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Jude's avatar

A question about an alternative to Oxycontin for extreme (chronic) pain?

Asked by Jude (32198points) March 25th, 2010

I have a family member who went through a terrible work accident over 10 years ago. He suffers from chronic pain that’s unbearable, unless he takes a strong pain med. For the past ten years it’s been Oxycontin.

His injuries (from what I remember) are problems with his facet joints, herniated discs – L4 L5, midline disc bulge.

He desperately wants to get off of the Oxy. He knows he’s addicted and of course, for long time users you’re dealing with tolerance. He told his doctor that he wants to get off of it. He tried it this past week. His doctor gave him a “scrip” for Clonazepam (I think it was) to help him sleep for a few days, then he was supposed to go to the Methadone clinic (coming off of Oxy/take Methadone). According to my family member, when he got to the clinic, they refused to give him the Methadone, since he was taking such a high dosage of Oxy for pain, they said that he’d still need something strong for the pain (if that makes any sense). And, you see, this family member has lied so much in the past that our family doesn’t know what to believe. We don’t know if he’s telling the truth – as far as what the doctors at the Methadone clinic said.

Anyhow, he had to go back to his doctor and his doctor decided to go back to the Oxy, but, my family member would get it every three days, as opposed to once a month. When he got it once a month, he would abuse it and run out of meds before his next doctor’s visit. This way with every three days, he can’t abuse it. His doctor also decided to cut back on the dosage, as well. The goal, to eventually ween him off of the Oxy. His doctor said it would take about 2 years to do that. Again, this info is coming from someone who is an addict and who has lied a great deal in the past. Not sure what to believe.

My question is this, for someone in his shoes with the amount of pain that he’s in, what means (meds) other than Oxy could he take/do for his pain?

The past four days I’ve been helping him with his withdrawls. What a shitty, shitty way to live. My heart breaks for him.

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14 Answers

Silence04's avatar

Methadone is very strong, it’s what is given to herroin addicts as well.

I would imagine they’d give him a lower dosage of oxycotin first… But I’m not a doctor.

Has any other family members gone with this person to the doctors or clinic?

Jude's avatar

@Silence04 No one in the family has gone to any of his appointments.

Silence04's avatar

@jjmah that would be what I’d suggest doing…

FutureMemory's avatar

The goal, to eventually ween him off of the Oxy. His doctor said it would take about 2 years to do that.

2 years? That is (most likely) complete bullshit. Do you know the dosage?

Jude's avatar

Right now, I’m looking into a pain management/Methadone clinic not far from here. There has to be something else..

faye's avatar

2 years seems long to me. Oxycontin is considered a ‘dirty drug’ to my newer doctor. I had it for a few days -it made me stoned and crazy. If his pain is chronic with no cure he should try gabapentin. It has worked wonders for me.

FutureMemory's avatar

My father has taken Oxy for at least 10 years, and I have taken it as well. Feel free to PM me if you want, jjmah.

FutureMemory's avatar

OK, a few people have PM’d me wanting specific info, so I’ll write something up later tonight. Relatives just arrived, I gotta get off the comp.

drClaw's avatar

Subutex or Suboxone are the best and unlike methadone they don’t offer a euphoric “high” without taking away from pain relieving qualities. It is also much much easier for people to ween themselves off of. In fact I would caution against methadone as it is the most difficult of all the opioids to withdrawal from (even if you ween slowly).

I work with oxy addicts and after a serious hand injury I opted to use subutex opposed to oxy strictly because I was afraid of how addictive oxy is and I have to say that it worked quite well.

Rarebear's avatar

He needs to see a specialist in pain medicine addiction.

Arisztid's avatar

Has he been to a pain clinic?

If not, I highly suggest you recommending that he ask for a consultation. Managing pain with as little medication, especially narcotic medication, is the specialty of pain clinics.

faye's avatar

My pain clinic doctor gave me amitriptyline and long acting morphine!! My own doctor changed it for me.

jazmina88's avatar

Pain management was a joke for me. The guy only cared about giving that shot that gave him $300 bucks or so and givent give a crap how bad you hurt inbetween appts. He did not write scripts. I recently was given percoset….and feel pretty fuzzy myself.

I wish you guys the best…...this is not easy. Pain can really screw up your life.

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