Pain mgmt. doc switched my prescription to dilaudid

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Posted: 4/17/2017 6:34:56 PM EDT

Wow finally relief

Posted: 4/17/2017 6:36:24 PM EDT

[#1]

What was it before?

Posted: 4/17/2017 6:36:53 PM EDT

[#2]

When I was in the hospital, I loved that stuff.

Glad it's helping you!

Posted: 4/17/2017 6:37:22 PM EDT

[#3]

You must be in some serious pain. I'm glad your doctor is taking care of you.

Posted: 4/17/2017 6:39:12 PM EDT

[#4]

Quote History

Quoted:
What was it before?

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Oxycodone 15 mg. I hated it

Posted: 4/17/2017 6:41:27 PM EDT

[#5]

Nighty night.

Posted: 4/17/2017 6:41:28 PM EDT

[#6]

Quoted:
Wow finally relief

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2mg? Oddly enough, dilaudid does next to nothing for me. I much prefer Oxy for post surgery pain.

Posted: 4/17/2017 6:41:58 PM EDT

[#7]

How long will it work for before you build up a tolerance?

Can you perform at your job or operate a motor vehicle while taking that medicine?

Posted: 4/17/2017 6:42:11 PM EDT

[#8]

Shit is amazing, took my kidney stone pain away in 2 minutes, Vicodin did nothing.

Posted: 4/17/2017 6:44:53 PM EDT

[#9]

They gave me a shot of that in the ER once. Did absolutely nothing

Posted: 4/17/2017 6:45:08 PM EDT

[#10]

Pretty standard migration depending on what's wrong. Without having a case history... May want to consider some opioid sparing therapy options as well depending on what's going on. Long term short acting opioid use can lead you down a path you don't want to travel.

Posted: 4/17/2017 6:45:38 PM EDT

[#11]

Quote History

Quoted:
You must be in some serious pain. I'm glad your doctor is taking care of you.

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Yeah military career cut short. Back is destroyed, I can't stand for 10 minutes and I'm done. Bent over like I'm tying my shoes. I'm very careful with the meds ie: no alcohol intake or sleep meds etc. Not proud to on it, but I can't function without them.

Posted: 4/17/2017 6:51:54 PM EDT

[#12]

Have fun not being able to take a shit.

Posted: 4/17/2017 6:53:09 PM EDT

[#13]

Quote History

Quoted:
How long will it work for before you build up a tolerance?

Can you perform at your job or operate a motor vehicle while taking that medicine?

View Quote

Medically retired and wife drove me to doc today. I took the oxy for years before I got switched. I think the reason it's working so well as I did build a tolerance to the Oxy. I never take more than what is prescribed just to make sure I actually have my wife hold my meds and dispense them to me daily. Does not plug me up,
4mg 4 times a day, but I usually make it on 3 a day.

Posted: 4/17/2017 6:55:36 PM EDT

[#14]

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Quoted:
Have fun not being able to take a shit.

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There is a drug to help with that now. It's new as I understand so not sure if its on the market yet.

Posted: 4/17/2017 6:58:08 PM EDT

[#15]

Rotation of pain medications is reasonable on chronic pain. Tolerance is not 100% across all opiates so one can get relief simply by switching to and equally strong (2mg dilaudid is equal to about 10 mg oxycodone). You are actually getting better results with less narcotic and reducing risk of abuse and addiction by switching. Your doc is no dummy.

Posted: 4/17/2017 6:59:47 PM EDT

[#16]

Quote History

Quoted:

There is a drug to help with that now. It's new as I understand so not sure if its on the market yet.

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Movantik and Relistor tablets are direct antidotes to opiate induced constipation. They reverse opiate action in the gut without reducing pain control because they do not cross into the brain.

Posted: 4/17/2017 7:00:38 PM EDT

[#17]

They gave me dalaudid after some surgery, and after a couple of days it gave me horrible headaches. The headaches were so bad I asked for a different medication, but I had to wait about eight hours for the dalaudid to get out of my system before the headache went away.

I learned that headaches often happen with that medication. I can take it for a day or two if needed, but those headaches really frighten me, so I am very leery of taking it for longer than two days now.

Grapes work great combatting the constipation....some times they work a little too well.

Posted: 4/17/2017 7:04:08 PM EDT

[#18]

I end up getting is a few times a year. Makes the days in the Hospital fly by.

Posted: 4/17/2017 7:04:57 PM EDT

[#19]

Quote History

Quoted:
Rotation of pain medications is reasonable on chronic pain. Tolerance is not 100% across all opiates so one can get relief simply by switching to and equally strong (2mg dilaudid is equal to about 10 mg oxycodone). You are actually getting better results with less narcotic and reducing risk of abuse and addiction by switching. Your doc is no dummy.

View Quote

Good information, thank you.

Posted: 4/17/2017 7:05:07 PM EDT

[#20]

Quote History

Quoted:
Have fun not being able to take a shit.

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I have Crohns and I love being on Opiates because for once I'm not shitting myself constantly

Posted: 4/17/2017 7:06:48 PM EDT

[#21]

I was getting a full mg of Dilaudid IV every 2 hours for the first day or so after my hip replacement. (I went into surgery with a pretty good tolerance for opiates.)

I had to almost beg the medical staff to cut my dosage and get me on oral pain meds so I could get the f*** out of there.

The stuff works! Use appropriate caution, such as not taking more than you really need and reducing the dose when you are able to.

Posted: 4/17/2017 7:09:02 PM EDT

[#22]

I'd stay far away from that stuff outside of a a very short term hospital setting.

Posted: 4/17/2017 7:09:04 PM EDT

[#23]

I like injected dilaudid - it was very effective for me. The oral dilaudid just made me feel drowzy and a little nauseous. Maybe dose related... but still.

Posted: 4/17/2017 7:09:53 PM EDT

[#24]

10 times more powerful than Morphine, be careful breathing is important.

Posted: 4/17/2017 7:11:44 PM EDT

[#25]

Quote History

Quoted:
I have Crohns and I love being on Opiates because for once I'm not shitting myself constantly

View Quote

I can dig it

Posted: 4/17/2017 7:13:13 PM EDT

[#26]

Quote History

Quoted:
Movantik and Relistor tablets are direct antidotes to opiate induced constipation. They reverse opiate action in the gut without reducing pain control because they do not cross into the brain.

View Quote View All Quotes

View All Quotes

Quote History

Quoted:

Quoted:

There is a drug to help with that now. It's new as I understand so not sure if its on the market yet.

Movantik and Relistor tablets are direct antidotes to opiate induced constipation. They reverse opiate action in the gut without reducing pain control because they do not cross into the brain.

Thanks for the info on the names I did not remember. I did a show for one of the companies making it several years ago and could not recall. I do recall the drug company presentation stating that something about molecule size not being able to cross the blood brain barrier so the opiate still worked in the brain but was negated in the rest of the body. Neat stuff.

Posted: 4/17/2017 7:13:57 PM EDT

[#27]

Quote History

Quoted:
Shit is amazing, took my kidney stone pain away in 2 minutes, Vicodin did nothing.

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Took more like 90 seconds for me when I had a huge kidney stone. The time to drop pain from an 11 down to 0 was amazing. While in hospital or the ER is only time they have given it.

Posted: 4/17/2017 7:15:05 PM EDT

[#28]

I to was on IV dilaudid after major reconstructive surgery. Pain pump and bolster shots every 4 hours. IV it worked like a charm but the oral meds 2mg and 4 mg didn't touch the pain when they took me off the pain pump. It was so bad they had to put me back on IV and keep me in the hospital longer. There is no use for "home" IV dilaudid...way to dangerous but the oral stuff is nothing like the IV stuff. SubQ isn't even close to IV for that matter. FWIW I had no trouble coming off the oral dilaudid after the first 90 days

Posted: 4/17/2017 7:15:31 PM EDT

[#29]

Quote History

Quoted:
10 times more powerful than Morphine, be careful breathing is important.

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5-7 times per most of the literature and if it not sedating by itself and not mixed with other drugs and/or alcohol the risk is minimal.

Posted: 4/17/2017 7:17:17 PM EDT

[#30]

Quote History

Quoted:

Thanks for the info on the names I did not remember. I did a show for one of the companies making it several years ago and could not recall. I do recall the drug company presentation stating that something about molecule size not being able to cross the blood brain barrier so the opiate still worked in the brain but was negated in the rest of the body. Neat stuff.

View Quote

You are exactly correct. They address the cause of the problem and do not come with the pain and cramping that stimulant laxatives have

Posted: 4/17/2017 7:17:55 PM EDT

[#31]

Quote History

Quoted:
10 times more powerful than Morphine, be careful breathing is important.

View Quote

You are correct, but where morphine might be prescribed in say 30mg dose, the hydromorphone is dispensed to me in 4mg dose so it's kind of a wash if that makes sense. Tried morphine, but I itch like I have crabs

Posted: 4/17/2017 7:21:02 PM EDT

[#32]

I am sorry to hear that you are in that much pain.

I had a tonsillectomy a couple of years ago. They gave me dilaudid pills, and liquid lortab. I never felt relief from the dilaudid, until I blew a clot out and had to stay in the hospital overnight. IV dilaudid is the Devil. The first IV injection had my chin in my chest before the nurse finished injecting it. I had those nurses in there every 3hours and 55 mins. That made me realize why people could be junkies with their arm about to fall off. Be careful with it and continue to let your wife administer them. An addiction to that is a terrifying thought.

Posted: 4/17/2017 7:22:06 PM EDT

[#33]

I have dilaudid right now too.

On a wound vacuum for a wound in my leg - hydrocodone for pain maintenance and dilaudid for when they change the dressing out. It helps very much, but I'm definitely not taking it when I'm not supposed to. That's powerful stuff - you can feel it.

Posted: 4/17/2017 7:24:34 PM EDT

[#34]

My wife had An allergic reaction to dilaudid two days ago and almost died . Be careful .

Posted: 4/17/2017 7:26:53 PM EDT

[#35]

Quote History

Quoted:

You are correct, but where morphine might be prescribed in say 30mg dose, the hydromorphone is dispensed to me in 4mg dose so it's kind of a wash if that makes sense. Tried morphine, but I itch like I have crabs

View Quote

Morphine feels like ants crawling up my neck into the back of my skull.

I got that when I crushed my thumb.

Posted: 4/17/2017 7:40:42 PM EDT

[#36]

Getting the "D" eh? I take a mix of 40mg of oxy and 30mg of methadone a day. I wish I could knock it down to a couple dilaudid a day....it was the only one that actually works for me.

Posted: 4/17/2017 7:41:45 PM EDT

[#37]

Quote History

Quoted:
My wife had An allergic reaction to dilaudid two days ago and almost died . Be careful .

View Quote

Sorry to hear that, I hope she's okay

. I'm really careful with the meds and go as long as possible before dosing again. I can go as long as 8-9 hrs between on a good day because it lasts so much longer than the other med I was on.

Posted: 4/17/2017 7:41:53 PM EDT

[#38]

There is a lot of misinformation about opiate respiratory depression. The driving force of respiration is CO2 levels as measured in the carotid sinus and controlled in the medulla in the brain. As CO2 levels rise, we involuntarily take a breath. Opiate activation of µ-opioid receptors at specific sites in the central nervous system including the pre-Bötzinger complex, a respiratory rhythm generating area in the pons can reduce the respiratory response in the brain. The more opiates one has on board, the higher the CO2 levels must be before one takes a breath. Now, there also is a conscious effort to breathing as well. Quote often, patients in the recovery room have to be "reminded" to breathe as their automatic system is impaired. However, they don't know they have to breathe because their brain is not getting that signal about the rising CO2.

Thus, if a person is gasping for air, and saying that they can't breathe, it's not the opiate. Under opiates they don't know they have to breathe and it doesn't bother them.
Secondly, the level of opiates needed to blunt the respiratory response comes with a level of sedation so if someone is alert and awake and carrying on a conversation, they are not in danger of opiate induced respiratory depression.

Posted: 4/17/2017 7:43:47 PM EDT

[#39]

Quote History

Quoted:
I have Crohns and I love being on Opiates because for once I'm not shitting myself constantly

View Quote

Imodium is an opiate

Posted: 4/17/2017 7:44:34 PM EDT

[#40]

Quote History

Quoted:

Imodium is an opiate

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Gives me terrible cramps.

Posted: 4/17/2017 8:03:58 PM EDT

[#41]

Quote History

Quoted:
There is a lot of misinformation about opiate respiratory depression. The driving force of respiration is CO2 levels as measured in the carotid sinus and controlled in the medulla in the brain. As CO2 levels rise, we involuntarily take a breath. Opiate activation of µ-opioid receptors at specific sites in the central nervous system including the pre-Bötzinger complex, a respiratory rhythm generating area in the pons can reduce the respiratory response in the brain. The more opiates one has on board, the higher the CO2 levels must be before one takes a breath. Now, there also is a conscious effort to breathing as well. Quote often, patients in the recovery room have to be "reminded" to breathe as their automatic system is impaired. However, they don't know they have to breathe because their brain is not getting that signal about the rising CO2.

Thus, if a person is gasping for air, and saying that they can't breathe, it's not the opiate. Under opiates they don't know they have to breathe and it doesn't bother them.
Secondly, the level of opiates needed to blunt the respiratory response comes with a level of sedation so if someone is alert and awake and carrying on a conversation, they are not in danger of opiate induced respiratory depression.

View Quote

Is this tied into or related to sleep apnea? I have both obstructed and central sleep apnea, and have been using a ASV CPAP machine for about ten days. I went from 111.7 events per hour to 2.9 events per hour. Definitely have more energy during the day.

Posted: 4/17/2017 8:07:15 PM EDT

[#42]

Quote History

Quoted:

Is this tied into or related to sleep apnea? I have both obstructed and central sleep apnea, and have been using a ASV CPAP machine for about ten days. I went from 111.7 events per hour to 2.9 events per hour. Definitely have more energy during the day.

View Quote

I don't think it is directly. Opiates reduce respiratory drive by affecting the CO2 regulatory center. Sleep apnea is usually obstructive. Most likely you are sleeping better because you are more comfortable

Posted: 4/18/2017 12:39:30 AM EDT

[#43]

Quote History

Quoted:

I don't think it is directly. Opiates reduce respiratory drive by affecting the CO2 regulatory center. Sleep apnea is usually obstructive. Most likely you are sleeping better because you are more comfortable

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When they have me on Dilaudid in the hospital they make me wear an oxegen mask at night. 02 levels in my blood drop. I don't understand why it does that.

Posted: 4/18/2017 1:39:10 AM EDT

[#44]

[Removed - Paul]

Posted: 4/18/2017 1:50:21 AM EDT

[#45]

Doctor gave me dilaudid for kidney stones.

"This will fix it"he said.

Got some reason, it literally didn't do anything.

I was praying for death for a couple days. My normal painkiller for migraine was a lot more effective, I always wondered if I got a bad batch or something.

Fairly useless in my limited experience.glad it's working for you

Posted: 4/18/2017 1:55:01 AM EDT

[#46]

The absorption rate of Dilaudid and Morphine when taken orally is about 50% of whatever dose your taking. The oral version is nothing like the IV version. Hope you get relief, watch your bowels

Posted: 4/18/2017 2:01:58 AM EDT

[#47]

I had that one time. I went to the ER with the worst pain I've ever had and the doctor gave me 6mg intravenously. I'm told that within 10 minute I was laughing and flirting with the nurses

. I can absolutely see how people get addicted to that.

Posted: 4/18/2017 2:04:44 AM EDT

[#48]

Quote History

Quoted:
Pretty standard migration depending on what's wrong. Without having a case history... May want to consider some opioid sparing therapy options as well depending on what's going on. Long term short acting opioid use can lead you down a path you don't want to travel.

View Quote

Like where?