Hi Sue,
Here's the problem with chronic pain and quick-acting opiates or pain medication created for treatment of acute pain . . .
The drugs like vicodin, lortab, percocet, oxycodone are all very effective meds for treating pain, but not chronic pain. As many of you have discovered, these meds work best when used 6 months or less, but certainly not any longer. After the six month mark, their power to relieve acute pain begins to dwindle. Once that happens, the slippery slope to becoming imprisoned by addiction is in full swing, for most. Unfortunate, but true.
So, that's when tolerance becomes an issue and a pain management specialist is needed to assist one with pain control by including other methods and therapies for pain control. The next thing you know, pain control becomes a full time job and nothing seems to be worth the time, effort and expense required considering the miniscule amount of pain relief achieved.
Ultimately, this is about the time depression sets in as a result of excruciating, unending pain, combined with the realization of facing life with unending pain and the resulting limitations. Not only does one have the right to be extremely sad because of these realizations; they also are enduring a change in their brain chemistry that inevitably causes severe depression caused by the constant exposure to pain medication and the loss of D2 receptor cells that support a natural brain chemical balance. The D2 receptor cells can be lost during any traumatic event, so if facing this debilitating life circumstance is not the first traumatic event, well, you can only imagine the severity of the depression one might experience.
Given that context, using quick-acting opiates to manage chronic pain is certainly not my idea of relief. Especially if the person is already saddened or, possibly, diagnosed with depression as a result of their chronic pain. That is just the perfect set up for the downward spiral of addiction and I would not wish that on anyone!
There are longer acting opiates out there, but when used for more than 3 - 6 weeks, there's still the possibility of addiction creeping up on someone - just as with the quick-acting opiates. There's really only two positives for longer-acting opiates and those are 1) a lessened experience of strong ups and downs characterized by intense moodiness; and 2) this medication is taken much less often and, as a result, the patient's awareness of pain or need to take medication isn't always consuming their every thought.
Along with those two positives is a much longer and complicated list of reasons NOT to take the longer acting opiates. So, what can you do?
Fortunately, Dr. Sponaugle has been helping me with chronic pain using some other, non-addictive approaches. I've been pleasantly surprised by their effectiveness and have absolutely NO craving for vicodin or any pills. Thank God! I thought I would never see this day while in the throws of addiction. So, take a look at one of my prior posts where I went into detail about pain management and let me know what you think. It sounds like you've tried a lot too.
The problem is that after using pain medication for so long, you do not have an appropriate amount of dopamine in your brain to correctly "interpret" the pain - basically the tool that interprets the pain signals is not working correctly and is overly sensitive to any pain. As a result, nothing, except flooding the brian with dopamine will work right now. Fortunately, there is a painless way to begin the process of leveling out dopamine levels in your brain which will enable you to be free from addiction and the constant, overwhelming experience of chronic pain.
Now, I'm not saying this method works for everyone and is absolutely perfect. I'm only saying that, in my personal opinion, its 100 times better than being dependent and addicted to pain medication. Check out the Florida Detox website if you want to learn more or just give them a call. He provides a free lecture most Mondays detailing the most recent scientific findings on addiction and brain chemistry. I heard a heart surgeon say he learned more in that lecture about brain chemistry than he ever did in med school! So, its definitely worth your time. If you can't make it there, review all the info available on the site for some insight.
Well, I better get going. But before I do, I want to make sure I answer your questions.
Yes, a person will become addicted after taking pain medication for a long period of time. The reason for this is simple, brain chemistry. Some, born with a chemical imbalance, will become addicted much sooner than others. But even the most stable of people will eventually alter their natural brain chemistry with long-term use which, in time, will end in addiction - not just dependency.
Unfortunately, there aren't many professionals in the medical field that are passionate about researching and finding successful treatment options for addiction. Dr. Sponaugle at Florida Detox is the only one I know of. So, my theory is, as long as addiction is stereotyped and belittled, we will not have an opportunity to improve the current 20% chance of long-term recovery after receiveing treatment at traditional centers and 12 Step Groups.
Fortunately, Dr. Sponaugle is one of the most passionate people I've met and he's determined to fight the good fight and help those struggling with addiction. He knows it is a brain disease and knows that we deserve better. Tell your forum board about www.Florida Detox.com. I even helped Florida Detox add a forum board to their website so that anyone could ask them questions and get good answers. Their forum is at www.floridadetox.com/forum
And, last but not least, I could not, with good conscience, discuss how I attained meds online with anyone. I'm very sorry for your friend, but do recommend that she visit the forum and ask some questions. There are some over the counter nutritional supplements that might be able to help her manage the pain. Its worth a try.
I hope that helps Sue.
God Bless,
Cara