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Opioids Real pain patient screwed by Opana recall.....any news?

R

Roxicodone King

Bluelighter
Joined
Dec 23, 2002
Messages
44
Location
NJ
First off, I want to state that I am a real pain patient, and have not abused drugs in many years. Today I went to my doctor, got my monthly script for Opana ER, and took to pharmacy only to be told that the 1: Anyone else re are NO opana ANYWHERE. Endo recalled them due to a manufacturing problem. I am on a very high dose, so when I went back to my doc, the best he could to was some hydromorphone 8mg. My questions are : Anyone else have this problem and iTf so what did you do about it? (2) My pharmacist said that they may be reformulating the opana before putting it back out, anyone know if this is the new crush proof pills or something else? (3) I was told it would be March 1 EARLIEST....anyone have any info on when opana will actually be back? This fucking sucks.


-=The King=-
 
I too am a real pain patient, lucky im not on Opana right now due to the huge shortages. I can confirm this shortage for California, many of my fellow chronic pain patients are having the same problems. It sucks because some are being switched back to OxyContin, and many of them got on Opana, and off the OP's in the first place because of stomach problems, and now they have to go back on OC, fent, or hydromorphone. And in insane dosages

edit: I heard rumor they've implemented their revised TimerX-N (i think this is what it's called now) with the 10mg ER's.
 
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wow dude oxymorphone to hydromorphone you got screwed. I really hope you plan on shooting those hydros because they are just about useless orally. not to mention the huge differance in half life sounds like its gonna be a rough month.
 
Yeah I am pretty much fucked. The hydromorphone is barely helping so far. And if they are reformulating Opana ER, they will probably mess up the efficacy (happened the last few times the meds I was on were 'reformulated for safety'.). Just ANOTHER example of pain patients getting the shaft so a company can appear to be doing good. Today was actually the first time I have contemplated suicide in years.
 
I think that the mass-shortages of opioids are due to America's pain threshold level. You guys have access to a shit load of pharmaceutical grade opioids, oxymorphone is unheard of here in Australia for instance, and doctors willy nilly prescribe Percocet (Paracetamol with oxycodone) for headaches/migraines and minor small operations. Over here in the land down under, we're lucky if we get Tramal 50 mg or codeine 30 mg and APAP 500 mg for headaches/migraines and minor small operations.

The best we got for long term pain management is OxyContin 20, 40 and 80 mg/MS Contin 100 mg/Jurnista 64 mg.

To the King, don't commit suicide. Wait a fair bit of time. What's your pain condition? What meds are you currently RX?
 
Charles Bronson said:
I think that the mass-shortages of opioids are due to America's pain threshold level. You guys have access to a shit load of pharmaceutical grade opioids, oxymorphone is unheard of here in Australia for instance, and doctors willy nilly prescribe Percocet (Paracetamol with oxycodone) for headaches/migraines and minor small operations. Over here in the land down under, we're lucky if we get Tramal 50 mg or codeine 30 mg and APAP 500 mg for headaches/migraines and minor small operations.

The best we got for long term pain management is OxyContin 20, 40 and 80 mg/MS Contin 100 mg/Jurnista 64 mg.

To the King, don't commit suicide. Wait a fair bit of time. What's your pain condition? What meds are you currently RX?
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I'm in australia and that isn't entirely true about what we get for pain killers.

My granddad has a 500ml bottle of 1mg/ml Dilaudid oral solution and 100mcg fentanyl patches.

However otherwise I agree with your post.
 
Charles Bronson said:
I think that the mass-shortages of opioids are due to America's pain threshold level. You guys have access to a shit load of pharmaceutical grade opioids, oxymorphone is unheard of here in Australia for instance, and doctors willy nilly prescribe Percocet (Paracetamol with oxycodone) for headaches/migraines and minor small operations. Over here in the land down under, we're lucky if we get Tramal 50 mg or codeine 30 mg and APAP 500 mg for headaches/migraines and minor small operations.

The best we got for long term pain management is OxyContin 20, 40 and 80 mg/MS Contin 100 mg/Jurnista 64 mg.

To the King, don't commit suicide. Wait a fair bit of time. What's your pain condition? What meds are you currently RX?
Click to expand...


Bronson--The shortage has nothing to do with that. It was a planned stoppage due to the company (Endo) finding 3 instances of mis-labeled medicine over a 3 year period, so they decided (or were made by the FDA), to shut down and retool their entire production line from that manufacturing site. Unfortunately, the company sent what I believe to be a VERY misleading letter last month (The letters can be found at http://www.endo.com/Supply_disruption.aspx)....Essentially they sent a lettter to doctors and pharmacists that said they "MAY" have a very brief shortage coming up (The letter was sent the second week of January). Therefore no one thought to stock up or even alert patients. Endo should be ASHAMED of how they handled this.

I happen to take a very large quantity of Opana, the result of legit opiate use since a young age coupled with a few years of abuse. Because of this, it is impossible for me to get pain relief now. The amount of Opana is so high that any equivalent dose of another medicine would literally take thousands of pills, which my doctor would not be willing to write (rightfully), and which my insurance would almost surely not cover. In any case, Endo, and their handling of this incident has at the very least made my life hell for the foreseeable future, and perhaps will end up with me being forced to end my life.
 
As for your other question, Bronson, I have nere damage from a massive spinal cord tumor. My joints and nerves never developed correctly, and I have pain in my neck, back, hip, knees and ankles.
 
Roxicodone King said:
As for your other question, Bronson, I have nere damage from a massive spinal cord tumor. My joints and nerves never developed correctly, and I have pain in my neck, back, hip, knees and ankles.
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goddamn, i feel sorry for you bro. Maybe, just maybe, your doctor could put you on multiple pills, such as Jurnista 64 mg/OxyContin 160 a day/Intravenous Dialudid for breakthrough pain?

My chronic pain syndrome is lower back pain, due to me being kicked the shit out of by 4 Nigerians in Brisbane, Australia. The strongest I've had was 10 mg Oxycodone IR, but I'm on maintenance dosage of 200 mg Tramal twice daily.

I'm too afraid to get an X-Ray done.

However, I wouldn't mind getting some OxyNorm 20 mg, for severe pain.
 
Sorry to hear about this, especially the people that were on it for years........I myself never tried Opana. I tried both oxycontins, the old OC's & the new OP's & there is a big difference. I can understand why people wont like the change for Opana.
 
Contemplating suicide due to a med-shortage is not the way to handle the situation.
If you have a legitimate need for narcotic pain relief, and whatever your doc substituted you with is not working, then I suggest you talk to your doctor! If he perscribed you narcotic pain-killers to aleviate your pain and improve your quality of life, then I believe searching the dialogue with your doctor will help. You have to be brutally honest with yourself and the doctor. Make sure he understands that whatever you are taking at the moment perscribed by him/her is not touching your pain and getting you to a level where you can enjoy your life to the fullest. If he already perscribed you a slew of problematic medications then I can't see this being an issue.

Communication is vitally important. If he hands you a script and you go fill it and he doesn't hear from you again then how is he supposed to know that you're not getting adequate relief? And if you have a legit need I would not be worried about saying "what you perscribed me is not helping". Seeing how you got relief from a certain dosage of Opana I am temted to say it's merely a matter of dosage and medication.

I would suggest trying to get on Oxycodone high strength time release for the time being, with instant release hydromorphone for breakthrough pain. Suggest waying the pros and cons of putting up with "stomach problems" untill your medication of choice is available again. Hydromorphone is a great medication for breakthrough, but not taken orally. In my humble opinion, snorted hydromorphone is amazing to cope with any leftover pain that isn't touched by the time release Oxycodone.

Taking your life is NOT the option when you have a doctor who is willing to work with you and write you scripts for opioids.
It's important you let the doc know what works for you. You won't get the relief you need when you just go along with what he thinks may work in his opinion. You have to provide honest feedback if you want to get through the next weeks of no Opana. All you have to find is a temporary solution that keeps you from withdrawing. I hate to say it, but you may have to bear *some* pain and discomfort untill this is worked out.

Those are my 2 cents and I hope my point of view will help / give you insight / hope. Best of luck to you.
 
crimsonjunk said:
wow dude oxymorphone to hydromorphone you got screwed. I really hope you plan on shooting those hydros because they are just about useless orally. not to mention the huge differance in half life sounds like its gonna be a rough month.
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Not to try and start an argument, but I just have to point out that hydromorphone has a better oral bioavailability than oxymorphone; 30% and 10% respectivley. Though I know you probably can't compare the highs. I find hydromorphone strong, but I like to IV it. Also, Dilaudid 8mg tabs are awesome-it's worth it to spend the extra to get the brand name tabs.
 
tricomb said:
Shame.... so, we lost the good Oxycontin, bout to lose the good Opana, what does that leave us? Roxi's and Dilaudid?
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And....The feds' are pressuring Dr's to prescibe extended release meds' as much as possible in comparison to instant release forms of the med' I've read a few articles in the recent past of pain patients (just happening by accident) noticing whole er pills in their stool (not breaking down or dissolving at all in the stomach & the intestines) These are the new formulations that are suppose to be so safe. It's probably happening way more than anybody thinks...If I were on an e.r. medication, I wouldnt want to inspect my stool to see if the med dissolved ! And no, it isnt just the plastic shell of the tablet it was the WHOLE UN-DISSOLVED pill in each case i've read about.
 
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Fire and Water---What you are talking about is exactly why Opana works for me. I have a very short intestinal tract (colostomy, and bowel resection), so the "new" OCs did not break down before they 'came out'. The opana is the only thing that gives me enough relief to live a halfway decent (tolerable) life, albeit in VERY high doses. Now I am hearing that when OpanaER comes back it will almost def. be the new 'anti-crush' kind, which probably means it wont work for shit.

Rave: My doctor is great, but simply can't prescribe a high enough dose of anything else to give me the relief I need. It would literally equate to THOUSANDS of pills. The bottom line is that it is not just a short term shortage. If these new Opanas come back like every other 'retooled' pill, it won't work for me, which means I will no longer have ANY recourse for my pain relief. I will be back to where I was a few years ago: In bed 24/7, barely able to clean or feed myself. Would you want to live like that? I sure as fuck don't.
 
It's F'ing deplorable... The feds' trying to make it so hard & expensive for the patients & policing the doctors so thoroughly, they just want us all to just throw up our hands & say "I guess I'll just ask for Tramadol, or hopefully Vicodin", which in my case do ZERO for my pain issues. It's borderline discusting what they are putting us through because of the "few bad apples"
 
I understand that my case (because of the ENORMOUS tolerance) is pretty rare, but I have always been of the opinion that trying to do something like deter abuse, is not worth brutally hurting people, even a small segment of a community. Especially when they are doing it supposedly doing it to "Help People". The greater good argument does not seem to wash when the 'bad' is people losing their lives, either literally or by not being able to function in society, and the 'good' is, in reality, just pushing people towards heroin.
 
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