Published Feb 24, 2004
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.
Thanks for the article very informative as well as just one more opportunity for me to catch up on your 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.
Hellllllo Nurse, BSN, RN
Very interesting, great article.
From a nurse and untreated sufferer of chronic pain!
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.
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.
Wow...really? Well, now, that's a shame...and here I thought they were actually getting help.
I write Methadone out the wazoo.
It's one of the BEST medications out there for chronic pain.
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.
I went thru the same thing ... it took a couple of weeks of regular doses to get past the nausea.
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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