can anyone help?

Welcome JMom to the Chronic pain forum. First let me say we have an awesome Fibro forum here and those folks may be able to add to anything you get here. As for the CP welcome to the old timers club as many of us have been in it for decades now and the only advice we give folks is to find the right set of Drs and the right set of meds and modalities and keep on moving!! Once your down getting back up is almost unheard of. None of us have those NO pain days anymore but if we can find a low pain way to survive we take it!! We have also stopped trying to get anyone outside of this forum to understand our lives living in constant pain because its not likely to happen. Everyone here knows it,lives it,and here is where we talk about it!! I know all about having a difficult time with meds and reactions but 3 days is not a long time to give your body to adjust to a med. Most side effects short of anaphalactic incidents will subside once you grow accustomed to the meds. There are far more then you listed trying however and if you don't have a Doctor well versed in Pain Management and willing to run the gauntlet with you and new med trials then that is my best piece of advice to you, Get One!! That is the only thing that will ever give you peace of mind and relief,some measure of consistent pain relief.

You also have to find the right combo of other things that bring a little more to the table like therapy,low impact yoga,hydrotherapy,accupuncture,pure distraction in some way or form,whatever works for you to aid our meds in dropping those numbers down to livable.

Again welcome and glad you joined us.

Hi Jmom,

Yes, welcome to the land of pain which you seem to know all about. It never leaves some of us once it starts, only a matter of degrees.

Things I have found helpful:

Water therapy, tens machine, pain psychologist and any, and I mean any medication that helps you even for a little bit, under the care of your doctor. Any diversion and try not to feel badly because everyone has something going on somewhere in their bodies that is not going right. CP is not visible.

Friends and family take a long time to get it. Welcome to this great place.

Lumiere

it seems that the level and type of pain you have and duration you need an opioid(s) analgesic. your 5/10 may be a normal persons 7-8/10. you need to be able to have a portion or just an hour in a day relatively pain-free. i know people with allergic reactions to morphine, codiene, oxycodone, and hydrocodone have a very good chance that you may be good to try the other side of the spectrum. opium, morphine, codiene are almost completly organic, occurs in nature without any chemist. hydrocodone and oxycodone and throw in hydromorphone and oxymorphone are "semi-synthetic". for you looking into full synthetics is a good idea. 25years you have brain neuron pathways that must be antagonized, rebooted, downloaded, any other word you can think of. buprenorphine, fentanyl, meperidine(Demerol), methadone, levorphanol(Levo-Dromoran), tapentadol(Nucynta), and tramadol are all full-synthetic. levorphanol is one of the best for any of us but it is only available from a compounding pharmacist, i would keep it in mind. first with the Duloxitine you must be careful with tapentadol and tramadol, they both have a norepineprine re-uptake inhibitor effect, tapentadol more than tramadol. Butrans transdermal buprenorphine patch 1 per 7 days is OK but i am a believer in activity related or escape pain medications because of spinal issues, i am not certain if Butrans patch blocks breakthrough pain meds. Suboxone or Subutex are sublingual buprenorphine, it has a powerful pain controlling effect with 2 negatives 1.it has such a strong binding property to opioid receptors it almost certainly would block some rescue meds ability to bind with the receptors 2. it has a ceiling dose at 32mg,(that is a lot), everyone has different responses to it. if i was you i would look into Methadone(Dolophine,Methadose=brands) generic it is very affordable. it is a powerful pain controller that is unlimited in that ability but it is one to be respected due to respritory depression. it is very lipid and even bone gathering also with a long half-life, apprx. 36-48 hrs. give or take. some can use a small dose for years ex:5mg 2 times per day. it also is a NMDA/Glutamate antagonist which are excitory pain pathway neurotansmitters, prob.15% of it. drawback low dose:teeth demineralizing and bone high dose:may cause a heart electro-signaling disfunction, 80mg/24hrs. they generally do an EKG 2-3 times per year to check. 80mg is a lot if tolerance is low-moderate. the other of 2 if i were you would be transdermal fentanyl(Duragesic), very potent, 1 patch every 3 or maybe 2 days and lacks the methadone adverse effects but cost a bit more. it is a derivative off meperidine or Demerol. Demerol is not used near as much these days but still has a place, ex:Duragesic patch with Demerol 50mg 3 times per day if needed for breakthrough pain. i will come back to this because i believe a stimulant and muscle relaxant with certain supplements maybring you out of pain, apathy, and make you feel human. dexedrine at low dose or ritalin at low dose in morning and maybe noon-afternoon would make you feel like a person. baclofen, tizanidine, or soma for muscle issues or as sleep aid or to give potentating effect to pain meds. lorazepam or diazepam for anxiety. although i think you have to reboot you brain and NSAIDS do not really act there, a new release of diclofenac called "Zorovolex 18 or 35 mg" is effective and does not kill your stomach. amino acids taurine and l-glutamine and maybe 7-keto-DHEA. herbs: Bacopa, Gotu Kola, Ashwagandha, Schizandra may get brain happy. will get back and God bless you and look into some of this yourself and with a compassionate MD your good to go.