Posted by Bill McCuistion (198.64.206.92) on October 01, 1999 at 15:47:01:
In Reply to: MY DOC FINALLY UNDERSTOOD posted by SHAWN on October 01, 1999 at 13:31:31:
I have used Stadol NS on several occasions for pain management. Today, I consider it to be one of my last-resort treatments. I know how it affects me.
First, I understand that Stadol was developed as an alternative to morphine. Some texts indicate that dose-for-dose Stadol NS is 10x more powerful in pain management than is pharmacy-grade morphine. I have never used morphine, but Stadol is smooth. I "know" that the pain is there. The attack goes on its merry way. I have the usual CH hangover when its done, but I don't feel it. I know I have the pain, but I don't feel it.
And that's the rub. I am otherwise fully awake and functioning, but don't feel pain. I could have my arm stuck in the thrashing machine and it would be OK. After about three days, I no longer need the drug, but I want it because it makes me feel so nothing. Not drunk or high like other drugs, just pain-free. Or, is it care-free about pain? For me, this has to be carefully controlled for it will get out of hand very quickly and lead to a string of consequences which will eventually outweigh the consequences of the CH pain experience. Don't ask.
However, all that being said, I still consider Stadol NS as a treatment which has served a purpose in my CH history and may again.
PS. I once went to the ER with a cluster episode and got an injection of Stadol. The NS is probably 10x more effective than the injection, especially when I self-administer the NS dose (and a half).