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Topic: Breakthrough pain treatment options.

Forum: Pain —

Share important questions and provide support to others experiencing breast cancer and treatment-related pain.

Posted on: Jan 5, 2021 12:18AM

Rainedrop wrote:

I began to have uncontrollable pain in October. I would try to wait it out but several times I have ended my day in the ER with morphine and benedryl (for itching from morphine.)

Spoke with MO and he has prescribed 2.5 mg oxycodone tid. The problem is that it doesn’t seem to make a dent. This is not a localized pain.

I am very even keeled and have a high pain tolerance, but I don’t know what to do at this point.

I have developed Numb Chin Syndrome so I will have a brain MRI this week.

Does anyone have a suggestion for the breakthrough pain? It’s making me tense and anxious and I think that makes the pain worse.

Thanks for any ideas you might have.



Dx 12/12/2014, IDC, Right, 6cm+, Stage IV, metastasized to bone, Grade 3, mets, ER+/PR+, HER2- Hormonal Therapy 1/2/2015 Arimidex (anastrozole) Targeted Therapy 6/30/2015 Ibrance (palbociclib) Dx 7/20/2018, Right, Stage IV, metastasized to liver Hormonal Therapy Faslodex (fulvestrant) Chemotherapy Xeloda (capecitabine)
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Jan 6, 2021 03:16PM S3K5 wrote:

Hi Rainedrop, please post this question in 'Bone Mets Thread' since there are many active, experienced members who will probably respond to you quickly.

Forum: Stage IV/Metastatic Breast Cancer ONLY: Topic: Bone Mets Thread

Have you been on any pain medication regularly? I was given Fentanyl dermal patch for pain relief but couldn't keep it on for too long because I get nausea with immediate release opioids. If you can tolerate this, maybe your MO can prescribe this for you?

My MO referred me to a pain specialist who has been taking care of my pain medications, interventional treatments, etc. Since I cannot take immediate release Morphine, I take extended release medications which helps with the pain. I was told that the pain medication doesn't help much once the pain has started. So I take Celebrex and Tramadol at regular intervals, plus I have extended release hydromorphone (Exalgo) for night time use.

With the pain medications, everything is a trial and error - what works for one person may not work for another. Is it possible for you to see a pain specialist? That would definitely be worth it since the bone mets pain can be very unpredictable. It also depends on how extensive your bone mets is and what kind of local treatment have you had. I have extensive bone mets from C7 to L5 (yeah, every vertebrae) and I have had cyberknife, palliative radiation and RFA to the most painful spots.

Good luck with the brain MRI. Hopefully it will be clear.

S3K5 Dx 3/24/2008, IDC, Right, 3cm, Stage IIIA, Grade 2, 5/10 nodes, ER+/PR+, HER2- (FISH) Chemotherapy 4/14/2008 AC + T (Taxol) Targeted Therapy 5/29/2013 Ibrance (palbociclib) Chemotherapy 1/31/2019 Xeloda (capecitabine) Chemotherapy 4/4/2019 Taxol (paclitaxel) Chemotherapy 10/29/2019 CMF Targeted Therapy 7/6/2020 Piqray (alpelisib) Dx 10/19/2020, IDC, Right, Stage IV, metastasized to bone/liver, ER-/PR-, HER2- (IHC) Chemotherapy 12/9/2020 Doxil (doxorubicin) Hormonal Therapy Femara (letrozole) Hormonal Therapy Faslodex (fulvestrant) Chemotherapy Gemzar (gemcitabine)
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Jan 6, 2021 07:31PM Rainedrop wrote:


thanks! I will post it there too.

I have oxycodone but I think you are right. If you start it when the pain starts it doesn’t really help. I had dalauded at the Er. It didn’t take the pain away, but it did take the edge off so the other pain meds worked.

I’m quite anxious about my brain Scan and am just tired of it all. Hope it’s okay to say that.

I haven’t really had much pain until October. Thank goodness, right!



Dx 12/12/2014, IDC, Right, 6cm+, Stage IV, metastasized to bone, Grade 3, mets, ER+/PR+, HER2- Hormonal Therapy 1/2/2015 Arimidex (anastrozole) Targeted Therapy 6/30/2015 Ibrance (palbociclib) Dx 7/20/2018, Right, Stage IV, metastasized to liver Hormonal Therapy Faslodex (fulvestrant) Chemotherapy Xeloda (capecitabine)

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