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Re: pain managementFrom: Christine (anonymous@obgyn.net)Wed Jan 27 14:15:06 1999
At Wed, 27 Jan 1999, Toni wrote: > >Hi everyone > >I do not know what it is with me, but teh pain clinic finally called >back took them 7 hours to call, I am NOT impressed with these people AT >ALL. When she called it was the nurse on my case I saw last week, she >said you called, I said yes, she said nothing....I said I cannot take >the paxil, and she said why not, I told her first of all it id\s >bothering my stomach, and I have not had panic attacks for 7 years and >it caused me to have 3 this morning. She said well thats funny that is >what it is used for , and I told her I know that , but my heart rate >keeps going up on these. I told her the pamelor brought me to ER for >bowels, she said is that straightebed out, and I said yes. She asked >when I come back and rudely said well if you can't take it don't take >it, talk to her when you come back! How sympathetic, I feel like calling >gyn and telling him what he can do with this pain clinic. > >I think I am just going to go on and not bother to do anything about it, >I am tired of fighting the situation. You girls are so lucky to find >the drs that care, not all of us, but the ones who do, you are lucky! >This can really get on your nerves, I am going to quit bothering >everyone, and see if I can help any of you out! Take care all! > >Toni a battle I cannot win! Hi Toni: Something you said jogged my memory-you had panic attacks after taking the dose of Paxil. I remember I had a panic attack (a mini one) after the first or second dose of Zoloft! I told the doctor and he just kind of nodded, like it happens. It never happened again. I would worry about the heart rate, 125 is not great. As for the other side effects (such as nausea) you are going to have to be more patient and ride it out. Ask everyone who takes a lot of drugs-they have a lot of side effects and it takes awhile to iron out the problems. Did you ask the pain management clinic "Do you want me to take the paxil if my heart rate is above whatever?" Is this a problem? If they say no, it isn't, then I guess it isn't. I know it feels scary. What was it about elavil that you didn't like? The sedation will wear off, so they tell me. I didn't give it much of a chance myself. You never tried imipramine. Maybe that would be tolerable? When I started it up again after the first lap when I panicked because I thought my leg pain returned, it did kind of make me a bit of a zombie, but not too bad. The first time I took it at higher doses I was a complete zombie for aabout a week. The way I look at it-it's a trade off. Which is worse? The drug's side effects or what you are trying to treat? In the case of panic disorder, I chose the drug to be much better than panic attacks. I also believed it would improve, and it did. In the case after the first lap, with the leg pain, I decided that the leg pain was better than the drug. Narcotic pain killers are not without their side effects either. I think I remember you saying the percocet helped, but did not eliminate the pain entirely. Plus, it kind of puts your mind in a fog-I think you said it made you not care. This is okay for short term pain relief, when you can be foggy for a short period of time, but on a long term basis I would think it would be annoying. That seems to be most people's criticism of narcotics-they can't think clearly. As I said, it's a trade off, it seems nothing is easy. Please do not stop the pain management (assuming insurance says okay) without giving it a chance. Chris
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