HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Spinal Stenosis And Chronic Back Pain

default
Posted on Fri, 23 Jan 2015
Question: HI I HAVE BEEN TAKING OXYCODONE 10 MIL @ 2 2X ADAY (40 MIL ADAY) FOR THE LAST 2 MONTHS. pRIOR TO THAT IT WAS 3-4 40 MIL A DAY...mY DOCTOR DID NOT WEEN ME DOWN JUST STOPPED THEM FOR ABOUT A WEEK. tHEN SHE GAVE ME THE TEN MIL. WELL SHE GAVE ME ENOUGH FOR ABOUT 10 DAYS. I HAVE SPINAL STENOSIOUS AMONG OTHER BACK PROBLEMS THAT CAUSE CHRONIC PAIN. I DO NOT HAVE A GOOD REPORE WITH HER SO THIS TIME WHEN I RAN OUT OF MEDS I TOOK SUBOXONE SO I WOULDNT WITH-DRAW. I AM ALSO TAKING aTIVAN 2MG 2X ADAY..METOPROL 50 MIL. ONCE A DAY TIZANDINE 2 MG 2 A DAY TL GARD 1 ADAY AND A DAILEY VIT. I JUST READ THAT I SHOULD NOT BE COMBINING THESE MEDS. ANY SUGGESTIOS WILL BE GREATLY APPRECIATED....TY
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
several issues.

Detailed Answer:
She didn't prescribe suboxone.

So, a concerning feature is taking medications that are outside of the doctor's supervision. This is a serious red flag for addiction and serious drug risks. How one interacts with the doctor, the medications, and one's condition is the most critical feature. It's complicated.

The pharmacology of the medication interactions is much more straightforward. Most narcotics if you take more, you get more of an effect. Eventually, you get to a situation in which this is quite dangerous and inhibition of breathing can kill you. This is more likely to occur and occurs at lower doses if more than one sedative is present. Ativan and alcohol and many other medications are sedatives and make narcotics more dangerous.

Suboxone is a different situation. It is not a fully active narcotic. It partially turns on the switches that are activated by narcotics. If someone is in withdrawal this is more of an effect than zero narcotics and will lower withdrawal. If someone is on a lot of narcotics, however, this will be LESS and trigger withdrawal. Suboxone has less tendancy for producing overdose and less interaction with sedatives.
Tizandine is a muscle relaxer, it has weak sedative effects and not a lot of worries in this context unless someone is already overdosing (then all bets are off).
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Matt Wachsman (1 hour later)
No she did not...got it from a friend so I would not go into with-drawel...I know its not good to self medicate but, my life is very complicated. I know my doctor wants to do the right thing for me (by getting me off narc.) but, there is a right way to do it and I know what that is for me. If I did not have the pain I endure every day it would be a lot easier. I am my MOM,s PCA (she suffered a stroke that left her partially paralyzed) and I care for her 24/7...not an excuse for needing to take pain meds. but, the pain get,s over-whelmingI have had Faucet shot's in my lower back (8) of them at once and, it has made the pain worse. Other than trying to find a new PC I am at my wits end......thanks for letting me vent

will I be ok if I take an Ativan ? the last time I took a piece of suboxone was around 12 pm.....and they r perscribed
doctor
Answered by Dr. Dr. Matt Wachsman (20 minutes later)
Brief Answer:
basically, yes.

Detailed Answer:
Suboxone peaks by 12 hrs and declines. It is not as potent as other narcotics that you've taken with ativan before.
Not having examined, you, etc. I can only give general information. Although taking any sedative with any narcotic is potentially risky, taking them relatively far apart and taking the same sedative with a lower amount or a less potent narcotic has to lower the risk.

Then, there's the other issues.
feeling like one has to take a drug to avoid bad consequences is dependence. While this is not addiction, it is certainly a concern for addiction and a concern that it is going to contribute to someone taking medications in an unregulated and potentially dangerous way.
taking narcotics that weren't prescribed, having a doctor deciding use of narcotics should be lowered or curtailed, having progressively a more complicated life from them, taking them for reasons other than pain (including to avoid withdrawal) sets up for a series of bad consequences (merely having them in one's possession without a valid prescription is highly illegal).
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Matt Wachsman (53 minutes later)
Dr. XXXXXXX u r making me sound like a real DRUG ADDICT when all I am doing is trying to control chronic pain...I did not ask for these pills,,, they were prescribed to me 30 yrs ago when they were not used to get high with !!! Now that society says I am a drug addict cause I have chronic pain and YES I may be addicted to pain meds BUT !!! not by choice I am getting swept under the carpet and LABLED !! It is not my intention to take non-prescribed drugs (which I have never done b4) But, I still have a half left and if tomorrow comes and I wake up not only in pain but in withdrawel u can bet legal or not I WILL take a piece of that soboxone !!!!!!!!!
ps excuse my spelling..forgot to put my checker on and its late lol
doctor
Answered by Dr. Dr. Matt Wachsman (23 hours later)
Brief Answer:
consider suboxone

Detailed Answer:
which would work in several different contexts.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Spinal Stenosis And Chronic Back Pain

Brief Answer: several issues. Detailed Answer: She didn't prescribe suboxone. So, a concerning feature is taking medications that are outside of the doctor's supervision. This is a serious red flag for addiction and serious drug risks. How one interacts with the doctor, the medications, and one's condition is the most critical feature. It's complicated. The pharmacology of the medication interactions is much more straightforward. Most narcotics if you take more, you get more of an effect. Eventually, you get to a situation in which this is quite dangerous and inhibition of breathing can kill you. This is more likely to occur and occurs at lower doses if more than one sedative is present. Ativan and alcohol and many other medications are sedatives and make narcotics more dangerous. Suboxone is a different situation. It is not a fully active narcotic. It partially turns on the switches that are activated by narcotics. If someone is in withdrawal this is more of an effect than zero narcotics and will lower withdrawal. If someone is on a lot of narcotics, however, this will be LESS and trigger withdrawal. Suboxone has less tendancy for producing overdose and less interaction with sedatives. Tizandine is a muscle relaxer, it has weak sedative effects and not a lot of worries in this context unless someone is already overdosing (then all bets are off).