I have PTSD. I suffer from phantom pain and pain in joints and limbs. Both from amount of surgeries and depth of injuries. I see a psycologist every 2 weeks, a pain specialist every 6-8 weeks, a psyciatrist every 6 months, and my GP every 4-6 weeks. We use a combination of stellate ganglion nerve blocks, CBT, pysio, meditation (deep breathing, visualization), and meds.
Have tried accupressure and accupunture, and electric impulses. All with bad reactions.
I have been on steriods for short term pain relief. Worked, but made me feel REALLY good. One was dexamethasone.
Lyrica was tried for about a year, no noticible improvement.
Celebrex had no noticible affect on pain.
IV treatment, a--- biphosphate, for neurological pain. no pros. Alot of nausea and total hair loss.
I was on a patch for pain, fentanyl. It caused severe apnea, and resulted in prolonged hospital stay.
I now take oxycodone, 30mg x 2, with endocet to up it for bad days.
I was on bupropion, for depression, it caused severe twitches and shakes.
I now take effexor 150 mg/day. I find it effective for depression. only side effect was when they uped the dosage to 225mg, I became very nauseated.
I take ativan sublingual when needed for panic attacks, although that has become almost a non issue thanks to my work with psycologist.
I have taken several things for nausea, metaclopramide, zofram?. I find gravol works best.
Sativex buccal spray works well for nausea and pain. Works very quickly, but is very costly.
I now take cessamet, .5mg x 2/day, which helps for nausea and pain.
I also take desipramine 25mg for sleeping, but this is fairly new, and meant for short term problems I am having.
I find the worse thing with a lot of the meds I take is the cycle. You take something for pain, they cause depression, then I end up taking something for depression. That causes nausea, so I take something for that. Seems like a catch 22.
Anyway, I find that in my years of treatment, a balance of alot of things is needed. Meds are a neccessary evil for some of us, but I do believe that with work alot of them can be replaced by better techniques and methods. One struggle seems to be knowing how much pain is just letting you know you are alive, compared to pain that needs to be medicated. And pain relief compared to the high that accompanies alot of the pain meds. If that makes sense.