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<blockquote data-quote="Marguerite" data-source="post: 334775" data-attributes="member: 1991"><p>I have found with a number of different medications (including the slow-release form of dex we get for our kids) that it often means a lower dose, when you switch to it. also if your aunt was self-medicating, even following doctor's orders, there is an anxiety component that can make you take more, or at least allow for the possibility of taking more, pain medications. If she was trying to NOT get addicted (something I used to do, before I got told by my doctor to stop worrying about it) then she may have been waiting until she needed it, before taking more - this is a common mistake. You often take less if you use it to maintain your pain under control. I now know that for me, if my pain gets out of control (because for whatever reason I have no pain medications on board) then I need a much bigger priming dose to get the pain under control. Maintenance is lower. Slow-release means less breakthrough pain, and frankly - it is the breakthrough pain that we notice and that scares us into taking more medications.</p><p></p><p>With your aunt being allowed to do what she wants - from the sound of it, she needs to accept that the attention from rehab physiotherapists is also valuable attention. She needs to learn to value the positive attention from achieving goals. But yes - if she wants ice cream (metaphorically as well) then let her have what she wants. But keep moving and keep that pain under control!</p><p></p><p>Boredom is bad for her; being left to her own devices sounds bad for her. But put her in a room of admirers and she will probably find her pain levels drop down a long way! I'm not saying she's not feeling pain, but she probably gets an endorphin rush from an audience.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 334775, member: 1991"] I have found with a number of different medications (including the slow-release form of dex we get for our kids) that it often means a lower dose, when you switch to it. also if your aunt was self-medicating, even following doctor's orders, there is an anxiety component that can make you take more, or at least allow for the possibility of taking more, pain medications. If she was trying to NOT get addicted (something I used to do, before I got told by my doctor to stop worrying about it) then she may have been waiting until she needed it, before taking more - this is a common mistake. You often take less if you use it to maintain your pain under control. I now know that for me, if my pain gets out of control (because for whatever reason I have no pain medications on board) then I need a much bigger priming dose to get the pain under control. Maintenance is lower. Slow-release means less breakthrough pain, and frankly - it is the breakthrough pain that we notice and that scares us into taking more medications. With your aunt being allowed to do what she wants - from the sound of it, she needs to accept that the attention from rehab physiotherapists is also valuable attention. She needs to learn to value the positive attention from achieving goals. But yes - if she wants ice cream (metaphorically as well) then let her have what she wants. But keep moving and keep that pain under control! Boredom is bad for her; being left to her own devices sounds bad for her. But put her in a room of admirers and she will probably find her pain levels drop down a long way! I'm not saying she's not feeling pain, but she probably gets an endorphin rush from an audience. Marg [/QUOTE]
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