Hi Lori- Pain is the predominant issue with my IBS too, I alternate between C and D but lean more towards C. Antispasmodics don't work well for me either. I have never found a good pain pill for IBS narcotic or otherwise but I actually do know a gal (she's a patient where I work)who uses vicodan too for IBS pain, with great difficulty in getting the scripts, but she like you says its the only thing that helps. I think doctors are really leery of writing for narcotics, they think everyone is going to become addicted. I know that there are people out there who take narcotics chronically (for years) for pain and they arent addicted. Have you developed a tolerance where you need to take more to get the same result? My brother has taken vicodan for years for back pain, I dont think he could function without it. How much elavil are you taking? I started at 10mg which did nothing and have adjusted the dosage up to between 45-50mg/day. I think it does help (it brought down an 8 to between a 3-4) but it takes a long time 4-6 weeks to work. There are other antidepresants that are for IBS pain but they say that elavil is the best. Alot of my pain is caused by what my dr said was a pelvic floor dysfunction and he said ther isnt much effective treatment for that. Hope this helps
