What Is Stronger - Dilaudid Or Opana? (Page 2)
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What is stronger, a Dilaudid 8mg or Opana 10mg? I was taking Dilaudid 8mg every 6 hrs for six months and then the pain would come back in three hours. My doctor has switched me to Opana 10mg er and this is the second day... I am in so much pain. How long will it take for Opana to be effective? I'm suffering, help.

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I have chronic lower back and knee pain. Started since 2007. My doctor give me 10/325 of hydrocodone. It was working good for about the 1st year so then the doctor has been giving inj's. on my back for about 2 years. I do not know the medical words to what they say is wrong with me. When i ask my doctor seems to get bothered. I also take morbic for the inflammation. He says in my lower back my L1 to L5 are messed up and that on my tail bone their is like a sponge but i have a tiny rip that causes the liquid to leak out so when it dries up with me moving it causes pain. And yes it is very very painful. The inj's. did work for like the 1st year would last like 6 months in between but then it was like having to get them done every 3 months. But like 2 months ago i had 3 inj's., 1 every month for 3 months. The 1st two worked great but the last one omg it was like i was back to square one. Then he said he was going to do a nerve blocker. I was suppose to get it done on Sept 15 i believe but when i went i was told medicaid rejected it because i had just had relieve like for 5 hours on the pre trial one. So now i have to wait to see what will be done next. The hydrocodone is not working anymore. I had to take 4 of them just to kind of get the pain away. But it is like i am having to take it every 4 to 5 hours now. And one is not working at all. I am in so much pain. I have thought of doing something stupid. But i cant because i have 19 beautiful grand-kids. Now my knees is an other thing. my doctor says my knees are bone to bone and they are very inflamed. I can not spell the word that i was told. I was getting inj's. on my knees too. But my luck i got the last ones in the beginning of Sept and after the the 24 hours that i was to rest. I had got up in the morning to get me some drink and i fall landing on my knees. Had to go to the ER. When i went for my check up and my doctor asked if the inj's. had caused any relief i told him what had happened. I was hoping he would take x-rays or something because now not only do they hurt like before i can not put any kind of pressure on them. They hurt in another area. But he seemed upset and just told me to go back in a month. Like i said i can not stand the pain. I can not sleep. I am not going to lie i have been taking my meds 4 at a time 3 times a day. for the past 4 days. But i can not keep doing it. I am going to run out. I do not know what to do...

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I have 4 out of 5 of the Lower disc bulged, cracked or missing plus degenerative Scoliosis, Sciatica and Fibro myalgia. I was on as much as 360 mg of Kadian a day and spent 10 years in bed and lost my marriage of 20 years and basically everything I had. I went from that to 120mg of Avinza a day. Then I had a head on collision and broke everything from the waist down. I say all that to say this I was on Dilaudid 4mg X 4 a day but November was a terrible month, my Fibro myalgia was causing sharp pains into every boo boo I have and I told my Dr. I was scared to face another month like that so he changed my Dilaudid for Percocet 10-325 X 4 a day. This was for the two weeks including Christmas. I have never been so sick in my life and my Dr. is out of the country on holiday. From what I have read here my Dr. thru a lack of knowledge, sleeping at the wheel or just effing up should have never done this switch and never should have taken me off the Dilaudid cold turkey...especially when I have so much to do for Christmas.

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If he's specifically checking your metabolite levels, then yes. He will absolutely be able to tell you're dosing up on your own.

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Opana has a bioavalibility of 10% oral and 10% protein binding. You would have been better off with the hydromorphone bioavailability 35% and protein binding of 20%, but every 6 hours wow. im prescribed hydromorphone and im educated in the pharmaceutical field and on the manufacturer's recommended guidelines, dosing for hydromorphone instant release is every 3 to 4 hours. Every 6 hours makes no sense because the half life is 2 to 3 hours which is very short acting.

I am on ms contin 60mg morphine sulphate extended release every 8 hours and hydromorphone 4mg every 3 to 4 hours and they switched me from the oxycodone 30mg instant release, kept me on the morphine 60s. I find the hydromorphone has a much cleaner level of efficacy and more pain relief. But ya ive been seeing that a lot lately. i know a ton of people currently switched from oxi to dilaudid and they got a script for hydromorphone 4mg every 6 hours. it seems to be a reoccurring trend and i hear the same thing from everyone taking it. Me, i get 240 of em a month. the 4mg and i always have extras. if your taking them every 6 hours you need a maintenance opioid extended release formula and that will stop those 3 hours of no pain relief and withdrawal.

I suggest you go to you doctor and ask to get back on hydromorphone but show him the manufacturer's dosing recommendations or ask for a extended release opioid like the extended release opanas or fentynal patch; maybe morphine, but the thing with morphine is the bioavailability fluctuates 20% to 40% orally and this can cause alot of unwanted side effects. What you want to look for is a opioid with stable bio like hydromorphone, oxycodone, fentynal, oxymorphone, hydrocodone; but my favorite combo is morphine 60s every 8h and the dilaudid 4mg every 3 to 4h. i dont know why these doctors are prescribing incorrectly like this. if this continues id find another doc. I mean prescribing for every 6 hours for a drug with a half life of 2 to 3 hours... hmm sounds fishy.

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My pain doctor is sending me for a dilaudid metabolite quantitative level. Will he be able to tell if there is anything else in my system? And will he be able to tell that I take 8mg 4xs a day when I'm prescribed 4mgs 8xs a day.

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I don't know the specifics of Opana, but no doctor should stop a narcotic like dilauded. The dose should be reduced by 50% during the first week when a low dose of the new drug is started. Over two to three weeks, drop off the dilauded while increasing the Opana to its full dose. Of course, I suggest you consult with your doctor.

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It should take 5-7 days to work, but as you know everyone is different. I have taken Opana 20-20, along with Vicodin 7.5/325, and 2 mg's of Xanax 4x daily. The Xanax adds so much addition benefit to relax my Muscles. I either take them together together, or about an hour apart. The Opana stared working in about 3-4 days and it was a very natural relief, I almost forgot that I had a serious Back Condition. It lasted about two days, then:"Out of the Blue two days of serious pain. Well, it's never cured, you have your Good and Bad days, and everything in between. I am basically happy with what I have now, and have no intention od changing this Combo. I would try staying with Opana; if not keep trying to you find the right ones and stay with them, 'It's your Body/Pain, who knows better than than you as to what you need.!!!

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Hello, Dana! How are you doing? I am so sorry that you're in pain.

You need 10.67 mgs of the Opana to equal each 8mgs you were taking of the Dilaudid, so the 10mg ER is not an equivalent dose, which likely explains your problem.

This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

Have you contacted your doctor? You need to let them know that this dose isn't working for you.

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