The pain of painkillers

I know it’s been months since I last posted anything, however I thought that I might just skip ahead of what’s happened over the last few months and discuss something that is in topic in my life now, and it’s quite a serious topic; Painkillers.

Disclaimer: ** Please take note that all medications should be taken seriously and under the advice your doctor. These views are my own and based on my personal experiences. The medications I am speaking about are addictive and should never be abused or taken without your doctor’s consent. **

At some stage in our lives, we’ve all taken a couple of panadol, maybe even some panadine (panadol + codeine), to get us over that cold, or headache. Some of us have even taken much stronger pain medications that have been prescribed by our doctor. I’m planning on discussing not only how painkillers work, but how our bodies, mine in particular react to the medications and when we deprive our body of these ‘ingredients’ we use frequently and long term, when taken by people, when they live with chronic pain.

When we take pain medication, it doesn’t have an effect on the part of the body that is hurting; it takes effect on our brain. To be precise it takes effect in ‘three specialized regions of the brain: the physical sensation region that identifies and localizes the pain (somatosensory cortex), the emotional feeling region that experiences suffering (limbic system), and the thinking region that assigns meaning to the pain (frontal cortex)’. Source

To simplify this, any type of analgesics (painkillers), don’t effect the area that’s injured, they simply block the pain signals going to the brain, or interfere with they way the brain interoperates these signals. This in turn affects the body’s nervous system so that pain messages are scrambled.

There are two types of painkillers: Non-narcotics and Narcotics. I'm mostly on the latter unfortunately. I won’t go into the difference between the two, too much because I want to share my story. If you’re interested in the types of painkillers, you can find infomation here.

As I’ve just mentioned I'm mostly on the narcotic variety of painkillers. Narcotics can involve much more than the generalised assumption of opiates like heroin or morphine etc but it also includes codeine which in lower doses is available over the counter at your pharmacy and even your body’s natural narcotic; endorphins.

Over the past 11 months, my body has endured an increased amount of narcotic medicine including oxycontin, oxycodine, and also morphine and pethidine while hospitalised but also during this latest experience, it’s been the highest dosages of this forms of painkillers I’ve ever been on. While my pain medication expands much beyond these, in the form of various types of muscle relaxants and anti-depressants, it’s reducing the oxycontin that has the most effect on me. Oxycontin is similar to morphine, but it’s a slow release medication, that has a 12 hour controlled release of its ingredients to give you greater control over your pain long term.

Over the past 8-9 weeks I have started my journey into reducing my body’s dependence on this drug. As pleased as I am to say “I feel that I no longer need the same amount of this medication anymore”, I know my body is addicted to it. This addiction means that to reduce the side effects of coming off this medication, I have to take it slowly and carefully, so that I don’t make myself ill and cause serious harm to my body. Because of the type of pain and injury I have, this is the 4^th time I have started the withdrawal process of coming of my pain medication, and I hope it’s to be the 4^th time, I will do so, successfully. At this moment (8^th June 2010) I'm 1/3 of the way on this journey of reducing my pain medications, so I can once more become effective and efficient in my daily life. (Although I know many people function quite normally on these types of medications, I still find it quite foreign, and don’t like the way it takes control over my body).

The first two times I have done this process quite quickly and with little side effects as I was not on the oxycontin for any longer than 4 months. During my 3^rd experience with this drug, I was taking it for a period of 10 months before I started “coming down” and I can honestly say I really felt the side effects of reducing the meds too quickly. I’ve experienced vomiting, diarrhoea, nausea, cramping, headaches, hot and cold sweats, and loss of appetite to name a few. This was 2 years ago. I remember while going through this, that I said I was never going to take oxycontin again, if I was to be in a similar condition. Well here I am again. Having reduced my intake by a 1/3 now, very slowly some other side effects are starting to show as I continue to reduce my body’s dependence on the drug. I'm already starting to experience:

• Nausea
• Cramping
• Diarrhoea
• Headaches
• Fatigue
• Night sweats

…and this is just so far. Coming off oxycontin and its withdrawal is often compared to a person going through a ‘heroin withdrawal’ in terms of its intensity. The only we have some control over this experience is to take the time to reduce the medication slowly, in small amounts and over a long period of time. Sometimes I think it would be easier to come of the medication easier and much quicker by reducing it every 3-5 days as opposed to every 1-3 weeks and just get the withdrawal pains over and done with instead of drawing it out, but I have to remind myself to do it the healthy way that wont harm my body, or stress it out too much! I hate to think what it has done to my overall health in both my brain and my organs!!!

I hope I’ve explained this so it translates that we have to be aware of what we take to manage our pain, but most of all like food – make us aware of what we are putting in our body’s and its affects afterwards.

Thanks for reading, I appreciate it and any other input, or expiriences is welcome so feel free to comment!

- Jen xx

**note: when I write my blogs, I write the way I would speak most of the time, and I apologize if things don’t quite make sense or don’t come out clear. I have a tendency to write at night, and this is when I'm most medicated.