There's hydromorphone (Dilaudid) however it is only supplied in an instant release form, which has drawbacks.
Not quite. There is Exalgo, which is time release Dilaudid, and it's available in 8,12 and 16mg strengths in the US. It's MEGA expensive w/o insurance, but medicaid/medicare does cover it.
The drawbacks of dilaudid is that is has a relatively short half live, low bioavailability when taken as directed (eaten) and super watched since it's a drug of choice for abuse. Telling people you have it could lead to robberies, break ins, all kinds of unwanted attention, so I suggest if you get them, you keep that info to yourself. You can insufflate the IR tabs, Exalgo cannot be since it dries like super glue and cant be crushed fine enough to snort. and if you are tempted to go the needle route, a huge supply of dilaudid is about the worst thing you can have on hand.
Personally, I would push for just the oxy and more of it in IR form. It has a decent half life and like 90% bioavailability when eaten - no need to snort, plug, inject, etc. ofc that is also a well sough after drug, so if you get those, dont share that info with anyone.
You could also try for fentanyl patches, they cannot be snorted and are generally, tho not totally, abuse proof. and they work for, on average, 3 days at a time, which is great for chronic pain. The main drawback is if the patch comes off (if you have night sweats or do a lot of physical labor), they never adhere right again, and heat can lead to some dose dumping.
Im about to retire from here, maybe post once in a while, because opiates simply do not kill my pain anymore. I get more relief from a crapload of motrin, heating pads and a good massage than I can from nearly any opiate. and my addictive personality def doesnt need to be fucking with opiates AT ALL. Im already thru the physical detox and feeling better than when I was all but doped up to the point of anasthesia, and NO DOC in the world is going to give you enough meds to put you into that kinda state every day. Really tho, and I know this is off topic, is all the bs that comes with opiates, and I'll leave that up to you all to know what Im talking about. Peace out, gl with your doc, and be good to yourselves BL'ers.