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Update on difficult child, the process continues
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<blockquote data-quote="susiestar" data-source="post: 604160" data-attributes="member: 1233"><p>Given that he has shown to have addictive tendencies, it is good to dole them out to him rather than to let him handle them on his own. Skotti is right about the risk of addiction being lower because he is in real pain, BUT if he takes too much it can trigger problems. There are more problems with stopping pain medications after long term use than a bit of tummy trouble because physical dependency happens to those of us who take them long term. It is very different than addiction though because that is more psychological and compounds the physical dependency issues.</p><p></p><p>RIght now the big problems with letting him have control of the medications are first the spaced out/zonked bit that comes with combining them with his other medications. It would be VERY easy and is incredibly common for someone to take more than they are supposed to and even to overdose because they hurt so they take the medications and then they are zonked/spacy/whatever you call it and they forgot they took a dose already so they take another dose, or two or three. If they don't end up killing themselves with an OD simply because they have no clue when or how many doses they have taken, then they end up with a high they may really like. I know a few people who came very very close to dying because they took so many doses and when they ran out their bodies totally freaked out. The overdose wasn't always the problem but coming down from such high doses resulted in major problems that could have easily killed them.</p><p></p><p>The other risk with this is that they don't take the medications when they are supposed to because they are asleep or not paying attention and then the pain gets ahead of them and they take a dose, and thne another and another because it is so overwhelming and they just want the pain to stop. It contributes to the problems I listed above, and can get ugly.</p><p></p><p>By taking control of his medications, and making sure they are taken as rx'd, you cut his risk of addiction HUGELY. If he is not getting adequate pain control, contact his doctor ASAP because pain does odd things to the brain. Pain is nature's way of telling you something is seriously wrong. If you don't treat it, the body reacts to the pain to a greater degree, screaming louder that you need to stop it or fix it or whatever to make the pain stop. You can get stuck in a cycle where the body will over react to even very minor pain because the brain htinks you will never respond to make the pain stop before it is hideous, so it makes the little pains seem like huge screaming agony. This is REAL pain, and it can be hard to convince your body to not over-react to the pain. Letting the pain go after something like this is a wonderful way to get trapped in a cycle that is tough to end. </p><p></p><p>I hope he feels better soon. As he heals it may be helpful to try lidoderm patches. They are topical patchs with lidocaine and they can be very helpful. they are not at all addictive and do not give any high. They just help with pain in whatever area you use them.</p></blockquote><p></p>
[QUOTE="susiestar, post: 604160, member: 1233"] Given that he has shown to have addictive tendencies, it is good to dole them out to him rather than to let him handle them on his own. Skotti is right about the risk of addiction being lower because he is in real pain, BUT if he takes too much it can trigger problems. There are more problems with stopping pain medications after long term use than a bit of tummy trouble because physical dependency happens to those of us who take them long term. It is very different than addiction though because that is more psychological and compounds the physical dependency issues. RIght now the big problems with letting him have control of the medications are first the spaced out/zonked bit that comes with combining them with his other medications. It would be VERY easy and is incredibly common for someone to take more than they are supposed to and even to overdose because they hurt so they take the medications and then they are zonked/spacy/whatever you call it and they forgot they took a dose already so they take another dose, or two or three. If they don't end up killing themselves with an OD simply because they have no clue when or how many doses they have taken, then they end up with a high they may really like. I know a few people who came very very close to dying because they took so many doses and when they ran out their bodies totally freaked out. The overdose wasn't always the problem but coming down from such high doses resulted in major problems that could have easily killed them. The other risk with this is that they don't take the medications when they are supposed to because they are asleep or not paying attention and then the pain gets ahead of them and they take a dose, and thne another and another because it is so overwhelming and they just want the pain to stop. It contributes to the problems I listed above, and can get ugly. By taking control of his medications, and making sure they are taken as rx'd, you cut his risk of addiction HUGELY. If he is not getting adequate pain control, contact his doctor ASAP because pain does odd things to the brain. Pain is nature's way of telling you something is seriously wrong. If you don't treat it, the body reacts to the pain to a greater degree, screaming louder that you need to stop it or fix it or whatever to make the pain stop. You can get stuck in a cycle where the body will over react to even very minor pain because the brain htinks you will never respond to make the pain stop before it is hideous, so it makes the little pains seem like huge screaming agony. This is REAL pain, and it can be hard to convince your body to not over-react to the pain. Letting the pain go after something like this is a wonderful way to get trapped in a cycle that is tough to end. I hope he feels better soon. As he heals it may be helpful to try lidoderm patches. They are topical patchs with lidocaine and they can be very helpful. they are not at all addictive and do not give any high. They just help with pain in whatever area you use them. [/QUOTE]
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