Any here have legit experience to compare MSContin to Opana ER?

[ReversiblePulpitis]

I'm looking to hear someone comment on the analgesia (as well as euphoria) of specifically morphine vs oxymorphone when taken at doses equal upon conversion to each other. For instance, 30mg oral morphine to 10mg oxymorphone.

Specifically for me, I'm considering 120mg MSContin vs my current 45mg Opana ER (taken over course of the day 2x 60mg MS vs 3x 15mg OM). Why? Retail costs at pharmacy.

For instance, does a common notion exist that even in equivalent doses, MSContin is not as strong as Opana? And as a CP patient, I really would appreciate analgesia be considered as well, not just euphoria.

Thanks!

 

[opiatekrzy]

IT all depends. As for me, my tolerance is so high from being on suboxone for so many years, that if i take Opana 2 days after my suboxone dose, 50mg doesn't even touch me, yet when i take MSContin (Morphine Sulphate) 120-300mg gets me pretty rocked, the morphine buzz is heavy like heroin, similiar but milder and not as smooth as a buzz/clean cut high type..it takes awhile to learn to like/love morphine. My first few times doing it i was nauseous and very uncomofrtable, the rush of the morphine orally tensed my neck muscles for 5 minutes, with the opiate body heat blanket effect, the more i toom mscontin, the more i loved it. cool thing about it is the half life is pretty lenghty. IMO Oxycodone/Oxymorphone is trash, the half lifei s horrible, the buzz is speedy, and short lived leaving ya irritable as fuck..the only opiates i like is Morphine, beside that buperenorphine and methadone only, strictly only those

 

[ReversiblePulpitis]

Very interesting take, krzy. I really enjoyed reading your post as it leaves me hopeful that I'll be able to have my cake and eat it too. I also am now feeling more confident bc last year as an up-and-coming pain mngmnt patient, I had a short stent with MSContin prior to fent patches; I recall it having the long legs (vs the oxymorph, which is why I dose 3x/day), and did love the tangible body sensations as you describe. But yeah, even 3x/day I still feel when I crash, which can and does led to an extra dose.
I really appreciate the response, again Im now hopeful... to the point of being almost anxious to switch (and save so much money) in 10 days time. Up til now, it was more of a dreaded feeling. I'll still ask my Doc to dose me for two weeks time so that we can make changes as necessary as to not be caught with my pants down for a whole month.
Considering all the money Im going to save, I am going to try to get on Opana IR as my breakthrough med. Despite my trouble with the opana er crashing too soon, it has provided awesome analgesia so I'd like to hang on to it as a BT med... and now I can afford too w/ affordability of MSContin.
Thans again

 

[Violenza666]

Opana ER makes MS contin it's bitch in my opinion. My Opana tolerance is astronomical,sadly.

 

[ReversiblePulpitis]

Yeah, fortunately I'm still at a entire daily dose that is barely the mg of Opana's highest single dose (40mg); it's worth a shot for me at my relatively low dose, and I'd like to think that it's a good time to try switching meds in the name of cross tolerance and giving some of my opana-filled receptors a break and be introduced to something different for a while.

 

[Violenza666]

Yeah, fortunately I'm still at a entire daily dose that is barely the mg of Opana's highest single dose (40mg); it's worth a shot for me at my relatively low dose, and I'd like to think that it's a good time to try switching meds in the name of cross tolerance and giving some of my opana-filled receptors a break and be introduced to something different for a while.

I take Opana 40mg 2x a day for my back. After Morphine, fentanyl and OxyContin failed. Opana is the only med that truly makes me comfortable. What ROA are you using? If you use it orally that could be your problem... I know it's not in the spirit of harm reduction but try snorting it. It makes a world of difference for me. I don't get high all the time.. but even when I use it for pain management I snort it due to the higher BA..... A thought though they call heroin the devil... but Opana is. The WD's are so relentless I dont even get WDs from heroin use.

I do not reccomend morphine though. It fucking sucks as far as pain management goes.

 

[Supeudol]

I take Opana 40mg 2x a day for my back. After Morphine, fentanyl and OxyContin failed. Opana is the only med that truly makes me comfortable. What ROA are you using? If you use it orally that could be your problem... I know it's not in the spirit of harm reduction but try snorting it. It makes a world of difference for me. I don't get high all the time.. but even when I use it for pain management I snort it due to the higher BA..... A thought though they call heroin the devil... but Opana is. The WD's are so relentless I dont even get WDs from heroin use.

I do not reccomend morphine though. It fucking sucks as far as pain management goes.

Morphine is in fact still the #1 choice for Pain Management, and it still works very well for Chronic Pain Management for many people.

Yes, of course there are more potent opioids out there, but none really with a half life as long as Morphine. I love Oxycodone in high doses and the IR version only. HydroMorphContin is amazing as well when used intranasally.. but Morphine is still not that bad when used Orally. Oxycodone, Opana and Hydromorphone don't have the legs and half life of Morphine though.. but that isn't a big deal now a days I guess.

 

[ReversiblePulpitis]

I'm glad to hear some resonance about morphine having pretty effective "legs", as thats really what I want out of an ER med.

I'm going to use this thread to report my findings, so hopefully it can be of some value.

I guess everyone's definition/expectation of "pain management" is going to vary, as well as the obvious fact of different drugs working uniquely for different people. One thing to remember in my case is that I NEED MSContin to work for me due to $$. I'm working on getting on with a different insurance company with awesome Rx coverage, but in the meantime, I guarantee that someone like me - who is motivated to see that the morphine will work, vs someone who knows that $$ isn't an issue and have the stronger opioids at their disposal will not be as motivated to see the morphine thru. As well, my goals of pain mngmnt are adequate analgesia to provide quality of life (as a professional and as a husband and friend and as somebody with hobbies).

So, we'll see how it goes, but I'd like to go with 60mg MSC BID w/ Oxymorphone IR 10mg BID. If I need to play along with a smaller amount since that would be going up in my total amt of opioid per day, then I'll accept if she offers MSC 30mg TID along with the OM. I'm going to be stubborn about the 10mg OM BID as I know it'll knock down whatever the morphine may fall short of. Plus, I think the two have awesome synergy. When first started Opana last year I had a few 15mg morphines left over and the two combined was pretty....eh.. cool.

 

[Violenza666]

Morphine is in fact still the #1 choice for Pain Management, and it still works very well for Chronic Pain Management for many people.

Yes, of course there are more potent opioids out there, but none really with a half life as long as Morphine. I love Oxycodone in high doses and the IR version only. HydroMorphContin is amazing as well when used intranasally.. but Morphine is still not that bad when used Orally. Oxycodone, Opana and Hydromorphone don't have the legs and half life of Morphine though.. but that isn't a big deal now a days I guess.

In the states an ER form of Hydromorphone wasn't around until exalgo, and that was recent. I am not entirely sure about it... HydromorphContin Was discontinued here. OxyCodone in high doses is great, Opana in higher doses is even better.

Ask any pain patiient that has had time to fuck around with Opana what their preference is. Oral morphone sucks same with Oxymorphone.... The only way to make it work is a different ROA. I snort it. It works great.

Oh and Opana has "Legs", I'd say even more-so than morphine. Up the nose, in the mouth and IV.

 

[ReversiblePulpitis]

I have had the time to "fuck around with Opana", I've been on it for almost a year. It has worked well, but I discovered quickly that 2x/day of the ER was not keeping my pain under control for longer than 4-6 hours tops, seeing as how I work all day sitting down hunched over patients of my own, I cannot be burdened by throbbing fire in my ass, back, and legs. As my dosage has gone up from 5mg to 15mg 3x/day, my Pharmacy costs have gotten outrageous. I hit my deductible early last year, so luckily I was refunded for every penny spent at the Pharmacy so it was not much of an issue. Now that the new year has turned over a fresh deductible and that I am much healthier and stabilized, I don't foresee my deductible being met anytime soon to help cover my meds. That said, for the time being, I need something cheaper and preferrably with longer legs. From what I've read and in some of my experience, anything intranasally does not last as long as oral. That also said, I will repeat that I work in a professional field and also cannot be snorting or injecting my pain killers throughout the day. I also am aware of the greater bioavailability of Opana up the nose, and I am also aware of how quickly that builds tolerance. I cannot afford to raise my tolerance as I cannot afford snorting 40mg Opanas all day long.
I am going to try to make MSContin along with hopefully some IR Oxymorphone work. I will report my findings. Every med affects everyone differently, maybe I'll have some luck with MSContin, my pocketbook is motivating me to find a way to be satisfied with it. I'm not looking to get rocked into oblivion, I'm looking for analgesia so I can work and live my life in a better way.

 

[Violenza666]

What I mean by fucking around with with it is in a theraputic way not recreational. However I had the same problem with Opana... it started to not work for 12 hours. So instead of taking 2 pills a day.. you can snort one or even less than one and stay out of pain longer. The generics are coming out this year. Some are already out, I believe the 40's are gonna be out by sept of this year plus some of them are suposedly already out. I don't know what kind of insurance you have since you're a professional but my husbands insurance is great I pay 20$ a month for my Opana. Some people need it every 8 hours instead of 12 as well. Have you considered the fentanyl patch? You wear it, it looks like a nicotine patch and it lasts for 72 hours. It gave me headaches but it does work well for pain, you might want to consider that. MS contin while cheap I find to be garbage. Yes, tolerance builds very fast while snorting Opana but for me it's the best medication for pain for me. Also while tolerance builds, it doesn't mean it stops working as an pain reliever. I have alot to do during the day and I have to stay out of pain.. My back is ROYALLY fucked. I am a photographer, housewife, I shoot at the range, clean, do some modelling, and I do some marketing for a clothing company.. It's not always about recreation for me. I just want the pain to be reasonable and to live as comfotably as I can and be as productive as I can.

I know what pain you are speaking of. Fentanyl along with oxyIR for breakthrough pain works great you might want to look into that. It lasts for 72 hours and then you put a new patch on. I find it works way better than MS Contin. Also Soma is a great muscle relaxer that works well for me as well. Valium is a good one too and very cheap, For you it sounds like discretion is important, so wearing a sticker on yourself for 72 hours where nobody can see it might work out for you.

I do use drugs recreationally, however not all the time I have too much shit to do and I have to be functional.

I hope this helped you out some. Good luck!

I have had the time to "fuck around with Opana", I've been on it for almost a year. It has worked well, but I discovered quickly that 2x/day of the ER was not keeping my pain under control for longer than 4-6 hours tops, seeing as how I work all day sitting down hunched over patients of my own, I cannot be burdened by throbbing fire in my ass, back, and legs. As my dosage has gone up from 5mg to 15mg 3x/day, my Pharmacy costs have gotten outrageous. I hit my deductible early last year, so luckily I was refunded for every penny spent at the Pharmacy so it was not much of an issue. Now that the new year has turned over a fresh deductible and that I am much healthier and stabilized, I don't foresee my deductible being met anytime soon to help cover my meds. That said, for the time being, I need something cheaper and preferrably with longer legs. From what I've read and in some of my experience, anything intranasally does not last as long as oral. That also said, I will repeat that I work in a professional field and also cannot be snorting or injecting my pain killers throughout the day. I also am aware of the greater bioavailability of Opana up the nose, and I am also aware of how quickly that builds tolerance. I cannot afford to raise my tolerance as I cannot afford snorting 40mg Opanas all day long.
I am going to try to make MSContin along with hopefully some IR Oxymorphone work. I will report my findings. Every med affects everyone differently, maybe I'll have some luck with MSContin, my pocketbook is motivating me to find a way to be satisfied with it. I'm not looking to get rocked into oblivion, I'm looking for analgesia so I can work and live my life in a better way.

 

[TheLostBoys]

I know this thread is old but wanted to chime in & say morpine is way better than opana.......

Opana doesn't last long for pain......morphine is amazing for pain.

Took 5mgs of opana per day & I woke up sweating like I was on withdrawal......took a small bump at 2am & felt terrible in the morning.........while I can take 30mgs of morphine orally at 8pm & wake up next day at 9am feeling great & w/o any pain or sweats & dose again at noon, that's 16 hours between my morphine dose, compared to 7 hours between opana's.

No thank you, I hate opana, its only good for its euphoria & but I get better euphoria from from 30mgs of hydrocofone......birds are singing, sunny skies & I feel alive on hydrocodone.

I see so many people praising plans for its high & pain aliever but IMO/IME, morphine destroys opana in relieving my pain & its half life lasting up to 3 times more.......

I will take morphine over opana any day of the week..