Hi, all:
I was recently able to reduce the tons of Fentanyl I was needing every day to just a few doses and a lower patch dose (which is going down every two weeks)- but I basically went from up to 15+ doses in a day prn to barely get by to about 2-3 average. I’ve been told to go slower, but I just won’t take opiates if I don’t need them for pain.
Of course, this started me back into withdrawal, although not like when I went cold turkey off Methadone without medical help or when my doc at Hopkins just removed EVERYTHING from prns to patches to IV PCAs all at once and I literally fell out of my wheelchair four times and felt like I was going to lose it mentally and physically-- but luckily I knew what to expect and hung onto the bedrails and anything else I could to get through the worst of it. Then they realized I was in an AP flare on top of CP after a double sphicterotomy by ERCP and started it back up-- I discharged myself and then ended up on months of TPN, but back on the meds.
Anyway, for an unknown reason (maybe a combination of things?) I’m having less CP pain right now-- or in the ganglia or whatever it is that makes it so bad… and so I’m going way, way down on my meds, happily. I can only hope it will last, because I can’t imagine more years as it’s been. But with it, even knowing what to expect, and even going slower than before, I’m still having bad withdrawal episodes, most days a few times, often starting right from bed and going on and off through the day. I don’t want to take Clonidine again (hated it!) and so I’m using Ativan (1-2mg) to help with the agitation and tightening and fear parts… and if the pain kicks in too badly, I’m using one of my prn’s-- the Fentanyl “lollipops.” Luckily, it’s not more than I should take to keep reducing the dose most days, but it’s so horrible to go through-- and it’s so exhausting, like an all-out brawl that’s painful and takes something big from my whole body from my head to toes.
I read some weird stuff that also goes on with opiate withdrawal and wanted to pass on one of the links. I’m getting most of this stuff, but don’t know if there’s anything else to do (other than Clonodine and what I’m doing already). I know I’ll get through it at home, but don’t know how long it will take and it’s SO hard to go through, especially over and over again!
http://www.wipo.int/pctdb/en/wo.jsp?wo=&IA=WO&DISPLAY=DESC
Any experience with this out there?
Thanks and hugs and love to all!!! Miss you guys!
Lisa