OxyContin? Check. Opana? Check. What's left?

[daskopf]

I have a rather nasty case of MS and had--over the course of about a year-- worked up to 40mg OC tid, but when they changed that formula I moved over to Opana. I was on 40mg of Opana tid plus 30mg oxycodone up to five times a day for break-through (yeah, yeah, I was living the dream 8)). Now they've buggered that formula, I was one of the last to still have the stop-sign Opanas in my area, last two 40's I had yesterday and the replacements are teal green circles with E/20....

My question is, what's left? What ER p.k. is out there? I don't bang (and won't). And without the awkwardness and suspicion it will arouse to ask for a very specific generic and change pharmacies... unless that be the only solution, I suppose.


And if this question has already been asked and answered, then I'm sorry; don't rebuke me, please just point me there.

 

[kokaino]

Morphine! It is the gold standard opiate for pain relief. Nothing has been proven to be superior to morphine as far as pain relief goes. It is very reliable and better than both Oxy and Opana.

 

[SPC123]

I had written a somewhat scathing reply, but I decided that you're probably just trolling, so I reported your post instead.

Anyhow, to the OP:
Any of the instant release drugs should do what you are asking. You will have more and more trouble finding ER formulations.

 

[daskopf]

Anyhow, to the OP: Any of the instant release drugs should do what you are asking. You will have more and more trouble finding ER formulations.

Yes, I do use the IR's for breakthrough, but as with OCs and now Opana (which I found to be much better at treating the pain, and easier to make ready for use than an ad hoc hose-clamp scrapper with the old OCs) off the market, is everything ER now tamper proof?

And I hope you didn't think that I was the one trolling. I really am looking for advice here, trying to seek out a solution to this TR garbage that they seem to put into everything now. It's a terrible irony that in the past I often found recreational relief in narcotics, but I now have to rely on them to just... hell, to just make it through the day. On the Opana, I was made to understand that, "some Opana ended up in Excedrin bottles and the FDA shut them down; while offline they initiated their tamper-proof formula." Riiiiiight. I was lucky that while there was a dearth of Opana in my area (and supposedly nationwide), my pharmacists were amazing about getting me my 90 per month. But now I have these teal-blue circles that, by the quick "saliva test", act exactly as the reformulated OCs did.

Thank you for your reply.

 

[effie]

Morphine is the traditional original opioid analgesic and the one others tend to be compared to, but different opioids suit different pain/people/situations and there are definitely stronger opioids out there. However, with opioids, you can increase the dose as needed and when used for pain management there shouldn't be a need to resort to using ROAs other than the prescribed one..

I am not trying to be patronising at all OP, I understand the pain you are in and your need to get decent analgesia, and it is no one's business but your own how you take your meds. My concern is that if you are abusing them, there is a risk of increased tolerance and addiction. If it reaches the point where your use is unsustainable and you need to seek help for your addiction, you will likely be cut off from your pain meds and will be stuck, in pain, trying to kick a habit - which would be a horrible situation to find yourself in

There is also the worry that pharmacy companies are increasingly developing abuse-proof (or very difficult, anyway) pills - you don't want to be caught out with a high tolerance and have to bump back down to oral use unexpectedly because the formulation has changed.. as you have found, both OxyContin and Opana have made the switch..

Oxycodone has a slightly higher oral bioavailability than insufflated. Oxymorphone/hydromorphone are higher insufflated however. Why is it you want an ER prep if you are insufflating it, out of interest? After those, there isn't really much else readily available that I can think of.. There are patches (fentanyl, buprenorphine) which can provide excellent background analgesia, with pills for breakthrough.. Do you have a good pain management doc? Have you explained that your current meds aren't really cutting it in terms of analgesia? I know doctors are wary of prescribing high doses but you do have a legitimate need.. Have you explored all the non-opioid adjuncts?

Good luck

There is a pain management megathread here which may be of some help

 

[daskopf]

Thank you for the direction to the Mega Thread.

I am seeing a pain clinician and it has come to the point where he is sending me to our State University Hospital to consult with them; I have that appointment in a few weeks, so we'll see how that shakes out. At one point, I was on both Opana ER and the IR's for breakthrough, but I did not want to burn out that receptor (which, as I understand it, is slightly different from the oxycodone receptor), so I switched back to oxycodone. The Opana IR's, even in a dose comparable to the 40mg ER, did not produce the same result as an insufflated ER; I cannot say why that is.

I am married and my wife has been great through all this (this MS has put our marriage through the wringer; we've been together for 3 years but only married this past October. For her to stick by me as this continues to get worse, seemingly by the week, speaks to her love for me), especially in saving me from myself. She keeps the meds and gives me my daily dose each morning, it was just too easy for me to be in pain and continue to take pill after pill, trying to find (ever elusive) relief. I am on medicine for Neuropathic pain (Neurontin), and that helps on that end a bit, as well as Valium and baclofen for the spasms. We have gone through every mix of neuropathic pain meds imaginable, and to no avail (except for the Neurontin, which does seem to work).

The state of my MS is a mixed blessing; most of my lesions are in my spine, which causes terrible pain and spasms as well as physical disability and liability, but I would rather that over having my brain turned to swiss cheese...

 

[ErgicMergic]

Insufflated Oxymorphone is seriously, seriously powerful, 5 times stronger than insufflated Oxycodone if I recall correctly.

So, 20mg insufflated OM = 100mg insufflated OC

Expect to wait several months/visits to get up to an equivalent dose of Oxy/Morphine, as they will switch your pain medications based on the oral equivalencies.

You're better off just eating the Oxycodone if you get prescribed it, as the oral BA is about twice as strong as snorting.

 

[opiodFloyd]

There aren't too many other p.k. out there that can compare to OG oxycottins and OG opana and can be sniffed without a problem. Maybe morphine would be a good option for you, although morphine is very weak and tastes bad. I personally do not like morphine.
Another option for you could be Fentynal. now altho its a patch for and you are looking to insufflated your Pain med, There are ways to alter the patch to intake it thru another ROA. (chew/suck on it, smoke gel, water extraction, some people even I.v.)
One thing that I have tried in the past with fentynal stickers Is a Homemade Nasal spray. i regret that i wasnt able to make a strong concentrated spray, due to the fact that i only had a small peice of a 100mcg sticker. It Did WORK tho. If i ever come across patches again I am going to use a whole patch in one nasal spray bottle and Give this experiment an honest try.

In my area Opana was huge. Now The rubber ball style ones are the only ones you can get. Lots of people are asking to get switched to something else and alot of times now the doctors are giving them Nucynta. The Doctors around here are reallllly pushing Nucynta.

 

[bluedolphin]

Since the OP is already fuckered with a pretty high opiate tolerance.. and needs it for pain (sorry dude that sucks)...

He could always give Dilaudid (Hydromorphone) a sniff. That was the best opiate/opioid I ever sniffed. I prefer it over Oxymorphone and Heroin.

Don't expect Dilaudid to last very long though. It's probably not even a good idea to try if you are on pain management because it's going to F up your tolerance real quick.

If you are looking to just manage your pain people who said Morphine probably gave the best advice.

 

[whippa craka]

Insufflated Oxymorphone is seriously, seriously powerful, 5 times stronger than insufflated Oxycodone if I recall correctly.

So, 20mg insufflated OM = 100mg insufflated OC

Nah man. As far as I know it is about 2x as good as oxy. This may be orally though, I am not sure.

 

[Violenza666]

I beat the new Opana within 3 hours of getting my script filled. It's pretty easy.. Grind the pill.. add another powder... I use B12... mix it up really good and snort.. The reason I add the other powder to prevent gelling. It's not perfect, but it works and it is almost as good as the old ones. The generics are coming out in Sept anyways and they will be the old formulation so if you snort your IRs and figure out the ER you should be able to hang tight til then. Also I don't know what dosage of Opana ER you are on but the 7.5 and 15s are already generic and on shelves and are easier to snort than name brand old school ones. Good luck!

 

[TheLostBoys]

I beat the new Opana within 3 hours of getting my script filled. It's pretty easy.. Grind the pill.. add another powder... I use B12... mix it up really good and snort.. The reason I add the other powder to prevent gelling. It's not perfect, but it works and it is almost as good as the old ones. The generics are coming out in Sept anyways and they will be the old formulation so if you snort your IRs and figure out the ER you should be able to hang tight til then. Also I don't know what dosage of Opana ER you are on but the 7.5 and 15s are already generic and on shelves and are easier to snort than name brand old school ones. Good luck!

I was thinking of you when they changed the formulation & how you were handling it, I see you broke out the science lab & went to work..........

 

[Violenza666]

I was thinking of you when they changed the formulation & how you were handling it, I see you broke out the science lab & went to work..........

Thank you!! LOL... I just put my thinking cap on.. they are crush proof not grind proof... so I figured if I could grind them into a fine powder and add something to minimalize gelling it would work and it did. I have since perfected the method and they work for my pain and they get me a good high as well. I can't complain except with these you gotta work for it.. prep takes almost ten minutes where the old ones it was less than one. But hey atleast it works right?

 

[whippa craka]

What do you usually grind it with? What do you use as B12?

 

[Paulington]

Hey there.

I am with Effie here, it seems you could be abusing the medication? If you are taking it as prescribed, which will be by swallowing as normal, different formulas of the same medication should not affect you in any manner.

You have MS, so I am sure you know that opiate medication does not do a whole lot for the pain associated with MS, this is because it generally comes from dysesthesia/optic neuralgia/trigeminal neuralgia and various other nerve pain conditions. This is because MS causes demyelination of the nerves throughout your body and opiate medication really isn't designed to help with this type of pain. The other ER painkillers you could use are things like MS Contin/Fentanyl patches.

Opiate medication may help somewhat, but MS tends to be treated by medication such as amitripyline/carbamazepine/clonazepam/phenytoin and even cannabis depending on what is actually causing your pain, although if I recall correctly the most common cause of chronic pain in MS patients tends to be dysesthesias where it feels as if parts of your body/your skin are burning/itching/prickling and it can cause pretty severe pain, this is ususually managed with a band of drugs known as 'nerve painkillers' like I've listed above.

If you go to your doctor and speak about this, I would imagine he will put you on medication like this depending on what is the actual cause of most of your pain as pain from MS can be a multitude of different conditions so he may wish for you to see him more/do some tests or anything to figure out what medication/course of action could best manage your symptoms.

If this is done, and your pain is coming from something caused by your MS, I think you'll find that your need for an opiate painkiller will drop dramatically.

Cheers.

 

[opiatekrzy]

morphine works GREAT for any pain (even great at emotional and mental it tends to keep you pain free for several hours unlike with hydros and oxy of any form very short lived speedy high less pain relief value. morphine rocks

 

[cLoud*]

I can't believe nobody has mentioned this yet, but if you want a good, long lasting ER medication....Why not look into Methadone? Yeah, you're not going to get as much euphoria from it the way you did with Oxycontin or Opana, but you will get awesome pain relief. If anything, you can at least give it a try, and if it's not for you, and your doctor's cool with it, you can switch to something else. But don't count it out.

& realistically, man... You're running out of options, as far as extended release medications go. You've already been on Oxycontin & Opana, so all that's really left is:

• Fentanyl.
• Morphine.
• Methadone. (as I already mentioned.)

So the pickings are slim, bro. But either way, good luck with whatever it is you do decide to try. Being in pain blows, and I can't even imagine the pain of MS.

 

[TheLostBoys]

morphine works GREAT for any pain (even great at emotional and mental it tends to keep you pain free for several hours unlike with hydros and oxy of any form very short lived speedy high less pain relief value. morphine rocks

Agree 100%........Morphine is the best opiate I have tried for emotional/mental pain. It totally takes it away where hydros/oxy doesnt do such a great job. I havent heard anyone on this site mention they receive Levorphanol for pain management.......is there a reason doctors dont prescribe this?

Ive had it once (IV) doctor had given it to me for pain & it was the best ive even had for pain.......it lasts forever & has a long half life.

 

[tokenname]

@ cloud ^^Thinks many ppl are tuned into methadone as an opiate addiction aide.
Truth is..methadone has great potential for taking away pain...as well as
giving a break from other opiates as to lower tolerance..aiding in increased analgesia if switched back..
but what the hell do I know..

OH..I do know this:
The w/d from methadone is not for the weak.

~token

 

[Violenza666]

What do you usually grind it with? What do you use as B12?

The old ones I used to grind in 30 seconds with a pedda egg.. however these new ones I have to use needle nose plyers and a cheese grater.. not one with big holes but the smallest one to get the finest powder. It takes 5-10 minutes for total prep. I use Vitamin B12 suppliments... I am deficient anyways.. lol I will say the new Opana feels different than the old... I am undermedicated for my spinal condition so I always snorted my Opana and it worked great.. I could dose for pain management.. or dose more for a high... I take roxi for BT pain.... The roxi doesn't work as well as the B12 when mixed I read on another site idiots are using Ibuprofen, Tylenol and all kinds of ridiculous shit.