Top
10
Doctor insights on: My Chronic Pain Meds Stop Working Is There Such Thing As Drug Holidays

Share
1

1
My chronic pain meds stop working. Is there such thing as drug holidays?

My chronic pain meds stop working. Is there such thing as drug holidays?

Yes: A "drug holliday" is a period of time when you stop taking medication. The idea is to give your body a chance to cleanse itself and get rid of drug metabolites. It is thought that the drug will be more effective after a period of time off the drug. Another means of obtaining increased effect from pain medications is to change to another drug. This is called opioid rotation. ...Read more

See 1 more doctor answer
Dr. Laurence Badgley
1,110 doctors shared insights

Chronic Pain (Definition)

classic definition is pain older than 6 months. More recent definitions: Pain beyond the normal healing period, pain associated with psychological impact. Any pain that started as acute after and injury to surgery, but continues beyond the healing ...Read more


2

2
Orthapedic dr won't give pain meds because of my age but in chronic pain, working factory job and have slipped disc but yetdiabetes dr recommended it?

Orthapedic dr won't give pain meds because of my age but in chronic pain, working factory job and have slipped disc but yetdiabetes dr recommended it?

Pain specialist: If your pain is now chronic you may want to consider a pain management specialist. They approach pain in a multidisciplinary manner including medications, physical therapy, exercise, etc. Don't let the chronic pain go too long before you see someone. ...Read more

See 1 more doctor answer
4

4
I need to talk with a compassionate physican about severe chronic pain and drug addiction and how to get the care i need i was in a car that was struck by a train 12 yrs ago and I have many problems with my back now. I didn't become addicted to pain meds

I need to talk with a compassionate physican about severe chronic pain and drug addiction and how to get the care i need i was in a car that was struck by a train 12 yrs ago and I have many problems with my back now.  I didn't become addicted to pain meds

Frustrating: Exhaust your non-narcotic options first, with nsaids, acetaminophen, topicals, neuroleptic, snri and a tca as appropriate. Most providers think an opioid meds will cause relapse, but truth is your under treated pain is much more dangerous. Cd history is often presumed drug seeking, but actually this means u r twice as likely to have chronic pain issue. Find someone trained in both cd&pain. ...Read more

See 2 more doctor answers
5

5
If you suffer from a chronic pain disorder, do you have to switch pain meds every few months to maintain effectiveness?

If you suffer from a chronic pain disorder, do you have to switch pain meds every few months to maintain effectiveness?

Controversial: The idea of switching opioids periodically to maintain their effectiveness has been around for years. Nevertheless, there are no studies demonstraing that this stategy helps maintain their effectiveness any better then maintaining one drug. What is most important is to avoid the routine use of short acting opiods and/or sedatives. ...Read more

See 1 more doctor answer
6

6
Why do I get so aggravated and grumpy when I take my pain meds? I am going to be on opiates for chronic pain forever. Is there anything I can do?

Why do I get so aggravated and grumpy when I take my pain meds?  I am going to be on opiates for chronic pain forever.  Is there anything I can do?

Not uncommon: Many people on opioids complain of being grumpy. This is more due to the pain than to the medication. You may find that by taking long acting (sustained reiease) medication that your pain is better controlled with fewer highs and lows. ...Read more

See 1 more doctor answer
9

9
I've got chronic pain tried pain meds in the past. I feel i've got a tolerance so to speak, is it fair practice to not consider & treat w/ it in mind?

All pains need treat: All pains need treatment. If there is a known treatable cause that should be treated. If the cause is untreatable or the pain is of unknown cause then pain itself is the diagnosis and needs treatment by pain management specialist. ...Read more

See 1 more doctor answer
10

10
What are options for chronic pain if antiinflammatories, nerve pain meds, and injections don't work? Don't want to be on narcotics forever.

Depends: At your age, I am surprised you've already done all of these things. But if that is the case, you may want to speak with your pain specialist about spinal cord stimulation as an option for pain control/relief or if surgery is a real possibility. ...Read more

See 1 more doctor answer
Dr. Praveen Mambalam
374 doctors shared insights

Persistent Pain (Definition)

Persistent pain is a symptom in which a person's pain doesn't come and go, but instead is present all the time. The pain can be mild, moderate, or severe, but its constant presence usually means there is ...Read more