What Is The Difference In Opana And Morphine

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just wanted to know if there is a difference between the 2. I am perscribed morphine sulfate er 15 mg twice daily. My neck has been operated on a few times so i have severe pain daily. I forgot my pills at home over the weekend. My mother is perscribed Opana 10mg. She gave me one and it seemed to work better. Wanted to know if there is a difference between the 2. I am not sure how to go about asking my dr to switch me. Don't want her to freak about my mom giving me one of hers...

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Opana contains the active ingredient Oxymorphone and it is actually stronger than Morphine. So, the one 10mg tablet that you took was actually equal to taking 30mgs of the Morphine, at once.

They are both narcotics, so the side effect profile is similar and can include: nausea, dizziness, drowsiness and constipation.


It is always best to be honest with your doctor, but yes, it may cause some issues if you tell them you took something that isn't prescribed for you. Are you under a pain treatment contract?

https:/­/­rxchat.com/­wiki/­Morphine/­

https:/­/­rxchat.com/­wiki/­Opana/­

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2

I have had 5 cervical surgeries in the past five years. The end result has been the fusion of C3 to T1. Unfortunately, I still suffer from pain and after every surgery he goal is to become pain free yet I end up with a different source of pain and further complications because of the added levels being fused. Right now most of my pain is at the base of my skull. My surgeon says I have occipital nerve pain and the cause is due to the increased strain placed on the two remaining levels at the top of my spine. The only resolve would be to have my spine fused to my skull. I do not want to have that procedure yet. Here is my question. I have been on the same dose of morphine which is 30 mg ER 3 times a day and 30mg IR 4 times a day for three years. Prior to that I was on a Fentynal patch but developed sensitivity to the adhesive glue of the patch. Honestly, while on the patch, that was the only time I was really almost pain free. The conversion from the patch to morphine is the dosage I have been on like I said for three years now. I have tried not to increase my dosage and basically lie to the doctor about my pain scale. I tell him I am at a 6 and I accept that but since my last posterior surgery to re-fuse C3-C4 and C6-C7-T1 and the palcement of rods. My pain has slowly increase to the point that I am not able to tolerate much more pain. It is affecting my life now to the point that my quality is decreasing fast. The surgery, only 7 months post-op now did work and was successful. However with the change of the anatomy and the mechanics of my neck, the pain I feel will always be with me. I see my doctor on Thursday and I am going to tell him about the increased pain. I do not think that morphine works on me any longer. Is this possible. Can the body just stop working with morphine, no matter what the dosage is. If so, what can I take. I would love to go back on the patch but know that within 6 months I will get the welts and rashes from the glue. Is there a drug that would provide me relief similar to the patch? Any advise on this and how to approach my physician about the increase pain and decreased quality of life. If it helps, I am very strict on my medicines. I take it as prescribed, never abused, ran out of or taken more than I should. I am not an addict, I am just dependant on these opiates to make my life worth living. Thank you. I look forward to your advise.

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3

Yes your body can definitely get used to morphine. As it can any narcotic. Percocets and Dilaudid IR work good for me. I was just switched to open a because "its stronger" but my pain has gotten worse since I switched. But I have chronic conditions so my case may be different.

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4

I was given opana over a year ago. my pain got worsre and developed other pain. dr increased dose my pain was untolleratable. stopped taking all new pain went away. it causes joint pain and swelling of joints. look up all side affects. I had many.

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5

Hi i suffer from chronic pain,and have for many years now, i have been on the fentynal patch at one time and that was just prior to my cervical fusion of 3 discs. i didn't like the way it made me feel, i had been upped on the dosage, and was up to 100mg/3day and my surgeon was not happy that i was on this, i told him that i was in the process of working my way off of it when i was seeing him just prior to my surgery, but he decided to go ahead and do the surgery anyway, gave me the fentynal during the actual surgery, and i was in the ICU overnight, only to be snatched off it the very day after, and i went thru serious withdrawal symptoms, and he could have cared less, i just prefer to never go back to them, i am now on morphine 30mg, (150mg a day) and oxycodone 10- 3x day and my problem, is this, while nothing gets me completely pain free, i am able to tolerate things at a bearable rate, even with some of the pain, but this is my dilemma, i am a medicare person, i am disabled, and the pain clinic that i go to, has decided that they may possibly END their contract with Medicare due to the fact that Medicare has decided to stop paying for IN-House Labs, but are willing to pay for labs to be done, only they have to be sent OUT, to an Outsource lab, but this company is probably gonna end their contract with MEDICARE, and that basically leaves me OUT.. i have no idea what i am gonna do?? and the crazy thing is this, the PA that i see, was all over the place when i went in the last time, she tried to say she had to "change" my version of Morphine, and i said, that's Ok, b/c she said it was the DEA doing it, and repeated that over and over, and yet Never changed it. then she said, i didn't have any of the oxycodone in my body the last time i gave a UA, which is simply Not True, then that's when she told me about the Medicare issue, and i asked what that meant?? i asked did that mean that i needed to find another dr? and she said yes, also while in the midst of this conversation, she told me that she "HAD" to "Change" me from the Morphine to the Fentynal Patch, "b/c the Morphine wasn't taking care of my pain" i do NOT want to do that, but i told her i would rather deal with some of the pain and Not go on the patch, but long story short she wanted to put me on that Patch, and in the very next sentence told me that "I needed to find somewhere else to go". My questions are this, Where should i go? and WHY would she want to put me on "something stronger" when she is Not thinking she is gonna be the one to continue to prescribe them and Monitor them?? i am left out in the cold so i feel, does anyone have any suggestions, and can she just "drop" me, i'm thinking that she tried to say that there wasn't any "oxycodone" in my body just so she could "cut me off" me without having to provide service to me any longer and not refer me to someone else?? maybe i'm just 'Crazy" lol.. but it is a Serious Matter to me, she never followed through on anything she said that day, and yet she still prescribed my oyxcodone that day, "if' there "wasn't" any in my body, wasn't she "Not" supposed to give me anymore??? i do PRAY that this is Worked out, with their company and with Medicare, I do Wish that these People Voting on "MY HEALTH" would "talk" to some of us that DO SUFFER with TRUE CHRONIC PAIN... i don't wish it on them, but sometimes i think i'd like for them to "Try" to "walk a day in my shoes" it's NOT EASY by any means.. PLEASE HELP if you can, THANKS :)

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6

Hi. I feel so bad for you guys. 3 yrs ago I lifted a heavy motor up on my shoulder for work and popped 2 disks out in my neck. C3.c4. And had them fused. And in Jan this yr. I slipped on ice at work and popped 2 more disks out and cracked one of the bones. I haft a say some of these drs. Have no compassion. They think we're all drug addicts I think. Sometimes I do wish it on them. Just so they'll know what real pain is and how it feels to be treated like a drug addict. Although it's not nice to wish bad things on people. I just wish the got would keep there nose out of things and that drs learned compassion.

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7

I have RSD and am on the fentanly patch and use opana for breakthrough pain. I used to use Actiq which is oral fentanyl lollipops but recently I heard that there is a fentanyl pill. You may want to ask about those.

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8

They might be getting shut down by the DEA for not following protocol on other patients and by her telling you to find somewhere to go was a hint and warning because she knows your a real pain patient and not abusing or doing things illegally , the DEA are going after docs that don't do exams and prescibe even if dirty UA and known abuse, because those docs are all about the money they are making cuz of the self pay patients

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9

I agree. We r not all drug addicts
Most of is don't WANT to e on these heavy narcotics every day. But we have no choice. (Going in for c5-c6 fusion next week bc I'm tired of pain meds and building a tolerance to them.
Plus side effects of opana are killing me. I vomit regularly on them. I'm allergic to everything else.

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10

Well, i told my doctor that the morphine worked some for like three or four months then it seemed to not be working so she switched me to the opana which is suppose to be over twice as strong as morphine on paper! Opana is derived from morphine anyways basically with oxycodine in it!

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11

You are so right. Dr's these days want to put ppl with chronic pain in a box and think we are all just addicts looking for a fix. But if that was the case then we would get it off the streets like junkies do but we don't. We do the right thing and pay them for doing nothing but looking down on us. Sometimes I'm too embarrassed to tell my true pain level bc I don't wanna be characterized as an addict and that's truly sad. In my opinion if pain specialist have never had personal chronic pain issues then they can't tell me how to deal with mine. And I hate when a Dr tells me that I'm to young to have chronic pain. What the hell does my damn age have to do with my pain level
F***ing i****s.

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12

I'm 28 with chronic pain for almost 16 years and a tentative diagnosis of Stiff Person Syndrome as well as some slipped discs in my spine, rheumatoid arthritis in my spine, a missing bone in my lumbar spine, and severe muscle spasms. I get that B.S. "You're too young for....(whatever)" even to the point that a spinal surgeon, supposedly the best in the state, told me come back when I'm 40!!! That was about 5 years ago. Another has told me I'm too young and must have been abused as a child to have so much "pain" which was said in such a condescending tone I knew he thought I was just a junkie needing a fix. I have loving parents and was never abused and spent the entire 45 minute drive home crying hysterically to my LOVING and SUPPORTIVE mom and dad. My local ER turned me away TEN TIMES thinking I was a junkie until I refused to leave the 11th time---the next day they tried to get me to leave by telling me I didn't want to go thru the pain and risks of exploratory surgery. I jumped on it and they discovered an issue that apparently would have killed me within 2 weeks. I had been trying to get answers for 3months at that point....if they would have turned me away again I wouldn't even be typing this and my 2 young daughters would be orphans. These doctors need to stop treating patients this way. I don't want to sound dramatic or insult anyone in any way, but I HIGHLY doubt they would tell a pediatric cancer patient their too young for it and turn them away with a cold shoulder. It's disgusting. I normally don't post on stuff, just read to try and find helpful things, but everyone seems to be having such similar experiences and it breaks my heart. Yours especially....I WISH I could tell my body that I'm too young for this: not kidding, I literally have but it didn't listen. Compassion and empathy should be REQUIRED courses for every medical degree, in my opinion. If they've never experienced it or dealt with it they can be so harsh and judgmental.

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13

I took 200mg morphine 3X daily and 15mg oxys as needed for about two years. It stopped working FOR SURE! Couldn't help I took the oxys at all. Finally my Dr changed me to opana. (1) 40mg &(1) 10mg twice daily plus 10mg IR as needed. It took a little while to build up to that but now my back feels better than it has since I broke my back 25 years and 3 surgeries 18 pieces titanium 2 fake discs and a spinal cord implant ago. Sitting on my chair now I SOMETIMES feel virtually pain free. Opana doesn't give me a"high"/feeling but it knocks the pain OUT! BEST THING ANYBODY'S EVER DONE FOR MY PAIN!

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14

Just know this - sometimes it doesn't come up on your u/a. I think my Dr said it appears as oxycodone at the lab...? It is a component of morphine (hydromorphone)....? They can tell the "parent drug" it comes from. Best to refer to the pros on that one. I don't mess around AT ALL, I read a horror story about someone being kicked out of PM because it didn't appear on their u/a and the Dr thought they weren't taking it (selling it).

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15

I don't have a problem with my p/m Dr. or my surgeon giving me what I need for pain. What I have a problem with are the finger pointing pharmacies. My Dr. recently changed me to Opana. I went to six different pharmacies. Not only did they not have the medication but they would not order it. They looked at me and asked me why I needed such a strong medicine. I pretty sure I don't need to explain my health issues to a pharmacist and everyone else in the store. After two weeks I finally found a small independent pharmacy that would order it. It still took over a week. This wasn't the first time. I understand that pharmacy s don't want to stock this medication. But as a patient what the hell are we supposed to do.

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16

I feel for you. I fell 4 stores a few years back and destroyed my left hip leg and knee plus 1 year ago I was in a car accident and was thrown out of the car destroyed my right arm hip leg and knee i now have more metal in me then I can type. I spent 5 months in the hospital on OxyContin and deludid. I came home in a wheelchair went to my doctor and he allowed his glorified nurse to treat me. She gave me morphiansulfate 30 mil twice a day as if that was going to help. I took a pill i had from before I was thrown out of the car and when I went back to tell them what she gave me was a joke I had to give a u/a and because it came back with my former med they put me out. I want to throw them off a roof then off the car doing 70 and ask if they May need something for pain. I don't abuse the crap I just want to be able to allow my grandsons to be able to sit on my lap without cracking my teeth. And try and find a new doctor and tell them you need pain meds they won't even talk to you. Iam so sick of it but what can anyone do. There are so many jerks selling and abusing meds that people who need them help can't get it.

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17

I have had similar issues with no surgeries. I broke my neck when I was 16 and have essentially been in chronic pain ever since, now 53. I have had 2 on my L4-5 and L5-S two surgeries two days apart. Pain level increasing as the government is telling doctors to get everyone off of pain meds. I do epidural blocks in my neck and tolerate them OK, not great but OK. But every month I run out of meds for the fact at early last year they cut 4/5's out of my pain regime. Now rather than give me the muscle relaxer that works, (Soma) I have to suffer through month after month of no relief crap, while on Opana 30 twice daily and oxycodone 15 up to 4 a day. So the way I run is I am out ten days to go, then I have a stash of a few each and take em before my appointment. Which sucks ass for almost ten days.
So now what I keep hiding because i have separate issues and can't get the right help?

Completely not looking forward to the future... of pain like this

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18

Do not tell your doctor that your mother gave you one of her pills. You could ruin your mothers ability to keep getting pain meds for sharing and you would be considered noncompliant by taking your mothers pain meds and you both would be cut off from pain relief. You just need to ask your doctor about it by telling your Doc that your mother takes Opana and you want to know what the diffrence is because she seems to get better pain relief than you.

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19

Hi! I have 2 plates 14 screws and 3 titanium rods in my spine. I know the pain you have. 1 Dr told me I didn't need pain meds because when my u/a came back I didn't have any narcotics in my system. He told me to find another Dr (I too am on Medicare for disability) no place would take me because of that. Luckily my husband started working @ ups so I now have really good insurance. Anyway, I found another pain Dr. he's also takes my Medicare. He put me on 60 mg. of opana twice a day. It doesn't completely get rid of the pain but it does make it easier to get out of bed and do somethings. Sorry I know I've said alot and really may not have helped however, if you do find a Dr and can get on opana it is costly but the company will help so you can afford to take it. Without it my pain is 10 and with it its stays at 5.. You can also use an RX savings card and get discounts for alot of different pain meds. In the mean time if your lucky enough to live in a state that has this stuff called kratom it is a synthetic opiate you can buy in gas stations that works almost as good. Hope this help some.

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20

I empathize with you complete say and think that very wish very often. If only you could walk a day on my shoes....
My pain management doctor I had been seeing for nearly for years fired me as a patient for missing an appointment... I was in the hospital. The way the lady called to. Me you would've thought I was abusing my medicine or somehow being dropped for having done something wrong. I looked for a new pain management doctor and was scared because I've heard stories about new pain management doctors not wanting to help you because you have been let go from another. I truly wish I had found this group that I see now 4 years ago or however long it's been because it's like night and day. Their staff is super friendly, the doctors are very understanding and thorough, and I am not made to feel like I am a drug seeker. Best of luck to you.

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Re: VetranInPain (# 2) Expand Referenced Message

hi did you try the fentanyl patch called mylan it is generic and has no skin side affects

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32

I have a similar issue with my back. I have the same reaction to the patch. Its the glue that is used. Make sure you are getting the matrix kind. It will look like a thick piece of tape. Maylan brand are the best matrix type. The other type have a pocket of jelly like medicine in it that I was told addicts like to cut open and scrap out, so the pharmacist should be happy to order maylan brand. Also they should be changed every 48 hours instead of 72. Talk to your doc about you reaction. Please be careful with disposal because there is still medicine in the patch. The best thing to do is dispose of them at your doctor's office. Place the patch on different parts of the body each time. Best if luck for a pain free day.

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31

Hi. 7 fusion surgeries C2 to T4 (stenosis and scoliosis) have been performed during the last 5 years. I've had a quack who performed the first 2 surgeries without any bone fusion. I then had one of the top neuro surgeons in Texas repair that work. Unfortunately i suffered a rod break, a screw unscrew, and muscles that separated and migrated. Along with fusion comes cronic pain. I have a wonderful pain mgt team who has helped me through this journey. I also have severe gastric problems which have made many medications problematic. I've tried most and found opana to work best. It allows me to feel clear headed and awake. I've tried the patches you mentioned and had trouble with the adhesives as well. I too have extremely sensitive skin and break out terribly. I did use a cream (can't remember what it was called) that I rubbed in before I applied the patch. It worked great and lasted the 7 days. Unfortunately the medication wasn't very effective. I'll try to find out what the cream was called.

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30

You know you can get the fentanyl in lollipops. They came in the military that way. May be worth asking your doctor. I was on three fentanyl 100 mcg patches for a long time. I have had five back surgeries and now have worked my
way down to one 15 mg oxycodon
three times a day and one 15 mg oxymorphone twice a day. Ask your doctor about the lollipops. Hope this helps.

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29

I am between a rock and a hard place. Because my pain Dr had to cut meds in half. was on Fentynal patch 50mcg/2 days and 30mg oxy's break thru. (now 25mcg fen, 20 oxy break thru) I am on this thread because I have a question. I went to Fen patches because morphine er was destroying my stomach (after 2 ulcers I just couldnt take the pain it caused to help rest of body) I am not allergic to morphine. My question is does Opana bother your stomach as much as morphine. Dr wants to switch me to Xtampza but insurance not liking it. My life has come to a stand still and because insurance wouldnt fill Xtampza my lovely Pain mgmt Dr told me I had to figure out what I could take and what was approved. I understand asking for a formulary from my insurance but coming up with a a drug to replace Fentynal seriously. . . Her reasoning is that my Fentynal eats up too much of the total amount of pain meds she can now prescribe me as of 01/2017.
So again my question is does Opana tear up your stomach as much as morphine?

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28

I have been on pain meds for years due to arthritis and degenerative disc disease. I stopped seeing a pain causr all they ever did was ask me if I wanted more. Went back to my Primary care Dr and had been seeing him for years then he stopped practicing. Got a new PCP Dr and was getting on track and finally got in insurance and switched from Morphine 30mg ER to Opanas and actually was making a difference. I wanted to try alternative treatments Si some day I might get off pain meds. My PCP and I decided that I should try going back to a pain Dr so i did. Now this new Dr says I'm in too high of a dose per the DEA and immediately starts reducing me and naturally the pain got worse, but he's not doing anything else other than continuing to decrease me. Now I'm in more pain than I have been in years, have tried nothing else and the only reason he can give in due to DEA guidelines and he isn't comfortable with the dose... I understand that there are a lot of people out there just trying to get drugs, but I've been on prescribed pain meds since 2007 and if anythig I've tried to maintain rather than increase due to building a tolerance. When is it okay for the government to tell doctors what they can do for their patients. They threaten these drs to the point where they can't effectively treat their patients for fear of blowing their licenses and all the drs will do ia tell you to see someone else... What is a patientbti do???

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27

Is oxymorphone the strongest pain med and is it wise to switch to it from Norcos

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26

I don't have many answers for you, only an answer about the oxycodone. It happens to me as well. My body metabolizes oxycodone differently than others, so when I'm taking more than 100mg a day, my urine shows a trace if that. It is actually a common problem and this dr or PA, person who is doing this to you should be educated enough to know this a common problem for people. Before u first started taking the medication, they should have given you a U/A without the drug in it, and then one after you have taken the drug, this way they figure out how your body metabolized the drug and how much comes up in your U/A per dosage. I truly honest to God take all my medication the right way, 20mg every 4 hours and 27mg ER every 12 hours. My U/A shows a trace of oxycodone. It's crazy. They are now switching me off the oxycodone cause they can't evaluate me accurately. It sucks because, at times, this medication does work, and it's what I am used too. Now, off to try oxymorphone and I'm not happy about it. Tell your dr this info and then tell her to switch u to oxymorphone then cause this will come up in your U/A without any doubt.

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25

One 40 mg opanna which is equal to qne 80 mg oxtconnin.... I have been 0panna for 3 yrs now and it is Great!!!!!!
Nothing helps my pain like opannas..... But u have to gete the genereck made by Global...
The genereck name is soaked oxymorphome.... The name brand does nothing for pain you have to get the genereck if you want pain relief..........

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24

I feel for you. I too have been treated like more of a criminal for being sick than a patient. I think Chronic pain suffers get a bad rap. I must say thank God for the doctors that take this on in running a pain clinic. They are a dying breed! Opiate use is an epidemic and real pain patients are being looked at as culprits to this and I'm some are. To make a long story shorter SOMEONE NEEDS to stand up for chronic pain patients! We just want to live a more comfortable life while we can and PLEASE show us some compassion. Thanks for listening. Multiple Sclerosis since 1999, 1 lower back surgery with metal fusion, 2 herniated discs which I was just told last week that can't be operated on because I have Cervical spinal Myleonacia (no cure). We are regular loving people in pain!??

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