Methadone Clinic for Chronic Pain

Specialties Pain

Published

This article discusses the use of Methadone in chronic pain, and the fact that many with chronic pain are being forced into Methadone programs because of the lack of treatment options in their area.

Enjoy.

http://www.medsch.wisc.edu/painpolicy/publicat/97apsmm.htm

-Dave

angelbear

558 Posts

Thanks for the article very informative as well as just one more opportunity for me to catch up on your posts.

Dave ARNP

629 Posts

Just the thought of sending a chronic pain patient to a clinic where they will be treated among addicts and abusers... MAKES ME SICK.

-Dave

Hellllllo Nurse, BSN, RN

3 Articles; 3,563 Posts

Very interesting, great article.

From a nurse and untreated sufferer of chronic pain!

Renee' Y-Y

136 Posts

Specializes in Critical Care, Telemetry.

My office window looks out into the parking lot of our local methadone clinic. Now, that is some kind of scenery!! However, most of the people I see going in over there rush-in-rush-out. I don't see where there would be too much discussion about why anyone in particular is going there. There is everything from mercedes to jallopies (?sp) pulling in & out of that parking lot. I worked a neurosurg clinic for a little while & was quite surprised to find the pain management of some patients is still quite archaic. I think if methadone helps, let 'em go to the clinic and be comforted they are even able to get some help...and at least those "abusers & addicts" are trying to improve their life as well.

Dave ARNP

629 Posts

Putting a patient in a Methadone clinic implies that you do not beleive their report of pain.

Methadone can be safely written in any clinic setting, so long as both the clinician and patient are knowledgeable.

-Dave

Renee' Y-Y

136 Posts

Specializes in Critical Care, Telemetry.

Wow...really? Well, now, that's a shame...and here I thought they were actually getting help.

Dave ARNP

629 Posts

I write Methadone out the wazoo.

It's one of the BEST medications out there for chronic pain.

-Dave

caffine addict

139 Posts

We have been getting alot of patients from the hospitals nowdays on Methdone for treatment of chronic pain. Only problem is that the nurses aren't uset to seeing it and are afraid of this practice because it's so unfamiliar to them. It seems if someone comes in on methadone they are labled as a med seeker or an addict. Some people are so closed minded.

One of the things my first pain MD tried on me was methadone. She started with 5mg twice a day. I tolerated that okay, but when I tried to go to tid or 10mg bid, I couldn't stop vomiting. The low dose wasn't enough to allay my pain, so we went to OxyContin instead. I was disappointed and even kept trying to make the methadone work because it was cheap and didn't make me woozy, but I just couldn't keep anything down.

kanis

1 Post

One of the things my first pain MD tried on me was methadone. She started with 5mg twice a day. I tolerated that okay, but when I tried to go to tid or 10mg bid, I couldn't stop vomiting. The low dose wasn't enough to allay my pain, so we went to OxyContin instead. I was disappointed and even kept trying to make the methadone work because it was cheap and didn't make me woozy, but I just couldn't keep anything down.

I went thru the same thing ... it took a couple of weeks of regular doses to get past the nausea.

mattsmom81

4,516 Posts

There's definitely a stigma associated with Methadone use. So many nurses don't get it that its great for chronic pain. As mentioned, they 'assume' the patient is an addict automatically.

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