Notes on opiates... (excerpt)
"Currently, opiates are the most effective medications for managing most chronic pain states (Friedman OP 1990, Portenoy 1996). Their use is often condemned out of ignorance regarding their propensity to cause addiction, physical dependence and tolerance (Melzack 1990, Portenoy et al 1997, Wall 1997).
While physical dependence (defined as a withdrawal syndrome on abrupt discontinuation) is inevitable, this should not be equated with addiction (Portenoy 1996). Addiction is a dysfunctional state occurring as a result of the unrestrained use of a drug for its mind-altering properties; manipulation of the medical system and the acquisition of narcotics from non-medical sources are common accompaniments. Addiction should not be confused with "pseudo-addiction". This is a drug-seeking behavior generated by attempts to obtain appropriate pain relief in the face of under-treatment of pain.
Opiates should never be the first choice for pain relief in fibromyalgia, but they should not be withheld if less powerful analgesics have failed. In my experience many fibromyalgia patients want to try opioid medications, but then give up on them due to unacceptable side effects, such as mental fog, increased tiredness, dizziness, constipation and itching. "
-Robert Bennett, M.D., on Treatment of Fibromyalgia in Detail
(bold added by me)
I like this excerpt. It's concise, and uses the term "ignorance" which is an understatement (in this context) for many doctors with which I've dealt. Is there a better word that means "ignorant AND hostile AND suspicious"? That would be more accurate to my experience. And one could add to that last sentence "then give them up due to medical providers' unfavorable response and unwillingness to provide these drugs."
:P
overall, im into the gabapentin and lyrica movement, as it shows promise for relief, and less dependence. Although my memory is SHOT from the gabapentin.