Posted by Juanantoniod on July 13, 2003, at 20:13:02
In reply to gabatril not a neuroleptic » Juanantoniod, posted by avid abulia on July 13, 2003, at 17:19:49
Thanks for the correction on that one. I will ask my pain doc about Phenergan, Norflex and Ketamine transdermal.
Yes, unfortunately, I am VERY tolerant. I weigh about 180 (5'7") and the 300mg Demerol did not even PHASE me!
> Gabatril is not a neuroleptic, it is actually an anticonvulsant. I would highly recommend a neuroleptic (Phenergan would probably be the best choice, because it has very little propensity to cause dystonia, and it is one of the most studied for pain management).
>
> It does sound like you are indeed *highly* opiod tolerant, unless you weigh in excess of 300lbs, if 300mg of Demerol didn't put you in an ICU on a ventilator.
>
> Norflex might also be another option for PRN use, it has a different mechanism of action then Skelaxin (unless i am confusing generic names here, it has been known to happen but not often) and is particularly good for pain because besides being a muscle relaxant it shares common properties with the dissociative anaesthetics (i.e. ketamine)... also, i have a friend with fibromyalgia who says she has good luck with the transdermal gel version of ketamine, have you tried that?
poster:Juanantoniod
thread:240948
URL: http://www.dr-bob.org/babble/20030708/msgs/241568.html