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  • BDD Moderators: Keif’ Richards | negrogesic

MSContin vs DHC Continus

H

HezzaD

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Joined
Dec 15, 2016
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Pros and cons people, I know morphine is alot stronger but there's something about dihydro plugged which I like even orally its a decent buzz to say its 20percent bio where as morphine is generally round 30 or 40 with sodium bicarbonate and acid tabs.
Im gonna try get pain clinic to prescribe dhc with the morph instant release if they won't do oxy (as if they did do oxy id jus take the whole weeks worth in one or two days than get addicted to 2 seperate opiates everyday.

But if I was to finally have enough of getting high off opiates, since ive taken heroin methadone subbies oxy morphine, morphine and oxyn close favourites, morphine if done right and with cannabis is aload better but oxy is the shit if you wanna go on a mad 2-3hour energetic spree.

so yeah pros and cons of dhc continus and mscontin for pain relief and recreational use if you wish..
 
Sorry for necroposting your thread but what did you end up choosing in the end? I'm kinda at the same crossroads myself, whether to take the DHC Continus being handed to me or try to get it bumped up to MST Continus/Zomorph/whatever other brand of morphine XR.

I've done a lot of the normal DHC 30mg's in my time and greatly enjoyed the high when my tolerance is low enough, but it seems my tolerance is now high enough the "magic" is gone even when I have a break for a few months. My tolerance also seems to have reduced the efficacy of the analgesia going by how many of those 30mg's I have to keep boshing. I need around 300-400mg throughout the day roughly just to feel a reduction in pain and the NHS will not script that, only a max of 240mg, and although it's way more effective than NSAIDs I still feel it's lacking. You sound like you got a bigger tolerance than me so you may very well face the same issue.

Oral morphine has only a ~20% oral BA however has a much nicer high and provides much more analgesia at least in my experience, but keep in mind this will differ depending on the individual. Some people say oral morphine is not even worth bothering with but usually those people are Yanks with huge oxy tolerances. I find that with a high enough dose oral morphine is lovely. Problem is with NHS scripts your dose will likely be fairly low or at most only medium in most cases. Then again you are seeing a pain specialist so maybe you will get something higher. It's usually only GP's limited to low doses of potent opioids.

Used to have both DHC and oral morphine on prescription, it was a perfect mix for both enjoyment and analgesia when the morphine dose was high enough, but the morphine was useless when they moved the morphine down from Oramorph liquid to shitty 10mg pills, even though they were IR they might as well have been sugar pills. So the morphine dose needs to be reasonable like at least 30-40mg or more. If they only give you a low morphine dose like 10-20mg you're better off with DHC as they're far more willing to dish out high doses of that (getting the max 240mg shouldn't be hard at all).

Anyway would be curious to hear what happened in your situation mate.
 
I love both. If you're wondering which is stronger overall, 7.5mg of morphine is the equivalent of 30ng of DHC.

I usually IV my morphine pills because it makes it three times as effective. The bioavailability of oral morphine is 30-35% whereas the bioavailability of IV morphine is 100%. So you'd have to take at least 30mg orally to be the same as 10mg IV. Personally I find 60-70mg of oral morphine feels the same as about 15mg of IV.
 
Yeah the low oral BA of morphine is why I like Oramorph, you can just take sips of it and easily end up having a high enough dose to offset the BA.

Even the NHS says 240mg DHC is equivalent to only 20mg oral morphine. And I can tell you from experience 20mg oral morphine is fuck all.

I got the DHC Continus in the end. 120mg tablets. Very happy with that outcome, these are great for both euphoria and analgesia. My back pain was obliterated yesterday and when I got home from work I started full on nodding. The time release works to keep you on it all day.

Somehow time release DHC is a better painkiller than instant release DHC too. Probably because you're getting a consistent amount of the drug. Usually I dislike XR formulations (I hated them in stims for example) but in opiates they're very helpful.

Now I just need to make sure I keep getting them. My GP is understandably wary of just throwing a repeat opiate script at me. I got the script but it's not a repeat so I need to make an appointment if I want more. Hopefully though if I prove myself to be a good patient who isn't abusing my medication I can keep them flowing. The key is I can't use them daily, only when I have especially bad days. I also need to make the GP understand my pain is unlikely to just disappear. I mean I hope it does, but realistically I doubt it because chronic pain of various kinds runs in my family.
 
I've never really liked Oral Morphine, DHC is much better imo. I take Oxycodone 120mg daily now which is outstanding for pain.
 
oxy isnt hard to get
you say bad side effects from morphine and they will try give you bupe patches or fent before oxy.
120mg must be from pain specialist tho im sure my dr mentioned they dont prescribe many people over 60mg oxy a day.
 
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