Opana to Morphine Pump

[UndergroundR32]

So, a friend of mine.. is currently taking Oxymorphone in the form of 2 40mg Extended Release Opana tablets and 3 10mg Instant Release Opana Tablets per day for Chronic Pain as the result of a spinal injury. They are discussing a Morphine Pump with their pain mgmt. doctor and are concerned that it may cause a problem if they get the pump and their doctor does not supply sufficient morphine to equal their Oxymorphone use because they had been chewing them during usage and have a much higher tolerance then they should have according to the fact that they would have a much lower tolerance if taking them as prescribed.
Just looking for an FYI, as I know there is no real solution to this issue.

 

[NeighborhoodThreat]

What exactly is your question?

Your friend should be honest with their pain management doctor as far as them having to chew the oxymorphones to get enough relief from their pain.

 

[K'd-OUT-in-AZ]

Have him show an opiate converter. Chewing the extended release wouldn't do much more than have the drug absorbed quicker. I don't believe the BA would increase much that way. So you should be fine just converting the dose as if you were just taking them orally.

 

[NeighborhoodThreat]

^Good idea

Here are some examples of opiate converters:

Global RPh Opiate Converter
Global RPh Opiate Chart

There are many various ones available, but those are good examples. A quick Google search will give your friend many others.