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Need some help with opana ir vs. dilaudid

Layne1326

Greenlighter
Joined
Mar 28, 2014
Messages
5
I am prescribed opana ir 10 mg which I like. I used to be on dilaudids but they didn't do anything for my pain (fractured spine and other stuff) I was taking them and then snorted them. I currently IV the opana irs. I never had a chance to IV the dilaudids well I didn't take that chance. My question is my doc is willing to switch me back to dilaudids...I was on the 4 mg. I would IV them now but my question is...is it worth it to switch back? Or should I stay on opana? I mean they would let me switch back if I said it didn't work but I can't afford a month of no pain relief. And yes I know that this is considered an abuse of the pills but I really do need them. Terrible accident...and I don't try to get more or buy them off others. I just like to enjoy them once in awhile. I would really appreciate some input because it is a big decision and I know there are people here that have some good advice!! Thanks for listening !
 
I would imagine the opana oxymorphone would provide longer lasting pain relief compared with hydromorphone. Dont switch
 
An opana 10 IR, IV'd, is a LOT stronger than banging a 4mg dilly. I'd think you'd end up blowing through all your pills trying to get relief and end up running out really quickly.

There's also no reason to believe that shooting the dillies would help your pain, if snorting them didn't.

In my experience, opana is much more effective(and euphoric, and longer lasting) than dilly....I would say, don't mess up a good thing. Those pills you're getting are pretty much the best pharm you can get, IMO.
 
Move from Drug Studies to Other Drugs... OD mods, please move as appropriate.
 
No, totally not worth it in terms of potency. IV dilaudid really doesn't last long for pain relief either, in my experience. I don't IV at home but in the hospital I was initially put on an every-2.5-hour schedule with the IV dilaudid and it would wear off in two at best. There's some cross tolerance that needs to be taken into account, but all other things being the same 10mg of IV oxymorphone is worth about 14-15mg of IV hydromorphone. You don't say if you're IVing 10mg (or more) at a time, but either way it's not a very fruitful conversion in the direction you're going from. I don't have to tell you this, but IV oxymorphone is really effin strong.

So I'm sure you're not in the mood for a lecture and I swear that's not what this is, but have you considered plugging those instead? I hear you that the medication is necessary for pain relief, but it also seems like you're in that nebulous place that a lot of pain patients end up in where you're abusing the meds and possibly addicted while still legitimately needing them. I've made myself pretty cozy in that place, too. Yeah IVing is about the least safe way you can be consuming those drugs but it's also the least efficient for long-term pain relief. I don't have any first-hand experience with IV oxymorphone (frankly I'm glad of that fact) but I doubt it lasts a whole lot longer than IV hydromorphone. Plugging should, and honestly can be almost as good as an IM shot with certain drugs. I think it's worth trying at least once to see whether or not it's still a possibility. Maybe it's not; maybe now that you've been IVing it will be hard to get much relief doing anything less. That's a pretty common issue, of course. I don't know... maybe I'm not telling you anything new, and I know some people simply won't do it. But this is a harm reduction forum, IVing is definitely not great, plugging should last longer if not as strong, and all around it's a step down in risk specifically from what you're doing now. If you won't do it, you won't do it, but at least it's not going to be because I didn't say something. Any time you can avoid the needle when dosing is a good thing, but that's the last I'm going to say of it. I'm a pain patient and an addict so I do know where you're coming from as much as I can because of that relatively broad commonality.

TL;DR: 10mg of oxymorphone is indeed way stronger than even the equivalent milligram amount of IV hydromorphone, so if that's how you're going to continue using your medication then it's not worth a switch. Plugging should be considered for longer pain relief if it's as necessary as it sounds, even if it's only sometimes and not your primary method of consumption.

Just out of curiosity, are you also on ER meds, or just these?
 
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