Opioids Doctor changed me from OxyCodone to Opana ER??

[Lucas23]

Opana sells for significantly less than oxycodone on the street in NYC.

 

[scottd420]

@bayhead The reason the doc prescribed an ER med is NSAIDs and acetaminophen aren't indicated for chronic conditions, they are only meant for short term pain. While you can take tylenol and ibuprofen together, sometimes they are alternated every two hours. (tylenol, two hours later ibuprofen, two hours later tylenol...and so on.) The only thing you cannot mix is two different NSAIDs like naproxen and ibuprofen.
It is not unusual for the OP to be switched to a new compound. Sometimes they will switch to another opiate is to avoid tolerance building heavily to one, meaning they can give less and have a lower side effect profile, like you said. I'm not sure where you're getting it from, but oxycodone has nothing to do with codeine, nor oxymorphone anything to do with morphine. Oxymorphone and oxycodone are actually both manfactured from thebaine (an opiate). Just because the naming sounds similar and they both have a methyl group on the gamma carbon doesn't make them related. They are all very unique compounds with very different effects and differing degrees of strength. Though the bioavailability of oxymorphone does raise with food, I'm not so sure it's 300% of what it was. Going from 10% to 30% is actually a threefold change. Also, I don't think you have to worry about OD with the OP, not everyone abuses their meds. Plus their doctor isn't going to prescribe an amount that would make them sick, that's why they went to medical school. I'm not trying to be rude, just informative.

OP how are you making out on your new dosing reg.?

 

[bayhead415]

@bayhead The reason the doc prescribed an ER med is NSAIDs and acetaminophen aren't indicated for chronic conditions, they are only meant for short term pain. While you can take tylenol and ibuprofen together, sometimes they are alternated every two hours. (tylenol, two hours later ibuprofen, two hours later tylenol...and so on.) The only thing you cannot mix is two different NSAIDs like naproxen and ibuprofen.
It is not unusual for the OP to be switched to a new compound. Sometimes they will switch to another opiate is to avoid tolerance building heavily to one, meaning they can give less and have a lower side effect profile, like you said. I'm not sure where you're getting it from, but oxycodone has nothing to do with codeine, nor oxymorphone anything to do with morphine. Oxymorphone and oxycodone are actually both manfactured from thebaine (an opiate). Just because the naming sounds similar and they both have a methyl group on the gamma carbon doesn't make them related. They are all very unique compounds with very different effects and differing degrees of strength. Though the bioavailability of oxymorphone does raise with food, I'm not so sure it's 300% of what it was. Going from 10% to 30% is actually a threefold change. Also, I don't think you have to worry about OD with the OP, not everyone abuses their meds. Plus their doctor isn't going to prescribe an amount that would make them sick, that's why they went to medical school. I'm not trying to be rude, just informative.

Are you kidding me??? Oxymorphone acts more like morphine where oxycodone acts more like codeine. Just because pharmaceutical med production starts at thebaine it does not mean that morphine and codeine are very different from their hydro/oxy counterparts.... If I am not mistaken you can convert morphine into hydro morphine and even further to oxymorphoe as well as codeine.
There is also the fact that all codeine based compounds act upon the kappa receptor while all the morphine based compounds act on the mu receptor leading to the main difference between codiene and morphine. The fact that they bind to the 3 different opiate receptors at different affinity levels is what leads to the differences in effect between morphine/codeine and their oxy/hydro counter parts....
Hell by your theory heroin is nothing like morphine even though it will convert back into it in water as well as while it passes the BBB. If you keep sharing your logic people will never notice the difference between codeine and morphine.

Finally I think it is weird that the doctor switched the compound when the patient was obviously not abusing the medication vs just changing from an IR to ER formula. The OP even said they where a month behind on picking up scripts, which is an obvious sign they are not using the full script and are not abusing the medication. The only reason I can think of is that the OP was taking two NSAID being the one contained in the percocet and the ibuprofen supplement. Still that does not explain at all the change in compound to a different opiate vs. just a change in formula. Again it is not like this person needed to have their meds changed as they where using less than prescribed and not increasing the dose meaning they where not building an unhealthy tolerance.

Seriously it sounds like you argued my posts without reading them.... I never said that eating fatty foods increases it by 300% and if I did it is an OBVIOUS typo. Not trying to argue here, but just trying to prevent you from trying to make me look like an idiot so you can sound smart by saying I said shit I never said....

Also you have no idea why the doc changed the meds as you are not the doctor.... All any of us can do is speculate why he may have changed it, but none of us will no.... Hell maybe the doc just did it so he would get paid money to get people on opana vs. other opiates. You never know and never will unless you hear from the doctor them self why they did it. Acting like you do will only hurt everyone.

Hoping the OP was able to figure things out. Updates would be sweet.

 

[HaZeX]

Opana sells for significantly less than oxycodone on the street in NYC.

OMG so false..and if you can find an OG Opana 40 for cheaper than an OG OC80 then you, your dealer, or friends had no idea about the potential of Oxymorphone when abused. One opana 40 up the nose cant compare to OC80, snorted, IV or orally.

 

[DooMMooD]

Sorry I know this is off topic, but:

Opana sells for significantly less than oxycodone on the street in NYC.

I'm in NY and I'd disagree. When the old octagon opanas stopped production, price shot up so high in and around NYC it was INSANE. In-fucking-sane. So happy I quit when I did.

Perhaps the new formula, in comparison to ROXIS is cheaper NOW. Because it is abuse resistant. But talking about an OG opana versus an OP, or hell, an OG opana 40, compared to even an OG 80? Not even close.

Both OG oc, and OG opana are expensive as fuq now. OP and round opanas are both cheap relative to roxis now.

So to an extent youre right that NEW OPANAS sell for LESS THAN ROXIS in NY, but your statement is quite misleading.