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daisyhess
Journeyman
Reged: 04/16/04
Posts: 61
Loc: Far, far, far Northern Minneso...
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Snickers, Hi, sorry for taking so long to write back. Troublesome tiredness is the most common complaint about opiates. Fortunately (in most people) it is short lived. Try to tough it out. If you just can't function see your doctor again. It usually subsides after 5/6 days. You should feel better real soon. How long have you been on the combo? I ask because I am curious if it is time for you to start backing off the narcotic in order to gauge the effectiveness of the N-SAID.
Oh..... While the lethargy usually resolves it can be transient. Meaning that it will go away and then it can suddenly reappear. Not often, but if it happens you will know what is going on.
I know that narcotics can be helpful for insomnia. So can Benadryl. If you need to take something for insomnia try Benadryl. That way you are saving your pain pills for what you need them for and you won't be exasperating tolerance issues. Be cautious using Benadryl and narcotics. Try not to take them at the same time. Benadryl is a potentiator and you could find yourself good old fashioned 'stoned' if you are not careful.
I hope this helps. If you need more help feel free to post or to PM. I know that discussing personal isues with a stranger can be unnerving, especially in public.
Peace, Daisy
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A feather out of someone elses arse does not look good in your hat!
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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Daisyhess,
I had switched back to the combo as soon as I was able to afford ($$$) it, instead of using the Flexerill and Naprosyn. Of which, the Flexerill and Naprosyn did nothing, I was in so much PAIN it was killing me.
Yet, with the norco and muscle relaxer, my mental alertness is a 5, on a scale of 1 to 5. Yet, if I add the Naprosyn (250mg) with that, than I start going to sleep within 30 minutes. I can't take all 3 at the same time. An increase in the norco or muscle relaxer is OK, yet to add the Naprosyn, just 1 250mg pill makes me EXTREMELY Sleepy, so I will try the Naprosyn at night when I am not going out anymore. Otherwise, it could be like driving under a Major Influence, which is noticeable, quite noticeable.
Snickers
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daisyhess
Journeyman
Reged: 04/16/04
Posts: 61
Loc: Far, far, far Northern Minneso...
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Snickers, I can't imagine why Naprosun would make you feel like that. The Norco and Flexeril combo is VERY sedating. But you state that you are fine with that? Are you sure you don't have the names mixed up? I would love to help you but I am perplexed. Also, like I said in another post....... If the Naprosyn doesn't do it, you should look into Prednisone. I know it can be hard to take, but for the short term there is no more powerful anti-inflammatory. Let me know if I can help. Peace, Daisy
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A feather out of someone elses arse does not look good in your hat!
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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I don't take the Flexeril, anymore. As soon as I was able to get a script for diazepam, the muscle relaxer that I've used before, I quit taking the Flexerill. It was doing nothing for me, in relation to the ruptured disc.
The hydro (10/325) and the diazepam are OK. Yet, if I add Naprosyn with those 2 medications, then it's time to go to sleep. I get extremely sleepy taking all 3, so I don't. Therefore, I'm wide awake and oriented when going to work and back and forth to the store, with the prescribed 2 medications (hydro and diazepam).
Therefore, when I am in at night till morning, I'll start taking 1 naprosyn, otherwise, I will not function correctly during the day, if I take it. So, that is how I'll use the N-SAID.
Sincerely,
Snickers 
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daisyhess
Journeyman
Reged: 04/16/04
Posts: 61
Loc: Far, far, far Northern Minneso...
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Snickers, Since the Naprosyns affect on you prevents you from taking it correctly I would say scrap it. You need to take it AT LEAST BID and preferably TID. Please try to look into Prednisone. It is becoming clear that that is what you need. That small amount of Naprosyn isn't going to give the anti-inflammatory affect that you need. All you will get out of it at that dose is some PRN pain relief. Don't waste your money. Peace, Daisy
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A feather out of someone elses arse does not look good in your hat!
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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DaisyHess,
Many Thanks for all the drug information that you have provided over the last few posts. 
Yet, I was wondering about those who have or had a Ruptured (herniated) Vertebral Disc, how much time did it take to recouperate from it (weeks, months, or is on-going). Did you ever regain 100%? Not what type of medication that you used, yet the time it took to get Healthy, once again.
Sincerely,
Snickers 
Maybe a New Subject-Topic about that would be more appropriate??? Next Time, I Guess.
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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I ruptured a disk in my lower back on May 1. It's been 3 weeks now since and I take Methadone, OxyIR, Percocet 10s for pain. The extra help from the Perc 10's (I use 2 a day in combo with my other meds for the treatment of my other chronic pain problems) have made the difference in tolerability, but it still hurts an awful lot with ANY activity and especially when I get out of bed in the morning. Some days are better than others--not that I expected healing in only 3 weeks. My pain doc has now offered me fusion surgery which I am strongly considering.
The only reason I am not immediately proceeding with surgery is that I am a single mom of 2 and have no help at home or anyone to help me post-surgery. If one of my friends can make a few days' committment, I will proceed with surgery.
Hope you have better luck than I did on mine.
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Never underestimate the predictability of stupidity.
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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night_shade,
Use your best decision making when you think about surgery. I have been told and I am aware to stay away from any type of surgery if at all possible. I'm sure you will make the right decision about the surgery.
May 1st, that was just a few weeks ago. Mine ruptured on April 9th, last month. No medication's from the local physician, yet nearly a $1,500.00 bill (an MRI and a physician consult).
I had to paint houses and apartments until I could make enough money to have an OP do a consult, that was with YourOnlineDoctor, they were Great! I received the medication's and that made thing's a little better, instead of nothing to take for the PAIN. And that PAIN was Killing Me! A ruptured disc, which causes Siatica, causes such a SEVERE PAIN, that nobody would ever want to endure.
The medication's that I received were for the chronic back pain, yet it did not cover the PAIN of a ruptured disc. Yet, they increased the count of 1 of the medication's, and that was Very Important.
Just side-tracking for 1 more moment, if a person had chronic back pain and were taking something for it (a pain medication) and that person was involved in an accident and broke their arm and leg, and their arm and leg were compound fractures, that is, the bone was sticking out of their skin, would you or anybody, in their wisdom, as the physician, decide, that if the patient, were taking something for back pain, then their decision to provide you without medication for the broken arm and broken leg would justifyable (sp)! And with that decision, decide to fix your arm and leg and say, in essence, just take what you take for your back pain and that will be good enough. Would that not, be disturbing to the patient?
That is, the patient is taking something for back pain, yet encounter a major, visible, justifyable (sp) injury and be provided nothing except the idea, perception, and so-on, that what is presently being taken for the back pain is enough to prevent the fixing and healing of the broken arm and broken leg.
What happens, when a person is taking some medication for whatever PAIN they may be incurring, and be involved in an MVA (motor vehicle accident) and have multiple injuries and the physician say that what is being taken for the previous Pain, is quite enough, to cover the Pain from all the injuries incurred in the MVA. I found that quite disturbing and negligent.
Yet, to move on, to you responding about your ruptured disc, I am sorry to hear about it. Mine caused so much PAIN, it was Terrible. Now, that 1 and a 1/2 months have passed (8 weeks), I have some medication's, a foam mattress, a back massager/heater, and am very careful about fast/quick movements, that the disc must be in better shape. I feel better, I can get out of bed a little faster, I get up out of the chair with more weight bearing on my affected side, and so-on. In other words, it is getting Better. It is not just the medication, yet it is an effort by me to try to strengthen those back muscles and make it better. It is not healed, not at all, and when I move a certain way, it is almost just a painful as before, so I take more care in the way that I move and what I do to try to make the injury better.
I was told that thing's of that nature, do not heal overnight nor over a month, yet may take many month's to heal, and I was just wondering how much time it took for others to regain their respective health status, that they once had before their back injury.
Thanks for Responding, 
Sincerely,
Snickers
Edited by snickers (05/25/04 02:46 PM)
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tb1218
Member
Reged: 09/19/02
Posts: 170
Loc: indiana
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Not to sound negative but you have to be extremely careful, (I would think painting would be excrutiating) because a lot of times reinjury occurs before healing completes, for instance a sneeze could reinjure yourself. Be careful and take care
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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tb1218,
I agree. During April and most of this month, I have been on the safe side and the people that I do work for (I am self-employed), understand and they have provided me with painting that requires very little lifting. They have even brought paint to the apartment so that my back can continue to heal.
Yet, there is one place that requires lifting of ladders and I'm am VERY Careful and hope I can get through with it without incurring, or making worse, the healing process. Much of the difficult work on it has been done, yet there is some more to go.
If, I can get through with it, I'll be past the difficult painting and on to easier painting, which requires less effort, in the sense of, lifting heavy containers of paint. I have 2 weeks to finish it, so I can take breaks and as many as are needed.
Many Thanks for the message & Hope you have a Pain-Free Day and Week,
Sincerely,
Snickers 
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LaChat
Stranger

Reged: 05/26/04
Posts: 14
Loc: Pacific Northwest
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I have tried the Flexeril which does very little if anything for me. However, each person is different. Zanaflex worked wonderful in the beginning, but then it stopped after about a year. I haven't tried the Relaxin or Skelaxin as muscle relaxers but I'm glad I ran across this thread because I'm searching for a muscle relaxer that works!
I'm sorry to hear that you had to pay $1,400 out of pocket for the MRI. But, if it's any solace my MRIs cost $2,446 and I need them every six months. However, I do have insurance.
Take care, and I'm glad you're slowly improving 
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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I was given extra meds for the new pain even though I was already on one long-acting and one short-acting narcotic. It is unreasonable to think a narcotic taken for chronic pain would "cover" the pain from a new, painful injury.
Now, it should be noted that I have multiple disks which are either bulging or herniated. Only ONE of them causes me any significant pain. They will all start to hurt if I overdo the physical activity. NOT ALL BULGING OR RUPTURED DISKS CAUSE PAIN. I know plenty of people with back problems that never use narcotic pain relievers. To each his own.
The ruptured disk in my lower back continues to bother me, but it is certainly not severe pain--more like a 6 on the pain scale. In fact, it is nothing compared to the bone-on-bone pain at T7-T8...but it is bothersome enough that I want to investigate the surgical option and have an appointment for mid-June to see if I would be a candidate. Until then, I use ONE Percocet a day (broken in half and taken as 2 5mg doses) for the additional lower back pain (which is always at its worst when I have been lying down or sitting for awhile and then want to move or walk.)
I was just reading a paper the other day that says long-time opiate users are generally hyperalgesic (low tolerance to pain) due to metabolites that build up as a result of the metabolism of opioids. I wonder how much this might be coming into play in many people's experiences with medical issues?
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Never underestimate the predictability of stupidity.
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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LaChat,
Hope you find the Right Muscle Relaxer for you. There are so many out there, when you find one that works for you, stick with it.
WOW, you're MRI is way expensive!!! I thought what I paid, out of pocket, was expensive!
Yeah, thing's are getting better as compared to April 9th, this year. Yet, when it happened, the Pain was a out of this world, type of pain. The Bad thing, is that the Pain went on and on. And it still continues, yet not to the degree (severity) that it started out at.
Though, the Pain is nothing like it was and is still present every day. There is something strange, and that is, there is occasional tingling all along my right leg. It sort of feels weird, not very painful, yet it just feels weird.
As well as, when I stand up and stand still for a few minutes, the Pain starts to get worse and worse. Therefore, I sit down, move around, and so-on, so that I don't just stand around.
And I am moving out my apartment next month, I usually move myself and all the stuff I've saved over the years, yet not this time! I'm going to hire some people to help me move. Otherwise, I'll injure what has healed or injure some other area of the spine.
Have a Great Weekend,
Snickers 
Edited by snickers (06/11/04 02:44 AM)
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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Still updating my condition. Maybe it will help someone when they encounter the same or similar problem.
Yet, I must feeling better, so the Question has to be asked. I'm not even going to think of the possible responses, yet, here goes:
If you are taking a muscle relaxer (diazepam) and 10/325 norco. Has anyone found it to interfere with, ya know, SEX?
I have some Viagra and Generic Viagra, yet it usually takes about 12-14 hours before thing's are up and running again after I take the 100mg Viagra.
Any idea's??? Please don't go overboard. 
And I realize that with a ruptured disc (herniated disc) that certain movement's are just not going to be happening for quite a while. It's actually easier to let her on top, as long as she does not go WILD & CrAzY!!!! 
Snickers 
PS: If I have gone over the line, please excuse my question, in advance.
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snickers
Member
Reged: 05/06/03
Posts: 172
Loc: Florida, USA
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Just an update, because today, makes just over 3 month's since the ruptured disc.
Most of the pain has gone, Yet when I stand for 4-5 minutes, I can begin to feel the nerve on the right buttock's.
I am painting again and being more aware of my movement's than before the 9th of April.
There is the occasional pain down the leg, yet it probably due to some type of lifting.
Compared to April 9th, thing's are Tremendously Better. Is that a Sign that it will Never occur again???? I hope so!!!
Snickers 
Edited by snickers (07/19/04 06:53 PM)
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