Dilaudid As A Oxycodone Replacement? (Page 5)

Hi. I suffered a L1/L2 complete SCI injury some 4 years ago. After 6-7 weeks when the spinal shock wore off I noticed I had a burning pain in my lower groin area even though I can't really feel much below my hips, we thought maybe it was a UTI but all showed negative. It was diagnosed as chronic nerve pain and it never goes away, I get acute nerve pains in my legs on top of this chronic pain.

I have been taking 10mg Oxycodone four to five times per day and methadone 10mg once a day for the chronic pain + 800mg Gabapentin three times a day for the burning in my legs. The only way I have been able to keep my doses so low over the years is by being very hard on myself as to when to take the pain meds but as hard as I have tried I'm now going up to around 60mg total Oxycodone per day and 15mg Methadone.

I have a very good pain Dr and we always wanted to do a pain med rotation before levels of any one drug got too high so we have changed the Oxycodone over to 2mg Dilaudid tablets. I have been told to try anything from 2-4mg at a time, four times per day to replace my Oxycodone.

I have only just started to try the Dilaudid like 1day ago but even at 4mg it doesn't seem to work on my chronic nerve pain as well as my Oxycodone does, all it seems to do is make me sleepy and I can't have that. I work a professional demanding job where I can't be feeling out of it or tired. I was wondering if anyone here that has tried both maybe let me know if Dilaudid is normally a replacement for Oxycodone?

Should I be giving Dilaudid a few more days before throwing it off my list of pain meds? Or should it have worked straight away if it was going to work at all for me?

If it doesn't work I'll have to return to Oxycodone and hopefully find something that we can replace it with that won't have terrible side effects and also let me work normally. I guess we could increase the methodone to make the oxycodone last longer, I find the methadone great like that but that is not a real solution to replacing the Oxycodone so we can give my body a rest from that kind of opiode and hopefully reset the switch so after a short period on the replacement drug I can return to a lower dose of Oxycodone.

I would be greatfull for any advice.

Cheers.

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I am currently on morphine 60mg er 2x a day and using Percocet 10/325 for breakthrough pain. My insurance is screwing around with me as my Dr office has faxed over a prior auth for my regular qty of 150 roughly 15 times and the insurance company continues to say they are not receiving it. So my doctor is willing to write me something else for my breakthrough pain. Would Loratab be a good replacement?

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Maybe have the dose of diliuiad increased I prefer this medication I've been in 3 rear end collisions. It takes more time to judge the effectiveness.

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Does dilaudid help with pain as well as oxycodone, and are they easier to find? I'm in a lot of pain.

Also, what pharmacies fill prescriptions for oxycodone?

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My pain dr changed me from 15 mg of oxycodone to 4 mg of dilaudid. Is oxycodone stronger?

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Can someone please tell me what the difference is between Dilaudid vs Oxycodone 20 IR? I am about to change to Dilaudid.

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