVIOUS Phsyc. doc after racing from work, and all the doors were locked, and yes I was out of meds! I called the emergency number and the person was so rude! They said I should never wait till last minute, and I would have to go the emergency room! I was so upset! The Doctors had closed early and had the wrong number for my cell phone or work or both and never got in contact with me. I think I knew someone on the same med and was able to borrow some till I got my refill but sheesh. Once by husband had to go to an all night pharmacy at midnight cause of a similar problem. He is my lifesaver.
    [This Message was Edited on 02/17/2007]