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Opiate Alternative for managing flare ups

LizaLouiseLLizaLouise Perth, Western AustraliaPosts: 15

Hi Everyone,

After many years of using OTC codeine and ibuprofen or codeine and paracetamol/acetaminophen I've developed an adverse reaction. Long story short, I have had weight loss surgery, lost a lot of weight, had my gallbladder removed and since the removal have billary colic when I take codeine or tramadol - so i assume all opiates. It's painful enough that it's not worth taking them.

My question is - what other medication options exist for treating flare ups? The "wake you in the middle of the night crying" type flare ups where ibuprofen and paracetamol/acetaminophen doesn't cut it.

I have seen my doctor, and she didn't know - she just wanted to prescribe oxycodone or a slow release paracetamol/acetaminophen.

I have only seen a pain management specialist once and it was literally just to have an epidural and NRSI about a year ago. I'm looking to book in to see him again in the new year, but they are closed over the holidays and i expect a long wait to get in, so i would appreciate any ideas.

I realise no one is a doctor, and can't provide medical advice. I would just like to know if anyone uses something for pain flare ups which isn't an opiate. I do also use non-medical options such as heat/ice, gentle exercise, positioning etc.

For context, I'm referring to lower back pain associated with ruptured discs and EDS hyper-mobility type.



  • Topical creams, lidocaine patches can help. Also over the counter heat patches or ice can sometimes be helpful.

  • dilaurodilauro ConnecticutPosts: 11,638
    Several years ago, I wrote The Blend

    It is not a cook book for identifying ways to manage pain, but more of a concept in the fact that there are many different modules that are available to help with your pain without the use of opioids.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: [email protected]
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  • LizaLouiseLLizaLouise Perth, Western AustraliaPosts: 15

    Thanks both.

    My 'blend' consists of physiotherapy and massage, pilates, self massage/rolling, tens, heat and medicated heat patches and creams, heat packs, hydrotherapy, cupping, laser accupuncture, meditation, cognitive behavioural therapy - not to mention losing 165lb.

    I've also had a successful injection and am looking to get another one.

    I guess I was just naively hoping there was a direct substitue for the codeine part of my blend that i've just lost! Thanks again, really appreciate your time.

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