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Suggest ways to manage pain after stopping Meloxicam and Ativan

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Posted on Wed, 9 Dec 2015
Question: Hi l have been on hydromorph Contin 36mg twice a day and dilada for breakthrough pain for 8 yrs my doctor informed me yesterday that she was taking me off all my meds lalso take meloxicam 15mg and 2mg Ativan. She says my urine was dirty l have not taken anything else ecept my vitimins that l have been taking most of my adult life,l am 55 yrs old l dont know what to do.l am in so much pain in the mornings.l dont even want to get out,but l know 15 min after l take my meds,What can l do? I feel l cant live with that pain on a day to day basis
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Answered by Dr. Matt Wachsman (5 hours later)
Brief Answer:
several issues.

Detailed Answer:
Oh, this one. the breakdown products of hydromorphone and heroin are identical. If someone takes hydromorphone the test administered by someone not well trained in addiction medicine and with a test that is not very good WILL show heroin. Yeah, this could be a problem. Finding a sophisticated doctor to test it correctly could be really tricky. Board certification in addiction medicine and calling just TO GET HAIR TESTED TO DEMONSTRATE NOT ON HEROIN. will be a bit pricey but worth it. Run it by doctor #1 that you are doing this and his trust matters to you. don't accuse, belittle, or demean, nor beg for drugs.

That brings up the next issue. The drugs. Specialized pain management. Orthopedists, Frankly a suboxone or methadone clinic are all options in theory but none are good options. The really good option is to get the first doctor to be educated by a peer that a dirty blood test requires considerable sophistication to interpret and manage but the first doctor was doing really well for a long time, and getting back to where you were which seemed pretty good.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4200 Questions

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Suggest ways to manage pain after stopping Meloxicam and Ativan

Brief Answer: several issues. Detailed Answer: Oh, this one. the breakdown products of hydromorphone and heroin are identical. If someone takes hydromorphone the test administered by someone not well trained in addiction medicine and with a test that is not very good WILL show heroin. Yeah, this could be a problem. Finding a sophisticated doctor to test it correctly could be really tricky. Board certification in addiction medicine and calling just TO GET HAIR TESTED TO DEMONSTRATE NOT ON HEROIN. will be a bit pricey but worth it. Run it by doctor #1 that you are doing this and his trust matters to you. don't accuse, belittle, or demean, nor beg for drugs. That brings up the next issue. The drugs. Specialized pain management. Orthopedists, Frankly a suboxone or methadone clinic are all options in theory but none are good options. The really good option is to get the first doctor to be educated by a peer that a dirty blood test requires considerable sophistication to interpret and manage but the first doctor was doing really well for a long time, and getting back to where you were which seemed pretty good.