Dilaudid Doesn't Work For Pain (Page 2)
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I am allergic to Vicodin and Percocet so for my last 2 surgical procedures have been prescribed 4mg oral Dilaudid. I understand that it is a very powerful pain reliever but I get minimal relief from it so is it possible that my pain receptors are not responsive to this type of medication? The only other pain med that I take is Lodine (NSAID) for arthritis. It seems that I get more pain relieve from 2 Tylenol but am still in alot of pain with that. Both times after surgery I have stopped taking the Dilaudid after 3 days because I'm still in pain and on top of that constipated. Has anyone had this same minimal response and any suggestions on other pain meds I could use if needed?

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60

Sound like me at that age. theyve even put me in the psych ward to say pay was all psychological, just to come down two years later and asking several doctor did they perform laproscopy that how they discover that I had a very severe endometriosis and unfortunately it's almost impossible to diagnose other than a day surgery, and a doctor willing to do it due to age.

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59

I know this is a really old thread, but I thought I'd post this in case anyone else has the same question as the original poster...

The reason Dilaudid doesn't work well when taken orally for some people is that the bioavailability, that is, how much of the drug you actually absorb, is only 25-35 percent when taken orally. Of course, that goes up with other routes of administration.

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58

Have you been checked for ovarian torsion? It's apparently a problem that is affecting more and more young women, but that often goes undiagnosed. The symptoms sound similar to what you describe.

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57

Oral dilaudid only has 15-30% bioavailability which means once processed by the body you only get 15-30% of meds. That's why as a pill it is useless and many pain management docs who understand this will tell you that. Now IV administration dilaudid is 90-100% bioavailability, that's why it's the strongest opioid in IV form but not in oral at all. Some hear strongest and assume it's for all routes of administration and it's not.

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56

I also have a resistance to Dilaudid. It just doesn't help and it's as if I took nothing at all. A lot of people don't realize that Methadone is not only prescribed for opioid maintenance. It is also prescribed for pain. I am prescribed Methadone for acute on chronic back pain from scoliosis and inoperable spinal fractures; 10 mg tablets, 2 tablets every 8 hours. Keep in mind that Methadone is a very powerful medication, so you will probably need to be on an established pain management regimen with a pain management specialist to have it prescribed to you. I hope this helps and you get pain relief soon.

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55

Dilaudid is probably the greatest pain medicine I've experienced and I've tried everything in every way. I've been currently injecting the 12mg Dilaudid ER after crushing one up and adding 1ml of water then melting the white powder down. Been doing this for several years. The best sensation I've ever experienced. But that's just my opinion.

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54

I am 2 weeks out from an anterior/ posterior 3 level lumbar fusion. This is my 3rd surgery in a year (shoulder and 2 back surgeries) and i have had no relief from percocet, morphine, or Dilaudid. I am also wondering if there are other options for pain?

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53

Yes. I am very unhappy with it. Vicodin worked better but there is acetaminophen in it which can be toxic if taken regularly.

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52

I don't now how old you are, but i was 27 years old been telling my obgyn doctore for years. Cramping pains, like labor contractions, pain on intercourse, could not eat, food would not go down. It got to the point that going to the bathroom on number 2 would just about kill me. My doctor had the nerve to tell me to walk to ease the pain. This was in 1978, when doctor did not know what Endometriosis was. All that pain. Endometriosis does not come up on blood work, x-ray, nothing. But it was there! Doctor's need to believe someone when they say the pain is bad. My Endometriosis was so bad it had my large bowel pushed up against my back bone, it was on my ovary's, muscle of uterus. It got so bad when i had my monthly cycle it would not stop that when the doctor had to do surgery hysterectomy. It's 2016 doctor's. By the way this doctor left one ovary and it came right back, had to do sug., again but not by him thank God. Anyway it made me go on total disability. I'm 64 and got total disability at age 49.

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51

I understand fully! I just had 4 doses through an IV the first day, 4 more doses through IV again about 7 hours later.... Had absolutely zero effect on me. If I didn't see them administer it myself, I would say they never even gave it to me. My 2 Dr's both said for the amount of meds they gave me it should have basically knocked me out. It's now been a week, also gave me percocet, still nothing... I now take 4 advil a day, actually seems to work a little bit...

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50

As I read I'm hearing the same problems. I've been on Hydrocodone 10. For a long time it was helping my situation. Then pain got worse so I was bumped to Hydromorphone 4mg. Does nothing!! So I go back on my Hydrocodone and NOTHING!! In so much pain don't understand why or what to do??

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49

You my have diverticulatis it is a problem with the colon.check it out talk to a internal medicine doctor.

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48

This is the most articulated argument for alternative options for pain control Ever. It's been a while but I wish you'd post again well thank you and bravo.

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47

a drug called Topamax taken every day is being used successfully to prevent migraines. it will not get rid of one once you have it. it prevents it from ever happening, though. it also works of a brain receptor that tells you you are hungry when you really aren't. so, now they are also using it successfully to help some people lose weight. about the only bad side effect is that it says to drink copious amounts of water to avoid gallstones. it originated as a drug for a certain kind of epilepsy in children. now it is used to the above mentioned as well as a mood stabilizer for bipolar. maybe try Topamax (topirimate). i hope it will work for you ~many use it and nothing else and never get migrains anymore by taking it daily.

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46

Ihave been taking dilaudid and tramadol for pain after knee surgery. I have had no relief. Not sure what else they can give. I am so uncomfortable!

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45

Do you have endometriosis? Have they checked you for this? Also your gaulbladder can differ pain to the left side

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44

I've had about 5 major surgeries. The first one, I was treated with Vicodin. It worked well, and then toward the end of the 4 hour timing it would start to wear off.Afterward, I was treated with Percocet- with the same results. This is the first time I was given Dalaudid after surgery and not during any point was I totally without pain. I asked the nurse if dalaudid was supposed to be stronger than percocet and she said yes- it was about 7 TIMES STRONGER! NOT FOR ME!

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43

For me, dilaudid works best if I use it preemptive of the pain (my doctor also said adding Alieve makes it more effective). It's a little difficult, because I have to gauge when my pain will come and take it about 1/2 an hour before.Talk to your doctor, but mine said I can take up to 8mg every 6 hours when my pain is at its worst. My pain is related to a large tumor in my liver.

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42

The injection does work quicker but it does not last. The pill has some affect for a little longer than the injection. I had both, I am still on 4 mg, plus I take 75 mg of fentynal.I am still in pain everyday.

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41

My dear. Has anyone done any exploratory surgery. I am now 73 but my 20's were years of pain. I fortunately got a job at a women's hospital and the did a Laporoscopy. Had Endometrioses. Cysts everywhere that no one had diagnosed. Was informed that pregnancy was probably not in my future. Well they were wrong. Three caesarians- three children!! The pain was eased. I did have many D & C 's throuout my 30's. Keep changing doctors until it is addressed. Pain Medstar have so many debilitating side affects. Sometimes worse than the pain they a supposed to eliminate. Find a support group ot start one. Don't beat up on yourself. Doctors can use the "it's psychological" because it is better to throw it back on the patient rather than their failure to cure. My daughter unfortunately has medical issues. My gifts to her are spa days and it does help. Good luck.

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