Is There Pain Medication Stronger Than Morphine On The Market?

i'm taking 200mg twice a day of MS-contin and have been for many years for my severe back/leg/hip/sciatica pain but there are times when my pain still knife's it way through it.Should the dosage be increaed or should I as my Dr for something else or add to the MS?

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Ask him about medication for nerve pain

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Hello, Rich! How are you? I'm very sorry that you're in pain.

Along with what BL suggested. (Thank you, BL!)

Oxycodone and Fentanyl are both stronger opiates than Morphine and both are also available in time released formulations. You may want to ask your doctor about trying one of them, as well.

The FDA lists these medications as being narcotic analgesics, so they have the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

Are there any other questions or concerns?

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After fentanyl patches (no good) and morphine 30m immediate release which has life of 4-6 hours switching to methadone with life of 3 days my pain has almost disappeared.. DDD, stenosis, sciatia, joint disease, 5 herniated discs...60m 3x day..

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Hydrocodone is even stronger than ms contin per milligram. Oxcodone is close to twice as strong as hydros but the morphine last alot longer, therefore actually helps the pain for longer peroids. Percs would be like eating skittles trying to manage severe pain. I know from experiance and the fentanyl is more like morphine but 100x stronger per mill, actually they're microgram. Per hour if you use them right morphine is more of a natural pain killer, it's not synthetic. In other words it grows in poppy plants like codeine, hydomorphone (dilaudid), demaral and some others. From my experience the lab made synthetic narcs like percs hydros opana oxycontin which is nothing but percocet, they're more habit forming cause in the end your tolerance will be through the roof and you'll find yourself taking 10-20 a day just to manage pain. Unless someone is just really truelly cripled from pain my advice is get off all that s***. Trust me it can be done, ive been an opiate addict cause of back pain for 20 years. I'm only 38 but 3 years ago i kicked em without rehab, just sick of thinking about pain pills before my feet hit the floor everyday. But if you really need them badly im telling you stick with the morphine.

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I read a lot of these people that are in pain and I do feel bad for them. I can't speak from experience myself. First I want to address an issue: Taking more opiates is not the way to go when you get to a certain point. I can go into a big lecture on how the body works but it would take too long to do this. I used to work in a laboratory in the hospital and work in the medical field for 18 years and have two degrees. The whole idea is to try to get the pain under control, I think everybody can agree to that. If somebody is out for something different than that, then they have a psychological addiction problem. Another thing that we can all agree on is that once you start on on the path for CHRONIC PAIN MANAGEMENT, we have already been on opiate medication orally for an extended period of time and get the doctor should be moving us up to a patch such as a fentanyl patch or a Butrans patch (which may not have been available during this initial conversation). Opiate patches are now the standard by which chronic pain patients are being treated with as of today. If a person has been on a large amount of Narcotics prior to starting a pain patch the doctor usually put them on a very large dose pain patch. For breakthrough pain we'll start him out with either hydrocodone or oxycodone. This all depends on how severe your pain is accessing information all your medical records, etc. Now tell you from my experience that at at age 30 I begin to have a small amount of chest pain well I used to be a bodybuilder I never thought much of it and it went on for several months and it's got slightly worse so after lifting weights one day I thought I better get it checked out and hope it's not my heart because it felt like something stabbing into my chest. I walked in they did their EKG chest x-ray and said my heart was alright and told me that it was intercostal chondritis. And they gave me a prescription for 6 Darvocet at that time. I wasn't looking for a prescription for opiates I was looking for the answer for why I had pain in my chest but I wasn't buying the answer what they said because of all the medical training I had. Fast forward to 10 years and 3 Hospital admits of complaining of my chest hurting and it's getting a lot worse and it going down my arm they still couldn't find anything. The doctors would just give me pain medicine. I never abused the medicine constantly the whole ten years it was a kind of on and off thing. On the 10th year I was driving to Illinois and I hadn't thought that far in a long time and my chest started hurting severely and I thought I was having a heart attack on the spot I put in the GPS to the nearest ER. In the back of my mind I knew what was wrong I guess I was in denial they flew me up to a Heart Hospital did a cardiac Cath everything was fine except one big problem, when the cardiac doctor came in he told me I know what's going on with you. Within 2 weeks I found out that I had three disc that will completely bad multiple pinched nerves and I sent over to the neural surgeon within the week. When I got there I was told that I need to be operated right away and was also told that he couldn't do all three at once then it's only usually done in in car wrecks or accidents. I wasn't shocked at all to tell you the truth I was actually relieved I thought thank God this pain in my chest is finally going to go away. And that's what I told the doctor but when I told him about the pain in my chest he didn't really have an answer for that. But I had done the research and knew that the disk can run to the root nerve into the chest. Anyways did the two disc no problems year later get the other disc. And then I started having chest pains again and I had I had started having migraines on the right side of my head constantly. So I had to go to a specialist down in Tulsa Oklahoma and have a surgeon insert a device that runs from my right side near my kidney all the way up into the occipital nerves on each side which cost $160,000. I forgot to tell you before the surgery dad put me on a Butrans patch immediately on a moderate dose 10 micrograms. When I move down to Tulsa I saw a pain specialist down there and they put me on 20 micrograms Butrans and hydrocodone 10 milligram 4 times a day as needed. Sometimes I needed it sometimes I didn't but I always had to use at least a couple a day. But I thought to myself what just happened? Fast forward seven more years I'm not officially diagnosed with rheumatoid arthritis with lab work that would blow your mind away showing a lot of inflammation. They did a hand spread of my hands which I didn't feel any pain in my hands but it shows to see if there's any problems in the bones in your hand where you can guess what it showed a lot of problems in my hand. By this time I have been on a fentanyl patch of 100 micrograms and oxycodone instant release 15 milligram. They also found 2 more discs in my neck that are bad and I'm waiting for the results of a new cat stand that's going all the way down to the thoracic region. I'm also having severe problems with the lumbar region because it was verified from a Cat scan from 3 years previous. About a year ago I was actually on higher doses of pain medicine at Fentanyl 125mcg, OXY ir 15mg 4 x day. I told the doctor to put me on a smaller dose and worked myself down to where I'm at. The reason I did that because I knew my condition was getting worse and I know this sounds stupid but I didn't want to have the high tolerance and I already had a good idea what was going on and I had prepared myself. I'm taking Gabapentin which reduces nerve conduction and Topamax to help with migraines. The Gabapentin I have a 1600 milligrams a day split 800 milligrams twice a day. They also put me on methotrexate which I'm not a very great fan of it you'll just have to do your reading about that. But I am going to let you know something I am in a great deal of pain right now and on my next doctor's visit to the pain specialist I'm going to have him raise the pain medicine level because it's about time for it to be done. What's happening to me now is it's already pretty fast. I'm not writing you this to give you a sob story. I'm writing this to let people know that sometimes you might have to tough it out a little bit so that you don't have a large tolerance to the pain med to where you're taking such a great large amount of it and it may kill you while you're asleep what are you just absolutely stop breathing one day and also to make sure you do all your reading on the medications. I'm on other medications to and that was the other chose to back off on my opiates for time being of about one year. So now that I can start moving back up the medication will work for me and I'll get the absolute pain relief that I need. I truly believe that if I had stayed on the course that I was on I would have just kept climbing the ladder. Of course anybody that's on legitimate pain management through their Dr and have been so for years are going to be physically addicted to it and that your body is not going to be able to function without it at least not without going through the proper steps to come down off of it. And another piece of information anybody that thinks that could come off the fentanyl patch cold turkey that's extremely dangerous in fact it has to be done through a facility especially if you've been on it for years like I have which is now at total of 7 years on being on one type of patch or another consistently. And on top of that opiates orally. I know what I'm taking me not compared to what some people may be taking but I kind of wonder why are some of you guys taking as much as what you're taking and is it really that necessary but I haven't heard your diagnosis. I think I read somewhere where somebody said they had lower back pain and some other little issues and is taking a god-awful amount of opiates for it. And been on medication for something like 32 years or something like that my question is if everybody had just a little bit of back pain and was taking opiates we have half of America on opiates and taken 70 milligrams of methadone and Percocet on top of that and that's just not how those medications were supposed to be used for. That particular case that's just low tolerance of the body and should have never been allowed to continue to have more medication delivered. This statement May piss somebody off but that's just the simple truth of it. That amount of medication is usually given to a cancer patient. I'm not talking to somebody that's in their last stages of course. I did read a lot of these statements and some of these doses are just outrageous. I'm sorry if I stepped on people's feet but when I see the words that you'll get a little "Buzz" or" High" out of it that sounds like to me somebody wanting more out of it. My lower back is so messed up I can't even feel behind my knee caps the pulsing that goes behind them is pretty significant and the throbbing that goes down both legs it's every day non-stop. The pain in my chest is non stop feels like I'm having a heart attack constantly it's hard for me to even concentrate. I'm sorry for the long drawn-out speech. But I am sorry for the people that are in great pain I can definitely understand what you're going through.

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You are already taking 4 times the guidelines for accepted highest dose of morphine, which is 100mg morphine equivalent per day. I would refrain from asking your doctor to up that dose. Fentanyl and methodone are continuous release meds and generally stronger than morphine.

Dr. Tim Sams

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