LOL, morphine is complete shit. If you are taking 60mg of oxycodone/daily. Those 30mg mscontin WILL NOT even touch you. Morphine is complete shit, unless you IV it. Otherwise, there is no point to morphine. Oxycodone is already 1.5x stronger than Morphine. There is no comparison, Oxycodone is WAY stronger. Yeah those 30mg mscontin pills might make you sick if you are allergic to codeine and get sick from codeine. If I was you, I would sell those 30mg mscontin pills and get some Oxycodone.
Mixing it with the supplement Chitosan (supposedly the supplement does something related to upping metabolism of fat cells, but that could be marketing BS) will incease the effects of MS Contin BY A LOT. Trust me, if you took one 30mg MS Contin with three 500mg capsules of Chitosan, you'll feel increased effects (it all depends on your tolerance to opiates, too, obviously, and genetic factors).
Whether you'll need 60mg MS Contin and six 500mg Chitosan capsules vs. 30mg MS Contin and three 500mg Chitosan caps -- only depends on tolerance, genetic makeup, body weight, and drug metabolism (mostly genetic but also affected by environmental factors, including other meds taken with MS Contin/Chitosan combination, OTC meds you take (and other Rx drugs) and recreational substances.).
So, I'd suggest taking MS Contin ALONE first to see how your body handles it (Oral BA varies widely - between 30% and 52% orally vs. 10% intranasally (but with a bigger "bump" in blood levels and in terms of effects). Then, start with two 500mg Chitosan Capsules (avaiable at your local GNC or online at amazon.com or some retail pharmacies). Work your way up with the Chitosan first, to max effect (to get the most out of your MS Contin, which I'm sure are more expensive than #120 OTC Chitosan capsules). Then go up to 60mg, and start with three 500mg caps Chitosan if you're frustrated and not feeling anything (even pain relief), or two if you're allllmost there, just still tweaking the dosage.
Also keep in mind you can turn your MS Contin into a Morphine Sulfate IR pill simply by breaking it in half. That way you have two 30mg Morphine IR pills (last around 3-4 hours half-life), and you can experiment with what Chitosan dosage will be most effective for you more quickly if you just convert into an IR for the "adjustment doses" mixing Morphine & Chitosan.
BTW, Chitosan works by increasing Morphine's bioavailability in the blood stream. I don't know the magnitude of effects - just how it affected me. MS Contin 30mg became MUCH more potent with 1500mg Chitosan, and 50% of the time I've attempted this dose, I've vomited up two of the Chitosan capsules right as the stomach has "dissolved" the outer capsule and begun absorbing the Chitosan. I think the vomiting is related - my body's response to too much opiate too quickly. Also,I've only just begun experimenting with my personal dosage of Chitosan + Morphine. Probably 1g Chitosan is sufficient per 30mg of MS Contin to get the whole "intensified" experience while also not getting extreme nausea and vomiting.
Anyway...I hope you enjoy your MS Contin! I am happy with my Rx - though I take it for severe chronic pain, not for euphoria. Opiates have never had that "euphoria" feeling (exception - Fentanyl 25ug patch released like WHOA fast when I was in the hot tub once, and sublingually consuming the remaining drug in the patch after 1-2 days of use as a patch - cut the patch into 4 squares, and place 2 under tongue, place other half of patch in tightly sealed ziplock baggy to prevent air molecules from prodding the patch inside to release the drug). Adderall has one time, unintentionally though.
Anyway I've been getting MS Contin and Dilaudid since February (some dosage adjustment has been done, such as lowering Dilaudid - originally I got #360 for a 3-month Rx (take one 4mg tablet up to 4 times daily as needed for breakthrough pain)). I went for at least a month or so without ANY opiates, except Tramadol.
I only feel mild-moderate pain relief from Tramadol, and zero euphoria (I'd compare it's recreational value TO ME, with Aspirin). Only took it for severe depression (I suffer recurring depressive episodes and the mild withdrawal symptoms plus major relationship stressors were beating me down, so I took Tramadol exclusively for it's Serotonin-enhancing Norepinephrine-Reuptake Inhibitor effects. That's why I don't really "count" Tramadol, even though I'm sure 99% of you reading this post would think I was definitely still taking an opiate prescription.
When I ran out of meds (after...6-7 months of continuous use of up to 90mg MS Contin/morphine sulfate CR and up to 8mg Dilaudid/hydromorphone) I got mild GI effects, such as um...loose stool (won't be more graphic), but never to the point of shitting myself like others have said in other threads on BL. And worsening depression...that was it. Lasted for maybe 4-5 days (and no, Tramadol did NOT cover up or fix any withdrawal symptoms other than depression), and afterwards I was fine. Don't need Tramadol every day, only took it for approximately 1 week after running out of my opiate scripts.
I didn't get a refill for a month because other shit was going on, and because I'm a very anxious person (Dx: Panic Disorder w/ Severe Agoraphobia, MDD, ADHD, Social Anxiety Disorder, Several Phobias, and various other mental illness diagnoses. I also have physical conditions but don't want this wall o' text to become worse than it already is). Anyway, went back to my primary care doctor who's been handling my pain management, and he had no problem writing the same Rx as last time I saw him in June 2011.
I tried a Pain Management Clinic, but all the doctors there are complete assholes. One in particular - and of course it's the only PM Clinic that my insurance covers in the entire metro area. I went in with my MRI scan and report from a severe back injury last Feb 2011 - ruptured 3 lumbar discs in my spine, did moderate nerve damage in legs and feet (can barely feel my toes), and caused Sciatica (radiating pain down one or both legs, in conjunction with numbness/tingling in feet/toes and/or hands/fingers).
The asshole doc at the PM clinic pulled my list of prescriptions from the State database (which contained serious errors, such as CVS listing everything Rx'd by my primary care doctor as being prescribed by a DENTIST, which caused quite some confusion at my insurance company). Anyway, point is: I get legitimate Rxs for Adderall (Sched-II Stimulant used for severe ADHD), Xanax/alprazolam (two 2mg tablets PRN for panic attacks); Klonopin/clonazepam (2mg daily at night PRN for insomnia). And all under the supervision of one doctor! (my meds for Panic/Anxiety/Insomnia used to be prescribed by a really good psychiatrist but I could no longer afford his hourly fee, but PCP had no problems scripting the meds for refills when I showed him the prescription bottles my former pdoc had written).
Anyway, this doctor apparently decided that anybody on Sched-II prescriptions is an addict (he called me an addict TO MY FACE, without doing anything other than looking at my list of prescriptions. I hadn't even ASKED him to prescribe opiates, I only asked if he'd looked at my MRI (answer: "uh, oh yeah. no..."). Then he offered cortisone shots, a full epidural, or a physical therapy script. Not even prescription strength NSAID was offered, despite my injury being terrible enough to warrant 2 doses of IV Morphine IR 4mg at one ER, then I had to transfer to a larger hospital in the same insurance group to get an MRI done.
Before leaving ER#1 the nurse gave me Brand Name Oxycodone, two 10mg blue pills. Only time EVER that Oxycodone hasn't made me feel nauseous in 5mg doses.
Then at ER#2 (after 30 min driving by my fiance), I got another 4mg Morphine IV shot, plus a Lorazepam 2mg ampule. Just before my MRI they redosed the 4mg Morphine IV and Lorazepam, too (not sure if they gave me 1 or 2mg of Loraz the 2nd time).
Then, after they saw my majorly f-ed up ruptured spinal discs, they were like oh shit...yeah that'd definitely hurt! Got a script for #12 4mg Dilaudid and advised to follow-up with my primary care doctor. Who prescribed three 30mg MS Contin=90 mg daily and four 4mg Dilaudid=16mg daily without blinking after he saw the MRI results.
I might get surgery (the disc fusion type) if the Sciatica doesn't go away. Otherwise, I've heard surgery doesn't much help the back pain part (seriously: unmedicated, my lower back and one or both legs/feet the pain=8.5-9/10 pain scale.
Phew, sorry. I swear I'm not high on anything speedy. But I apologize for the rant there. Hopefully most was on-topic and somewhat helpful to the OP.
