Why can't people with chronic pain/fatigue use performance enhancers?

Posted by robbinr @robbinr, Jul 4, 2017

Surely if there are medicines that performance athletes can use them, there should be some way that people who cannot go about their day without pain and fatigue could use them. I'm not talking about blood doping - I'm already at 8,000 feet.

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@kanaazpereira

Great question, @robbinr! Here is some information about painkillers, opioids and athletes:

– Opioids for treatment of pain — benefits and risks http://mayocl.in/2ss3C0G
– Avoid opioids for chronic pain http://mayocl.in/2trT82W
This link, http://mayocl.in/2uMlPqJ, will take you to a number of Mayo Clinic news articles related to your questions.

You may also wish to view this discussion in the Chronic Pain group on Connect:
Pain Doctors restricting treatment http://mayocl.in/2tKJjjd

I'd like to invite @coolrufus @daybyday @contentandwell @mikween @medic7054 and @jimhd, to join this conversation and perhaps provide some more insight?

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Where can you go for the pain rehab program as stated in the article Opioids for treatment of pain? Marield65

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@jimhd

I've been taking mscontin for several years for peripheral neuropathy pain in my feet, among other things. I hate to think what the pain would be like without it. I've tried every medication for neuropathy, and nothing has helped. A few months ago I decided to taper off the morphine to see if the Cymbalta I'd been prescribed for the neuropathy would work on its own. I found out. After being off morphine for a few weeks I started taking it again. I had been taking 30mg tid, but when I restarted it I decided to see if 30mg bid would be enough. It really isn't enough, but it makes my wife and doctor happy. I had a spinal cord stimulator implant 4 weeks ago and it finally started to help yesterday. Today I had to walk around Walmart and they hurt tonight. The hope of is that I'll be able to cut back on morphine and maybe stop it completely. I know that would be good, but I want to be able to take it if I need it. We shall see.

The clinic where my pcp practices only permits 100mg of opiates or narcotics per day, and I take Clonazepam every day, and Percocet as needed. I had a bleeding ulcer 7 years ago, so I'm not supposed to take NSAIDS. If they cut back any more on how much narcotics the doctor can prescribe, a lot of us who truly need it will be in trouble. I could get medical marijuana here in Oregon, as all use is legal, but it's not covered by Medicare and it's very expensive. That means that people will be forced to get it illegally. Just about every little town has a dispensary. I tried making cookies with marijuana, and it did help, but if I told my doctor about it he would stop all of my pain medication.

That's the world today.

Jim

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Unfortunately arbitrary limits on opiates is not based in scientific study. Keep fighting, bring malpractice suit if necessary. If all else fails, then you are being forced to order needed medication from the internet or the corner dealer which is dangerous but certainly better than accepting torture. Good Luck - keep up the fight and do what you know is right (which doesn't include being in pain 24 hours a day)!

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@jimhd

I've been taking mscontin for several years for peripheral neuropathy pain in my feet, among other things. I hate to think what the pain would be like without it. I've tried every medication for neuropathy, and nothing has helped. A few months ago I decided to taper off the morphine to see if the Cymbalta I'd been prescribed for the neuropathy would work on its own. I found out. After being off morphine for a few weeks I started taking it again. I had been taking 30mg tid, but when I restarted it I decided to see if 30mg bid would be enough. It really isn't enough, but it makes my wife and doctor happy. I had a spinal cord stimulator implant 4 weeks ago and it finally started to help yesterday. Today I had to walk around Walmart and they hurt tonight. The hope of is that I'll be able to cut back on morphine and maybe stop it completely. I know that would be good, but I want to be able to take it if I need it. We shall see.

The clinic where my pcp practices only permits 100mg of opiates or narcotics per day, and I take Clonazepam every day, and Percocet as needed. I had a bleeding ulcer 7 years ago, so I'm not supposed to take NSAIDS. If they cut back any more on how much narcotics the doctor can prescribe, a lot of us who truly need it will be in trouble. I could get medical marijuana here in Oregon, as all use is legal, but it's not covered by Medicare and it's very expensive. That means that people will be forced to get it illegally. Just about every little town has a dispensary. I tried making cookies with marijuana, and it did help, but if I told my doctor about it he would stop all of my pain medication.

That's the world today.

Jim

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Are there any real "drug dealers" on the internet? 20 years ago, my GP used to subscribe. now, no one does within 100 miles. And I keep getting older, which, I guess, is a good thing, but means more sources of pain.

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@kanaazpereira

Great question, @robbinr! Here is some information about painkillers, opioids and athletes:

– Opioids for treatment of pain — benefits and risks http://mayocl.in/2ss3C0G
– Avoid opioids for chronic pain http://mayocl.in/2trT82W
This link, http://mayocl.in/2uMlPqJ, will take you to a number of Mayo Clinic news articles related to your questions.

You may also wish to view this discussion in the Chronic Pain group on Connect:
Pain Doctors restricting treatment http://mayocl.in/2tKJjjd

I'd like to invite @coolrufus @daybyday @contentandwell @mikween @medic7054 and @jimhd, to join this conversation and perhaps provide some more insight?

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Hi @marield65,

The Pain Rehabilitation Center at Mayo Clinic in Minnesota (one of the first pain rehabilitation programs in the world), has helped thousands of people with chronic pain.
Similar centers were established more recently at Mayo Clinic's campus in Jacksonville, Florida, and in Phoenix, Arizona.
You will find all the details and information about the various pain rehab programs available, here: http://www.mayoclinic.org/departments-centers/pain-rehabilitation-center/overview

REPLY
@jimhd

I've been taking mscontin for several years for peripheral neuropathy pain in my feet, among other things. I hate to think what the pain would be like without it. I've tried every medication for neuropathy, and nothing has helped. A few months ago I decided to taper off the morphine to see if the Cymbalta I'd been prescribed for the neuropathy would work on its own. I found out. After being off morphine for a few weeks I started taking it again. I had been taking 30mg tid, but when I restarted it I decided to see if 30mg bid would be enough. It really isn't enough, but it makes my wife and doctor happy. I had a spinal cord stimulator implant 4 weeks ago and it finally started to help yesterday. Today I had to walk around Walmart and they hurt tonight. The hope of is that I'll be able to cut back on morphine and maybe stop it completely. I know that would be good, but I want to be able to take it if I need it. We shall see.

The clinic where my pcp practices only permits 100mg of opiates or narcotics per day, and I take Clonazepam every day, and Percocet as needed. I had a bleeding ulcer 7 years ago, so I'm not supposed to take NSAIDS. If they cut back any more on how much narcotics the doctor can prescribe, a lot of us who truly need it will be in trouble. I could get medical marijuana here in Oregon, as all use is legal, but it's not covered by Medicare and it's very expensive. That means that people will be forced to get it illegally. Just about every little town has a dispensary. I tried making cookies with marijuana, and it did help, but if I told my doctor about it he would stop all of my pain medication.

That's the world today.

Jim

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What would a performance enhancer be?
Dany

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Hi @danybegood1,

Performance-enhancing drugs (PED), are substances that are used to improve any form of activity performance in humans. Anabolic steroids, androstenedione, human growth hormone, erythropoietin, diuretics, creatine and stimulants are some types of PEDs; you can learn more about the potential benefits, the health risks and the many unknowns about performance-enhancing drugs here: http://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/performance-enhancing-drugs/art-20046134

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I have chronic pain,arthritis and fatigue and cannot concentrate and was so depressed and my Doctor put me on Ritalin plus other meds, and that keeps me going.
I don't get hyper on it, I get normal.
Marield65

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