Our expert says:
Its a pity we dont have more pain specialists and pain clinics in SA. Tramacet is being heavily promoted right now, and does seem to suit some people. Some of us find it makes us extremely nauseous ( as many strong pain killers can do ) after I was smashed up in a car crash a few years ago, they gave me one injection of tranadol, and I vomited with enormous force right across the room.
Other analgesics like Codeine and DF118 can make one very constipated.
But you do indeed, as I recall, seem to be highly sensitive to all sorts of side-effects, and maybe should use meds cautiously.
I don't recall what sort of psychotherapy you were receiving, but anything other than CBT, focussed on mnaging your own symptoms and depression without relying on drugs, would have been pointless.
Discuss all of this with the pain doc, who will of course know that Tramacet can make some people very nauseous, and that addicts don't generally complain of the nausea - they want more drugs, not less.
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