Asked 2/11/2009
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How do you differentiate between pain & addiction? My husband has degenerative disk L-2 through L-5. He was in a car accident last May and know has 2 pinched nerves 3 severely bulging disks. He's 5'8 & weighs about 270. He does lawn service for a living. I know he's in a lot of pain. June of '08 I found out he was buying Soma online. He was prescribed 2 Loratab 10mg 4x day & 2 soma 3x day. He was getting an extra 180 soma once a month. In Sept of '08 he cut back the soma to 1 2x day - but he wasn't working anymore so things were easier for him. I have lupus & am prescribed percoset 5 mg as needed (1 day generally). He has taken my meds off & on since July. In Oct of '08 he had an epidural shot - it helped the sciatic nerve, but made his back feel MUCH worse! I found out in Nov of '08 that he was taking an anti-anxiety drug to help him relax. In Dec '08 he had a discogram done. He was in extreme pain! It took him about 3-4 weeks to really recover. In Jan his meds were switched to 1 loratab 10 mg day, 2 soma 3x day, and 1 dilaudid 8 mg 4x day. At first it was really helping him - with no drugged effect. Recently he started working again & is ordering soma online again. In the last 2 weeks he has order 2 bottles 120 count each. He has a history of addiction to soma & loratab. He has been clean for 6 years. We were told that because of his previous abuse (including iv drugs) that he has a very high tolerance and that his receptors have been deadened. I was also told that he can appear "wasted" and it not be helping his back because of his history. How do I know where he really stands with the addiction and the pain? Is it true that he can appear drugged without it helping his back? Is it true that he requires more help to control the pain because of his history? I’m having a very hard time dealing with all of this. I don’t want to see him ruin his life & I don’t want him to have to live with so much pain. Even with the meds he usually rates his pain as a 7 or higher. How do I know where pain (need) ends & addiction (want) begins? PS – forgive my horrible spelling! |
Answer 1/3 - Submitted 2/11/2009
OK this is real simple for me because iam looking at all the meds and what he is doing and ordeing , where pain (need) ends & addiction (want) begins, he began to need a pain free day when he got the meds and it felt so good now he is addicted, to the feeling of the drug , and its like if you feel so bad , then some thing makes you feel like you are 16 again , and thats what he is doing want ting to feel this way with the drug , and he is addicted bad, and the pain is not even thought of , its a excuse or way to feel this high that the drugs give him ,
Answer 2/3 - Submitted 2/11/2009
The spinal condition and swelling on the spinal nerves causes the most excruciating pain, which is nearly impossible to tolerate without narcotic pain relief. Dilaudid was original used strictly as a surgical drug, with a potency of 22 times that of oxycotin. Everything you has expressed in your question is indicative of the truth in that a person continually requiring more pain relief develops more tolerance, and thus increased need for pain relief. The medication becomes less affective to him. Working in the lawn service business is probably the last thing he needs to be doing, unless he can limit himself to just driving a riding lawn mower. There is just too much task on the spinal tissue in that line of work. You might explore with the doctor what alternatives and possible long range treatment and prognosis he has. You might also try going through your local vocational rehabitation or Job Service to explore what assistance in retraining programs and/or disability could be an option.
Answer 3/3 - Submitted 9/29/2009
From readig your story abpout your husband a couple of things are clear, 1. your husband is experiejcing some debilitating pain, 2. your husnd is addicted to pain relivers. So with that being said I think your husband needs to go back to his doctor and explore other pain reliving options such as surgery. Also there are pain management clinics out there that are experinced in managing the pain and how much pain a person can endure according to their injury. Once a person is addicted to pain relivers they will justify and rationalize their reason for doing so, and an addicted person needs help in distinguising these reasons for doing so.
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