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UKdude1966
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08 Mar 2015, 4:16 am

I am researching the endocrynology of ASD/Asperger's and finding that some people are reporting that pain medication seems to have little to no effect. There is some data that suggests that this may be true, but nobody has done a survey. I personally have been diagnosed with Asperger's and get zero effect with most types of pain medication except tramadol - where I get really bad side effects and no pain control.

So if you want to answer this question could you indicate if you have formally diagnosed ASD/Asperger's and if you find that pain medication has no effect, little effect, moderate effect, or is very effective. I would prefer that only over 18's answer as data from under 18's cant be included for a survey done in this method as I would need parental pemission to use it.

Also please indicate if you are willing to have the following data used in my survey: Age (over 18), Sex (Male/Female/didnt answer)/effectiveness of the medication/online nickname (nicknames will be omitted from any published data).



Ettina
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08 Mar 2015, 8:45 am

Most pain killers work on me, but codeine doesn't. A pharmacist told me I probably lack the enzyme that converts codeine to morphine. I don't think it's autism-related, but I don't know for sure. Go ahead and use me in your survey.

Other pain medications that do work on me are aspirin, ibuprofen, tylenol, acetominophen - basically the typical over the counter anti-inflammatories.



Sherry221B
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08 Mar 2015, 9:32 am

They do not work on me.



babybird
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08 Mar 2015, 9:51 am

I never use pain killers for the simple reason that they don't touch the pain but they make me feel really drowsy.


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Ciphergarm
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08 Mar 2015, 10:00 am

Not quite related but I'm prescribed klonopin for panic and anxiety attacks and I never feel them or relax after taking one.



AspieUtah
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08 Mar 2015, 10:06 am

For my physical disabilities, I use Tramadol while Lortab does nothing for me. Physicians have told me that different individuals have different reactions to analgesics and opiates.


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08 Mar 2015, 10:07 am

It didn't work on my broken heart



The_Walrus
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08 Mar 2015, 11:49 am

Paracetamol, ibuprofen and codeine all work fine for me.



Raleigh
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08 Mar 2015, 8:35 pm

Codeine seems to be the only painkiller that works for me.


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sonicallysensitive
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08 Mar 2015, 8:54 pm

UKdude1966 wrote:
I am researching the endocrynology of ASD/Asperger's
For yourself, or as part of a formally undertaken study by a research organisation?

Do you mean endocrinology?


UKdude1966 wrote:
and finding that some people are reporting that pain medication seems to have little to no effect.
This is extremely vague. The more specific your question, the easier it'll be to answer. 'Pain' is broad, and can range from mild headache to a broken bone - and far worse.

'Little to no effect' on what kind of pain?


RE Published data - published by whom, and in what context?

Most individuals who join this forum to ask such questions usually, as default, state the university where they study etc



ajpd1989
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09 Mar 2015, 12:35 am

I have tried every non-prescription analgesic I can find, and all of them have either no effect or a very mild (hardly notable) and very short-lived effect. Local anesthetics I've been given for procedures don't work all that well either.


I was told I have "hypermobility arthralgia".
Basically, I have chronic joint and muscle pain as a result of frequent injuries due to a combination of poor proprioception, muscles activating in the wrong order, and lax joints.
I've read that some people with hypermobility are basically 'immune' to most pain medications.
It really sucks sometimes.


Now, the one thing that did work really well for me is the combination of drugs I was given for general anesthesia for a short procedure once. I believe it was propofol and valium. I was completely pain-free (and anxiety-free) until the effects wore off completely (which was about two days), but it also negatively effected my cognitive abilities in many ways (specifically judgement, awareness, and short-term memory)



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09 Mar 2015, 1:14 am

Depends on the pain killer...I mean I have never had a severe physical injury really, I agreed to have a muscle biopsy done when I was 18 and had some codeine prescribed for that but that is about it. Aside from that I have taken ibuprophin, tylenol and asprin for monthly female cramps and other minor aches and pains and it can help a little but isn't effective by itself usually have to supplement it with herbal remedies and weed if I have that. I have had vicodin, tramadol and oxycotin(my spelling may be off) but not for pain.... :twisted: at least not the physical kind and yes I can say they do produce a nice high. Admittedly there are times I am having terrible monthly cramps when I wish I would have saved whatever opiate pill I acquired and got high off of for that time...anyways back to the topic I imagine if I get the high effect they would also be helpful for pain as that to me implies my body responds fairly normally to such drugs.


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Sweetleaf
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09 Mar 2015, 1:21 am

ajpd1989 wrote:
I have tried every non-prescription analgesic I can find, and all of them have either no effect or a very mild (hardly notable) and very short-lived effect. Local anesthetics I've been given for procedures don't work all that well either.


I was told I have "hypermobility arthralgia".
Basically, I have chronic joint and muscle pain as a result of frequent injuries due to a combination of poor proprioception, muscles activating in the wrong order, and lax joints.
I've read that some people with hypermobility are basically 'immune' to most pain medications.
It really sucks sometimes.


Now, the one thing that did work really well for me is the combination of drugs I was given for general anesthesia for a short procedure once. I believe it was propofol and valium. I was completely pain-free (and anxiety-free) until the effects wore off completely (which was about two days), but it also negatively effected my cognitive abilities in many ways (specifically judgement, awareness, and short-term memory)


Yeah valium will do that....the negatively effecting cognative abilities, I take it for anxiety and panic attacks and it does help that but it has side effects of its own. I mean some people think for someone in my position with the issues I have it would be as simple as taking medication and then being functional enough for a job....but drugs have side effects that can also interfere with demands at a job. But yeah if I take that for anxiety than it means I can't really do a lot of hard or physically exhausting tasks till it wears off.


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UKdude1966
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09 Mar 2015, 2:39 am

sonicallysensitive wrote:
UKdude1966 wrote:
I am researching the endocrynology of ASD/Asperger's
For yourself, or as part of a formally undertaken study by a research organisation?

Do you mean endocrinology?

OK so I have dyslexia.


UKdude1966 wrote:
and finding that some people are reporting that pain medication seems to have little to no effect.
This is extremely vague. The more specific your question, the easier it'll be to answer. 'Pain' is broad, and can range from mild headache to a broken bone - and far worse.



'Little to no effect' on what kind of pain?

It is the effectiveness of the pain medication I am investigating. Not the pain. The reports I have indicate that analgesics for many individuals with ASD/Asperger's do not work for any pain in any circumstances. The data published is extremely vague and some of it is empirical. I am endevouring to at least work out some kind of profile that will indicate if analgesics having zero effect, is a small proportion of those with ASD/Asperger's or if it is widespread. That analgesics have zero effect for some individuals is beyond doubt. How many that number is or what percentage, has as far as I can see, never been researched, and as far as I can see the exact mechanism has not been researched. That said I suspect that there is a different mechanism for each class of analgesia.

RE Published data - published by whom, and in what context?

This depends on several factors. Initially after I have completed the review, I will be presenting the research to two research hospitals in the UK. If I get their backing to research further it is likely that they will want papers submitted to research journals. The aim in the long term is to get a handbook published by the NHS for Asperger's and the implications for social and medical care. Even though this issue has had some research and Panskepp was publishing research as far back as 1977, and his work has been validated to the point where it is published in books EG:

Tsai, Luke., (2001), Taking the Mystery out of Medications in Autism/Asperger Syndromes, Arlington(TX): Future Horizons inc.

The information that is available regarding the differences for pain assessment and management in ASD/Asperger's is simply not being disseminated to frontline staff EG nurses doctors and anathesiologists.

Most individuals who join this forum to ask such questions usually, as default, state the university where they study etc

As many do not read the whole of the post I kept the length to a minimum.



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09 Mar 2015, 3:15 am

Well. I can give you a lowdown on what does and doesn't work for me.

Aspen , Tylenol, don't work at all for me.

Ibuprofen works wonders for me. best pain killer out there. No highs, no loliloopyness , just no pain.

More potent stuff. things like hydrocodone and oxycodone give me a wonderful warn and fuzzy feeling without feeling high or loliloopy, and deals with the pain quite well. Oxycontin, O-god that sh!t is nasty, I can't see strait on that stuff. That's one pain killer I do no want to touch, even though it does work on the pain.



izzeme
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09 Mar 2015, 4:34 am

Over-the-counter, recipe-free stuff (so, what you get in the supermarket) only works curtesy of the placebo-effect for me; a sugar pill has the same effect.
Stronger, prescription drugs do actually work, but i get a full broadside of side effects (i can ignore the 'possible' from the list of possible effects), so i prefer not to use those.

i have long since took up meditation as a means of pain control; it works wonders and has zero side effects; i can now do so while still roughly functional, so those around me wont realise i'm doing it (except those that know of my habit)