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Old 12-06-2004, 09:09 PM
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I never thought...

Hello. I find myself on the cusp of my 42nd b-day addicted to vicoden. For i1year and a ruptured disk I have been using..only at night 10/325. Not to minimize but a strong feeling to want to keep using. When does it end?
when do you stoip when your life alreaady sucks and you are in pain??not body pain but life pain??

sorry for rambling. this is new to me
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Old 12-06-2004, 10:09 PM
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Eagle,
I have a serious injury that occurred at work. I was prescribed valium for 3 weeks and percocet for 4 1/2 months. The last 2 weeks were hell, because I knew the script was going to end. The last 2 days I was extremely irresponsible with my script. I fessed up to my doctor (2 weeks later). I have back pain that is constant and agonizing, but there are other options. Talk with your doctor regarding your concerns. I had to ask myself was I taking the percocet for physical pain and mental pain - both. I was using it the last few weeks though for the euphoria. I went through 4 days of withdrawals, which really stunk, but I made it through. Stay strong and keep checking, there will be others checking your post with probably more insight than I. I am more on the AA side. Take care and good luck.
Jen
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Old 12-06-2004, 10:25 PM
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To me, there is a difference between physical dependence and addiction. Why do you say you're addicted to Vicodin? Is the drug CAUSING your life pain? I am definitely an opiate addict, but I also had chronic pain from degenerative disk disease. If I could have CONTROLLED my use, I probably could have kept taking the opiates for my back, but I couldn't. Jlo is right;there are other options for the body pain. Talk to the doctor prescribing the Vicodin about your concerns. And in the meantime, you may want to try an NA meeting as well. I wish you the best!
Peace, love, and hugs,
Eddie
NA in your area!
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Old 12-07-2004, 06:40 AM
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The opiate is gonna cause confusion in your life, its that powerful. Like Eddie, I couldn't control my drug use, even from the doctor, our bodies and mind dont know the difference between the doctor prescribing them tous, or ourselve just taking them to get high. Some people can stop, detox and move on with their livfe, I am not on of those People, The obsession and cumpulsion tore me up and I created a mess of my life, so I had to learn a new way of life. Try that link Eddie gave you, Go to a meeting or 90, talk to some people, listen to what others are doing with the same problem. What have you got to lose?
Todd J.
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Old 12-11-2004, 10:42 PM
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My God. Thanks for all your help. I thought I lost the web site that may help me. It has been a week since I have been on the computer. Please don,t feel that I posted and ran. I saw the relpys and it felt good that other people care.
Question. At what point do you know that you are addicted?? how much do you take to be adicted??
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Old 12-12-2004, 03:42 AM
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My story begins in March 2004. I was diagnosed with a perinephric renal psoas abcess. My condition was so rare that it took a general surgeon to diagnose it. The week before, I had been diagnosed with nephrolithiasis (kidney stones) and had underwent a painful surgical procedure known as a stent placement.

This is where my use of demerol, dilaudid, morphine, lortab, tylox and mepergan began. After being in the hospital for a week after surgery, I was released. That weekend I went home and spiked a fever of near 105....so my family rushed me back to the ER. In the ER, several doctors tried to figure out what was going on. My White Blood Cell Counts were elevated extremely. It was thought that I had a twisted bowel. I was admitted to the hospital to control my fever and for further diagnosis. A surgeon was called in just in case I needed my bowel (so they thought) operated on.

He told us he was going to look at all my scans and try to figure out what was going on. In the meantime, I was given anti-nausea drugs through an I.V. and had my first experience with Demerol (I was given 50mg IV, then it was increased to 75-100mg because I developed a tolerance over a period of three weeks.) I wish that after the infectious disease was resolved, someone would have sent me to medical/surgical detoxification.

I was diagnosed with a psoas abcess, a special kind of perinephric abcess. For this, I was hospitalized for six weeks and an infectious disease specialist was called in to get the correct kind of antibiotics. During this time, I was given demerol and dilaudid with phenergan every two hours (they alternated the demerol and dilaudid). The doctor put in a PICC Central line because I ran out of IV sites.

Before I was allowed to go home, I underwent a needle aspiration where a large needle is stuck in your back to drain pus from the sore. (An abcess is a pus filled sore). After I went home from the hospital, I was still being treated for the abcess with IV antibiotics. A Home Health nurse came out everyday, then once weekly once I learned how to use the portable pump for my antibiotics. I was given P.O. pain meds such as meperghan, lortab 10 and Tylox....as the abcess was still so painful. I experienced extreme what they call "flank pain." I believe the physical dependence happened during this time.

I was in and out of the hospital for nine months with other very serious ailments: Deep Vein Thrombosis (Blood Clot in the Iliac Vein in the upper left leg); surgical procedure known as a laporoscopy for ovarian cysts which had ruptured; surgery for cholecystitis (inflammation of the gallbladder which resulted in 31 + gallstones) I had a cholecystectomy (removal of gallbladder); multiple bouts (about 6 or 7) of nephrolithiasis (kidney stones which lodged in the ureter and could not pass on their own--so I had to be hospitalized every time and was given multiple narcotic pain meds, then I was sent home with more pain pills. I also had multiple bouts of pyelonephritis (inflammation of the neurons in the kidney) and again, more narcotics and antibiotics were given during each admission. I had gotten to the point where I was getting the IV drugs every hour or two hours.

I continued to complain of Chronic Pain, muscle and joint weakness, fatigue and flank pain with abdominal pain and nausea. I also ran a low grade fever that once the abcess staph aureus infection was resolved I never got rid of the low grade fever. The abcess was most likely caused by exposure to staph in surgery for the kidney stones.

This year, I have been hospitalized close to 20 times with this chronic pain and now I realize that some of the "pain" was very real, but was psychologically created when my body was screaming for narcotics. It was not until I went to an internal medicine doctor that he picked up on what had happened. He called in and consulted many doctors this last time I was in the hospital (still am) and have been here since December 1st. I am told I can go home today (Dec. 12th) and am going to continue with outpatient treatment and counseling, possibly attend some support groups.

I went through the withdrawals from the narcotics. This time I was getting Demerol/phenergan for severe flank and abdominal pain, plus muscle cramps...which kind of felt like the flu. I was also diagnosed this time with staph aureus (another staph infection) which had caused sepsis (blood poisoning) and was treated with a VERY strong antibiotic known as Vancomycin.

Upon mine and my mom's request, an endocrinologist was called in to look at me and she ran multiple blood chemistry panels. My Primary Care Doc did not believe I could have an autoimmune disorder because (and I am not being biased) but he believed I was just depressed from narcotic withdrawals...which certainly contributed but was not the whole cause.

I know this has not been all of my problem, but has certainly continued. My Thyroid has been determined to be underactive....and to compensate my pituitary gland is overproducing TSH (Thyroid Stimulating Hormone) as it is trying to signal to the thyroid to make hormone.

This particular autoimmune disorder causes metabolic slow-down resulting in weight gain, inability to lose weight, depression, fatigue, a heart murmur (which was discovered that I do have), Weakness, cold intolerance, constipation, irritability, abnormal menstrual cycles, decreased libido, coarse dry hair, dry pale skin, hair loss {have had a slight bit of this, but not severe as my hair is really really thick.}; frequent muscle aches and joint pains similar to the pain in fibromyalgia and other auto-immune disorders. The doctor has said I inherited it from my maternal side of the family (mom has it and some of the other women have had it on this side.) This is something that mostly affects women in their child-bearing years.

Treatment does NOT call for narcotics for the pain...it's just that I was given these for months and became physically dependent on them...and at home was overtaking prescription analgesics. In late November, I was released from the hospital after having had a bout of pyelonepthritis and the doctor wrote me 120 Tylox (Acetaminophen with hydrocondone) and I took ALL of them in a two week period. I was up to taking 12 in one day sometimes....and it did not even affect me because I was able to work, attend graduate classes, teach aerobics and work out, and drive with no dizziness or other problems. I think the first time my parents realized that I was addicted or physically dependent was after a trip to the ER for flank pain and kidney stones. Very rarely would I be hospitalized for stones after going to the ER. I would just be medicated, have a CT scan, given IV fluids and sent home to try to pass the stone.

This particular time I thought I had a stone and it turned out to be a bout of an ovarian cyst rupture. After being given the pain meds IM (in the hip) we went home...then I got in the car and drove myself 30+ miles back to the ER because I still "felt pain" after having been given 100mg demerol and 50mg phenergan IM. This is enough pain medicine to "kill a horse" I was told. The registration clerk in the ER told me the ER doctor would not see me again that he had given me all he was going to give me. In the meantime, my mother had found out from my grandmother after I drove off...and she called me on my cell and told me to turn around or stop the car and not drive...she was worried and upset with me for getting behind the wheel.

She came to the ER, spoke to the doctor and at that time (which was in August) wanted to get me into a detox program...but I was not accepted at the program here in Mobile because the social worker on call stated that I had suffered valid medical illnesses and needed to pursue further testing. Then I decided it was time to get a new doctor....as my doctor which my mother worked for quit giving me anything narcotic because he knew what was going on even though I did not want to admit it.

After three hospitalizations with this new internal medicine physician (one was valid kidney stone attacks and I had pain meds and fluids and passed the kidney stones). I was referred to a new group of Urologists because the old group had missed several life-threatening illnesses having to do with the Urinary Tract. I went to this doctor and was hospitalized because one morning my urine contained blood and the pain was extreme...like I was having a stone. Again, I was given demerol, phenerghan, and other IV pain meds like dilaudid. The urologist came to see me who was on call (not my regular doc) and I told him I was still in extreme pain so he ordered a decrease in the time between doses...I was now getting it IV every 2 hours. My arms became pin cushions and multiple IV sites blew and by the time I got out, I had no veins left for access.

Then the very next week (12/1), I now know that I was going through dt's and withdrawals. I was sweating, had a fever almost at 102 and went to my internal med doctor with abdominal pain and nausea (another sign of dt's in withdrawals). My regular doctor was off that day, so I saw a partner of his (there are about 13-15 doctors at this internal med group and they rotate call and see each other's patients when the doc is off.

This time, I was again hospitalized. Tests were ordered on me that I had done numerous times (the x-ray and film file on me is huge! As I was being pushed in a wheelchair down to ultrasound I read my chart. I saw on there that the urologist on call had written +/- analgesic dependence...and the very thought ran through my mind that they had figured out I had an addiction. I knew the signs (because I have taken chemical dependency and am in grad school to be a social worker). I just did not want to admit it to myself. The day of revelation came when I was in my hospital room with the door open waiting for the doc to see me and the urologist on call and he were talking at the nurse's station. I overheard the on call urologist say that I was a "drug addict." I was very hurt by this, but began to think...is he right about me?

All along my family had been pleading with me not to take the drugs unless I really needed them. It was funny how after the physical dependence had taken hold that at the exact moment I could get another dose I was ringing the nurse's bell for more. I drove them crazy until they did it, whether they were making or doing something for someone else did not matter. My craving was so bad that I was so persistent. I would set the alarm on my cellphone for the next dosage so I could wake up and get it.

This told me now that I have been detoxed that this was a definite addiction and physical dependence. The last three to four days have been tough. All of the narcotics were stopped on last Thursday morning. I went for 18 hours with severe withdrawals from the Tylox and Demerol that I sweated, had rapid pulse, tremors, headache, hallucinations....all those undesirable symptoms. Then the detoxification program manager came to see me. She is a family practice doc who runs the program at the hospital. I have been getting Buprenex shots with phenergan for the last three days. Buprenex is an opiate also, but it tricks your body into thinking you are getting demerol, but in actuality you are being withdrawn from it.

Today I am supposed to be going home! I am thrilled. I made a committment to get outpatient counseling and perhaps attend some NA meetings if I can find them in my area. And, because my degrees are in Communications and Sociology, I have a desire to speak to groups about these dangers once I am sober for a while. I think knowledge is power and can't wait to spread mine. But for now, I have to concentrate on working on me and rebuilding relationships with my family that suffered from my addiction and irritability. I especially miss my sister and can't wait to hug her and spend more time with her when I am actually sober.

To treat the Thyroid condition, my doctor started me on 125mcg or Synthroid yesterday. I am also taking a host of other drugs for the symptoms which I will most likely continue to take. They are: Voltaren 75mg 2 x daily (NSAID--Non-Steroidal Anti-Inflammatory drug, Lexapro-10mg for depression and migraines, Robaxin--750mg q6hrs---muscle relaxer; Desyrel (trazadone) at bedtime for sleep; Synthroid--125mcg--thyroid hormone replacement therapy; 81mg low-dose aspirin per day for prevention of blood clots; Effexor--75mg--each morning for depression; Protonix--40mg daily for my stomach since I am taking all these meds.

I am so glad things happened as they did because I have heard that the next step is when you go on the street to get the drugs...or doctor shop....then you get arrested. My mom, who is a nurse, says there are many days when some patients come in requesting narcotics and she has had to go out of the room and call pharmacies to make sure this person isn't a drug seeker only there to get narcotics.

This is almost the best thing that has ever happened to me because after dealing with this, I understand that it happens to really smart and intelligent people. It does not make you a bad person and I have also learned that the first step to recovery is realization and acceptance that you do have a problem...because I spent 9 months in denial. It's really odd that I got so addicted because I neither drink nor smoke and have never tried any illegal drugs (even Pot)...and since I was old enough...since about 16, I have attended a gym, worked out regularly and am now a certified instructor.

God has truly blessed my life!

Last edited by radiogirl; 12-12-2004 at 04:01 AM. Reason: misspelling
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Old 12-12-2004, 07:13 AM
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Originally Posted by Eagle1
Question. At what point do you know that you are addicted?? how much do you take to be adicted??
I had my suspicions for a long time before I finally read this pamphlet. It helped me to come to terms with things.

Am I an addict?
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Old 12-12-2004, 07:50 AM
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Eagle

Welcome to SR. Read the pamphlet that Gooch gave you the link to, it will answer alot of your questions.
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Old 12-12-2004, 08:19 AM
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Eagle1,
You're welcome!

radiogirl,
Thank you!

Gooch,
Hey!

This brings us to the phenomenon known in pain management circles as "pseudoaddiction." As I understand it, psuedoaddiction is when you see physical dependence, withdrawal symptoms, and drug-seeking behavior, but because there is legitimate pain to be treated. To me, "true" addiction is more complex, having emotional/spiritual components as well as the physical and psychological ones.

Eagle, reading Am I an Addict and attending NA are great ideas to answer your questions.

radio girl, let us know how you are doing when you get out, OK?

Peace, love, and hugs,
Eddie
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Old 12-12-2004, 08:20 AM
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Hey to you, too, Laurie!
—EZ
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