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  • BDD Moderators: Keif’ Richards

If you had the choice...

taylor_105

taylor_105

Bluelighter
Joined
Oct 15, 2007
Messages
153
Location
Clearwater, Fl.
Medicare is really pissing me off. First of all I was on Nucynta which was really working for me and then Medicare decided it would not pay for it. So back on Opana I went which at the time I was starting to grow too tolerant to so that is why I was tried on Nucynta. So anyway Medicare said no to the Nucynta so I'm currently Opana again. Now I get a letter in the mail telling me that it will not pay for the Opana anymore and gave me this list of three meds it will cover. My doc will give me the choice as long as it's a short acting med because it will be for break through. Here is my list. I know nothing about these if they are short acting or long acting. What I want to know is which of these you all have tried and which is the strongest for break through pain.

Morphine Sulfate

Hydromorphone

Oxycodone


Isn't Oxycodone the generic name for Percocet? If so I can't take that one because it was much weaker than Opana and did not work for me at all. And isn't Hydromorphone a long acting med? If so that leaves me with Morphine Sulfate and is that one weaker or stronger than Percocet? What kind of review would you give on the Morphine Sulfate and is it the same thing as regular Morphine?

Any help you all can give me would be appreciated because I have to make a choice before I see my doc. Thanks...Taylor
 
Oxycodone is not a good choice really because i'm sure your tolerance is quite high from using Opana (oxymorphone).

Hydromorphone would be your best choice, and the one I would personally choose. It is pretty short acting, but quite potent.

Morphine sulfate is also pretty effective for analgesia, but the dose you would need would most likely be pretty high so it wouldn't be worth it.

What is your tolerance to Opana like? There are opiate dosage converters available online so you can get a good idea of what an equal dose of hydromorphone would be to opana(oxymorphone).
 
"not potent" enough will not be an issue if your doctor will adjust your dose... so if you were taking 5mg oxymorphone (opana) orally you just take 10mg oxycodone orally. Check equianalgesic charts for all the necessary equivalents.

This is really all preference and if you are not abusing them they will all be pretty much equal if you get equianalgesic doses. Morphine is a bit more sedating and histaminergic and oxycodone is a little more stimulating and "cleaner" feeling, but if taken regularly and appropriately you'll build up a tolerance to these side effects for any dose.

Lastly, hydromorphone is short acting and in some places there are long acting available such as palladone SR or HydromorphContin... its the same as Morphine IR vs. MSContin and Oxy IR vs. OxyContin.
 
Cloud_9 said:
Oxymorphone.... oh wait that's not an option! I still would take Oxymorphone though, so fuck your silly "what ifs"!
Click to expand...

Rude much? I'm a chronic pain patient and not a junky....you sound like you are jealous or something.


I do not abuse my medication and I take it exactly as prescribed. I came to ask you guys for information because it is Saturday and I got the letter today and am pissed that once again I am being fucked over by Medicare on my meds. Now as far as my tolerance goes I take Fentanyl 75's to switch out every 48 hours so I am on 15 patches a month. On the Opana I take 10 mg. 4 times daily but it wasn't working much for me anymore hence the swith to Nucynta 10 which worked well and then Medicare pulled the plug on it along with Opana.

I appreciate your input...some of you people's input anyway and will ask about the Hydromorphone. When I was last in the hospital they were giving me Morphine through my i.v. 1 mg at a time and it did nothing but then they gave me Dilaudid i.v. and it worked very well. So I will ask about the hydromorphone. Thanks guys....Taylor
 
OK, if you are going to be butt hurt, Ill give something helpful instead of a quick quip about the medications you are on. It all depends on what type of pain you have; and most people in the chronic pain program where I have been admitted have nervous system ailments, myself included. In that event taking Lyrica and methadone has helped me; but you said this would be more for breakthrough more so than a layered death-mask over the pain. In that case I would have the oxycodone as it is potent orally, kicks in quickly enough, and also is pretty upbeat considering it is an opiate. The morphine sulfate is going to make you too tired to function really, and the hydromorphone will run out of effectiveness way too fast. That's the choice I would make.

HAPPY!? Jesus people take shit personally!

Cane2theLeft said:
Lastly, hydromorphone is short acting and in some places there are long acting available such as palladone SR or HydromorphContin... its the same as Morphine IR vs. MSContin and Oxy IR vs. OxyContin.
Click to expand...

Hydromorph-contin is only available in Canada I'm afraid. Too bad, Dilaudid is good enough but longer lasting compilations would be awesome.

taylor_105 said:
it is Saturday and I got the letter today and am pissed that once again I am being fucked over by Medicare on my meds.
Click to expand...

Yes, medicare does suck a big fat donge I'm afraid to say unless you have a really nice retirement plan from your company that has a part D program as a bonus you won't get much anything new or costly from them.

So there goes my idea about being on Lyrica...
 
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You should list what dose of opana you were taking. You can't just say oxycodone is weak because oxy has a high oral BA unlike opana if nucyta or however you spell that was covering your pain then oxy will do a better job. Oxycontin is a really good pain med.
 
Cloud_9 said:
OK, if you are going to be butt hurt, Ill give something helpful instead of a quick quip about the medications you are on. It all depends on what type of pain you have; and most people in the chronic pain program where I have been admitted have nervous system ailments, myself included. In that event taking Lyrica and methadone has helped me; but you said this would be more for breakthrough more so than a layered death-mask over the pain. In that case I would have the oxycodone as it is potent orally, kicks in quickly enough, and also is pretty upbeat considering it is an opiate. The morphine sulfate is going to make you too tired to function really, and the hydromorphone will run out of effectiveness way too fast. That's the choice I would make.

HAPPY!? Jesus people take shit personally!



Hydromorph-contin is only available in Canada I'm afraid. Too bad, Dilaudid is good enough but longer lasting compilations would be awesome.



Yes, medicare does suck a big fat donge I'm afraid to say unless you have a really nice retirement plan from your company that has a part D program as a bonus you won't get much anything new or costly from them.

So there goes my idea about being on Lyrica...
Click to expand...



Yes they do, and non-Jesus people go to HELL. Don't think you'll find any pain meds "down there" But hey, you have a wonderful and blessed day!:)
 
Yeah cloud_9 I do take things personally when I ask a question that I am hoping to get help from and get a rude response. But I do thank you for your second response as it was more an answer to my question and I do appreciate your answer as it was helpful. And yes Lyrica was one I wanted to try but you are right that Medicare said no. I truly wanted to go the non Opiate route but I was unable to.

Now onto the reasoning behind my meds...not that it's really anyone's business I have Chronic Regional Pain Syndrome which was caused by chronic renal disorder after being in a coma for eight days. http://www.mayoclinic.com/health/complex-regional-pain-syndrome/DS00265

Darkycodone I did list what amount of Opana I was on when I said 10. mg four times daily.

Thanks everyone for your insight....
 
Im sure you have already, but did you call pharmacies for prices on the generics? I get some generic meds for around $30 without insurance. I think its cheaper when the drug has been around for a while, and there are alot of companies making generics. I am not familiar with Opana (oxymorphone) though.
 
Sorry I missed that part. Well you best bet would be the hydromorphone then. That is a high dose 40mg daily.
 
^ It dose suck but still is the strongest out of the three and would require a dose way lower then the other two to get the relif. I am still in favor for oxy though. If you get the 80 and a couple 10mg percs for breakthrough pain.
 
OP, have you tried methadone? it's pretty cheap like $60-70 for 300 10mg (dose of 100mg/day for 30days)
it's not easy for chronic pain patients to find what meds work best for them. what works for one person may not work for someone else. and battling w/ insurance companies makes it harder.
i'm pretty sure you can switch your medicare part D plan during november and/or december. i know that doesn't help right now but maybe you can find a plan better suited to your needs and switch in the fall.
best of luck to you.
-izzy
 
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