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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Pain Medications For COPD Asthma And Degenerative Disc Disease

i have copd,astma,degenerative disc disease both lumbar and cervical.i was in traction for 3 years about 25 years ago.i recovered dropped disability ,went back to a full time job,after truck wreck and atree fell on me.dr.s said i would never lift over5 lbs.after lots of physical therpy and determination i returned to the work force worked pain free ,drug free for over10 years to find that now i have copd ect.now taking hydrocone and valium and now on oxygen these pain meds are not working. what is the next pain meds. should i be asking for?
Wed, 10 Aug 2016
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Addiction Medicine Specialist,  's  Response
Well hydrocodone and valium are a problem in COPD because they lower your breathing. Increasing the narcotics makes this more risky. Valium is not a paiin medication and its effects on calming and/or muscle relaxation can be also produced by drugs that are far less risky. Stopping valium suddenly can also be fatal and needs to be done under supervision.
People who like narcotics for pain are unlikely to like other drugs for pain as much, so this gets to be quite a difficult situation. It is classically one for which medical marijuana is prescribed and illegal marijuana is a bad alternative. Medical marijuana in the context of COPD and home oxygen is itself potentially very very dangerous, so, it is a difficult problem and not one that can be really addressed without actualy being there.
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Suggest Pain Medications For COPD Asthma And Degenerative Disc Disease

Well hydrocodone and valium are a problem in COPD because they lower your breathing. Increasing the narcotics makes this more risky. Valium is not a paiin medication and its effects on calming and/or muscle relaxation can be also produced by drugs that are far less risky. Stopping valium suddenly can also be fatal and needs to be done under supervision. People who like narcotics for pain are unlikely to like other drugs for pain as much, so this gets to be quite a difficult situation. It is classically one for which medical marijuana is prescribed and illegal marijuana is a bad alternative. Medical marijuana in the context of COPD and home oxygen is itself potentially very very dangerous, so, it is a difficult problem and not one that can be really addressed without actualy being there.