I hope to have an appointment soon to determine that cause of my urination issues. Supposed to be a better urologist.
In the mean time I am having quite severe pain that makes it difficult to concentrate. The pain also seems to cause spasms making me feel like i nee to pee all the time. A big part of my life seems to be about peeing or not.
I take morphine sulfate 15 mg for bone pain and try to take as little as possible mainly just at night so I can sleep.
I have found that if i take 15 mg morphine every 6 hours i have very little urinary pain and can function normally.
About how long will it take to develop tolerance and require more and what about addiction.
Should I even worry about this? Ideally I will need to take morphine regularly for urinary pain only until i get something fixed or ???
I am so much more comfortable and able to be productive if I take morphine regularly.
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spencoid2
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it’s all about quality of life - being comfortable buddy. Tolerance is highly variable in people , some seem to develop it in a few months , others much longer. Rarely a few after some weeks of use. Tolerance comes in levels, usually resulting mostly in that your dose doesn’t seem to last as long as it did at first, it doesn’t give you much , if any, of a buzz anymore and is weaker feeling. IMHO , dependency is of little concern as for one pain or the other you could need pain meds from now on. The levels you are taking , 15 mg, is small…. You can quit easily ( kinda ) any time you want. When you titrate up to 45mg , 60mg , even 90mg or more mg per dose 4 / 6 TID quitting sometimes becomes an inpatient visit for some. Most of us in chronic pain are probably always going to be using opiates for whatever time we have remaining. Quitting isn’t going to be an issue.
Also, IMHO, you choose well with morphine. Morphine usually “ always “ works on humans. You might need to “ titrate up “, take a little more, but a little more will usually work effectively. Other types of pan meds like oxy , build up a stiff tolerance quickly and after a point taking more and more just doesn’t do much more. At that point then you need to switch anyway, to avoid toxic LD 50 levels of intake.
Lotsa guys just can’t get sufficient opiate pain relief because of all the government stigma associated with it , be glad you can get opiates and that they help you. Palliative care doctors will take care of you better and try to keep you comfortable, they aren’t burdened with as much government stigma / scrutiny as a pcp generally is. If you get something “ fixed “ you may not need them anymore. But with this disease , degenerative issues are basically standard fare. Needing pain mgt is every day life for lotsa us. lol
Everything I’ve said here is IMHO and based on my own experience. Always consult your medical team for the last word .
the pain feels like it is near the end of my tiny dick but i know that the pain is "referred" from deeper inside. no one seems to have an idea about it which is why i am having new appointments with another urologist. not a big deal if i take 4 to 6 morphine a day but really would rather not and would also like to know if anything serious is going on
I had a severe pain because of PCa compromised metastatic cancer in three vertebrae pressing on the spine etc etc etc. and I took hydromorphone for about 6 months. By then the pain had basically evaporated due to triplet therapy. And the hydromorphone really helped when there is pain and then I just stopped. I have been told that if you have pain and you take hydromorphone then you are less likely to develop a tolerance or become addicted. That it is more likely if you keep taking it when you don't have pain. I have not researched this and so this isn't classify as an anecdote. Summary is that hydromorphone was helpful and not a problem.
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