Hi my name is Mike and I'm addicted to Vicodin (hydrocodone). Wow that was hard. Why am I admitting this to all you guys? Because I need your help.
I have been taking hydrocodone everyday since this past August, that is about ten months, as you might imagine, after all that time I am now addicted to the darn things. If I don't take any for more then 24 hours I start to feel physical withdrawal symptoms. It usually manifests itself as a feeling kind of like butterflies in my toes and fingers and restlesness in my legs, although it sometimes includes nauseau, anxiety, and headaches. It usually happens at night and renders falling asleep impossible, so I give in and take a couple of pills.
As I mentioned this all started back in August when I hurt my back, the MRI showed four herniations in my lower back: three in the lumbar area and one thoracic. Since then, I have had cortizone epidurals, physical therapy, and a TENS (electrical stimulation) Unit. Nothing helps as effectively though as the pain meds.
I even consulted with a nerosurgeon back in October about having the problem corrected through surgery, but he advised me to wait a year and try to lose weight during that time because the questionable outcomes from the very difficult and painful spinal fusiion that he would attempt. So hence, I decided to pursue WLS instead, before I even found out that I had Type II Diabetes and Sleep Apnea.
Obviously, I am glad I made this decision to take my life back, but with all the positive changes I have been experiencing the dependency on pain killers still looms as a big negative in my life. Note that right there I used the word "dependency" instead of "addiction." According to my pain specialist there is a key difference: When someone is dependent on a drug it means that they physically require it or face physical consequences such as withdrawal symptoms. While if someone is addicted to a medication, they need to continue it to fullfill a psychological craving. I am definitely dependent on my pain meds, and I will admit here that I am somewhat addicted too. I will admit that I like the way I feel when I take my pain meds. It relaxes me, helps me focus, elevates my mood, and did I mention it relaxes me. What I don't like is the way I feel when I am not under the influence of the drugs. I guess you can say the lows are as extreme as the highs.
So, what to do about all this? Well last week I saw my new pain management doctor. When I first asked my primary care doctor for the referral a few weeks ago it was because I wanted to convince him to prescribe stronger doses for me because after weening myself down from 40-60 mg (8-12 regular pills) at a time to one or two I was getting back up to 20-30 mg just to get the same effect because of increased tolerance over time.
Between the time that I asked for the appointment and the time I actually saw him last week though I started to really assess my situation and decided that I don't want to live my life dependent on narcotics any longer. The only problem is that while the 64 pounds I have lost has improved the pain in my back, it still hurts everyday. So I went to the appointment last week and laid it all out for the doc.
At first, he started talking about how using short-acting analgesics like hydrocodone isn't opitmal because it leads to patients waiting until the pain is intolerable before taking them which he likened to trying to shut the door on a barn that is already engulfed in flames. Then he started talking about the advantage of long-acting narcotics like methodone, yes methodone - the same drug used to ween off herion addicts. That's when I told him I didn't want anymore narcotics.
So this is what we decided. First, he prescribed a six-day taper of the hydrocodone. After that I am to take three drugs every day. I scoffed at the thought of taking one drug and replacing it with three, but he said that sometimes the best recipes need more than one ingredient. So now I have to start taking Ultram - a "narcotic-like" pain reliever for the general pain, Baclofen - a medicine often used for people suffering from seizures that will minimize the muscle spasms that result in the pain, and Neurontin - A medication often prescribed to shingles sufferers to treat the nerve pain caused by the bulging discs irritating the nerves concentrated around them. That irritation leads to the muscle spasms.
I filled the prescriptions and completed the hydrocodone taper last night. Today, I began the new regimen. I am really nervous about it. I fear that if this doesn't work I will have to go back on narcotics again. I fear that I will suffer from withdrawals tonight. I fear that despite all of the victories lately, that if I fail at this I will feel like I have failed at everything. I need to work on that all or nothing attitude it has really gotten in my way in countless endeavors.
I guess what I am askig from you guys is your thoughts and prayers. I believe very strongly in the power of prayer and need all the help I can get from my prayer warriors out there. I also know that there are some guys here that have been through this before too and any advice that can be offered would be much appreciated. Thanks guys! whew that was hard, but I feel like I needed to do that...sorry this was so long, thanks for reading it all!
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