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Thread: changing responses to meds - doctors, nurses?

  1. #1
    Senior Member alan's Avatar
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    changing responses to meds - doctors, nurses?

    Over the last year or so, I've noticed that I respond differently to medicines than I used to. Many of them add to the intensity of my pains (the areas throb more after taking the meds in question), even meds that I've taken before in my SCI life without that effect. Every antidepressant seems to do it, as does Dalmane and ativan (among others.) Is this just a consequence of getting older, and not metabolizing medications as well as before?

    Other meds blur my vision, especially in my right eye. Blurred vision is a common side effect, though.

  2. #2
    Senior Member alan's Avatar
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    Helloooo...

  3. #3
    hey alan, hope your pain is better.

    I wonder if your response to different medications at this point in your life has anything to do with all these meds building up in your tissue.

    If so, would something like anti-oxidant green tea help to cleanse your system?

    Anyone?

    ... ...

  4. #4
    Super Moderator Sue Pendleton's Avatar
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    Not sure about the green tea but I'd definitely get a full liver enzyme panel done and have your doctor explain each and every number. I'd also have him/her check the latest in what is known about about interactions with the drugs you are taking.

  5. #5

    Medication absorption

    Just some general comments about medication absorption...I have had some SCI individuals that I worked with describe very different experiences with medications post injury. As the nervous system has been compromised by the injury so can the way in which medications work in and around the nervous system. It may not necessarily be the absorption but the chemical changes that medications cause to occur.
    Age does affect the way medications are absorbed and utilized in the body. Geriatric individuals often get therapeutic results from smaller doses of medications.
    I agree that it would be beneficial to discuss your experiences with your SCI physician so that potential physiological issues can be ruled out. SAH

  6. #6
    Senior Member alan's Avatar
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    Unfortunately, as the pains continue on their merry, ever intensifying path, it looks like I'll be in for a hospital visit soon. The latest pain doc wants to run some tests (don't know which tests yet - he's out of town this week - so I haven't approved anything yet.) Hopefully, he'll come up with an idea from whatever he does - I'm sick of being homebound by severe pain (pain is definitely worse than quadhood, as being a quad never stopped me from getting out of bed, going out, eating, or doing ADLs I used to be able to do.) While I'm in the shop, I can have my other parts checked out, too, including my plumbing. I'm about due for my annual blood test, anyway.

    Re drugs - actually, I'm not taking any prescription meds at the moment. All I'm taking is vitamins, supplements, stool softeners, and laxatives the night before each "Fun Day." Even when I did take the many different things I've tried over the years, most of the ones that weren't quickly stopped due to side effects didn't last more than a few months, at which time it was decided that if they hadn't helped the pains yet, they weren't going to. I never got to high doses of opiates due to the constipation and urinary retention they caused (they also caused terrible insomnia - oxycontin worse than mscontin.)

    My doctor thinks the change is probably age-related. I'm almost 20-22 (that's 42 by normal counting.)

  7. #7

    pain management

    Have you considered seeing someone who directly deals with pain management? What about biofeedback or other complimentary therapies such as visualization and relaxation? SAH

  8. #8
    Senior Member alan's Avatar
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    I've seen numerous pain specialists, at medical centers such as Hopkins, University of Maryland Hospital, and even Washington Hospital Center, as well as other pain docs. I've tried the alternative therapies, too, from hypnosis to biofeedback to accupuncture to chiropractic and everything in between. I've always been game to try almost anything.

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