Medication is a controversial topic. There are those who fear a life of pills and refuse prescription drugs and those like me, who embrace the medical intervention. I lived a long life without diagnosis and medication, it was unbearably hard. Since diagnosis I have tried everything I can, that might help. Now I take a range of medications and will not be without them. People fear dependency but I see its inevitable and if the drugs continue to work I will not give them up.
After years of taking co-codamol for pain, I discovered Tramadol, this was a game changer for me. Unusually my back had gone, the pain was crippling and beyond my usual torture. I am unable to take any aspirin based products, so ibuprofen and many pain medication options are closed to me. To this day, I remember my first doses of Tramadol clearly, its been over a decade now but I do not forget. It was a total revelation to me, I felt no pain, that is no pain! I could not believe it, it felt like a miracle and with that came the realisation of how much pain I was experiencing and the toll it was taking on me. I cried with relief!
So Tramadol became a part of my daily routine. I have managed it carefully and go without it when ever I can, If I am not moving outside of the house, I skip it and revert to co-codamol and often I try to get by without any. Being dependent on drugs is scary but in my case it is necessary and I’ve come to accept that. I am no longer prepared to suffer, when I know there is a way to stop it.
My next medication is Duloxetine, again this has changed my life for the better. A kind G.P told me about it, saying in research it was shown to be helpful in the treatment of M,E, for pain management particularly. I was at a point of desperation, it was a new year and I couldn’t see a way forward, I was struggling to clamber from my bed due to pain and stiffness and as it was winter my pain was heightened. I cried in my doctors appointment, I just had no positivity left and so when he suggested this I jumped at the chance. I had tried antidepressants in the past and disliked how fat and distanced from the world they made me, that this was for pain, felt like a lifeline and I took it.
The side effects were terrible, for two weeks, I was stuck in bed feeling like I was zooming in space, every movement made me want to be sick, this was horrible but because of these side effects I knew it was doing something and was determined to hold on in there. I am glad I did. Finally I woke feeling better, so much better, I almost sprang out of bed. My joints felt different, I became able to get up and move downstairs and about the house easily, again it seemed like a miracle. Over time I increased the dose, from lowest to highest and seven years on I am still on this and won’t give it up. I take my morning pills, including pain relief in the kitchen, rather than before I can get out of bed as was the case previously. If I miss a dose, the stiffness and joint pain shouts out at me so I know it is working. I take these pills at night time before bed, as advised by the doctor and chemist, as the best time for pain use.
Not long after starting on duloxetine I added amitryptiline to my regime, this is another neuralgic pain treatment and also works as an anti anxiety. After trying a variety of doses I have settled on three pills of 10mg, 30mg, I find this is my best fit; any more and I can not wake before midday and I put on weight, less and I feel no effect. I also take these pills at night and I think they do help me to keep to a good sleep pattern. My only point to make about these neurological treatments is exactly that, this illness isnt a mental health issue, it is real and physical, neurological immune system misfunction.
Antihistamines are a solid part of my life too, I take fexofenadine and loratadine. I find the fexofenadine works for my skin itching and while loratadine works better for my hayfever and scent allergies. These can also have drowsy side effects so again I take these at night.I also use nasal antihistamines from spring onwards.
Well I am starting to rattle like a pill box, and yet there are more pills, I use and need. My digestive disorders mean that I take lansoprozole each morning, without this I can not keep food down due to raging oeshoghasitis. I also have asthma and take daily treatments for that, I always feel that asthma is the least of my worries and often forget about it. Then I find I am out of breath and realise this doesnt help.
I have written about my problems with sickness and nausea, for years I was using prochlorperazine and this worked well mostly until recently. After months of severve suffering I eventually realised I should see a doctor and I was changed to bethahistamine, this gradually worked, I realised one day that I actually did not feel sick, it was a marvel and so I have moved to this long term now.
HRT is another important part of my drug regime, I have written here previously of my journey to this. I have tried a variety of patches and pills, changing doses and hopefully now I am settling into a sustainable routine. These hormones cause me terrible bloating and gas, flatulence and discomfort, I seem to blow up like a solid balloon. Originally doctors suggested it was estrogen causing this and so I lowered the dosage, the problem with this was that my hip and pelvic pain increased. For the sake of vanity and desperation to loose my fat gut, I payed this price.
Since then, just at Christmas, I realised it is progesterone that is the cause, I had problems with the Mirena coil and stopped having them after years of discomfort and a solid tank of a belly, that never went down, so this meant more sense to me. Now I have returned to patches and pills, lowering progesterone pills to only one, from two and upping my patches back to 50 mg, from 25mg, I am hoping this will work, I will collect this new prescription later today, so I will soon know. I have been using Buscopan, a product for IBS, ( I have all these symptoms) to relieve my bloating and painful gas, it seems to help. The G.P has sent some pepper mint oil pills to the chemist for me, I am not sure about these, but will try.
I certainly know that I need HRT, as I’ve been making changes I had a week without any and I regret that now, my skin is still recovering, it dried up and broke out into sore, crusty spots. My wrinkles became deep cracks. I lost my cheeriness, the hip and pelvic pain is still constant and walking is even harder. I have had to plaster my skin with products, while swallowing collagen tablets daily. Ooh and my hair, simply put I have lost half of it, I’ve left it to grow and loose strands fall down my back and roll off everywhere. I am literally shedding. My brush is thick with it. I have learned my lesson and I will be taking these hormone replacements for the long term and I recommend to all women nearing fifty.
Recently I discovered the importance of reviewing medicines from time to time, new things are released and things change. Do not be like me and suffer on, thinking there is no alternative, I suffered extreme nausea for months, when just like that I could’ve changed drugs and beaten away those hideous symptoms. Always ask a G.P!
Well I think that’s my pills explained, I also use paracetamol and at times co-codamol though I am careful not to mix these with the wrong things. Of course I use exercise and other well being techniques as my condition management ritual. I have tried various vitamins and supplements, diets, food exclusions, natural remedies and am all for alternatives that really work.
Do not suffer in silence, or any other way, when you don’t have to, there is always a medication to try, so go for it. Do not fear chemical assistance, if it helps, use it. Ignore those around you who tell you, you don’t need it. They are not you and you do not need to justify your choices. It is between you and your G.P, if they are happy to prescribe something, you should be happy to take it.
I have a feeling I may have missed out some things, but for now I will sign off.
Take the help, you deserve a good quality of life.
Chris.xx