What medication do you use for breakthrough pain?

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Sunshine56	What medication do you use for breakthrough pain?		Lead	[-]
Posts: 41873 07/15/07 14:54 Mosken ezOP Board Owner Norway	Tags : medication, breakthrough pain I thought it could be interesting to share, even the brand names can be different. I don't really have anything I prefer. They knock me out or don't help much...like Tramadol. What do you use? Last Edited By: Sunshine56 08/26/07 08:59. Edited 1 time.
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Allis61		#1	[url]	[-]
Administrator Posts: 6584 07/15/07 19:14 Alice Norway	I have my Norspan( buprenorphine) patch and for breakthrough pain I take Tramadol and Soma (Soma is taken off the market, so I soon have manage the pain without them )
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Rockerwoman		#2	[url]	[-]
Posts: 18035 07/15/07 19:28 Gailygirl Moderator USA	My doc has ordered oxycodone,5mg's for break thru,I don't know what it is called in Norway,Mosken,and it really help's,it's a generic type. I use to take Ultram/Tramodol,and it helped for awhile,for break thru,but then it was not doing it's job,so the Doc said it was better to put me on a med,an Opiod,that was more in the same catergory of the Fent patch. I wear a Fentnal patch for pain,that releases,medication,all the time,I wear it for 72 hr's then change it. These med's are taken because of my spinal stenosis and scolisosis has advanced in the last 6-month's. I just had an appt. with my spine doc and said my scoliosis has gotten bigger,and is involving my rib's and breathing, so having an MRI on Monday.I'll update u when the result's come in after seeming him.
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Lyne		#3	[url]	[-]
Posts: 85 07/19/07 04:02	What is "break through pain"?? After having the worst FM attack/pain EVER and finally deciding I had the flue and it caused a flair (but not really sure).... I am wondering what this term means? I take "tylenol 3" - which is the old fashioned 300 mg of tylenol with 30 mg of codeine per tablet... It only lasts 5 hours and I manage on two a day...but when I "got sick" I was taking it every 5-6 hours for two days and it was only the 3rd dose that finally seemed to take hold... I also can't take any meds on food, or they don't work! (my bad digestion I guess)... I also have not read much about the "odd reactions to medications" in regards to FM and CFS here or other places... I definately have that and it makes it really hard for doctors to help me... ie: I have NO reaction to a normal muscle relaxant, so I have to take valium for that... but now IT causes an FM flair and hot flashes, while it is relaxing my muscle "lock ups" or spasms... it also causes my IBS to flair up... so I HAVE to take a codeine to counter act that, when I am in trouble with my muscles! ARGH!
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tirebiter		#4	[url]	[-]
Posts: 28 07/19/07 05:53	Lyne, Those of us with chronic (persistent) pain experience it in two ways. The first is a continuous kind of pain (I call it "background" pain) that is usually always present. Continuous pain is present for long periods of time, usually all day long / every day. Continuous/persistent pain is usually controlled by pain medicines taken on a regular schedule, often around the clock. Taking that pain medication as directed is very important. When pain "punches through" the control of scheduled meds it's referred to as breakthrough pain. Breakthrough pain is often a severe flare of pain that occurs even though a person is taking pain medicine regularly for their persistent pain. My regular med was sufficient to control my usual pain. At one point I was taking very potent medication for "normal" pain. It's all a blur now, but I recall going through various strengths of Oxycontin, MS Contin/Kadian, Methadose and Duragesic patches. Added to that I had a TENS unit. I've experienced peak (breakthrough) pain that lasted for minutes and I've had it last for hours. The main thing is that it flared up even though I was taking my prescribed med exactly as directed (on time). That's the key thing. I've had it punch through several times a day (or more) and I've gone a week or more without a serious flare. So, to me, breakthrough punches through the usual pain level, it happens fast and I needed rescue when it happened. My rescue meds escalated from oxycodones, hydrocodones, hydromorphones and eventually a fentanyl sucker. Supposedly only cancer patients got those but there you have it. Last Edited By: tirebiter 07/21/07 06:32. Edited 1 time.
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shadeaux63		#5	[url]	[-]
Posts: 2543 07/19/07 10:16 USA	I was never lucky enough to have any doctor take my pain seriously enough to prescribe anything for breakthrough pain.and now, with no medical care at all, all I can do is take the pain,even if it leaves me unable to function.That's one reason i don't post nearly as much, or as often, as I used to-I dont get online as much, because it hurts to sit very long.That, and I fear that when i do post, my posts won't make much sense,because my mind is so addled these days.
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Lyne		#6	[url]	[-]
Posts: 85 07/21/07 04:50	Ahhh shadeaux63, my heart goes out to you! ah...tirebiter thank you for explaining.... it helps to understand. I don't have that kind of pain but if I did, at least I would understand and be able to communicate it to my doctor. Hugs!
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Ravenstardust		#7	[url]	[-]
Posts: 1915 08/27/07 11:38 Watcher USA	When things get bad I either will make a very small cup of tea from canibus(pot, weed etc) or I'll smoke . But it's a last resort and useually it works but I try to only use it when everything else has failed to even take the edge off break thru pain . Because I don't ever want to get a tolerance which I know I would get if I used it on a day to day basis . However for the average breakthru pain I use "VALERIAN ROOT" I've been useing valerian root tea for the past 13+ years and it works 99% of the time . But if anybody wants to try this please either ask me about how to use it safely or talk to a local herbalist or better yet your doctor . Because valerian root can be very very dangerous if used with some heart medications or if you use to much ...
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Racing Red Granny		#8	[url]	[-]
Posts: 3004 08/27/07 17:29 Nana again!	I would take 2 tylenol#3's at a time along with high doses of anti-inflammatories. Both of these were prescribed for years by the same doctor a long time before it was necessary for the patient to take a more active approach in her treatments. Unfortunately, I ended up with kidney damage from the meds. Now I am on a regular dose of methadone, plus I can increase it at any time for breakthrough pain. Sometimes I just have to wait it out because nothing will touch the pain.
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amberlover13		#9	[url]	[-]
Posts: 20118 08/27/07 22:19 Moderator USA	I have vicodine that I take regularly, and for breakout pain, I just take extra of those. I also utilize my massage chair and heat pad when the meds don't work.
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ChefJoJo		#10	[url]	[-]
Posts: 5 10/02/07 22:28	My doc gives me Norco for breakthrough pain which is basically lortab with less tylenol. I am greatful for it though because the oxycontin does not always last 12 hours for me.
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paganstarchild		#11	[url]	[-]
Posts: 431 10/03/07 12:11 Hapless Heathen UK	60mg di-hydricodiene, 2 x 500mg paracetamol, 25mg amitryptilene, 400mg iboprufen. I rattle.
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sue in ohio		#12	[url]	[-]
Posts: 1456 10/03/07 13:27 USA	I have to say that I am off all of my pain meds and instead use an herbal that works just like my celebrex. But I do use two lidoderm patches on my low back over my fusion area daily and a compounded pain cream on my hips at night. When my hips get bad I go to Dr. Pellegrino for trigger point injections followed by a myofascial release massage. When I have a bad flare ups which is not too often, I take a skelaxin and put heated rice bags on my back and along the sides of my hip. For me, learning to handle stress has been the key to few flare ups. I used meditation, breath prayers, and guided relaxation to do this. I have also found that daily exercise really does lower my pain levels. I use Leslie Sansone workouts as they are easy to follow and any of them that incorporate light jogging, I just walk during those. My chiropractor helps me tremendously as do massages at least once a month. I do self trigger point release each night as well which has made a huge difference for me. I use a lacrosse ball up against the wall or my theracane to relase my trigger points. sue in ohio
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