Topic: Pain Control
I don't see many of the current regulars have posted about pain issues. I've had pain on and off (mostly on) since my diagnosis in August/September of 2009. Recently it has become worse, probably due to the fact that I had a recent ERCP and they dilated the duct and the metalic stent really caused a lot of pain for awhile after that procedure. The pain could also be from the tumor growth, I'm not really sure. I wish that there was a formula or logic to point to the reason for my pain, but there is not - so we just treat it.
I have been using a Fentynal patch since my diagnosis and gradually increased the dose on that. The most recent dose is now up to 125 mic per hour - although I find I'm usually only putting on 75-100. For breakthrough pain I was originally put on oxycodone immediate release (up to 10mg per 4 hours), but after the recent pain issues have moved up to morphine immediate release up to 45mg per 4 hours. This seems like a lot of opiod pain meds, but I really don't even notice that I'm taking it as I have built up such a tolerance to it. I do get concerned that if my pain continues to get worse whether or not it will be effectively controlled because I am building up such a tolerance to it now.
On another note, I'm wondering how to properly dispose of the pain meds I am no longer using. I have a fair amount of this around as I have moved on to different types or doses of medicines. Some of it I can see maybe using at some point down the road such as the smaller doses of fentynal, but some of them probably not.
I'm also wondering if anyone else out there is needing to take this much pain relieving medications and how far advanced your cancer is? Is thee a correlation to location, size, etc. of the cancer and associated pain?