Opioids If You Could Choose, Opana Or Oxycontin.

[Akomplice]

I currently have a choice because my doctor asked if I'd like to switch from Oxycontin to Opana for my long term pain med.


I've searched and looked everywhere and I can't find any definite opinions, it's always mixed reviews.

I don't slam anything so it would be snorting or taking orally.


I'm not sure what mg of opana he'll put me on but I'm currently on OC80s.


If you were in my place, what would you do? If you didn't shoot anything.


I'm talking in terms of abuse, high, and overall pain management.

I've never tried these things cause they're like unheard of being prescribed in my area, so I figure they might be better (for abuse) than oxys.


What should I do?


And I have UTSE, and haven't found anything to answer my questions



Thanks,

Akomplice

 

[svacheme3]

I have to say there's some odd cross-tolerance effects with high doses of oxycodone. When I'm on multiple 80s per day and switch to Opana, it's absolutely useless. 100mg IR IV'd and not even drowsy useless (nice rush for a minute tho), which should at least do something if one was only doing 6-8 80s a day at the time of switching, according to the literature on equiv. doses at least. I had to use nothing but Opana for a week before I'd start feeling the effects from it.

 

[saveyour]

oxycodone ftw, it has the higher bio-availability mayne

 

[TheMatador]

Bio-Availability is taken into account when you are switched to Opana from whatever narcotic you have been on, it gets a bad rep for the low oral BA (~ 10% ) but since thats taken into account it isn't an issue if you are being prescribed it since the narcotic conversion cover that base, and its nasal BA is pretty high, and pretty damn close to Oxycontin.

In my experience and opinion, I like Opana more, it has better analgesic effects imo, lasts longer than Oxycontin when taken as prescribed, and I like the high more from it when insufflated...

oxymorphone is ~2x as potent as oxycodone so your doctor would probably put you on their 40mg OpanaER pills (which are excellent btw)

hope this helps, and it is at least worth a shot, worst case scenario you don't like it as much and you switch back to Oxycontin, so why not give it a try?

Best of luck,

-TheMatador

 

[ohline]

i'm an IV heroin user and 10mgs of opana IR puts me on my fucking ass.

this isn't even a contest IMO.

 

[chrisinabox]

opana most definitely, the IR tho, not ER

 

[rachamim]

Matador has offered some pretty good advice. With pain meds it is always a tricky conversion though , especially IF the consumer is also considering the psychoactive potential.

Opana is merely the brand name of form of oxymorphone, which is higher on the same ladder as oxycontin. In other words , if you had oxycontin and wished to work with it as a precurosr to manufactuer a more potent opioid, you would convert it to oxymorphone, like (although not the same difference in potencies mind you) taking codeine and converting it to morphine (in reality more codeine is made from morphine but you get the idea I hope).

Another thing to consider is that IF the poster is in the US, they are getting ER oxycontin and that needs to also be taken into account when doing the caluclations. No offence but I am not going to do the calculations because any competent MD can certain do the equigesic ratios, etc. Equigesic figures though are not even the real issue since the OP is asking about "which is better."

"Better" is simply a relative term. Bioavailability is certainly soemthing to consider but that will be taken into account if you have a competent MD (or other provider as the case may be). If you mean in terms of analgesia, Opana is definitely better in terms of data. In terms of what other chronic pain consumers say, you might hit up those Rx sites where they tend to flock and compare results.

Psychoactively, I am sure you will not find any experienced users who would choose any form of oxycontin over oxymorphone. Oxymorphone is on of the most favoures opioids out, it is just incredibly rare to most people.

 

[GRUNT]

If I'm not mistaken, Oxycodone gets converted to Oxymorphone in the liver anyway. Just a thought. Plus you have the nasal BA, if you're looking to get high, I would definitely recommend Opana.

 

[rachamim]

You are correct but only in percentages that vary, it is not 100% conversion so the end result is not the same at all.

 

[sxoxyvg]

Only a very small amount gets converted to oxymorphone, so small it doesn't really matter.

 

[GRUNT]

Although based on some comparisons, I would say Opana provided SWIM a better high using correct dosing. I apologize for the somewhat false information I gave, I was just trying to make a point.

 

[PillPoppingAnimal]

If I'm not mistaken, Oxycodone gets converted to Oxymorphone in the liver anyway. Just a thought. Plus you have the nasal BA, if you're looking to get high, I would definitely recommend Opana.

yes, but hardly........hydrcodone gets converted into hydromorphone the same way as what u saaid, ya diiig

opana, from what i HEAR, is stronger than heroin, correct me if im wrong

BUT, how much oxycodone (contin), in milligrams are u going to be getting

and how much of oxymorphone would u be getting

cuz an 80mg oxycodone ER might be better than a low dose of opana, not sure tho

 

[ohline]

opana, from what i HEAR, is stronger than heroin, correct me if im wrong

as i stated, i'm a heroin addict.. and the rush and high from oxymorphone just blows it out of the water IMO. i'm talking a rush so intense (10mg) that you feel like your neck is going to snap in half.

god, i'm drooling just thinking about it..

 

[Lady Codone]

Keep in mind that moving up to what's considered one of the most potent opiates means that if your pain gets worse with time, that you'll be left with fewer options to treat it...in fact, the only thing stronger than oxymorphone is heroin if I'm not mistaken. Unless your pain has recently gotten worse, I'd say stick with the oxycodone until you absolutely must have something more potent, since this is long-term treatment we're talking here.

 

[TheMatador]

Keep in mind that moving up to what's considered one of the most potent opiates means that if your pain gets worse with time, that you'll be left with fewer options to treat it...

first of all, thats not true, just because he is thinking about being on an opioid that is more potent mg to mg does not mean he has fewer options, he could always go back on a bigger dose of Oxycontin for example, you make it seem like once he tries Opana theres no going back, not true....

..in fact, the only thing stronger than oxymorphone is heroin if I'm not mistaken.

this also is not true, the only thing stronger (your referring mg to mg comparisons as "strength") then oxymorphone is not heroin, have you ever heard of fentantyl or any of its analogues?




you seem to be under the impression just because something is "stronger" per mg it is stronger analgesically (not true)

 

[gregg]

as i stated, i'm a heroin addict.. and the rush and high from oxymorphone just blows it out of the water IMO. i'm talking a rush so intense (10mg) that you feel like your neck is going to snap in half.

god, i'm drooling just thinking about it..

You talking about orally or insufflated? the IR only?

 

[ohline]

You talking about orally or insufflated? the IR only?

unfortunately, IV. and IR only..

although.. even when the ER's are the only ones floating around.. snorting 20mgs most certainly does the trick, too. i still get the nods and all that good shit.

oxymorphone is one hell of a drug.

 

[gregg]

Strange that I didnt really get much effect from it.. i snorted about 5 mg and then snorted sanother 5 and never felt anything.. this was a 20mg ER pill.. i wiped of the coating and crushed fairly finely.. i have a 140mg a day oxy tolerance.. i dont know, is there a secret to snorting the ER, or did I just not do enough?

 

[ohline]

you just didn't do enough.

the thing with the ER is that they gel up tremendously. so in reality.. the ten milligrams you snorted was much much less as it wasn't able to be absorbed properly because of the gelling.

especially doing it two separate times as opposed to all at once.

 

[Atlien3]

Opana!!!!!!!!!!!!!