A member asked:

Any dr.'s in my area that use methadone in tx of chronic pain.my options for prescription limited by gastric bypass & min. help by oct/ other narcotic rx?

2 doctors weighed in across 2 answers

R u already on it?: Bypass is not really an issue with most meds. Treatment of pain must be more than narcotics, and narcotics may make it worse. What you need is not necessarily opiates, but a good evaluation by a pain specialist. The treatment of pain must require non=drug treatment as well as medications other than opiates. If you are already on methadone, you may need to detox, since finding prescribers is hard.

Answered 12/10/2013

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Fentanyl: Fentanyl patches are an option. They diffused an opioid directly through your skin. Not affected by gastric bypass. In general, i frown on Methadone for chronic pain. It is approved to get people off of opioids, and not as a drug for "chronic pain", but i realize it is used "off label" for this. The labeling is for "restricted to authorized opioid addiction detox/maintenance tx facilities.

Answered 6/28/2014

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