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PostPosted: Tue May 10, 2011 12:24 pm 
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One Month or More
One Month or More

Joined: Wed May 04, 2011 2:29 pm
Posts: 36
Something I've always been curious about:

Lets say I, or anyone who has been addicted to pain meds, gets injured, lets say a year or so after being clean, and the pain from this injury is to great for ibuprofen 800mg to cover - Doc says "Here's a big ol' bag of perkies. Pop away, Johnny!"

How long would it take to get addicted again? And I'm not speaking phycologically. In this hypothetical scenario the user is of sound and reformed mind, with no intention of replapseing (hence the concern). To reiterate, this would be completely on the physical level.

Would the body latch on to the drug and create a chemical dependancy quicker than others because of your body's history of use?

It's always been a nightmare of mine that I would break my arm or something and be forced to go back on something that ruined me.

I know this strays from suboxone a little, but I've gotten a lot of sound information here and I figure it's valid being that it's related to withdrawal.


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PostPosted: Tue May 10, 2011 12:55 pm 
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6 Months or More
6 Months or More

Joined: Sun Mar 27, 2011 10:53 am
Posts: 285
I just finished weaning off sub on april 15th, two weeks ago I had a really bad cyst on my back that had to be cut open in the er and I have to have surgically removed this thursday. At the er they gave me a script for 15 percs, I told him I only wanted 5 ( I did need them for like two days) and gave them to my bf to hold and I didnt take all 5.

I did see my sub dr last week and he said it woulld be ok for me to take pain meds the first two days after they do surgery thursday and that once that is all done he will give me naltroxene to take. He didnt seem to think it was a big deal but then again its a minor procedure but I felt weird getting any percs.

My plan is to only take it if I need it on thursday and I will have my boyfriend hold them for me again.

Everyone is different that is just my story :)

Lisa


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PostPosted: Tue May 10, 2011 5:48 pm 
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Joined: Tue Nov 24, 2009 7:36 pm
Posts: 879
Location: Wisconsin
This entire issue can become very tricky. The "problem" is, you need to hopefully find a doctor who knows how to work with and treat previous opiate addicts. Current, conventional practices state that if the opiate addict is in pain and truly in need of opiate pain medication - it should not be withheld. There are many medical reasons behind this. In general, if you have big pain, you likely need to be administered opiate pain medication - even with an addiction history. As to your question, many people report that while their tolerance may go back to or close to baseline (how you were prior to opiate addiction) many patients report that the tolerance goes up dramatically faster than is typical. Some say that they are back at their previous addiction levels within a week or two. So while 5 or 10 milligrams of oxy may take care of your pain at first, within a couple weeks you could be back at the 100 or 200 mg levels that some addicts report having been at.

The "trick" is to hopefully get a specialist that understands and knows how to work with you. This is often harder to do than you may think. Some docs opt to administer low amounts of pain medication and for shorter times - which is often the exact opposite of what is really needed. Some docs don't want to deal with it at all and won't prescribe anything. The key is to be in a controlled situation.

I can tell you that on a personal basis my addiction was discovered (by everyone else) following a car accident I was in. Even after my doctors became aware of it, they gave me more pain medication - not less. I was getting 15mg of oxy every two hours - which addressed both my pain and tolerance (this was pre-Sub).

I too share your concern. So far I have only had to go through some dental issues and was able to use Ibu to handle it. I have a history of kidney stones but thankfully Toradol works better than just about anything for stones so I'm set there. What happens if they have to cut me open or I break something? Both while on Sub and after stopping it, opiates will be an issue. This is where we are different than most other addictions. There is no medical or any other reason why someone has to have booze. There is no reason for coke or meth, etc. But we may now and then need opiates or benzos on a short term basis. Will that trigger us back to full addiction? It sure could if we are not on top of it. It may also require higher dosing, more frequent dosing, and much closer monitoring.


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