A question I'd like to post anonymously, please transfer to Other Drugs (OD) mods. Thanks.
I am prescribed 320 mg of slow release morphine daily, which comes as a 100 mg pill and 60 mg pill of MS Contin to take every 12 hours. So in other words, 160 mg 12-hourly, to make up my daily dose of 320 mg. I also get morphine IR for break-though pain.
I'm considering asking to change to 160 mg of oxycodone as Oxycontin daily, or whatever my doctor thinks the equivalent dosage is. This would of course be two 80 mg Oxycontin pills daily. I'd be happy with this conversion ratio, because I could always work my way up if I need to, or my doctor may use a different ratio and prescribe me up to 120 mg of Oxycontin twice daily. The dosage can be increased or decreased as needed whatever the initial dosage is, so this isn't really the issue. The question is a simple one, is it worth changing from MS Contin (morphine) to Oxycontin (oxycodone) for my slow release med.? I want to change, and oxycontin seems like the best alternative (to morphine) to me. Can you give me your points of view on this please. It's for physical pain, but any positive effect on my emotional pain is a pleasent side effect. The main use is for physical pain though. The morphine just doesn't work so well for me, I think I'm a -codone person if that makes sense to you. So if you have any ideas or suggestions, I'd like to hear them please!
I would like to know, what shall I say to my doctor in order to change my medicines? I want to change but I don't know a reason I can give, apart from the morphine isn't so great. The morphine works quite well for pain, but not enough. I want oxycodone because drugs like hydromorphone don't seem to be much different from morphine. I don't see much point changing from morphine to a -morphone, because they have low oral bioavailabilities compared to oxycodone. What should I say to my doctor - please give me your advice. I don't see how it would be such an issue, since I'm already prescribed morphine, and I've been on fentanyl patches before at high dosages, and didn't like them, because they were not as good at relieving pain as morphine is for me, plus they would peel off and irritate me.
So my questions are;
1. Is this a good idea, to change from MS Contin 320 mg to Oxycodone at an equivalent dosage? (Even if my starting dose is half my morphine dose, I can be titrated upwards as needed.)
2. What could I say to my doctor to help me change medicines? I'm a litigate pain patient, and generally find morphine sucks due to low oral bioavailability. I'm sure morphine IV wouldn't suck, but I don't do this. I take my meds. for pain, but would appreciate any mood enhancing side effects of oxy., and it's stimulating effect too which is better than the sedating effect of morphine for me.
Thanks in advance for reading, and please answer whether or not you're a chronic pain patient like me.