Alternative to Tramadol.

Viewing 24 posts - 1 through 24 (of 24 total)
  • Alternative to Tramadol.
  • I’ve been on Tramadol for back pain for several years, some days I can manage on 2-3 over the 24 hours, if I take 4, I’m having to think about what I’m doing, 5 takes me to “20 pints passed ridiculous” and I’m useless, cannot do a thing. The big problem I have, is my doctors only give me 2 per day and are reluctant to up the dose, I would rather not take them, but, needs must.  About 5 years ago, I was trialed on Fentanyl, but according to my ex, they made me slightly slightly short tempered and not a nice person to live with. I wasn’t anywhere near violent or getting to fistcuffs, but I can’t remember, so to try and return to some semblence of normality and help the family, I went back on the Tramadol.

    Now I’m on my own and have no-one to answer to, I’m considering what to try next, the Tramadol are not really touching the pain, I had a 13 mile ride on Friday evening and have suffered ever since, I have a friend on MST Morphine and he has no issues at all with it, he drives a private ambulance and rides his motorbikes with no issues at all, he’s just become a cyclist and has returned to fishing, something he hasn’t done for years, so it must work for him.  I’ve tried Gabapentin and Pregabalin, but they just knocked me out and sleeping all the time.  I’m wondering what there is out there, that allows me a quality of life and won’t make me fall asleep like a comatose cat.

    Can any of the learned members offer a suggestion please?

    Alan.

    Premier Icon ahsat
    Subscriber

    I personally have been able to manage my back pain with some notable changes to my lifestyle and nuproxen. I have been on Tramdol over the last month following knee surgery, and I hate it. I can see why you want to get off it. I can’t currently take nuproxen due to being on blood thinners, but could do with something more than paracetamol.

    Have you considered adjusting your life to try and come off such strong drugs? Or is there a significant cause of your back pain which makes them the only choice?

    Premier Icon DezB
    Subscriber

    Naproxen isn’t it (rather than nuproxen)?

    I have spare pack (not sure how many left) if you want em to try?

    Drug dealing on the net! Nah, don’t know the legitimacy of offering them, but I’m never going to take em. Unless I bust myself up again, I suppose.

    Premier Icon mikewsmith
    Subscriber

    Have you considered adjusting your life to try and come off such strong drugs? Or is there a significant cause of your back pain which makes them the only choice?

    Yep the long term issues and potential dependency problems would be raising a lot of flags. Pain killers are for the symptoms, the fix is at the root cause of what is causing the pain.

    handybar
    Member

    Hasn’t the dr suggested some kind of corrective surgery?

    You shouldn’t be on painkillers for that long a period.

    And I’m amazed your friend is riding a motorbike on morphine.

    andylc
    Member

    Assuming surgical options have been explored and ruled out, and long term pain relief is necessary, maybe ask your doctor about Amantadine? It potentiates the effects of other painkillers without much in the way of side-effects. Just as a disclaimer the above comment relates to animals – I’m a vet not a doctor – but it is a human drug which we use off-license. I’m pretty sure it is used for the same thing in people, although it was originally developed for different reasons.

    fossy
    Member

    My sympathy.

    I try and manage without any pain killers unless at bedtime then it’s just over the counter co-codamol.  I’ve had tramadol in the past, dyhydracodene, gabapentin, pregablin and amytriptyline without much success, and horrible side effects.

    My doctor is very reluctant to prescribe anything – getting just a month’s supply of 15mg codeine was hard work, and those 60 tablets probably lasted at least 6 months.

    I’m out of options as the consultant said surgery probably won’t help as I’m missing half my L1 after being knocked off my bike.

    The ‘anti seizure’ drugs are horrible and leave you feeling ‘disconnected’ with the world and are a mare to come off them.

    I’m stuck with the pain and just live with it – I find riding OK, but it’s the stopping afterwards – pain sets in and I can’t sit or lie comfortably.

    You might be best just trying to use it at bed time – then give your body a rest from it during the day. Pain killers lose effectiveness.

    Surgery is a last resort, and I’d personally never consider it on my spine – giving failure can mean paralysis (I had a simple ‘local anesthetic’ operation go wrong).  I had the option in hospital for surgery or just wait, so I stayed flat on my back for 6 weeks. I was told I may not walk if I have surgery.

    Premier Icon Beagleboy
    Subscriber

    My story is almost the same as Fossy’s, except it was a snowboard, not a motorbike. I’m pretty much in pain all the time, but it’s just a background ‘wear you down’ pain. I’m usually not too bad on the bike unless I’m grinding up a long draggy climb, then I’ve got to stop frequently as the pain quickly builds up. After rides, I usually pop a few over the counter paracetamol and ibuprofen, although if I’m in a really bad way I do have a dwindling supply of tramadol from when I had my initial injury.

    At the time, I was on Tramadol for about 8 months until another doctor found out and freaked as they were doing absolutely nothing for me because I’d built up a tolerance to them. They absolutely work now though. I think you need to speak to your doc again about your pain medication, because if you’re taking a daily dose of tramadol, then you won’t be getting any benefit from it.

    I hesitate to say this but a guy I work with that has had chronic back problems, swears by a Cannabis derivative that was prescribed by his doctor (he says) He’s not in this week otherwise I’d ask him for the details but he does seem to be a lot better of late.

    Premier Icon tmb467
    Subscriber

    go to Amsterdam and see if that helps?

    Premier Icon Northwind
    Subscriber

    How long did you stick with the gabapentin? It absolutely ruined me for about a week and especially while I was building up the dose, but after that I was pretty much fine. I wasn’t on it long term so I don’t know all the ins and outs but it was fantastic for me.

    (I got sent home from work on day 2 for being high as a kite… My colleague said “How do you feel?” and I said “I feel…like a cloud”, she said “Does it still hurt” and I said “No idea”, they took my car keys and put me in a taxi. But sadly it didn’t last)

    I tried Gabapentin and Pregabalin for about 4-5 months each, I’ve tried Amytriptilene, Duloxetine and Sertraline, they caused me sleepless nights and when I did sleep, the dreams were so vivid and nasty, they were scaring me, in fact on one occasion, I dreamt I was being chased by a combine and fell out of bed, hurting my shoulder, so they got the boot.  I was on Naproxen, but the doctor took me off them because of the long term effects. I cannot take anything “brufen” related. When I hurt my back, I was condidered for an operation, but this was withdrawn, as the success rate was less than 5% and if I wasn’t in that percentage, I would be a wheelchair user for life. I’m glad that option was taken from me.

    I had di-hydrocodeine when my leg was ampuated in March 86, that stuff was pure evil and such a dirty and unrefined drug, I tried it for a few weeks and gave up, I just suffered the pain, rather than take them.  I have to use medication, to help with the phantom pains, arthritis and the issues with my back, so, there is no escape, I tried some of the CBD that Holland and Barrett were selling, but it had no effect whatsoever, just not strong enough.

    I have an appoinment tomorrow, so I’ll be making some inquiries, I might be refered to the pain clinic again, but the waiting list is rather long, so I’ll have to be a patient patient.

    handybar
    Member

    Sounds like you’ve gone through hell. I hope you find something that works.

    doggycam
    Member

    Cannabis. Smoke or even better a vape. The green stuff, not resin.

    Worked for me coming off Oxycodone and tramadol, when I shattered my pelvis.

    Premier Icon ahsat
    Subscriber

    Blurghh. Sounds like a really tricky situation and you’ve been through a lot. Don’t really have anything else to add apart from wishing you all the best.

    kaiser
    Member

    best of luck Willy ..must be hard for you but I feel confident with perseverance you’ll find a way to feel somewhat better.

    fossy
    Member

    Don’t mention Duloxetine – tried that for a few months to try and ‘stick with it’. Developed a very sweet tooth (cider rather than Lager for example) but it numbed all my nerves, including little old John Thomas.  Slowly came off that as I was also getting electric shock type symptoms in my head.

    My doc has said to take 1 paracetamol every couple of hours, upto the eight, rather than 2 at a time, but I could never remember – it’s apparently more effective that way and safer, but don’t go over 8.

    If you find something, let us know – trying to take ‘pain killers’ and carry on functioning properly is hard

    Hello all, my apologies for not following up on this thread or any other for that matter, since my original post, I’ve been enduring a long, torrid and still unresolved problem with my medication, pain management and physical difficulties. Some time ago, my doctor decided to increase my dosage of Tramadol from 2, to 3 per day, the pain relief benefit was minimal and I continued to try and go about my daily life, in the same manner as before. The pain had become so bad and was causing me so much distress, I retreated from public life and basically became a recluse, I’ve honestly done nothing for a year. I’ll not bore you with the entire story as I don’t want to bore you, I can’t remember most of it and life is too short. During this time, I’ve been involved with counselling and a Pain Management clinic, I cannot say I’ve had any benefit at all from either and feel very short changed, apart getting me out of the house and a few hours a week and a bit of social interaction.
    With very little help or assistance from my doctors and the medical fraternity, I’ve been more or less, abandoned left to my own devices. By a chance meeting with a lady in Newcastle last October, things changed, I’ll not say what, in case it causes trouble for the lady from whom I got the advice and help. Following her advice, I returned to my doctors, armed with some information that would cause someone to sit up and listen to me or those in charge of the medical centre I’m a patient at, would come under investigation.
    In a rather short time, I had a few appointments, that I though were helpful and getting the treatment I should have been getting. I don’t know how much each medication costs, but it’s always the cheapest option, but, it took a while before I was eventually considered for an alternative pain relief medication. I was given a month of 10mg MST Morphine to try. I did and found it no better than the Tramadol, after the month was up, I was given a repeat prescription, with Oromorph at 5ml 4 times per day as a top up. As time went on, nothing changed and I was still feeling no benefit. On Tuesday morning, I decided I could take no more, I stopped all the morphine medication and went back onto the Tramadol. Here I am, able to behave like a human, have a conversation, not have to question or second guess everything I do, I feel I have control and I’m aware of my surroundings and that I have a life. I’ve no side effects, apart from feeling a little vague, I feel a great deal better and cannot tell you how good I feel, apart from a bit vague and still in considerable pain. I’m thinking to myself, that it’s better to try and live with the pain, than revert back to the “heavy” medication and I should take each day as it comes, don’t try to do too much or everything I want to do. If I pace myself, I should be able to manage to a point. Plus, I don’t need to beat myself up if I don’t or can’t complete everything.

    Fingers crossed I can get back to at least where I was before or as close to as possible.

    I hope all the above makes sense.

    Al.

    All the best. Keep an eye on the opiate doses for obvious reasons.

    Got nothing particularly positive to add – my OH has tramadol and dihydracodeine for back pain (AS). Tramadol works for the worst days but has problems as you’ve noted, things get a bit out there when going beyond a couple of hundred mg a day. She’s also using meloxicam, slow release fairly powerful ibuprofen. Her system is to switch between the three depending on severity of any pain. A day without any is rare, but, switching retains effectiveness of each one without running into too much tolerance problems.

    fossy
    Member

    Just to say I’m doing a lot better. I just take a couple of OTC co-codamols just before bed. I’m not getting too much back pain, and recently did an MTB weekend with mates – 4 hours each day on the bike, plus drinking etc etc. Back was fine.

    I’ve found stress is another cause of persistent pain since the accident – causes my muscles to tighten. I’ve done lots of stuff to drop the instances of stress – i.e. not get involved in arguments, drop social media, look after me.

    Also plan stuff to do, but remember not to push yourself quite hard.

    My mates were asking how my back was and I was pleased to say it wasn’t bothering me on the big rides.

    I have an old supply of etoricoxib (super strong slow release anti-inflammatory) which I’ll take one if I’ve ‘over cooked it’.

    matt10214
    Member

    I had major spinal surgery at age 19 & 23 25 years ago. I have had pain ever since on and off at different levels. I had to sell my Mountain Bike and quit all the rough stuff (Peaks, Lakes & Wales) on the advice of my Neuro Surgeon 4 years ago after a nerve became trapped again (released with injection)

    last visit to my GP she said you were told to expect problems in later life, well here they are! and advised me to live a life on all the painkillers above. I can’t do that and have found that long walks with the dogs, and riding ‘gravel’ bikes over forest fire roads seems to both give me my outdoors fix and keep my pain to a minimum at the same time.

    People keep telling me to try Cannabis Oil etc. but as my employer has a strict drink & drug policy i’m a bit unsure as to where this would sit?

    tjagain
    Member

    People keep telling me to try Cannabis Oil etc. but as my employer has a strict drink & drug policy i’m a bit unsure as to where this would sit?

    I am not sure on all the details but you can get either over the counter products and prescribed. Both are legal. If tested you simply tell the tester what you are taking. I can’t see it being an issue

    aphex_2k
    Member

    Can you get your GP to refer you to a pain specialist rather than prescribing Tramadol repeatedly? Maybe look at treating the cause of the pain, rather than the symptoms?

    I’m looking at getting back to the GP soon as I had a neck injury years ago which I thought had disappeared but seems to be coming back and it’s very uncomfortable, makes riding very awkward as 30 mins in I’m sore/stiff and considering heading back to the car park. Also, getting old I guess. My GP gave me a small script of diazepam which gets me to sleep when I can’t settle, but it’s a short term fix, not a solution long term.

    I can’t see why GP’s don’t have some kind of alert which flags up when strong pain relief is being prescribed on and on and on? Surely that says they need to step up a bit and refer on? I had tramadol yonks back when I had 4 wisdom teeth out plus 2 impaced molars. It wiped me out so I can’t imagine how you feel on it for three years.

    Hope you get sorted soon. The “herbal” option is not an entirely terrible one if you can get the right strain. Alas my work does random drug tests and it’s not something I can consider.

Viewing 24 posts - 1 through 24 (of 24 total)

You must be logged in to reply to this topic.