After my second round in the hospital with blood clots in November, I'm now on blood thinner (Eliquis) medication permanently. Coupled with "fatty liver disease" (Luckily, the liver is still currently fully functional, according to the blood work done) discovered at the same time really limits my choices when it comes to pain medications.
Dr. prescribed Tramadol (which is an opioid but not an opiate) for my back (injured in the Army, which was neatly removed from my medical paperwork upon discharge), which causes me pain occasionally (depending on how much and what type of physical work I'm doing around the house). Doubling the dosage of Tramadol let me get through one night with a gout flare up in my knee this last weekend. My gout "jumps around" from joint to joint, and the bigger the joint, the more the pain, if it ever hits my hips, I'd probably consider shooting myself (not really), it usually hits one of my ankles, my left wrist or my right knee (all of which have been injured in the past).
My normal go to for Gout is Indocin (I
ndomethacin), but that's an NSAID and a no go with the blood thinner meds. Indocin wasn't really a pain med, but it really helped with the inflammation, which reduced the pain enough that I could cope using self-hypnosis. Typically, if I can get the pain down to 7/10 or less, I can use self-hypnosis techniques to get it down to a 3 or a 4, which is low enough to "live with". But at an 8 or above, I can't focus well enough to do the self-hypnosis.
This last weekend with my knee, the pain was at a 9/10 and for a short time 10/10 and that was just lying there, doing my best not to move (movement shot the pain well into the territory that a couple of times I thought I would pass out).
So, for the first time since I was first diagnosed with gout, I took the opiate prescription to help with the pain. And now I'm back to looking at other alternatives. I haven't yet done research on how CBD/THC would affect the liver, or my blood thinner meds, but I'm planning on doing research into the matter, especially since it is an option in Arizona.