DrugBuyers.Com: Re: Best pain meds ?

When I have a kidney stone, I like IV Dilaudid. I have looked into getting the oral form for my fibro, instead of the methadone I take, but I have heard the oral form is not absorbed well in the stomach and is not as effective. Fentynyl does nothing for me, and It seems to be the drug of choice for procedures that require "twilight sleep" like wisdom teeth extraction, abortions or D&C's, and minor surgical procedures where they want you semi-awake. I don't know if its my tolerance or not, but the doctor was using it for the primary source of pain releif during a D&C I had after a miscarriage. I was screaming the entire time!! Same thing with the wisdom teeth, only then I had a hysterical crying breakdown. The nurses said that sometimes Fentynyl causes that reaction in some people. I don't know if It dosen't work becuase of my opioid tolerance or if It just dosen't agree with me. Now if I am going to have surgery, I tell them no Fentynyl.
Morphine has no ceiling level, so you can keep increasing the dose until adequate pain relief has been established. I have only had it once, on PCA after a lithotripsy (where they blast the kidney stones out). But the levels were kept so low, it didn't work well. I think that us chronic painers and opiate users should be honest with our doctors and surgeons about your tolerance. You don't have to tell them where you got the meds, most of the time they don't even ask. It is very painful and trauatic to wake up in the middle of surgery. I always tell the docs in the ER or if Im having a procedure that I have been taking narcoitcs for my fibro and have tolerance. They don't ask much, and usually ask what works. Most of the time, but once in a while you get some jerk who automatically labels you an addict.

Sarah