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  • BDD Moderators: Keif’ Richards

Siwtching from Morphine ER and Percocet to Opana

M

missy713

Greenlighter
Joined
Aug 21, 2011
Messages
5
Hi all, I have been taking 12 Perc's per day and 80 mg of Morphine, extended release. My doc has now switched me to Opana ER - 25 Mg per day, and Opana IR 60 Mg per day; apparently this is the conversion, however this is completely incorrect. I am in withdrawal if I only take what has been prescribed. Has anyone else experienced this or something similar? Any suggestions to maximize the effectiveness? Opana is really not helping my pain much. Appreciate any feedback and to hear about your experience!
I would also like to know what is better or more equivilant to the percocet without the APAP - that is what I am trying to avoid. Thanks!
 
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Hey my best advice would be go back to your doctor and tell him that you are in extreme discomfort and that what he gave you isn't doing as good as a job as the opiates prescribed to you before.
 
Thank you. One reason why I switched to something without APAP is because of the new FDA Regulation reducing the daily max so that you can only take 3,000 MG of APAP per day max (before it was approx 4,000.) That means I had to cut back by 3 perc's per day, which was just too much to do at one time, and converting the extra 3 percs to more ER Morphine did not work, I felt WD symptoms. I am just looking for other options at this point to where my pain is manageable without having WD symptoms. The Percocet worked extremely well for my pain… I am thinking about trying Oxy IR’s – do you think this would be better than Opana?

Also I tried the Opiate Equivalency Chart, my doc converted me correctly according that, but it does not seem to be anywhere near correct in my experience.
 
Can you ask him to prescribe just oxy, not percocet? That way there is no apap at all...

I made the same switch, and found that Opana was a dangerous drug for me...It caused many feelings of withdrawal because it does not last as long as it is supposed to...I switched back to roxi (oxycodone 30 mg immediate release) and it has been awesome.

Because there is no apap, you have a little more freedom in titrating just the right dose....sometimes I have to take 2 or 3 of them, sometimes I can skip a dose, I really like having that freedom...,good luck to you!
 
That's interesting about the max amount of APAP. In the UK it is still 4000mg and has been for years. I wonder why they have changed? Do you have a link?
 
Well 12 percs would be 60 mg's of oxycodone right?well you said you get 60 mg's of IR oxymorphone now per day?This should cover the w/d symptoms from 60 mg's of oxycodone.and I also think the 25 mg er would cover the 80 mg's of morphine.And I'm talking about taking the oxymorphone orally btw.If it were snorted it would be more then enough to cover the withdrawal symptoms from the dosages of the drugs you were previously on I would think.

Maybe just try taking a tiny bit more oxymorphone or letting your doc know you are uncomfortable and may need a dosage increase.Also you might try snorting one of the IR tablets(I assume they are the 10 mg tablets) to see if it helps,but I wouldn't make a habit of this,I only brought it up because it might help you get more pain relief and relief from the w/d symptoms until you can see your doctor and get a dose increase so that taking them orally keeps you comfortable.Just a thought,but I totally understand if you wish not to do this,which is a good thing I suppose.
 
Effie - I have been unable to find the exact date of this change for Opiates, but my Dr. and Pharmacist gave me the same info on the same day regarding the "upcoming change".. Here is a link I found that contains some info about lowering Tylenol dosages: http://www.redorbit.com/news/health/2087208/max_tylenol_dosage_lowered_to_lessen_overdose_risk

Beachcat, that is what I am going to do.. ask for OxyIR. I agree that the Opana is short-lived and also not as strong as the "opiate converter" says AT ALL. Not even close actually. It does little for my pain. Thank you - I am glad I'm not the only one experiencing this.

OntarioGuy- 12 Percs per day is 120 MG's of Oxycodone (yes, my tolerance is high.) Again, my Dr. used the opiate converter, and I double checked it, it was correct according to that.. But not from what I am experiencing... not only do I have WD symptoms but my pain is horrible. The ER's seem to be fine, I am not complaining about those.. Morphine ER or SR doesn't do much for me either though. I am just having the issue with the IR's. I haven't ever snorted.. Kind of scared to get started with that, but maybe I will try it.
 
^^^I kind of thought they might be the 10 mg percs.Maybe just take a larger dose of oxymorphone orally before trying it nasally.Nasally will increase the potency by quite a bit I believe.

In the end,I guess you'll either have to ask your doc for a dose increase or a different narcotic.Maybe the fentanyl patch is something that you and your doctor could talk about if require around the clock pain relief.
 
IMO you should try Roxicodone. this is the IR preparation of oxycodone without APAP.

i dont understand why your doc would go throw all the trouble, when he could of prescribed 30mg roxicodone 4 times per day instead of percocet....
 
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I am on Opana. There is no 25mg ER. There's 20. There's 30... No 25... To rx you a 20 and a 5mg is pointless not to mention wicked expensive. A monthly Opana rx without insurance costs anywhere from 700 to a grand. With insurance it's reasonable but insurance companies will only cover a certain number of Opana per month. If you really are on the medication you claim to be on then your dr is a complete moron and no wonder your pain level won't drop.

I take Opana 30mg 2x daily and roxis 6 times a day for bt pain. Then soma, ibuprofen Valium Ect.

Sounds to me like you need a new dr or you're a troll.

Good luck.
 
missy713 said:
Effie - I have been unable to find the exact date of this change for Opiates, but my Dr. and Pharmacist gave me the same info on the same day regarding the "upcoming change".. Here is a link I found that contains some info about lowering Tylenol dosages: http://www.redorbit.com/news/health/2087208/max_tylenol_dosage_lowered_to_lessen_overdose_risk
Click to expand...

Thank you for that! So it sounds like it isn't due to new evidence that 4000mg is too much in 24 hours but because "Some people accidentally exceed the recommended dose when taking multiple products at the same time, often without realizing they contain acetaminophen or by not reading and following the dosing instructions." Hm. Oh well, being more cautious about APAP has got to be a good thing I guess..

Hope you have sorted out your meds now missy713..
 
Violenza666 said:
I am on Opana. There is no 25mg ER. There's 20. There's 30... No 25... To rx you a 20 and a 5mg is pointless not to mention wicked expensive. A monthly Opana rx without insurance costs anywhere from 700 to a grand. With insurance it's reasonable but insurance companies will only cover a certain number of Opana per month. If you really are on the medication you claim to be on then your dr is a complete moron and no wonder your pain level won't drop.

I take Opana 30mg 2x daily and roxis 6 times a day for bt pain. Then soma, ibuprofen Valium Ect.

Sounds to me like you need a new dr or you're a troll.

Good luck.
Click to expand...


LoL............Sherlock Holmes is on the prowl......:)
 
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