Doctor insights on:
Intrathecal Dilaudid Pump
Pain pump: Pain pumps are the intrathecal drug delivery systems that deliver the medicine directly to the spinal fluid. Dilaudid is about 5-7 times as strong as morphine. A drug in the spinal fluid is is about 300 times as strong as oral intake. Also Dilaudid is not one of the drugs approved by fda for intrathecal use, but is widely used for tolerant patients and need to be monitored closely. ...Read more
Intrathecal is an adjective that refers to something introduced into or occurring in the space under the arachnoid membrane of the brain or spinal cord. Another way the word is used is to refer to an intrathecal injection (often simply called "an intrathecal"). This is an injection into the spinal canal, more specifically into the sub-arachnoid space so that ...Read more
My husband is on a dilaudid pump since he has cancer and at the point he can't sleep. Is this a side effect?
I have a pain pump implant and it does me no good, why? I have had it for two years and it was supposed to do wonders, I agreed to the surgery so I didn't have to subject my body to so much medication. I'm currently on dilaudid but it's such a low dose th
Talk to pain doc: There are others fixations and combinations that might be more helpful. ...Read more
I have in my intathecal drug pump dilaudid. After each increase I have labored breathing. Now I'm having chest pain and Drs don't know why. Is it meds?
More info needed:
Need more information...do you have cardiac problem, Respiratory issues/ Why are you receiving intrathecal OPIATES???????
Ask question again with more info
Dr Z ...Read more
What is sugg onp ros vs. Cons on intrathecal pain pumps? I have heard a lot of neg effects! From unproper pain releif 2 death! Conceredw
Discuss with Doc: There are some minor surgical risks but most risks are long term. There is a chance for pump failure and also issues with the catheter becoming clogged or having excess tissue growing at the tip. Pumps are best for short term use in terminal cancer. These are always a last resort and are for those patients who require high dose narcotics and are having too many side effects to tolerate oral med. ...Read more
Intrathecal pump: Intrathecal therapy risks may be related to implantation, drug filling, drug side effects and chronic placement within the subarachnoid space. Implant risks may include bleeding, infection, nerve/spinal cord injury, etc. Drug refills may be associated with misplacement & toxicity/overdose. Chronic placement can lead to granuloma formation at the catheter tip resulting neurological deficits. ...Read more
Yes: Intrathecal pain pumps are a 'last resort' treatment for chronic intractable low back pain that is unresponsive to the more conventional therapies. The complications include but ate not limited to infection, catheter breakage, spinal headache, respiratory depression, and tolerance to increasing doses of medication. ...Read more
How could I buy an intrathecal pain pump for a critical patient in Venezuela? I beg for your help.
Insertion: Who is going to insert and manage it? It needs to be filled with sterile meds when implanted and then it needs to be refilled every few months. Also the first few months are when dosing changes the most, who would do the adjustments and do they have the external monitor to do it? Even if you got the pump how will you deal with these hurdles? ...Read more
Medtronic website: Your doctor should discuss it with you. The material is also availabe at the website (for patients) and in dvd. ...Read more
A frequent procedure: Baclofen pumps are done frequently by neurosurgeons or pain specialists to help with spasticity (increased tone in the extremities).A spinal catheter is inserted into the lower spine into the lumbar space. This delivers the Baclofen around the nerves. The other end of the catheter is tunneled under the skin around the flank to the site where the pump is implanted usually on the front of the abdomen. ...Read more
Can a pancreatic cancer patient still receive chemo if they get a intrathecal pump for pain and digestion?
Yes: If the doctors think such therapy is still indicated. Talk w/them. ...Read more
When is it appropriate to get an intrathecal pump for pain and digestion in advanced pancreatic cancer? Would it be a sign of the end or hospice?
Use tens pad: Pain I not common complication of pancreatic cancer which primarily appears as a head lesion associated with jaundice. Pain is more common with body lesions perforating posteriorly into the celiac gangiion region. Here one can try a tens electric pad more easily controlled with oral pain meds than an intrathecal pump. Radiation may also control the pain if directed against the source of pain ...Read more
A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?
Advanced cancer: It seems reasonable and sensitive to engage hospice; hospice can help at home or he can go to a facility; hospice team can engage for many weeks. It is a good service. ...Read more
My brother was offered an intrathecal pain pump for germ cell cancer with mets in his pelvis, back, spine, lung, and liver. What are pros and cons?
Pain relief: Sorry to hear you brother is so sick. The pump is a good alternative as it will provide constant and measured pain relief. Risks are mostly associated with the actual process of implantation (any surgical procedure has risks like infection, pain, etc.). Discuss with his physicians your concerns. ...Read more
Would you recommend an intrathecal pain pump for my brother with germ cell cancer with mets to spine, pelvis, hip, back, lung, and liver? Pain's bad.
There is no "best":
It's a narcotic/opioid. All Opioid drugs work by binding to opioid receptors in the brain, spinal cord, and other areas of the body. They reduce the sending of pain messages to the brain and reduce feelings of pain. They have slight differences in their side effects, but overall they are quite similar. There is no " best "
One is not better:
Everyone responds differently to opioid pain medications and sometimes patients are switched from one to the other because it is not working well. Also, some patients may have unbearable side effects with one medication but not another.
There is no way to predict which medication or how much will work best in an individual patient. These medications should be prescribed by experienced doctors. ...Read more
No: Seems like you need narcotics and you don't have a doctor. This is a bad situation for you. Along with the prescription must come the guidance on how to use this med responsibly, for legal and medical reasons. You need to learn to take care of your pain with nonprescription meds. Anything else you do is viewed as "soliciting". See a doctor, and work with them to help you deal with your problems. ...Read more