Chappy
CH.com Veteran
 
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Posts: 117
Tucson, AZ
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AJ,
The old narcotics topic - I'd search the forums for "narcotic" if I were you. I've given the same schpeal before, but here I go again:
Narcotics really don't work with CH. They just don't. I personally think they're great for chronic pain that's continuous, and studies show that they are far less addictive when used by chronic pain sufferers - in the low single digit %s rather than 17-18% when used for accute pain.
If you go the narcotics route, MAKE SURE your meds are being managed by a pain specialist, not just your GP. A good pain specialist knows you need to use extended release meds like morphine sulfate ER, with "breakthrough" pain meds like Vicodin or whatever for the bad times. You just can't get "high" when you're taking them regularly with an extended release format, so the chance of getting addicted to the high is pretty low.
Still, extended release narcotics can't hardly touch CH. And breakthrough meds take 30-45 minutes to work, and again won't touch anything above a kip 5. It's just a fact. I know this, because before being diagnosed I was taking 3 morphine pills a day, and 4 "breakthrough" meds - Vicodin or Percoset. They helped me cope during the day for awhile, when my hits are in the kip 4-5 range, but late afternoon and evening, when the 6-9s come, they were worthless. I still have a cache of them hidden away from when I stopped taking them 18 months ago, and have never been tempted to use them because they just don't help.
The true reality with narcotics is that your body will quickly develop a resistance to them, and they'll lose what little pain-killing ability they had anyway. After 18 months using them, they were worthless. Even if you don't become "addicted," you WILL develop physical dependance, so when you stop using them you'll have flu-like symptoms for about a month (for me, at least). I also became more and more fatigued the longer I used them.
I'm not anti-narcotic at all, since I think they're extremely useful for other conditions. They just don't work for CH. If you search the forum, I don't think you'll find anyone who says they found narcotics helpful with this particular afflication. And since we have people who swear by psychadelics, it's not just that everyone is anti-drug. Just about every other medication has a group of proponents here who say it's their magic bullet, but I've never seen anyone say that about narcotics.
The best thing to do would be to list out everything you've tried, and everything you can't take because of your heart condition, and I'm sure alot of people can suggest other things to try that have actually worked for them.
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