@@modernmedicine2562 Ever heard of drug interactions and the dangers of using multiple CNS drugs at once. An opioid monotherapy will often have the least side effects.
@@Sketch1994 you fool, we don't live in stone age anymore..ever heard of the analgesic ladder and why it was invented? and why we have weak and strong opiods vs non-opiods? it;s because people finally realised that a single type opiods typically isnt enough to adequately control pain especially for chronic pain, hence why the the whole idea of opiod conversion came about = to use minimal dose of opiods/non-opiods to achieve optimal pain control while minimizing the side-effects, including drug tolerance and addiction.....
@@modernmedicine2562 You mean forcing them on Lyrica and antidepressants no matter how devastating their side effects are and denying any other treatment other than Tramadol because the other are "narcoticer", even after Tramadol caused your patient serotonin syndrome? I have tried every possible combination of non-opioids with 60mg of codeine but they all fucked me up and none of them ever matched 90mg of codeine. Yes, some muscle relaxants allowed the pain to come back slower but they never helped the pain themselves, they didn't reduce the ammount of opioids needed for the present pain and they tripled side effects of all even at lower doses with marginal if any differences in analgesia.
It wasn't meant to be given to pain patient but to JUNKIES. If you were taking this for pain, you would need to take 4 doses every day. This drug has a 50% shelf life and stores in the bones. For every month you take methadone you will be in detox/ withdrawal for up to 3 months! Not more than 9 months of active withdrawaland all that entails, that is the average for long term users. Making this drug not only toxic but completely unnecessary. I was tricked into taking it, my doctor said it was great for pain, lying prick, he failed to mention that I would have to pay huge clinic fees to get this prescribed and that he was the owner of that clinic, that it couldn't be prescribed by a normal pain doctor, that he was given shares for every script he wrote, that the pharmaceutical company sent him travelers cheques, so they couldn't be traced, a fur coat for his wife, a sailboat and numerous trips to the Caribbean, just for signing people like us, up to their 'medicine '. My best friend was his secretary- she opened all those trailers cheques each week, said he got more than 100 of them, each for $1,000 . These doctors are behaving criminally. This drug is a huge windfall for them. Which leaves me to ask, are we getting the number 1 med that is best for us, or are they giving us something not meant for pain, because its THEIR number 1 choice as it benefits them, not us. Making this a HUGE CONFLICT OF INTEREST It was developed PURPOSELY this way, so junkies would NEVER get off it.
No, it needs to be dumped altogether. Some of those meds don't work at all for some people - stronger ones, in fact. They can't use any "equivalency" tables. NONE. We are not clones.
I wouldn't even think about going into a hospice if I was dying. I'd go straight out and buy as much good heroin as I could possibly afford, and bang it into my veins anytime I felt like it. This woman saying that certain cross over doses could be fatal, does she not understand what a hospice is? Unbelievable.
I can not believe that you only got 50mcg/h patch. When I switched to fentanyl I was given 300mcg/h, thats 3 x 100mg patches for 20 m of methadone. I still felt the pain of withdrawal, as if I had no opiods in me at all.... Your doctor is an ass hole. In Canada to get that dose I had my entire medical file ( 18 large file boxes ) sent to the college of physicians and surgeons where 20 or more doctors in the field of my illneses went over my files, then voted by black ball as to whether or not I would get them. I had to buy a $5,000 safe, return the used patches to get new ones, and I was told IF someone came to my house with guns DO NOT GIVE THEM THE FENTANYL as I would go to jail for attempted murder, if they died I would be charged with MURDER. Only drug in Canada that has these laws around it. Have you any idea how dirty the used patches get? The glue that comes out the sides has bits of everything I wore that week stuck to it...so embarrassing watching the pharmacist pull each one out of the box of 10 to examine them...
Fentanyl doped my mother for 24 hours. For me it does absolutely nothing. It's a joke. It's the one thing I wish I could gift every addict. I'm not kidding - it does absolutely nothing. Apparently I can't process it. Morphine makes me throw up.
@@bobcrean7723 so they can later increase them. Doctors and pharmacist believe once a person is given any type of opiod they will need to increase them as the effectiveness wears off. This way they have room to increase them and then they look like caring concerned people, instead of the ass holes they are making us beg for pain relief. I swear they act like we are taking them out of their mouths! The whole story of us needing to increase them over time is bullshit. Only junkies and people selling half their script increase their meds, everyone I know, including myself has REDUCED over time, not increased them. I was given 3x 100mcg/hr patches - I had the written permission of the college of physicians and surgeons. They took 3 months to look over my 18 boxes of medical files and 30 or more doctors in the field of my numerous illnesses voted, One black ball and I would be refused. Over the next year I reduced my meds by 2 thirds, wearing 1 x 100 mcg/hr patch cut into three pieces so to stagger the dose.( they must be worn in tandem so there is always 1 at full strength - rotating each patch ever 36 hrs, and because they can be cut, I would do my rotations with a 3rd of a patch - making my total dosage only 1 patch but in 3 pieces ) When our government decided to take EVERYONE IN CANADA off all their meds there were mass suicides. Now we know why they took us all off our pain meds, not enough to go around and since they had decided to give our meds to the junkies so they won't OD. A junkie can have 1600mg hydro morphine, 4 times a day for his or her addictions, yet they won't even give us, people who need them asprin- where's the fucking logic in that? Now we are putting together a class action lawsuit .
When the canadian government took EVERYONE IN CANADA off their meds entirely, no one gave a flying fuck about the death rate of our citizens committing suicide becsuse of pain. They were doing this so they would have enough supply to give to the junkies. Not enough for everyone, as junkies are greedy. Today in Canada anyone claiming to be a junkie can walk into any hospital, clinic or doctors office and get a script for 1600 mls of morphine 4 times a day. Thats 16 x 100mg four times es a day! Yet just getting one Tylenol 3 my doctor behaves like I am taking it from his grandmothers mouth! How is it that for end of life therapy I get NOTHING and some drug addict get medicine meant for me? My entire medical file, all 18 file boxes were sent to the college of physicians and surgeons to be voted on, by black ball vote, they spent months looking 9ver my file, then gave me permission to have the shunt removed from my heart, ( they had been feeding me and giving me morphine drip straight into my heart for over 3 years) and be given 3x 100mcg/hr patches to be worn in tandem. Then the opiod crisis hit, we were all taken off our meds due to junkies dying of overdose. One has nothing to do with the other, but snowflake generation logic says everyone must stop taking them...now we know why...not enough to go around...1600 MLS of morphine junkies get, 4 times a day, but we still get nothing...I suppose we could go downtown and buy them off the junkies, but we shouldn't have to.. There is a class action lawsuit right now being put together for the torture our government has put us through...
So the only human to be medicated to relieve chronic pain are cancer patients in hospice ? What are all of us older women suffering chronic Pain who can’t get out of bed or self care ? I’ve tried 2 nj Pain Managment dr who told me they only do injections & surgeries. I’ve tried & much more. I know at age 63 that opoids are the only medication or alternative therapy that I can self care get any pain relief. So I’m forced to suffer till I die because I refuse surgeries or injections again??
Christine Horan I agree i work 14 hrs a day I'm almost 40 yrs. Old and I manually pick up around 600,000 pounds a day my body is in constant pain and only 10mg hydrocodone seems to work for me , people who don't know about manual labor for a living cannot understand or relate to the pain that I have and how constant it is
Christine Horan. I agree with U Christine. I have fibromyalgia & because Drs minimized my pain when I came down with postheripetic neuralgia. I am now stuck with shingles pain for maybe the rest if my life. Opiates are still the best analgesics with the least destructive side affects. From studies from pain Drs & even the mayo clinic. Every invasive procedure u have done to yr body traumatises it. I think we folks with chronic pain should get together & start a petition. Also most we Drs don't know the dad laws. They say they can't give U opiates. But the law states they can give a patients a 24 to 48 be supply at the Drs discretion. You shouldn't have to suffer. U have the right to have yr pain managed. If a Dr indicates u just need to find a way to deal with yr pain. & won't help u. Call OMBUDS. ITS AN ORGANAZATION THAT STICKS UP FOR OUR RIGHTS . GOD BLESS
Brian McIntyre I’m a disabled 62 yr old woman from NJ. I don’t have any other income to turn to to help me. I’m stuck in functioning disgusted in my forced state . My only choice left is to wait to die or to try to force a quicker end. For 17 yrs I was living a life now I’m disgusted with the pain & embarrassing way I’m forced to live( exsist. Only pain, No sleep, depressing life ,No hope for Any relief.Governments lies about chronic pain patients medication abuse is not related to street heroin & illegal fentanyl overdoses & deaths. Their puttting blame & forcing most of us( poor older patients ) to suffer until dead. I have no pain relief from a 17 yr functioning life. DEA locked up my records by closing up my dr of 17 yrs & I can’t get treatment without my records at my age of all alternitives I’ve tried & failed me after yrs of trying. I can’t start over . I have no hope of any future with less pain . What do you I have as a real option? Nothing !!!
Christine Horan ,Christine does the U S have any free pain clinics doctors there are pretty fair with older sick people that are house bound, but that's in Canada. I wish you the best
Go on Norspan and temgesic. Either come off over 30 days. Or stay on for a year or two. Then wean over 4 months. It's 10% the pain. I'm going through it now. I'm 6 days until off completely. Today is a bad day. But it's 10% of what I remember morphine being. Your future self will thank you. Or look into Ibogaine.
Even switching to fdntsnyl first might be your best option as fentanyl side effects from quiting long term usage is 1) itchy 2) extremely hungry, can't ever feel full, I ate 2 large pizzas and was still hungry! 3)chills...and that was it. Tapering off any opiods is easy, do not drop more than 10% at a time, stop when you start to feel the difference, then begin again once your body has regulated its self down to the new dose. When you reach 40% of the original dose, begin removing 1/8 @a time until u feel it again, and stop there until you feel normal, then continue. Regardless of the reduced dose, never drop by more than 10% at a time, otherwise you will start feeling the harsh effects of tapering to fast Good luck. I have reduced off opiods more than 100 times in my life. When my pain goes into remission ( crones disease and scar tissue from 40 years of eating bread and never being told it's celiac until it was too late and the damage done ) as well as 12 other health problems that make digestion of jello feel like broken glass and rusty nails moving through me. Of all the opiods I have been given in my life from morphine drip run through a shunt in my heart for 3 years, to fentanly at 300 mcg/hr, I was tricked by a doctor into taking methadone a few years back, said it was great for pain, which it isn't, but it was the hardest of all the opiods to quit as it has a shelf life of 50% in your system, so if you take 100mg you are actually on 150mgs that day because the days dose before is still half in your system. Then it remains in your bones for months, making withdrawal from methadone extremely hard, and most never get off of it because of this...it is dangerous, and should be removed from the pharmacy.
I had switched to fentanyl from methadone once, and it took 300mcg/h to match 40 mg of methadone, and I still had 2 months of withdrawal symptoms. Methadone is a nightmare to come off...one of my friends was in hospital 9 months just to get it out of his body, as its stored in the bones. No amount of opiods is going to relieve you from the pain of methadone withdrawal. I have heard junkies say it is the very worst of all their addictions as its 3 months of withdrawal for a 1 month script, and the longer you take it the more harsh the withdrawal will be, and it will be very long withdrawal, 9 months for my friend he only used it for 3 months. He had to be put in hospital as he was dry heaving for 2 weeks straight and lost 59 lbs. Good luck. Canada is starting a class action lawsuit against the government, the pharmaceutical company and the doctors who write these scripts, as they do so for their own benefit. Any doctor who prescribed methadone has a huge conflict of interest, they knowingly give it to you in the full knowledge it is for LIFE, as you will never be free of it, never....and do you know why? The clinics are owned by the doctors, they get your money, the government also pays full price for the client - doesn't stop them from charging you full price, and the pharmaceutical company that makes it gives them shares in the company as well as HUGE kickbacks and other gifts of gratuity like trips and a fur coat fir the wife...
I've watched 3 relatives ( mother, aunt, brother ) all die from cancer. I'm thankful for hospice and the people who do this. But make no mistake it expedites your death. If you have a loved one in hospice stay near if you can.
They purposely give the morphine shots in hospice too close together, making it impossible for the toxins to be removed by the liver. This causes the patient to die faster than from the disease that is killing them, it even has a name its done so frequently both in hospice and in hospital. The doctors and staff refer to it as " snowing " the patient. Just like a snow storm the process begins with minimal toxins in the system, but as more shots are given too close together the snow storm begins to look like a blizzard until the patient is completely "snowed " in by the process and dies. If you were to have an autopsy on the body it would show your loved one died not from their disease but from toxins in their blood stream from morphine use. The staff all know this, but believe its done for the best reasons, not just to free up the bed for someone else. I would never go back to hospice. I am alive 26 years now past my death date and would have died in hospice due to being "snowed"
My mother was healthy, but she was nasty. They put her on psych dope to control her - and it killed her in very short order. She was really sensitive to all kinds of drugs - psych drugs and pain meds especially. They do a lot of psych doping with the elderly.
@@monke3552 it takes 4 to 6 hrs for the liver to completely remove morphine from the blood stream. If the doses are taken too close together the liver isn't able to remove the morphine completely, if the liver is too over worked by constant bombardment of doses, it can't convert the morphine to codeine and so on...I'm not sure what exact toxins morphine creates, as I'm not a scientist and very rarely are autopsies done on patients that are in end of life care as it's assumed they died from their disease and not from morphine toxicity /overdose... During the snowing phase, the patient begins to breathe less and less, their blood pressure drops, heart rate drops, and they usually die from morphine toxicity - commonly known as snowing... This process has been used by hospitals for many decades - yet no one ever tells the family...and so I'm telling you here...IF they nurses are giving your loved one morphine shots too close together, under the guise of pain relief, just know that they are well aware of the side effects...
@@monke3552 I have an uncle who has been living in hospice for almost 2 decades with only 1/2 of a single lung... He was supposed to die years ago, and so he was moved into hospice...he's still there today because hes refused morphine / pain medicine... He's very tiny, barely 80 lbs - from a very big strong man, but he's still alive...much to shargrin of the staff...
She lost me at hydrocodone, it should not have been on this list. Hydrocodone was allowed refills while all other refills were abruptly stopped, this refilling went on for a few YEARS. This occured because even "they" knew how badly hydrocodone worked. (It took me 3 times as much hydrocodone to equal 1 percocet of the "same" milligram (strength). Methadone did exceedingly bad at controlling pain.
Thats because its not actually a pain med. For pain you would need to take it 4 times a day. It has a shelf life of 50% on the second day, and 25% on the third day. It is one of the hardest drugs to come off, as it gets into your bones and can take 3 months of hard-core withdrawal for every 1 month you take it, making it almost impossible to come off, especially for a drug addict. Once they begin this evil drug they are on it for life, the doctors know this and are counting on it. Clinics in Canada are privately owned by the doctors, making this a conflict of interest issue. You see when you are given morphine the doctors recieve no kickbacks. When you are given your very first script of methadone your doctor gets shares in the company, travlers cheques made out 'pay to the order of cash ', so there is no paper trail, and all kinds of gifts of gratuity for you being prescribed this nasty drug. These gifts to doctors is highly illegal and the college of physicians and surgeons says that it happens so frequently, especially with methadone. Which leaves me to ask, are we getting prescribed the number 1 drug for us or for the doctor? Once you have been given methadone for ANY REASON your name is now on a list, when you present at the hospital there will be a big red flag at the top of your medical file which says "ADDICT DO NOT PRESCRIBE OPIODS " ZND YOU EILL BE BRANDED A JUNKIE, even though you are not. Any time you need opiods they will be denied to you, even if you bust every bone in your body.
Oxycodone was allowed refills up until the time the DEA banned all refills of opioid pain meds in the US. Years ago I could get it refilled once a month for 5 months - one script for a 6 mo period. They didn't allow refills of Hydrocodone because it worked badly. The DEA banned the refill of all opioid scripts in the US, period. Methadone was never meant for pain. It was meant for addicts.
I wonder if doctors ever listen to patients. This poor sod is in palliative care. Dying. And drop it by 50%. You'd want to hope if you do feel sicker (palliative care remember) you will get something.
This video should be re named.. How to make someone extreamley ill by cutting their dose by 50%.
ever heard of multimodal analgesia?
@@modernmedicine2562 Ever heard of drug interactions and the dangers of using multiple CNS drugs at once. An opioid monotherapy will often have the least side effects.
@@Sketch1994 you fool, we don't live in stone age anymore..ever heard of the analgesic ladder and why it was invented? and why we have weak and strong opiods vs non-opiods? it;s because people finally realised that a single type opiods typically isnt enough to adequately control pain especially for chronic pain, hence why the the whole idea of opiod conversion came about = to use minimal dose of opiods/non-opiods to achieve optimal pain control while minimizing the side-effects, including drug tolerance and addiction.....
@@modernmedicine2562 You mean forcing them on Lyrica and antidepressants no matter how devastating their side effects are and denying any other treatment other than Tramadol because the other are "narcoticer", even after Tramadol caused your patient serotonin syndrome? I have tried every possible combination of non-opioids with 60mg of codeine but they all fucked me up and none of them ever matched 90mg of codeine. Yes, some muscle relaxants allowed the pain to come back slower but they never helped the pain themselves, they didn't reduce the ammount of opioids needed for the present pain and they tripled side effects of all even at lower doses with marginal if any differences in analgesia.
Wow! great lecture! Nice and simple. Thank you!
The Methadone analog conversion needs to be recalculated for chronic pain patients.
It wasn't meant to be given to pain patient but to JUNKIES.
If you were taking this for pain, you would need to take 4 doses every day.
This drug has a 50% shelf life and stores in the bones.
For every month you take methadone you will be in detox/ withdrawal for up to 3 months! Not more than 9 months of active withdrawaland all that entails, that is the average for long term users. Making this drug not only toxic but completely unnecessary.
I was tricked into taking it, my doctor said it was great for pain, lying prick, he failed to mention that I would have to pay huge clinic fees to get this prescribed and that he was the owner of that clinic, that it couldn't be prescribed by a normal pain doctor, that he was given shares for every script he wrote, that the pharmaceutical company sent him travelers cheques, so they couldn't be traced, a fur coat for his wife, a sailboat and numerous trips to the Caribbean, just for signing people like us, up to their 'medicine '. My best friend was his secretary- she opened all those trailers cheques each week, said he got more than 100 of them, each for $1,000 .
These doctors are behaving criminally. This drug is a huge windfall for them. Which leaves me to ask, are we getting the number 1 med that is best for us, or are they giving us something not meant for pain, because its THEIR number 1 choice as it benefits them, not us. Making this a HUGE CONFLICT OF INTEREST
It was developed PURPOSELY this way, so junkies would NEVER get off it.
No, it needs to be dumped altogether. Some of those meds don't work at all for some people - stronger ones, in fact. They can't use any "equivalency" tables. NONE. We are not clones.
I wouldn't even think about going into a hospice if I was dying. I'd go straight out and buy as much good heroin as I could possibly afford, and bang it into my veins anytime I felt like it. This woman saying that certain cross over doses could be fatal, does she not understand what a hospice is? Unbelievable.
Cutting a dose by 50% is so so cruel
not if you can add-on a weak opiod or non-opiod on board
Modern Medicine, just give the patient euthanasia. It’s morally and ethically less cruel
You can reduce the new dose by the following percentage:
50% when the pain is control
30% when the pain is not severe
0% when the pain is severed
Switching from 100mg Methadone a day to 50mcg Fentanyl patch a day with breakthrough opi’s. Hell on earth.
I can not believe that you only got 50mcg/h patch.
When I switched to fentanyl I was given 300mcg/h, thats 3 x 100mg patches for 20 m of methadone. I still felt the pain of withdrawal, as if I had no opiods in me at all....
Your doctor is an ass hole.
In Canada to get that dose I had my entire medical file ( 18 large file boxes ) sent to the college of physicians and surgeons where 20 or more doctors in the field of my illneses went over my files, then voted by black ball as to whether or not I would get them.
I had to buy a $5,000 safe, return the used patches to get new ones, and I was told IF someone came to my house with guns DO NOT GIVE THEM THE FENTANYL as I would go to jail for attempted murder, if they died I would be charged with MURDER. Only drug in Canada that has these laws around it.
Have you any idea how dirty the used patches get? The glue that comes out the sides has bits of everything I wore that week stuck to it...so embarrassing watching the pharmacist pull each one out of the box of 10 to examine them...
Fentanyl doped my mother for 24 hours. For me it does absolutely nothing. It's a joke. It's the one thing I wish I could gift every addict. I'm not kidding - it does absolutely nothing. Apparently I can't process it. Morphine makes me throw up.
BS!!!!!!!!!!! This will cause more Suicides because of the increase of PAIN.. And lady you are right you do make mistakes.
Julia Carl She didn’t ever re convert for breakthrough pain injections. Anyone else catch that?
I don't get it. She is cutting the pain meds in half? WHY?
@@bobcrean7723 so they can later increase them.
Doctors and pharmacist believe once a person is given any type of opiod they will need to increase them as the effectiveness wears off. This way they have room to increase them and then they look like caring concerned people, instead of the ass holes they are making us beg for pain relief. I swear they act like we are taking them out of their mouths!
The whole story of us needing to increase them over time is bullshit. Only junkies and people selling half their script increase their meds, everyone I know, including myself has REDUCED over time, not increased them.
I was given 3x 100mcg/hr patches - I had the written permission of the college of physicians and surgeons. They took 3 months to look over my 18 boxes of medical files and 30 or more doctors in the field of my numerous illnesses voted, One black ball and I would be refused.
Over the next year I reduced my meds by 2 thirds, wearing 1 x 100 mcg/hr patch cut into three pieces so to stagger the dose.( they must be worn in tandem so there is always 1 at full strength - rotating each patch ever 36 hrs, and because they can be cut, I would do my rotations with a 3rd of a patch - making my total dosage only 1 patch but in 3 pieces )
When our government decided to take EVERYONE IN CANADA off all their meds there were mass suicides.
Now we know why they took us all off our pain meds, not enough to go around and since they had decided to give our meds to the junkies so they won't OD.
A junkie can have 1600mg hydro morphine, 4 times a day for his or her addictions, yet they won't even give us, people who need them asprin- where's the fucking logic in that?
Now we are putting together a class action lawsuit .
When the canadian government took EVERYONE IN CANADA off their meds entirely, no one gave a flying fuck about the death rate of our citizens committing suicide becsuse of pain.
They were doing this so they would have enough supply to give to the junkies. Not enough for everyone, as junkies are greedy.
Today in Canada anyone claiming to be a junkie can walk into any hospital, clinic or doctors office and get a script for 1600 mls of morphine 4 times a day. Thats 16 x 100mg four times es a day! Yet just getting one Tylenol 3 my doctor behaves like I am taking it from his grandmothers mouth! How is it that for end of life therapy I get NOTHING and some drug addict get medicine meant for me?
My entire medical file, all 18 file boxes were sent to the college of physicians and surgeons to be voted on, by black ball vote, they spent months looking 9ver my file, then gave me permission to have the shunt removed from my heart, ( they had been feeding me and giving me morphine drip straight into my heart for over 3 years) and be given 3x 100mcg/hr patches to be worn in tandem.
Then the opiod crisis hit, we were all taken off our meds due to junkies dying of overdose. One has nothing to do with the other, but snowflake generation logic says everyone must stop taking them...now we know why...not enough to go around...1600 MLS of morphine junkies get, 4 times a day, but we still get nothing...I suppose we could go downtown and buy them off the junkies, but we shouldn't have to..
There is a class action lawsuit right now being put together for the torture our government has put us through...
Necesito saber el costo de algunos medicamentos..con y sin GOOD RX
Or "how to torture people in pain"
So the only human to be medicated to relieve chronic pain are cancer patients in hospice ? What are all of us older women suffering chronic Pain who can’t get out of bed or self care ? I’ve tried 2 nj Pain Managment dr who told me they only do injections & surgeries. I’ve tried & much more. I know at age 63 that opoids are the only medication or alternative therapy that I can self care get any pain relief. So I’m forced to suffer till I die because I refuse surgeries or injections again??
Christine Horan I agree i work 14 hrs a day I'm almost 40 yrs. Old and I manually pick up around 600,000 pounds a day my body is in constant pain and only 10mg hydrocodone seems to work for me , people who don't know about manual labor for a living cannot understand or relate to the pain that I have and how constant it is
Christine Horan. I agree with U Christine. I have fibromyalgia & because Drs minimized my pain when I came down with postheripetic neuralgia. I am now stuck with shingles pain for maybe the rest if my life. Opiates are still the best analgesics with the least destructive side affects. From studies from pain Drs & even the mayo clinic. Every invasive procedure u have done to yr body traumatises it. I think we folks with chronic pain should get together & start a petition. Also most we Drs don't know the dad laws. They say they can't give U opiates. But the law states they can give a patients a 24 to 48 be supply at the Drs discretion. You shouldn't have to suffer. U have the right to have yr pain managed. If a Dr indicates u just need to find a way to deal with yr pain. & won't help u. Call OMBUDS. ITS AN ORGANAZATION THAT STICKS UP FOR OUR RIGHTS . GOD BLESS
Christine Horan Christine, keep trying you will find a good doctor somewhere in the US,, thank God Im from elsewhere. Take care.
Brian McIntyre I’m a disabled 62 yr old woman from NJ. I don’t have any other income to turn to to help me. I’m stuck in functioning disgusted in my forced state . My only choice left is to wait to die or to try to force a quicker end. For 17 yrs I was living a life now I’m disgusted with the pain & embarrassing way I’m forced to live( exsist. Only pain, No sleep, depressing life ,No hope for Any relief.Governments lies about chronic pain patients medication abuse is not related to street heroin & illegal fentanyl overdoses & deaths. Their puttting blame & forcing most of us( poor older patients ) to suffer until dead. I have no pain relief from a 17 yr functioning life. DEA locked up my records by closing up my dr of 17 yrs & I can’t get treatment without my records at my age of all alternitives I’ve tried & failed me after yrs of trying. I can’t start over . I have no hope of any future with less pain . What do you I have as a real option? Nothing !!!
Christine Horan ,Christine does the U S have any free pain clinics doctors there are pretty fair with older sick people that are house bound, but that's in Canada. I wish you the best
I mean if my stomach can do it why I can't that's obvious
Dr. Shapiro is the goat
Thank you so much!
So for the BTP the 10mg was given q4h to be equivalent to the 12h? Or because of standard of 2-3times a day?
Conversion from 10 mg methadone to 2 mg hydromorphone
Thank you
do you need to reduce 30% again because of coversion from IR to ER?
Great video ... quick question for some one who took 60ml daily of OxyContin... what is a safe daily tempering dosage ?!
Go on Norspan and temgesic. Either come off over 30 days. Or stay on for a year or two. Then wean over 4 months. It's 10% the pain. I'm going through it now. I'm 6 days until off completely. Today is a bad day. But it's 10% of what I remember morphine being. Your future self will thank you. Or look into Ibogaine.
You tell me 50 mg off methadone is 160 mg off morphine maybe more ,I wont to swich from 50 mg methadone to morphine ,what is the best way to do it??
Even switching to fdntsnyl first might be your best option as fentanyl side effects from quiting long term usage is 1) itchy 2) extremely hungry, can't ever feel full, I ate 2 large pizzas and was still hungry! 3)chills...and that was it.
Tapering off any opiods is easy, do not drop more than 10% at a time, stop when you start to feel the difference, then begin again once your body has regulated its self down to the new dose.
When you reach 40% of the original dose, begin removing 1/8 @a time until u feel it again, and stop there until you feel normal, then continue.
Regardless of the reduced dose, never drop by more than 10% at a time, otherwise you will start feeling the harsh effects of tapering to fast
Good luck.
I have reduced off opiods more than 100 times in my life. When my pain goes into remission ( crones disease and scar tissue from 40 years of eating bread and never being told it's celiac until it was too late and the damage done ) as well as 12 other health problems that make digestion of jello feel like broken glass and rusty nails moving through me. Of all the opiods I have been given in my life from morphine drip run through a shunt in my heart for 3 years, to fentanly at 300 mcg/hr, I was tricked by a doctor into taking methadone a few years back, said it was great for pain, which it isn't, but it was the hardest of all the opiods to quit as it has a shelf life of 50% in your system, so if you take 100mg you are actually on 150mgs that day because the days dose before is still half in your system. Then it remains in your bones for months, making withdrawal from methadone extremely hard, and most never get off of it because of this...it is dangerous, and should be removed from the pharmacy.
I had switched to fentanyl from methadone once, and it took 300mcg/h to match 40 mg of methadone, and I still had 2 months of withdrawal symptoms.
Methadone is a nightmare to come off...one of my friends was in hospital 9 months just to get it out of his body, as its stored in the bones.
No amount of opiods is going to relieve you from the pain of methadone withdrawal. I have heard junkies say it is the very worst of all their addictions as its 3 months of withdrawal for a 1 month script, and the longer you take it the more harsh the withdrawal will be, and it will be very long withdrawal, 9 months for my friend he only used it for 3 months. He had to be put in hospital as he was dry heaving for 2 weeks straight and lost 59 lbs.
Good luck.
Canada is starting a class action lawsuit against the government, the pharmaceutical company and the doctors who write these scripts, as they do so for their own benefit. Any doctor who prescribed methadone has a huge conflict of interest, they knowingly give it to you in the full knowledge it is for LIFE, as you will never be free of it, never....and do you know why? The clinics are owned by the doctors, they get your money, the government also pays full price for the client - doesn't stop them from charging you full price, and the pharmaceutical company that makes it gives them shares in the company as well as HUGE kickbacks and other gifts of gratuity like trips and a fur coat fir the wife...
How to convert 10mg methadone to 2 hydromorphone
what does" Q 12 " stand for??
also I didn't understand no. 4, what does it mean to add BTP at 5-15 %?
I've watched 3 relatives ( mother, aunt, brother ) all die from cancer. I'm thankful for hospice and the people who do this. But make no mistake it expedites your death. If you have a loved one in hospice stay near if you can.
They purposely give the morphine shots in hospice too close together, making it impossible for the toxins to be removed by the liver.
This causes the patient to die faster than from the disease that is killing them, it even has a name its done so frequently both in hospice and in hospital.
The doctors and staff refer to it as " snowing " the patient.
Just like a snow storm the process begins with minimal toxins in the system, but as more shots are given too close together the snow storm begins to look like a blizzard until the patient is completely "snowed " in by the process and dies.
If you were to have an autopsy on the body it would show your loved one died not from their disease but from toxins in their blood stream from morphine use.
The staff all know this, but believe its done for the best reasons, not just to free up the bed for someone else.
I would never go back to hospice.
I am alive 26 years now past my death date and would have died in hospice due to being "snowed"
My mother was healthy, but she was nasty. They put her on psych dope to control her - and it killed her in very short order. She was really sensitive to all kinds of drugs - psych drugs and pain meds especially. They do a lot of psych doping with the elderly.
@@c.a.greene8395 what toxins does morphine cause to accumulate?
@@monke3552 it takes 4 to 6 hrs for the liver to completely remove morphine from the blood stream.
If the doses are taken too close together the liver isn't able to remove the morphine completely, if the liver is too over worked by constant bombardment of doses, it can't convert the morphine to codeine and so on...I'm not sure what exact toxins morphine creates, as I'm not a scientist and very rarely are autopsies done on patients that are in end of life care as it's assumed they died from their disease and not from morphine toxicity /overdose...
During the snowing phase, the patient begins to breathe less and less, their blood pressure drops, heart rate drops, and they usually die from morphine toxicity - commonly known as snowing...
This process has been used by hospitals for many decades - yet no one ever tells the family...and so I'm telling you here...IF they nurses are giving your loved one morphine shots too close together, under the guise of pain relief, just know that they are well aware of the side effects...
@@monke3552 I have an uncle who has been living in hospice for almost 2 decades with only 1/2 of a single lung...
He was supposed to die years ago, and so he was moved into hospice...he's still there today because hes refused morphine / pain medicine...
He's very tiny, barely 80 lbs - from a very big strong man, but he's still alive...much to shargrin of the staff...
She lost me at hydrocodone, it should not have been on this list. Hydrocodone was allowed refills while all other refills were abruptly stopped, this refilling went on for a few YEARS. This occured because even "they" knew how badly hydrocodone worked. (It took me 3 times as much hydrocodone to equal 1 percocet of the "same" milligram (strength).
Methadone did exceedingly bad at controlling pain.
Thats because its not actually a pain med.
For pain you would need to take it 4 times a day. It has a shelf life of 50% on the second day, and 25% on the third day.
It is one of the hardest drugs to come off, as it gets into your bones and can take 3 months of hard-core withdrawal for every 1 month you take it, making it almost impossible to come off, especially for a drug addict. Once they begin this evil drug they are on it for life, the doctors know this and are counting on it.
Clinics in Canada are privately owned by the doctors, making this a conflict of interest issue.
You see when you are given morphine the doctors recieve no kickbacks. When you are given your very first script of methadone your doctor gets shares in the company, travlers cheques made out 'pay to the order of cash ', so there is no paper trail, and all kinds of gifts of gratuity for you being prescribed this nasty drug. These gifts to doctors is highly illegal and the college of physicians and surgeons says that it happens so frequently, especially with methadone.
Which leaves me to ask, are we getting prescribed the number 1 drug for us or for the doctor?
Once you have been given methadone for ANY REASON your name is now on a list, when you present at the hospital there will be a big red flag at the top of your medical file which says "ADDICT DO NOT PRESCRIBE OPIODS " ZND YOU EILL BE BRANDED A JUNKIE, even though you are not. Any time you need opiods they will be denied to you, even if you bust every bone in your body.
Oxycodone was allowed refills up until the time the DEA banned all refills of opioid pain meds in the US. Years ago I could get it refilled once a month for 5 months - one script for a 6 mo period. They didn't allow refills of Hydrocodone because it worked badly. The DEA banned the refill of all opioid scripts in the US, period. Methadone was never meant for pain. It was meant for addicts.
awesome thanx
I wonder if doctors ever listen to patients. This poor sod is in palliative care. Dying. And drop it by 50%. You'd want to hope if you do feel sicker (palliative care remember) you will get something.
This is fuxked up
this is so confusing
Sounds like b.s