Pain Management :: Morphine Vs Opana


Feb 29, 2016

I have been on Morphine Sulfate 15mgx4 per day for chronic pain.  Now my outrageous insurance is saying I must try Opana in it's place before they will let me use my morphine.  I am concerned that it will not take care of this pain as I have tried tylenol w/codeine, tramadol and a patch and none of them work.  I am afraid that this will not take care of my pain and it will be days before I can get an appeal in.  Is Opana/oxymorphone stronger than these others that I have taken.  I apologize if I'm not making myself clear...I am totally handicapped and bed ridden and I am fearful that I will be in pain.  

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Pain Management :: Morphine - 30 Mg Morphine At A Time Once A Day?

can you hurt yourself by taking two 30mg morphine at a time once a day

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Frozen Shoulder :: Pain Management - Morphine, Naproxen And Paracetamol

In 2007 I had true frozen shoulder in my left (non-dominant shoulder). After freezing and while waiting for arthroscopic release I spent five months on dihydrocodeine and tramadol and didn't sleep. Nosleep. None. I don't really remember much about 2007, I was 42. I continued working, but like a zombie.

I had the arthroscopic release and was off all pain meds within 2 days – was magic.

Surgery performed by Mr Cameron Hatrick in Sussex on the NHS.

However I had severe muscle wastage and was very unfit, so months and months of physio followed before I regained full movement and fitness.

Exercises I found particularly useful was being able to windmill my arm – simulating swimming movements in addition to the other recommended exercises.

In October 2014 I suspected the onset of frozen shoulder in my right arm. I completed as many of the exercises I did post op last time, as possible and went to gp and physiotherapist.

I maintained mobility much longer but had pain when sleeping and lying down, so disrupted sleep.

In late January I lost all mobility within 2 weeks, much more rapidly than last time, but I assumed it was because I had been keeping the strength and mobility exercises up. Up till this point I was coping with just paracetamol.

I was referred to Mr Hatrick again. In the meantime, while waiting, I was back on the dihydrocodeine, then back on the tramadol too. I also used heat patches – the kind that last 12 hours and you wear on clothing, not skin. Still managing sleep in 2 and 3 hour spells to add up to 6-8 hours a night.

However I felt my whole health was deteriorating with the use of the dihydrocodeine and tramadol, as they made me an idiot and I was in a new job and trying to impress. (Well at least look professional).

When they recruited me in February I explained about my condition and that I was waiting for keyhole surgery and would expect to be back at work in a few days. The new job was great because I could go by train as I had given up driving as could open and close the driver's door or use reverse gear.

Before seeing the consultant, I returned to my GP and he wrote a letter to point out how this was adversely affecting my mental health, recommending the procedure be done quickly. I saw Mr Hatrick on March 30th and had the op on April 1st in Brighton.

However, this time the discharge included notes and graphic images and explained the complications encountered. I did not only have arthroscopic release and manipulation under anaesthetic. As I had inflammation ++, impingement ++ and a thickened bursa, I was given a nerve block and had bone shaved.

I went home, tried the dihydrocodeine and tramadol and suffered. Went to the gp twice, spoke to the gp twice, saw the nurse to have my stitches removed and returned to the hospital for examination by a duty registrar. I saw the physiotherapist for an assessment who looked at my discharge notes and said I had had two real extremes of experiences of easy and complicated. I then had a follow up with Mr Hatrick on day 17, who said in 14 years he had never recommended a steroid injection any sooner than 4-6 months post op as there was a risk of infection. However, he recommended it as urgent and on day 20 I had a steroid injection under x-ray.

Now it is day 22 and I am still suffering and am still off work.

Since day 5 I have been on Morphine, Naproxen and Paracetamol. Since day 17 I have also been on Gabapentin. This cocktail will sometimes mean I get 3 or 4 hours sleep. I certainly have better mobility since the release, but pain is still awful, despite the meds and plenty of ice.

Given up taking one day at a time, I now take every 4-6 hours at a time.

No idea when I will be able to return to work.

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Pain Management :: Nucynta To Opana - No Effects, No Pain Relief

I was switched from Nucynta 50mg to to Opana 5mg (OxyMorphone) by my Pain Mgt doctor and I have a total different experience. I don't know if they messed up or what, but here's the issue.

While I was on Nucynta, I would take it, and eventually feel the effects, i.e. the lightheadedness, the "high" feeling, and also the pain relief. The reason I was switched was that Nucynta gave me migraines. Bad enough where I got ill and had to run to bed with all lights off.

Onced I was switched to Opana 5mg, things were different. I took 3 last night, my very first dosage, and took the first. No effects, no pain relief, no "high" feeling, nothing. So, about a hour and fifteen minutes later, I took another one. Still nothing. So I wait again, same amount of time, took a third pill...... Nothing.

So, when I saw the doctor originally and was switched, I was told that Opana was an equivalent to the nucynta. So, if it's an equivalent, why did I go from 50mg to 5mg? I'm just curious. I know they are different drugs and probably manufacturers. Can anyone shed some light on this bizarre issue?

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Chronic Pain :: Methadone Switching To Opana After 11 Years

Hi im new to the site..heres my story. 05 was in a car accident head on collision by a drunk. Injuries..fractured acetebulum and broken left pelvis plus 3 fractured ribs and puctured lung. Now 11yrs later im 34yr old mother of of 1, 6yr old son a wife... On ssi since 09... I have been on 10mg methadone bid for about 2months and much higher doses in the past.now my pm is switching me to opana er 7.5 bid. At my request. Just needed a change...methadone was making me feel exhausted and not helping my pain as it usrd to. So i tried the butrans patch a few months ago and it went horrible...after 7days without methadone and 3days with butrans patch on i had major withdraw symptom and i started to have major difficulties breathing. So to no prevail i went back to the beast (methadone)up till now... Now im on my second day of opana er7,5 bid with vicoden 5mg tid for break thru. Im not sure what to expect...im very confident in my decision in swithing meds but...i just started feeling slight withdraw effects n having insomnia...how long will this last...has anyone been on methadone for 10+yrs and swithed to a pain med that significantly helped...thank you for reading. I appreciate all of your posts and i hope to be of help to someone with my many years of experience of living in pain with a smile. Thank you...

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Back Pain After Epidural Shot/changing To Opana?

I had spinal epidural on lumbar area which is very successful, as always. Same time I transition from Long Acting 30 mg Oxycontin every 6 hrs and short acting Oxycodone to 10mg Opana Long Acting every 6 hrs and 20 mg Opana short acting 3 times a day.

I feel such terrible upper back pain! Due to shot, i don't feel treated area much, but upper back never hurt me more than it does now.

I know that Opana not working well for me, although was told Opana is stronger then Oxy's, this why my Dr decided to start from lower doses first. I take 20mg of short acting hoping at least some relieve, but 3 hrs later I am still in agony; this can't be normal.

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Reflex Sympathetic Dystrophy :: Opana Helpng Pain But Destroying My Mind?

I am at the end of my rope!!!!!! I have crps following botched surgery almost 5 years ago. I was on percocet for the first 2.5 years until a new pm doc told me it was bad for my liver and changed me to opana - 5 mg, 3 times a day with oxymorphone 5 mg times a day for breakthrough pain. About a yr and a half ago I developed horrible anxiety which has stayed with me since. The doc said maybe the new formulation didn't agree with me but made no changes. I wake up from sleep in the morning screaming and crying, so agitated. The pain docs don't care as long as your pain is under control. the doc added methadone at my last appt to curb the anxiety in the mornings but I'm to scared to take it. I've read it's more addictive than all of them. I don't function anymore, don't leave the house, cry several times a day. Has anyone experienced this? I feel insane and these docs don't seem to care. Last year I went to a psychiatrist and spent the entire year trying every anti-depressant int the book but none worked. They just raised my anxiety. I really think it's these pills.

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Pain Management :: Pain In Bruised Ribs After Accident

I was in a car accident about a week ago and 4 days after the accident I started having pain on the left side of my ribs right under my breast when I take deep breathes, yawn, sneeze, ect.  It a little swollen but doesn't hurt to touch. what could this be?

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Pain Management :: Extreme Calf Muscle Pain?

Couple days ago I stepped out of bed and almost hit the floor as the excruciating pain shot through my calves. I have not exercised or done anything extreme. I have tried stretching and over-the-counter pain meds ..

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Pain Management :: Xanax And Right Side Pain

I have excruciating pain on my right side almost constantly and when I take a 1mg xanax, my pain goes away. Why is this? A Lot of people question this when I tell it but in all honesty it works. I wouldn't be telling it on here as telling it on here doesn't benefit me at all. I would just like to know why a xanax will stop my pain on my right side. Any ideas?

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Pain Management :: After ALIF

I have asked to be removed from all pain medications as they were not helping at all and did not want to just keep increasing dosage. So my PM Dr. suggested i try Ativan or Diazepam before bed and also a muscle relaxant  called Baclofen for spasms during the day (which i had been on in 2013) it did not work, but he insists on trying it over the Soma 350mg i had been on before the surgery.... any input

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Pain Management :: Getting Off Norco

I have been on 3 pills a day of norco 10/325, I want to slowly taper off. I need a plan that would be with no W/D's. I thought about starting a reduction of 1/2 a pill every week until I am free of the pills.

I also need to stop taking celexa, I am going to cut back 1/4 a week to iam off.

Will this work?

Or do I need to get suboxone and is that addicting.

Once off the pills, I don't know what I will do about my chronic pain.

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Pain Management Of Sciatica?

My dr. did a CT scan on my left side to see if I had sciatica as I had a lot of symptoms of it.  It showed minimum damage to the nerve. I was not told what to do next? Should I get a follow up with what kind of specialist? Would a MRI show more information then the CT scan?

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Pain Management :: Suboxone Vs. Oxy

will i have withdraws after taking suboxone 3 weeks? they put me back on pain meds because i having surgery soon

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Pain Management :: Given Up Methadone

I went to my Pm yesterday and let him know that I wanted off the methadone. So since I had to see the NP because it was considered an emergency visit they decided they were going to put me on the patch where you wear it for three day then take it off. So I asked about the side effect and after hearing them something in me panic and snapped and I said forget I want off of everything. So as off right now I am coming off of the methadone. I decided that with the scare of my heart and the new neurological problems they only way to know is if I come off of the meds. I am still on the Topamax he did not want to take me off of that because I have been on it for over a year and never had a problem. SO I am hoping in with 2 months we will know if it was the meds causing the neurological problems or the something else.

What made me snap was I was telling him that I wanted something for the muscle because I was having a lot of spasms and tightness and off of the methadone and he totally ignored me and said well we are going to give you something a lot strong and this should work since the methadone has not been working. It was as if he was not listening to me. He said to me you are going to Cleveland clinic (CCF) to be treated for the muscle so the will figure it out soon, I said yes but I do not get medicine from them because I have a contract with you. I don't know why he would not give me a muscle relaxer but I feel better knowing that I am coming off of the medicine for a while I just hope I can handle the pain long enough to see of it is neurological or a side effect from the methadone....

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Pain Management :: Oxy Vs. Methadone?

.I had a C5-C7 disc fusion done 5 years ago that alleviated all of the pain in my neck and shoulders. What I am left with is a severe case of peripheral neuropathy. My feet and legs are numb to the touch but hypersensitive when I walk so I cannot go very long distances without the tingling burning throbbing pain. This pain is heightened at night when I go to sleep thanks mostly to the 300mg of Lyrica twice daily. I had an EMG nerve conductivity test performed which of course indicated severe neuropathy.

Now I am going to a neurologist who says I have to put up with the pain. I am going back on Monday to my neurosurgeon to ask for a lower MRI (never done) and I wanted a referral to PM because the pain is out of hand on 600mg of Lyrica daily. I have been on Oxycodone before and hated it and I do not like the stigma attached to these drugs so I thought I would ask my doctors to consider Methadone. What does everyone think? I know Methadone has its own stigma but is long acting and something I NEED right now and probably for good as I have had this neuropathy for 5 years.

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Pain Management :: Amitriptyline Vs Nortriptyline

I have suspected Piriformis Syndrome & SI Joint Dysfunction also causing sciatica, have also had some nerve pain in the back of my thigh, occasional calf cramps, foot cramps, and foot pain. Since my last Cortisol injection into my SI joint it has made everything horribly worse, I cannot sit now for very long without severe left foot pain that makes me feel nauseous it's so horrible. I have informed the consultant of this and am on a waiting list to go back and see him, this is the 2nd time the injections have caused me extra pain so have now lost faith in these and want to try alternatives.

My consultant previously wanted to put me on Amitriptyline but I have been on this before and was taken off it due to serious sedative side effects (even fell asleep eating in a restaurant) was on a small dose and still didn't improve with time. So I've read that Nortriptyline is an alternative with less side effects, can anyone advise if they have had less sedative side effects with this than Amitriptyline please?

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Pain Management :: Going From Norco To Percocet

So I'm on 10 mg norco 4 x daily. I keep telling the doctor if I can take 5 a day because 4 isn't enough and I'm in a lot of pain. he doesn't even respond I'm frustrated. Should I ask for percocet 4 x daily.

Wouldn't I have to take 10mg percocet for it to be stronger then 10 mg norco since percocet 7.5 mg is equivalent to 1o mg norco

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Pain Management :: Norco Withdrawl

I have a few questions about withdrawal I have been taking between 2-4 Norco 5/325 for the last year for pain and i'm ready to get off but im so scared to go through the withdrawls so i'm wondering ow bad it would be I have read so many stories on the internet but they are taking way more then me any advice would be great I want my life back......

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Pain Management :: Norco And Percocet?

So told doctor about fentanyl issue and he said we could give Percocet a try again. Ni was getting nausea from it before. So I said ok, now have a script for 90 Percocet 7.5mg. Just had 60 Norco filled last Saturday hoping this won't be an issue at pharmacy. He said the Percocet will be more effective for pain. Also I have a box of unopened fentanyl patches. Can I return them to the pharmacy? I don't want to have pharmacy and my insurance think I'm stocking up on meds.

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Pain Management :: Norco Vs Vicadin

i took norco for first time it made me feel jittery doesn't have the same ingredients as vicodin. maybe it was just my nerves?

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