Posts Tagged ‘pain management’

Crash inquiry stymied in quest for clinic records – Tribune-Review

Crash inquiry stymied in quest for clinic records Tribune-Review State police in Butler say federal rules that protect patients are making it difficult to get records from a Cranberry methadone clinic that treated a heroin addict an hour before his vehicle plowed head-on into another, killing a Butler man last month. They look to search methadone clinicButler Eagle (subscription) all 2 news articles »

Methadone Clinics – Google News

Pain Management North – Levorphanol – Levorphanol is a powerful opioid pain medication that has been around since the 1940s. Does it have a role in modern pain management? Please also see our vid…

Related Methadone Clinics Information…

Question by holbab: should i expect to experience side affects from an antidepressant after increasing the dose?
i have been on lexapro going on 7 weeks, the side affects eventally subsided and i was feeling better, but not quite as well as i expected, the doc increased me to fifteen and again i seem to be extreamly tired again, and just overall weirdness, and anxiousness. should i expect to feel these side affects once again after increasing the dose? i am on lexapro. thanks for your help!

Best answer:

Answer by Collette
yes you should. expect more tolerance build up and dependency. sorry. no dr should be prescribing you antidepressants without either giving you therapy himself or referring you to a therapist for talk therapy. because he will just keep upping the dose and adding in other drugs when this dose stops working too.

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Chronic and acute pain and pain management for patients in methadone maintenance treatment.

Am J Addict. 2013 Jan; 22(1): 75-83
Eyler EC

Many individuals receiving methadone maintenance treatment (MMT) for opioid addiction also require treatment for acute or chronic pain, and the presence of pain is known to have a negative impact on patient health and function. However, effective pain management in this population is complicated by many factors, including heightened pain sensitivity, high opioid tolerance, illicit substance use, and variable cross-tolerance to opioid pain medications. This article reviews the recent literature on acute and chronic pain among, and pain treatment of, patients receiving MMT for opioid addiction and discusses the implications for effective pain management. Acute pain management among women maintained on methadone during and after labor and delivery is also discussed, as well as common concerns held by patients and providers about appropriate pain management strategies in the context of methadone maintenance and addiction treatment.One hundred nine articles were identified in a PubMed/MEDLINE electronic database search using the following search terms: methadone, methadone maintenance, methadone addiction, pain, pain management, chronic pain, and acute pain. Abstracts were reviewed for relevance, and additional studies were extracted from the reference lists of articles identified in the original search.The pain sensitivity and pain responses of MMT patients differ significantly from those of patients not maintained on opioids, and few data are available to guide patient care.Rigorous studies are needed to identify and evaluate effective pain management approaches for this unique patient population and to improve patient treatment outcomes. (Am J Addict 2012;XX:000-000) (Am J Addict 2013;22:75-83).
HubMed – Methadone

Addition of Methadone to Another Opioid in the Management of Moderate to Severe Cancer Pain: A Case Series.

J Palliat Med. 2013 Feb 7;
Wallace E, Ridley J, Bryson J, Mak E, Zimmermann C

Question by PainSucks: I have chronic pain. I get relief with higher legal limits of opoids. Are there any Dr.s who treat this way?
It’s getting pretty tough to find a doctor who will prescribe narcotics for long-term pain management. I’ve tried all the “other” pain reducing options (dorsal implant, morphine pump, steroid blocks, massage therapy, pool work, …) that are classified non-opoid. The implants nearly killed me, I’ve fallen twice and broken bones doing therapy, and I’m getting tired of being called an addict when I show up at an emergency room for treatment. Why are all the doctors afraid to practice their work with legal doses of narcotics? Finding a doctor who will prescribe the amount of medication I need is next to impossible. I was just turned away from a “Pain Clinic” as not treatable. Why? Because the only treatment that works for me is a high level of narcotics in my body. And today’s healers are under scrutiny by the DEA. They can revoke a medical license for over prescribing. Who’s helping the patient – Me? Why make medications if they can’t be used?

Question by Just Me: I’m looking for information on Vicoden addiction?
How long can it take for an addiction to become present? I’ve been taking them for two weeks and am not sure what will happen if I just stop. Hpefully I haven’t taken enough yet, but I haven’t been w/out so I don’t know if I’m addicted yet. If so; can I ween myself off by taking less?

Best answer:

Answer by Kristina d
well you are not addicted , yet! just start elimating 1 pill every 3 days, if you have chronic pain take a magnesium or motrin tab in its place. you will be ok.

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