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Soma (Miltown) for Fibromyalgia (Pain)


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#1 Green Tara

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Posted 16 June 2005 - 08:02 AM

Ah, Soma. My special friend. I don't know what I'd do without you. We see each other often; and when we don't, I'm buckled under with pain trying to be a big girl and not think about it. Sweet, sweet Miltown in muscle relaxant's clothing, I suppose it does contribute to lowering my anxiety level, though I can't honestly tell. Muscles relaxed or altogether chilled - you decide. What I do know is that nothing else I've tried has helped with the pain from Fibromyalgia like it...and I've tried it all. And then when things are really bad and I've overdone it, I throw a Lortab in there for good measure.

I'd feel like a junky, except for the fact that 1) I only take them when I have serious, dissociative pain, and not every single day. I regularly have good, (well, okay) days and forget all about their existance. 2) I'm still at the same dose I was over two years ago with the same, good effects. 3) I'm hyper aware of not wanting to become dependant upon them.

By the way, I was just kidding about the "special friend" and "sweet, sweet Miltown" stuff; but I do worry what I'd do without it, as my quality of life somewhat depends upon it at this point. I was a mess before my pain was being properly managed. I had no social life, which exacerbated my emotional crapola. In fact, all of my personal relationships suffered in direct correlation to the amount of physical pain I had to endure. So I feel like assigning it security blanket staus is somewhat justified. I'd feel the same way, or even moreso, if we were talking about Topamax.

Anyway, I was just curious if anyone else here takes it as well for FMS or any other chronic pain issues. I believe that my Fibro resulted from a back surgery, from which I also experience pain. That's a bit of my background, for starters.

Edited by Green Tara, 16 June 2005 - 08:02 AM.

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#2 scarlet_faery

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Posted 16 June 2005 - 11:48 AM

I've had Fibromyalgia since 1995 and it SUCKS great big toe jammy toes!  I've been taking Cyclobenzaprine (Flexeril) 10 mg TID since day one.  I have become immune to them, so I use them more or less as a PRN med instead.  For my kidney disease, I take  Methadone 5mg at bedtime PRN.  I thought my pain clinic doctor was on drugs when he put me on the Methadone because I thought that only heroin addicts used it.  I was told it was also used for patients with chronic pain due to certain diseases.  Polycystic Kidney Disease being one of them. 

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#3 Green Tara

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Posted 16 June 2005 - 02:30 PM

Hi Green Tara,

Could you tell me how Soma compares to Valium for your muscle spasm pain?  Presently, I take valium as needed for muscle spasm pain but you have me curious about Soma.  Thanks for posting.

<{POST_SNAPBACK}>


Well, I'm not trying to turn people on to it , as such; although it has been great for me. I kissed a lot of other toad-y muscle relaxers but kept coming back to Soma. I see the anti anxiety effects as a plus since I can't tolerate SSRI's at all. What a creepy name for a drug, though. In the light of Huxley, I can't believe they did it.

Huxley's Soma quotes

Anyhoo, I digress: I'd rather be on a muscle relaxer for spasms than a benzo just because their actions are different. Then again, Soma isn't simply a muscle relaxer, since it metabolizes in the body as that old school mother's little helper, Miltown. I don't claim to be a brain chemistry expert, but you might want to tread lightly before adding Soma/Miltown to your arsenal. The thing is, a lot of doctors still don't act like they know (or at least care) that it's also a psych med with a bit of a nasty reputation and are doling it out to every Joe Blow on the street. Between that fact and it's abuse potential is what's going to make the hammer come down sooner than later on this med. Miltown is scheduled, Soma isn't. Hmmmm....

The upshot is that if your spasms aren't being controlled by Valium, and mine sure as hell wouldn't be, then you might want to start with a tried and true muscle relaxer like Flexeril and see how that goes. Then, if you do end up getting Soma from your GP, at least mention it to your pdoc. That's my two cents, anyway. They both have the potential for abuse, sure (muscle relaxers and benzos); but I have been on Soma for ages and haven't had any need to up my dose. In fact, if I take more than one 350mg pill within a 24 hour preiod, I gat a raging nauseated headache and need to lie down. I still take Xanax as an augmentation for breakthrough anxiety, but only if the wind is over 15k on the lake. All my meds are listed in my profile, I believe. Here's a fact sheet on Soma. Soma info Some AD's intereact with it. Lortab is on the list as well, but I take them together regularly, so some of these warnings are simply about increased sedation. It's not been my experience, however.

I hope this helps.
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#4 Green Tara

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Posted 16 June 2005 - 07:38 PM

Hi Scarlet Fairy and Green Tara,

I have tried Baclofen-- it didn’t help me much and I found that valium works better for painful muscle spasms.  Do either of you know how Flexeril compares to Baclofen?  I am also taking Cymbalta for depression and neuropathic pain.  Yes, chronic pain sucks!

<{POST_SNAPBACK}>


Nope, I've never taken Baclofen. Of the ones that are still in my medicine chest gathering dust, I'm pretty much concentrated on the -flex group: Norflex, Flexeril, and, Zanaflex. Chronic pain does indeed suck the big one. I've been living with Fibro since 1997, but didn't have a debilitating flare-up until a few years ago; at which point all my carefully hidden Bipolar II features came spilling out. I'm doing much better now physically and emotionally, especially since I'm sleeping somewhat regularly - for the first time in my life! I still have bad days and weird twinges from my back surgery that are random as hell. There are lots of factors to pain management, as I'm sure you and Scarlet Fairy both know.

By the way I love your name and avatar. The forest is one of my favorite places.
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Of love beyond desire, and so liberation
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#5 Breeze

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Posted 21 May 2006 - 07:29 PM

I was on Soma but it pooped out on me, so now I am on Robaxin. No one looked at me like a drug addict. They just gave it to me.

Soma is the bomb though. I still have some and I use it occasionally because, well, it works.

Here's to a pain free week.

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#6 ncc1701

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Posted 21 May 2006 - 11:50 PM

Heya,

There are guidelines for chronic non-cancer pain.

As long as us docs follow them we're okay evidence-wise. Even, really, lawsuit-wise.

Sadly enough there are too few docs who are comfortable with pain management.

http://www.cpso.on.c...ations/pain.PDF

Print that out.

It's from 2000, it's Canadian (Ontario to be precise), and of *course* there are a whole buncha more neuropathic meds (Lyrica, Topamax, etc) since then.

But.

Maybe it'll help.

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#7 Penny Century

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Posted 22 May 2006 - 04:20 AM

Off Topic...

my friend was on miltown for a bit, so i got all confused here and then i was like "oh, metaphor!" duh. oddly, miltown kinda sucks compared to benzos for all it's popularity back in the day.

i hope you're doing okay with the fibro. fibro sucks. pain sucks. i'm good at making understatements.
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#8 Green Tara

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Posted 24 May 2006 - 01:41 AM

Green Tara,
where are you at that the docs dool out soma?



I believe what I was saying was that a lot of doctors are still doling out Soma and that many are unaware or (at the very least) are not making their patients aware of the link between Soma and Miltown. I had been taking it for years before I found out, quite by accident. All of the specialists on my payroll dispense my meds quite ethically, I assure you. I don't know any croakers. The reason I made the comment was due to things I've read concerning the rising abuse of the drug and the decision of several states to schedule the drug as a controlled substance. Maybe my docs don't have a problem giving it to me because we have an established relationship and I have a history of pain issues beyond Fibromyalgia (car wrecks, spinal fusion). I'm sorry if I gave the impression that I knew of or encouraged the practice of unecessary scripts.

Tara
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For liberation—not less of love but expanding
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From the future as well as the past.  - T.S Eliot

#9 Green Tara

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Posted 30 May 2006 - 01:43 AM

Sheesh, talk about how difficult it is to tell what people are actually saying in this medium! ;) I didn't think you were inferring that I was seeing a croaker. I thought that you were saying that it sounded like I knew who the script docs were in my area...which I don't! I'm glad you wrote back so I could have a chance to say that you didn't come across badly. I was only worried that I had done so before.

Anyway, you're quite correct. It is strange the predilection of docs concerning the various meds. I know of ones who are willing to rx Soma but not Vicodin, and vice versa; always on the basis that one or the other is allegedly addictive. The reason I know is because over the years I have had cause to see Rheumatologists, Physiatrists, Orthopedists, GP's, Internists, etc. and they all have their little ways about them. However, now I have a pain management contract with my GP so whenever anyone else offers me more Vicodin I have to turn them down as I don't want to get into trouble!

Take care,

Tara
This is the use of memory:
For liberation—not less of love but expanding
Of love beyond desire, and so liberation
From the future as well as the past.  - T.S Eliot

#10 Guest_Violette_*

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Posted 26 April 2010 - 11:45 AM

yes, i take soma for my fibro pain and it helps ALOT! i also have nerve damage in my back so i also take lortab, i didnt realize at first why i felt so dizzy when first taking it until i found out they call the combo a las vegas cocktail, i guess i can see why but then this kind of talk only fuels the perception that people who take these meds are seeking highs when we're seeking RELIEF

#11 meggieprice

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Posted 19 May 2010 - 05:47 PM

yes, i take soma for my fibro pain and it helps ALOT! i also have nerve damage in my back so i also take lortab, i didnt realize at first why i felt so dizzy when first taking it until i found out they call the combo a las vegas cocktail, i guess i can see why but then this kind of talk only fuels the perception that people who take these meds are seeking highs when we're seeking RELIEF



This is so amazing- I ended up with Soma because a friend gave me a couple when I was having really bad nerve pain in back and leg and it broke the spasm like nothing else. I take Norco form my chronic back, knee, and shoulder pain but it doesn't touch some of my fibro pain or my nerve pain when bad. I asked my pain management guy for Soma, remembering when it helped me and then when I was seeing my GP she told me it is known to be beneficial for fibromyalgia. And then today I see this thread.

I have never taken it during the day and am reluctant to try as it makes me pretty loopy. I wonder if anyone has tried cutting them in half- I ask because I have been told drugs are not made such that the dose is evenly spread in the tablet and you may not get the right amount if you do that. 350 is the lowest does, I think, and I know it would be too strong for day time functioning use. I am wondering if it would help on really bad fibro days.

I am also interested in the fact two people here have what seem to be similar stories- fibro starting after back surgery, with pain in the back remaining- ditto for me since 2004, and also having back nerve pain. That plus fibro- makes me wonder!
I love my work photographing weddings and I live with fibromyalgia, depression, and chronic pain all over this body , in a drafty old Victorian with my soulmate husband, my 18 year old son, and five crazy cats and a dog.
Meds- lexapro, norco, lorezapam, synthroid, and soma

#12 N&P

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Posted 03 October 2010 - 09:43 AM

My doc won't give me Soma because she's worried about addiction but she'll dole out the Vicodin like candy. I hate her.
Bipolar II rapid cycling, usually mixed, with SAD pattern
Meds: Seroquel 25mg TID (for now) Topamax 200mg, Effexor 150mg, Abilify 7.5mg, Trazodone 50mg

Medical hx: Fibromyalgia, asthma, migraines, autoimmune d/o NOS (til they figure it out) and h/o Lyme disease.
Rx: hydrocodone, PRNs for migraines, medicinal marijuana for pain PRN





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