I know everybody wants to think theres some ultimate awesome opioid that never gets Rx'd because it's just too awesome, lol...
But doctors work for the patients at the end of the day....which kinda makes me think that there just MAYBE a reason why you never hear about Levonal (?)...probably because it's not as good as every other pain-killer that's commonly prescribed today, or potentially not as safe, or well known etc....
So I'm only assuming that there are plenty of safer, more effective, better tolerated, all around better narcotic pain-relievers in the United States Pharmacopea, and that's probably why it doesn't get Rx'd as much.
Idk it was even legal in the U.S., but if it's been on the market for any length of time, and IF it had any decent qualities, SOMEBODY would have tried it somehow, and reported back to the junkie hive, I assure you. So if you haven't found any rave reviews or "trip reports' for the stuff yet, there's a reason, besides plain availability issues.
Good luck with that pain, she's a mean old piece of shit bitch....now, slap her back with new & improved, Vicodin XL....half the dose...twice the size!!! So when you choke to death, you can't publish negative reviews!
Just the way they like it
Indeed, you have jewel there, usually Canada has better long-duration opiates as in they work (generic oxycontin, HydromorphContins), but ZoHydro is a very reasonable choice, especially that the 5mg tablets with nothing else are very desirable compared to typical Empracets given for moderate pain (I don't know what you call these or if you even have them, they're either 30mg codeine or 60mg codeine with 300mg APAP....CodeineContins as we have here, even at the 200mg level, do not come close to eating 4-5 (it stays in the safe zone regarding the apap) and get an actual effect from the Codeine. ZoHydro which Massachusetts banned (I didn't think states were allowed to ban legal medication) is very rarely scripted, so rarely I never saw one person on BL with chronic pain who was using ZoHydro, my only warning against them is, some people are going to try to do like pharma junkies (90% of the opiate abusers in Canada as Heroin is pretty rare outside Southern Ontario and Vancouver) is some would try to mortar and pestle the stuff and inject it...injecting hydrocodone is bad news. But when I was prescribed 5mg Hycodan tablets for extreme cough during 3-4 times for bronchitis and twice for pneumonia, once in syrup form, and our Hycodan is unlike the American Hycodan which contains an additive that would make anyone try to take more than 20mg feel very bad side effects). But yeah, hydrocodone somehow being stop-gapped at 10mg per IR pill is a bit ridiculous when you consider oxycodone, morphine, hydromorphone dosages we got here...we've got oxymorphone approved, but it's not marketed, so only a very compassionate doctor will give you a prescription to mail to a compounding pharmacy to get your (unfortunately no 10mg IR Opana-like pills), but they do make all kinds of Oxymorphone XR dosages, but as generic Oxycontin made by 8 companies which are as effective without cheating (no chewing, or snorting or dumber, injecting, although you can chew them like I did when I first had an oxycontin connection when it was the old brand name ones, I could get only the 10mg ones, so I skipped those as much as I could for the 20mg OxyIR's, as strong as IR oxycodone goes here.
But yes, ZoHydro is genius if the bioavailability is great, yet nobody is scripted it. Even your own version of XR Hydromorphone sucks balls, Exalgo, which when it came out, the max dose was 16mg...ffs, and they are 24 hour pills, now I know they went up to 32mg, but compared to non-shitty dosages, considering the oral BA of hydromorphone...even when I had a very low tolerance (mostly just 300mg codeine would have myself nod very hard), eating once, foolishly in retrospect, 12mg of Dilaudid, and then 6mg and 9mg HydromorphContins...the whole thing sucks until you reach the 18,24 and 30mg ones. Those work very well and do not need injection to be actually useful, although junkies worship the 24 and 30's because "that's so many shots!" and I was guilty of that when I couldn't get Dilaudid or OxyIR during the lull where there was no Oxycontin because of the ex Ontario PM and her crusade against Oxycontin making federal law until Purdue voluntarily let the original CDN Oxycontins stocks expire while they worked on the shit that is OxyNeo, they're shit for pain patients as well as recreational to full blown junkies. Same with Jurnista, nobody is scripted those, even if they go to 64mg, they're 24 hour pills with a pretty creepy mechanism of delivery and even creepier fact that one will shit them out as they are fully plastic. So whenever I was scripted Hycodan tablets or syrup, 5mg/5ml or 5mg per pill with no other active ingredient, I'd need more than 5mg to stop the coughing or to get a high, that happens when you reach 25mg minimum. I had an unending supply of Hycodans before I had an appointment at the ORT clinic where they would assess me and my needs for Methadone as an abandoned pain patient. So ZoHydro is a brillant idea, too bad the reactionary forces in the US, will only allow the rich to get a script for them nowadays (notice I was snarky here, but good luck obtaining it), but as I was saying, Exalgo is now used more and more from my open source research, so maybe ZoHydro will show up as mainline product for chronic pain. Not shit like BuTrans patches for sure, that's more for chronic low level pain than anything.
Hydrocodone has a solid history of safety, they blame liver problems on Hydrocodone, when your various drugs (last count, there was 3) of differing levels of hydrocodone/APAP, the only one combined hydrocodone product you have that is much less dangerous is Vicoprofen, but I only spoke to maybe 2 people who had a script for it here, in 12 years...I consider it purposefully breaking the product. But still...obviously if you have high doses of Levo-Dromoran, Demerol or Talwin, funky things will happen, and not necessarily pleasant ones, although the Demerol effects outside the painkilling is actually pretty pleasant, reminded me of when I was smoking weed for the first couple years, opiate painkilling with a silly good mood that goes with it. Of course, high doses of Levo-Dromoran can in certain people give them a Salvia experience, I don't think it is generalized and should not just be in the dark. I'm amazed at how expensive generic Levorphanol would have cost you....my older friends told me Levorphanol 2mg purple gelcaps (from an actual generics company, not compound pharmacies) was very cheap, codeine cheap. There's no reason a monthly script of a very old opioid would cost 1700 dollars, only in an unfettered capitalist system with absolutely no government oversight (and the good kind of oversight, single payer, not Obamacare, Obama who claimed Americans were not ready for single payer reminds me of Bashar Al-Assad's interview before the Arab Spring psyop where he said, he tends to implement it in the future but that right now Syrians are not ready for democracy, of any kind. Funny to notice they're having elections since they heard what the US, the GCC and Turkey had in reserve for him, they can't be full fledged totally free elections, but that's elections happening in a country who at the time in 2012, the government controlled half of the country only. I got good reasons to think he was targeted as he was going to implement democracy pretty soon. Wouldn't bet he first time, remember the first 9/11, in '72 coup promoted by the Cocaine Importing Agency, in Chile. Or Iran in 1952 on a Democratically elected leader, or their first test, in Syria a couple years before.
JFK should have destroyed the CIA "and scattered the pieces to the wind" much earlier...
Hello all...I'm late to this thread but I'm happy I read it. I suffer from pain, whether the sun shines or it rains. Damn, that's an old country song I think.