Moryl has been treating my husband for chronic pain for many years. Her extensive knowledge,is matched by her compassion. Don't know what we would without her. Thankful for reading this! I have stage 4 breast cancer w mets to the bone.
I have a TON of pain on a daily constant basis. One if the things I struggle with is the stigma of being on opioids. I know I shouldn't because I actually need to have round the clock pain management, but I often feel ashamed if I have to go up in dosing on my pain meds. It's something the Dr's at Sloan have helped me deal with by explaining to me and reassuring me. They are right. I've tried to taper down and the pain is so unbearable that I can't.
I've learned there's no shame in it. It's ok to take these meds! I deserve a quality of life! This article means a lot to me. I almost became a patient of Dr. But I have Dr. Cubert instead, he's been wonderful. Sloan Kettering really cares about their patients quality of life.
I've had the office team work very hard getting my insurance to cover my expensive pain meds! It saddens me that there is such an epidemic and stigma that the insurance companies can deny a cancer patient pain meds. It's unreal. I am thankful that my team at Sloan cares about patients comfort and fights hard for us to have access to a "normal" way of life.
Thank you Dr. Moryl for this article! Moryl shouldn't be defending the use of suboptimal and dangerous treatments like opioids- he should be calling for better medications. We all know that doctors are addicted to using opioids for they lack education in pain care-and refuse to have education in pain care.
And so regretfully doctors like Dr Moryl dont know how to use treatments like electrotherapy, scs, scrambler therapy, ultrasound patches, etc. Moreover Dr. Moryl fails to recognize that opioids dont work for neuropathic pain that is not uncommon in cancer. Dear Dave, We reached out to Dr. If needed, consultation is done with Rehabilitation and Anesthesia Pain groups that help with nerve blocks and implanted devices such as spinal cord stimulators SCS or other devices.
Opioids, along with other medications often used for cancer pain including neuropathic pain , are effective in the majority of cases. Moryl, if you could offer me some advice God bless you, I have breast cancer and was prescribed pain meds when it was found in the bone.
I am finished treatment except for maintainence but i am still taking about 30 mg of oxycodone a day, I am so depressed and feel no good because i cant seem to stop although i rarely go over that amount i am afraid to be black listed if i ask for help will my dr. God be with you i feel like i am nothing,. I recommend that you discuss your concerns with your oncologist who may address this with you or refer you to a pain specialist. A pain specialist will interview and examine you to help you decide if you should continue your pain medication or should try to taper it down and even stop.
If you have withdrawal symptoms when you are trying to stop I would definitely recommend a consultation with a pain specialist who would guide you through the process and help address your symptoms as you are tapering down your medications. This is just another part of your treatment. In addition to this input from Dr. The center can be reached at or go to:. Pain medication has become part of my life. A small price to pay for surviving two cancers.
Making the decision to use a medication that may be seen as addictive was not easy. I began to look at as If I was diabetic. I would take daily injections. I could have a heart issues which required that I take medications daily also. The conclusion I came to was that if I had a different medical issue other than pain, that required daily medication for the rest of my life, of course, I would take it.
Why should pain be different? My pain is a medical condition with a name, radiation fibrosis. The medication prescribed helps me live with less pain. I applaud the physicians that are knowledgable enough and brave enough to write my monthly scripts. Opioids are not effective for neuropathic pain as Dr Moryl suggests. In addition, to say Sloan Kettering will make available alternative treatments when needed is indication that Sloan Kettering is just promoting the opioid economy for opioids should not be the first line of treatment for cancer pain- as opioids can lower immunity and spread cancer.
I regret that dr. Moryl has failed to indicate knowledge of such- but I am not surprised. If Dr Moryl would like to openly discuss proper pain care of people with cancer or painful conditions- let her know this pain care advocates dorsolateral prefrontal cortex is well methylated for such discussion. Better avoid pain killers if you want than first consult your doctor than take it. I am thankful for insightful pain doctors. I survived advanced metastic breast cancer stage 3c a very aggressive form.
I had to endure high doses of chemo which included Taxol. I was left with CIPN: chemically induced peripheral neuropathy that has severely affected my life. Traditional nerve pills such as neurotin and lyrics actually made my nerves more sensitive.
I tried all of the other non drug therapies which "Dave" above recommended and to no avail. At only 43, a single mother, I needed to be able to work. I was recommended to a wonderful pain management Dr in my area. He also has a psychologist in his office. Both convinced me to try the Morphine treatment and I am able to work without too many days missed due to horrible pain.
Dave some neurologic pain does respond to narcotics. Trust me my quality of life was horrible due to my uncontrolled pain from chemo damaged nerves. My pain is like my lower leg bones and feet have been beaten by a baseball bat. I do not believe in doctors throwing medications at people, but just like insulin for diabetics, some of us whose bodies were permanently damaged by the treatments to save our lives, need narcotic medications to be able to be productive members of society and enjoy our lives.
Being treated like we are criminals is frustrating and also cancer related pain is nothing like any pain I have ever experienced and I would not wish CIPN on my worst enemy. Thank you for an insightful article from a knowledgeable doctor who cares. How is this physiologically possible. Sloan is notorious for over medicating patients with pain medicine.
My son became quickly dependent on the medicine. The pain he was experiencing in his stomach was caused by all the narcotics which slow the bowels down. The oncologist refused to call a GI consult for weeks until I finally insisted by getting the administration involved. The GI doctor found it was something unrelated to the cancer. Sloan gave him his own push pump for the pain medicine.
They just didn't care enough to find out why he was having pain in his stomach. It's just easier to medicate patients. He is now going through a lot of suffering trying to get off these pain meds. The Doctors don't have any idea what happens after they leave sloan and don't understand the negative consequences of their actions.
You can contact them directly at to discuss this in more detail. Thank you for your comment. My 95 year old mother was diagnosed with colon cancer which has spread to her liver. She is in hospice care at a skilled care facility. She is given a low dose of Vicodin in the AM and at bedtime which I feel has managed any pain but unfortunately has turned her mind to mush as one of my sisters stated. This sister is recommending taking mom off the Vicodin and using Tylenol. Any thoughts or comments would be appreciated.
Is there one opioid that might work better for a 95 year old? Dear Janet, we are sorry to hear about your mother. It is important to keep her pain under control while doing as much as possible to maintain her quality of life. Oxycodone dependency and withdrawal are serious matters. The likelihood of staying clean is much, much higher with medical supervision and treatment during the withdrawal period. Addiction is not the same as tolerance or dependence.
Addiction is difficult to understand for anyone who has never been addicted. It is nearly impossible to know how someone could continue using oxycodone despite the mountains of evidence that is obvious: this person has a problem. For someone addicted to opioids, it can seem like there is no consequence terrible enough to make them want to quit. Addiction is a chronic disease. The disease of addiction ensures that developing new coping mechanisms, healthy living habits, and a loving support system is essential to overcoming a SUD substance use disorder.
The right treatment program and plan can be the difference between a long life free of the pain of addiction and a fulfilling, happy life without the need to use. Intensive Outpatient Programs IOP are the most effective ways to a sustained recovery from oxycodone addiction. LSD, also known as "acid," is not considered physically addictive like other drugs i.
Suboxone and Kratom are two seeming miracle solutions to the opioid epidemic. One prescription. But, some people avoid it because it makes them jittery or anxious. Methadone, when administered properly, is included in treatment with counseling and is always provided in a clinic setting.
It helps to block the effects of opioids and to reduce cravings. The medicine buprenorphine also helps opioid cravings without giving the same high as other opioid drugs. Prescribed by many physicians, this is typically a daily dose placed under the tongue and can also be delivered as a once-a-month injection or through thin tubes placed under the skin every six months.
These medicines both activate opioid receptors in the body that suppress cravings, and are effective and similar in safety and side effects and typically used for maintenance treatment. They can be used as a taper agent as well but some patients relapse, and we need to try something different with those patients who relapse several times.
Patients who are highly motivated and have good social support have a tendency to do better. Your system must be completely free of all opioids before beginning naltrexone.
It can be taken orally or as a once-a-month injection. Contact us or find a patient care location. Privacy Statement. Non-Discrimination Notice. All rights reserved. Skip Navigation.
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