Hi,
Another necro post :)
It may be 2016 now, and a couple of changes have happened in South Australia regarding the use of Opiates as the old timer doctors pro the use of Opiates are retired now, as happens to us all.
However the new Doctors are hell bent on "harm reduction" and you will hear more about
redirection of medication to street dealers, abuse of medication in other countries than you will about
all available options.
The classic one I like is when they ask me to undress and pop on a gown, so they can proceed to scrutinize em for any signs of needle marks... nice one.
To answer your question, I would recommend this. Agree to try Gabapentin, it may well work for you if you are having burning pain, if not, most likely it wont and the doctor will know this.
However a more likely successful and more dignifying treatment for someone obviously not a drug seeking, addict [read - dpendancy is different] you may well find the side effects of this combination more tolerable for your pain.
10mg methadone pill form in morning and 10mg at night [12 hours a part]
35 Mg Audine [morphine] per day MAX at 5mg every 4 hours [pain dependant].
What you may find is that on the third day you get a little sleepy and stop taking the Audine. then you may also find that it is only when the pain is getting the better of you that you take the Audine, which will actually work to ease the pain.
This combination has 2 effects:
1) the methadone will assist your pain levels but more importantly stop any cravings what-so-ever
2) the use of the Morphine syrup Audine will allow you to actually control your pain levels with the feeling of some dignity and you will most likely decrease, not increase your doe as you are starting on a low dosage that falls within the recommended and much studied blood morphine levels.
All the doctor needs to do is ensure you use one pharmiscist, in Australia we use the PBS to track your usage. Blood taken at random request by your doctor to ascertain if your actually using the medication. One random home visit by a registered locum every 6 months to check your supply and take a blood sample.
Sounds easy doesnt it?
Note: Kapanol or MS-Contin will leave you with one problem, it will handle your cravings if youve never sustained a higher level [another thread for that] AND it will not leave you anything for when you really are in pain....
The above dosage and system was proposed by Dr Sydney Aidinis in South Australia in 2014 as a replacement to fentanyl Patches 1 x 75mcg every second day.
Post Edited (JORY01) : 10/6/2016 5:58:37 AM (GMT-6)