Opioids Oxycodone vs. Hydromorphone for pain

[lifterpuller]

Hey guys, I posted this in the pain management mega thread but figure that I might be able to get some better responses if I create a thread of it's own.


I'm prescribed 4-6 5mg IR Oxycodones a day for chronic inflammatory back pain (REALLY PAINFUL all the time) I've been on oxycodone and/or morphine for about 5 months now taking it everyday. I'm at the point now where I need to take 4 oxys (20mg) at a time to get any kind of pain relief whereas 5 months ago one 5mg would actually help quite a bit.

My doctor is talking about starting me on a longer acting oxycodone or hydromorphone, I was wondering which one should I ask for? I've never used hydromorphone before and the dr didn't give an idea of the doses.

Thanks a lot for any advice,experiences and opinions when comparing these two drugs.

 

[sekio]

We don't allow comparison threads, it's subjective and every person has their own preferences.

If you find opioids aren't working, switching to stronger ones will only buy you time before you need to up your dose even more. My advice: look for other drugs to augment your existing oxycodone dosage.