Friday, December 16, 2016

Oxycodone versus gabapentin

I recently tried a new drug for spasticity (gabapentin). I don't know if it is commonly prescribed for spasticity, but the psychiatrist (or neurologists) at the nuthouse where I recently lived for two weeks thought I should take it. Considering I was absolutely miserable for the first week I was in the hospital, due to horrible spasticity and pain, I went ahead and tried it.

In my limited experience so far, I'd have to say gabapentin is considerably more helpful than any of the things I listed in the previous post except oxycodone. Unfortunately, it seems to make my double vision considerably worse, and it seems to make my legs very weak. It also doesn't address the pain in the top and bottom of my right femur, where there are pins (or screws) from surgery on my broken leg. Each of those things is a pretty big deal, but I can deal with it for the time being.

If I had never used oxycodone, I would probably think this stuff is pretty great (compared to everything else I have tried). However, I have used oxycodone. Consequently, I can say this drug is nowhere near as helpful as oxycodone, because it's dangerous for me to be on my feet when I take this drug. Which means I can't exercise or prepare food when I'm on gabapentin.

Being able to exercise and being able to be on my feet are very important to me, particularly because I live alone. If I didn't live alone, I would be able to do certain things that require being on my feet because I wouldn't have to worry so much about falling and potentially being unable to get help. I can't change the fact that I live alone.

At this point I would say gabapentin is about 20% as helpful as oxycodone.

Here is a sort of "standings" involving the therapies I have tried for spasticity/pain:
  1. Oxycodone (very small dose; no high)
  2. Gabapentin (20% as helpful as oxycodone)
  3. Stretching (10%)
  4. Long, warm baths (6%)
  5. Cannabis (4%)
  6. Nothing (0%)
  7. Tizanidine (-300%)
  8. Baclofen (-500%)
Regardless of what you've been told or what you believe, my experience is that just a tiny amount of oxycodone makes my life bearable and allows me to do the things I have to do to make myself more able to survive in this world. My experience also says addiction is not a risk unless you consciously attempt to get high on oxycodone, which I imagine requires about 10 times higher of a dose than I believe is appropriate for MS pain and spasticity. What I have shared about oxycodone is based on having taken it every day for five months, then having taken a much smaller amount on a less than daily basis, then being completely off it. Perhaps an important bit of information is that I have never experienced opioid withdrawal (presumably because I was on such small dosage).

I'd love it if you would share this post and other recent posts on social media. Though I may not be a scientist, I feel I have used fairly scientific methodology to arrive at the conclusions I've reached in these recent posts. And my conclusion at this point is that oxycodone can save MS lives and even allow people to reverse at least some of their disability from MS. Oxycodone has saved my life once already, and I need it to happen again (but I can't get anyone to prescribe it for me). If it does that much for me, I have to believe it would do that much for others in my position.

Added a few days later: I don't think gabapentin is doing anything but making it easier for me to die in a hurry. Oxycodone saved my life. I need that to happen again, but I don't think it's gonna happen again.