How Strong Is A 15 Mg Er Morphine Vs 30mg Oxycodone

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I was taking 30mg oxycodone and the doctor switched to 15 mg Morphine ER and 15mg oxycodone and the pain is the worst it's been in the last 8 months. Am i going crazy or is it possible that the morphine does nothing for me. And if so I can't see the doctor for another 7 days

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1

15mg er morphine is the least amount available in the er class of pain meds, er stands for extended release, this means that basically you are receiving 15 mg per 6 hrs, over a 12 hr period. and obviously you receive half of the dose you were getting with oxycodone. long story short, you Dr.isn't doing you any favors, only reducing your pain meds and increasing your pain!, 15 mg er morph doesn't do much at all!

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2

Morphine when taken by mouth is super weak. I am suprised you didnt have some feelings of withdrawls. I would let your doctor know that it has not been working and ask for your old script back or oxycotin or oxymorphone for a long acting medicine. Morphine thru IV is a much different story. Lets say you take 15 mg of instant relase morphine your body only absorbes 2 or 3 mgs of it and in its long acting form even worse then that.

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3

Razor, sorry to hear that you're suffering! That really sucks and it sounds like your doctor definitely cut your medications back. Are they trying to go off the new CDC guidelines or something?

Oxycodone is 1.5 times stronger than Morphine [1], so to go from 30mg Oxycodone to 15mg Morphine is like receiving less than half of the therapeutic dose that you were getting before. I'm also linking to a table below which compares the strengths of different pain medications, and that's how I know that Morphine is weaker than Oxycodone.

Best wishes with all this and I hope you can get it sorted!

[1] https:/­/­rxchat.com/­wiki/­Equianalgesic

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4

My doctor has done the same thing .....and i think it has a lot to do with the new regulations on narcotic pain meds and my doctor said with chronic pain it is managed better with an extended med and then an immediate for breakthrough ....but I take morphine ER 15 mg Three xs a day then oxycodone 15 mg three xs a day and taking them together seems to help me pretty good hope that info helps and good luck

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5

Razor I feel for you... You're definitely a victim of the new regulations as others have stated. 30mg Roxicodone is a very abused drug since Oxycontin was reformulated to be somewhat tamper resistant.
Doctors are starting to stop prescribing the 5mg, 15mg and 30mg of instant release oxycodone.
I'm surprised you're not in withdrawals and your pain is definitely going to be worse.
Some how I'm thinking your doctor wasn't thinking about what he did unless he has some plan to reduce your narcotic analgesic intake and or take you off of opiate therapy altogether. The reason I say this is because I've seen my doctor do the same thing to some patients I talk to when I'm at my appointments.
You didn't state how many 30mg IR oxycodone you're taking a day or the frequency, so I'm unable to say a ballpark morphine ##mg ER BID equivalent using an online equivalency chart.
One 15mg morphine ER compared to one 30mg oxycodone IR is like night and day when it comes to tolerating severe pain! It makes me hurt a little more just thinking about the difference...
God bless you.

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6

The oxycodone is better than morphine, it sounds like he's trying to wing you off the stronger stuff

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7

I also found that the morphine 15mg er is garbage. doesn't work. I have changed to Methadone 10 mg 3x a day. works fine , lasts long, there are times i last till late the next day and may not even need to take med on the second day. I would try to get Methadone or equivalent. U might have to go to a Methadone clinic. Different laws for different states. I am not sure how the states or feds handle methadone clinics. But u might have waiting time to get on. so check sooner than later. don't wait until u are crying in pain. no way to live. Good luck to all

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8

Most of the privately owned clinics are all run and operated by a corporation that is known as The Colonial Management Group, and they own countless private and mainly cash-only clinics. that has it's advantages and disadvantages of being a private clinic, one decent advantage being that it's very small and lax (laid back) clinic with only 3 nurse windows and new nurses never pay attention to the person taking their dose, and I have seen countless people walk out with half or even all their dose whether it's the little 10mg pills, the wafers or liquid, but you gotta be slick and get a dumb nurse who is lazy lol, and nothing is strictly enforced until the DEA steps in and forces change which to my knowledge has yet to happen since i have been here but Im sure they visit from time to time and change things up, before I started going and maybe even after just not during dosing hours of course (they don't even watch you pee and 2 years ago they didn't even have heat strips to make sure you didn't bring in lukewarm or room temp urine from someone who was clean but they cut that out eventually to the T and there is no dose cap as long as you can prove through a peak and trough evauation that your metabolism is eliminating your dose at a rapid pace, so I know some that are on 400mgs plus some on even more daily, I myself, personally take 250mgs a day and have been going for 4 years and counting now. although I am close to starting a tapering regiment so I can wean off it it within the next year and a half or so but very slowly of course but it's certainly possible if I can stay strong-minded and strong-willed enough to follow through and not give up which can be a lot more difficult with no real friends or support but that's not going to stop me. once I am determined enough to do something I tend to follow through with it. I never tried to do it in my younger years, maybe sooner. Some disadvantages are, they are only open from 5:00am-10:00am on weekdays and 6:00am-8:30am on weekends and they are open 365 days a year with no exceptions. My clinic charges 18 dollars a day for the methadone and 28 dollars a day for the subutex. they will not let anyone charge whatsoever, so if you forget your money or your debit card which they just started accepting 6 months ago but only if your full name is on the card which i can understand then you're s*** out of luck. they will show absolutely no sympathy towards you or how s***ty you will feel later if you do not get the meds. it's just a cash cow business making money off the backs of recovering heavy opiate addicts, so they are basically just legal drug dealers. just like a nurse a long time ago told me when I asked her if anyone could ever charge if they didn't have the money to dose that day she said and I quote "Nope we are drug dealers all the way and drug dealers do not give out fronts". I couldn't believe what I just heard but she was dead ass serious and what made it ironic is the fact it was from an 85 year old nurses mouth LOL. talk about crazy, but hell what do ya expect from a damn methadone clinic.

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9

There are a few posts here that seem to be why the true chronic pain patients that don't abuse their meds, are having issues with obtaining their meds .... thosd are the people that should get 20 years for over prescribing and charged if their patient od's

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10

I agree that morphine IRs aren't as good as Oxycodone IRs. My friend has had chronic pain for the past 3 years and the pharmacy gave her a new brand of Oxycodone IR that are made with a narcotic antagonist in it (they're trying to keep people from abusing them) and when she just took them normally, she was showing withdrawal symptoms. I just thought I would let you know about these since you have taken them. They work fine orally for occasional use but those who take them daily, proceed with caution.

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11

hey katz, yes, the times are changin for sure.. thanks for the heads up..

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12

Morphine is not as strong as hydrocodone ao qhy they would change ur does and lower it makes no sense to me

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13

Re: Joeyp (# 12) Expand Referenced Message

hydrocodone (for most) is the drs entry level pain reliever then usually percacet (oxicodone) then the choices vary one of which is morphine..... for most people the strength or amount of relief given is least to most in that order but their are exceptions & variables a good hydrocodone will work better than a junk oxicodone ...... but as drs go they nearly always script in that order ... but each person responses can vary due to their body chemistry ..... hope this helps

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14

Well, I have chronic back pain, I've been sleeping in a recliner chair now for way over the last 12 yrs or so, I have screws & plates in my lower back (l3--l4 etc)... I take one 30mg imediate release tabs every 4 hrs. I also have a continuous drip morphine pump which means what it sounds like, it drips all day and night predetermined by my pain dr. I also have a hand held bollus which allows me to release more morphine for breakthru pain, every 4+ hrs, 6x per 24 hr day. The morphine pump is implanted in my right side. This is my fourth pump. I go to boston every 6 months to refill the pump. I have had every combination of pain meds you can imagine. Morphine is very strong pain meds, but!!! They dont give you the euphoria your looking for as the oxy's do. To say the morphine doesn't work means your definitely addicted to the oxycodones and that happens to pretty much everyone. I know what im saying, im 55 yrs old and been on fentanyl patches, morphine, oxy's, vicodin, oxycontin and most everything above 5-7.5 vicodins.

Before my pump implant I was taking one green 80mg oxycontin in morning two 40mg tabs in the afternoon at my discretion (break-thru pain) and another 80mg tab just before bed and 2 10mg methadone tabs to take during the night-time hrs to hold me over in case I cant sleep at all during the night, until I get my 80mg tab again in morning. I was sooo addicted. I went into a detox program on my own! Detoxed off a lot of extra meds and then went looking for pain pump doctor to implant pump in me, first 3 surgeons said no, they only put them in cancer patients who aren't expected to live too much longer, 4th dr put me thru-the ringer with my medical documentation over the yrs, contacted other surgeons and took a 3 hr psychological evaluation first, whew!!! After 13 surgeries, half were spine fusions back and front and 19 yrs or so later, I'm not doing too bad, still in pain 24-7 but im anestitized to it for the most part, one day you will be also (but...) this post is just after all these opiate new guidelines the government is requiring dr's to follow mainly reduce accross the board everyone's scripts! The dr's are prescribing too much. According to the government too many people are dying from overdoses, so legitimate people who need meds are screwed bigtime and im sure lots of folks are gonna try illicit drugs. Well good luck there mate. Live long and prosper :) signing off, bye.

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15

I have heard that Morphine barely effecting people, Oxy 30 vs a MS 15 stay with Oxy, or dilaudid. Say you would like to try a 4mg dilaudid instead.

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16

Re: Roy (# 3) Expand Referenced Message

I think oxycodone is 1.5x more potent than hydrocodone. For me personally, the highest dosage of morphine I've taken orally was approximately 30-45mg. Hydros have a relaxing quality similar to some benzodiazepines. Oxy is for veterans and I prefer Vicodin as my source for that. If you're willing to put in the work, Opana (oxymorphone) 20s (25s maybe?) are super underrated but have massive addiction potential. They work very well. Highly recommend being hydrated when taking these medications. Stay safe guys.

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17

Does anyone know if you can fill a pain medication rx online? I'm in so much pain every day and my Drs won't do anything for me. I don't know what to do.

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18

Doctor is only protecting himself by not prescribing your meds that worked better for you. Find another dr that gives a sh@t.

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19

For 10 years I was an undercover narc. To make a long story short, this is why people go to street drugs, especially HEROIN. States that have recreational marijuana have stopped using most pain medication as they’ve found marijuana to to greatly assist with their pain. Unfortunately, politicians are very ignorant and have very little knowledge about marijuana vs. pain medication.

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20

You failed to say what type of morphine, therefore none of the answers given could be anything more than guesses. If it's oxymorphone you didn’t do bad. Could be hydromorphone, could be morphine sulfate. Hell it it could be diamorphone. Too many variables to say anything definitive.

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