What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 12)

I have been on Dilaudid for over 2 years now and I can't seem to get off of it. I'm under a doctor's care, but anyone who is on it knows it's very addicting! I think like everybody else, it's no good if you take it orally. It's only effective other ways. I always run out of Dilaudid before my prescription is ready to refill and recently I filled a script for oxycontin 40 mg to see if they could replace my 4 mg Dilaudid. However, I took 1/2 of a 40 mg. and felt nothing. An hour later I took my 4 mg Dilaudid and it seems to have worked. But they are very short lived, that's why for chronic pain they like to give these stupid time release pain pills. How many mg.'s does equal the same amount of Dilaudid? I also would like to know if anyone has ever tapered off of Dilaudid? You get really sick when you try to get off of it, really intense vomiting and stomach pain that lasts forever. I have never stuck it out, I always end up in the emergency room. All they do is give me a pain shot of Dilaudid and a prescription for it as well and send me home. They think there is something wrong with something else. I have even tried to tell them but they either don't want to get involved because I'm under a Dr.'s care or they are just stupid. I hope someone has the best kicking advice, I'd rather be straight or just be one of those once in a while users (RIGHT)!!!

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Brynn, Let me assure you I WILL ANSWER your message, perhaps this evening. I have been "on the road" concerning my work. Sorry. Hang in there and I will try to throw out some suggestions, advice, and ideas.
My Best,
Art

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Post #222 :-)

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I have read all your post's i will also weigh in I have had chronic pain,cancer,and a few serious Head Traumas that make me not able to use the longer acting meds mentioned here.But I always have had success on the Dilaudid(Hydromorphone) have been on 2mg 2x daily and 4 mg 2x daily for me i keep a pain Jounal which for me keeps the docs i see in the loop.I have tried all even oxycontin 10mg but it always for me personally was the dilaudid.Others that were tried were oxcodone 5/500 which worked but my tolerance is very high as with most chronic pain patients.I have been on the Vicodin 5/500,Methadone 10 mg's,Demerol 5's.tried morphine did not like it.I was also tried on the Norco 5/325mg's too which today my doc finally put me back on what I call my superman medicine.Because i have a unusual medical condition were i grow cyst's in every major organ that when found are large to small masses,the latest one was found most thought it was testicular cancer.But the first cyst found in 2003 turned 3 years later to what is called Renal Cell Carcinoma i lost my right kidney because of that.Now i have to do the wait/watch because there is no active cancer as of now I pray to god there right.But as other's have advised it would be best to ask your doctor to taper you off Dilaudid since I tried to detox myself in 2007 nearly killed me and i have medical experience but my body could not handle the withdrawls.What i have not read is Dilaudid is a Synthentic heroin and mixing,Iv'ing it is very dangerous that is why anytime i have had to have it IV Push it is administered slowly timed because it can kill you.But for me and other's who would love to be pain free be able to have quality of life (which for me is not sitting in a easy chair 18 out of 24 hrs a day or dealing with headaches from the other medication tried before i was put back on my Pain Meds of choice,given i have messed up my squash from blows to the head from either football,or falling out of the back of a pickup truck early yrs,or the auto accident that gave me a MTBI which also ended my Nursing carreer i know how hard it is to break the habit so to speak.The only sure way to remove yourself from Dilaudid is Detox in a facility were your vitals can be monitored while they substitute benzo"s vitamins and other meds used for detoxing.or being put into a coma like condition to rapidly detox.But i have to agree with other's here and i can only speak for me if it has only been a few months then self detox can work but it will feel like your dieing muscle cramps,nausea,vomiting,you feel like you want to die or in most cases run to the Er which they have to by law injest you been there done that early in my life,when the goverment raged war on Doctor's presrcibing class 2 narcotic's.I was off for a period of time while my cancer was in remission 7yrs,but i also had to keep busy i found the same thing i crave chocolate milk dont know why but i do.For me i will always be on this until I die i know that but at least i can enjoy life to my extent but i also know were never completely pain free.I wish you the courage to continue but never mix longer acting with a break thru because it will send you to God real quick.All i can add the class 3 narcotics your Vicodin,Norco,Loratab,similiar meds in that class have alot of tylenol or ibuprohen which can damage liver and kidneys.If you actually want to be free of the pain meds seek help through your doctor because alot of us here do not have that luxury.And i commend you for wanting to be drug free.Good Luck God Bless.

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Hydromorphone is just the generic name for Dilaudid, it's not an ingredient. It's just a synthetic opiate. Same for OxyContin, Oxycodone is just the generic name & not an ingredient. I don't know where you got that info but yeah. You can read it on the prescription info that comes with it if you don't believe me. It'll just say something "others known names".

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Everybody is different!!! That is the thing a lot of people overlook. Because our wonderful in Ontario took all of it's people on ODSP, off of Oxycontin, then Oxyneo, we are screwed. They made us all go on Dilaudid, which does nothing for me. I'm on 90mg slow release, with Percocet for break-thru. Some it works for, most not. But no withdrewals from Neo.

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I completely understand your situation, I've been on roxicodone, and Percocet 325/10 for over 10 years after my accident, I've had 3 hip surgeries, plus metal rods on my back, the first thing I did was stop drinking alcohol and started to drink a lot of water because I didn't want to create a kidney or lever issue, so about 11 months ago a tried soboxen for the withdraw systems it worked for 2 days but I started to feel the pain from my accident, I didn't have any withdraw symptom but the pain was unbearable, so I started taking my Meds again. So I tried something else an this all depends in what state u live in. I'm part owner of a dispensary in Denver, so I tried something that some of our cancer clients take its called cheebachew chew, the 250 mg one that's states on its packaging box made for pain, its a Indica strain which is a body high, can I tell u that I didnt even look at or it didn't even cross my mind to take a 30mg roxicodone for over 10-12 hours, the great part about it you cut it into 3 pieces because its way to strong to take the whole thing, some i took another 3rd
of it before bed, and just 1 30mg roxicodone. by the time I got my 6 hours of sleep, I took the last piece went to work and didn't even bring my Meds with me so by the time I counted the hours I hadn't taken more than 1 pain pill over a 30 hr span. It really worked like nothing I had ever taken. So for the rest of the time I was there I had lower my daily amount from 6-7 a day not including my break troughs, to no moe than 2 roxicodin, a day

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Alright. fist off let me say I'm very sorry that you/we are all in this situation.. let me first off by saying I'm only 23.. iv en been dealing with this for about 5/12 years I didn't even start getting help until a little after 3... I think these are slightly wrong but you get the drift... basically no1 believed be.. until I was sent the day after I finally got my urologist and he sent me to the CROSS CANCER the next day... and I'm sure they told me it would be a week until I could get a bed... basically after having no narcotic I was put on 2mg diluded I believe 4 times a day... but it was probably less. let me tell you.. they did NOTHING for me... and I was already suffering for 2 years at least with nothing before this... I suffered and suffered and suffered until chemo when I was bumped up to IV 6 MG 4 time a day. with something for break through while I was in for my chemos... then when i was home I took once again given 2 mg diluded.. this did nothing for me.. I suffered and suffered an suffered... then I had surgery 1 year later after CHEMO destroyed my firkin body and life... this followed up by 18 hour surgey through out my whole upper body and a removal of a testi.. which they did not say would happen... also a rib but who cares about that... I wish I could have kept it though... so then I stay in ICU for 3 weeks get my collapsed lung back up and I walked up and down the ward with 3 nurses and a human tripod ... then another 1 month stay in the normal ward... here I was givin I believe 6 MG 4 times a day IV with break through every 2 hours... I had more tubes hooked up in me then you can believe but w/e it is what it is... when u wake up with a catheter 2 chest tubes a 2 ivy in your neck you really cant say much but alright then... oh and I had a grenade drain in icu on my side.. which firkin leaked every 2 hours.. it was like being in a ocean cuz nurses.. well 2 nurses are retareded the other 20 are damn amazing... basically when I finally got my renal system kind of working they took out the catheter after half a week I was take leaks after the 10 feet 20 minutes walk to the bath room and I took a dump sorry for my language and as most of us now.. once are insides are working correctly... that last part of the bathroom is the key outta the hospital.. I was put on 3 pills 80 MG oxycontin ER.. this was wonderful... it took my damn pain away orally... I just want to say.. hydro morph contin with I think is ER duiladed does work.. but most ppl have to rail it... don't do that.. but if you can get on OC the neos arn't as good even though they say they are but if u can get a few of those don't push it cuz addition is not where u want to be... but also some sort of pain relief with also either small diluaded or oxy IR then it can really work for you.. but just be honest I wasn't with my GP because the f*** head cut me down and down and down.. with the answer your referral is in the pain clinic and we are waiting for that.. I got in in 11 months . but that is at least twice as long and is still way to long for anyone.. they have helped me out but I still am suffering because of not being honest in the first place... when some one doesn't want to listen to you there's no much to do... but I did have my reasons ... I'm young this guy saved my life and I felt bad because I cant argue with the first guy who listened to me and saved my life. Even though I'm 23 now and totally firkin scared battered and hurt it is what it is.... all I'm saying is you need and ER narcotic.. and BREAK THROUGH... if u can control the brunt of the bad morning and night pain and get by with the fewest of break through with out over dosing or at least not taking more of 1.. her and there I believe it will help you... let me say though once again dulided didn't work on me with out conjunction on hospital shots... what did work was button drop IV ketamine in ICU but the dreams u get from that will really spook you so strike that last comment.... I know what its life the have your life crushed from pain when before pain was nothing... BUT ER with IR in the right doses and the right mind frame will help you.. the problem is the wrong mind frame will hurt you.. and in more ways then one I hope you can find something that works with you... but don't push it too hard. I know DR do not listen all the time and some times you have to take things in your own hands... but don't push it.. its not worth it... if things are too un bearable you have to say this... I didn't and I wish I did.... i hope bits of this can help you I'm sorry we are like this but life is life... have a good one .... also the guy who said about chocolate some times when my regiment doesn't work and i don't have enough ... with Medium withdrawals I eat 4 oranges.. less or more is w.e u can try what's what.. but it does help with sweats I believe ... try that one day with your chocolate.. it might not help with pain too to much but I believe it helps sweets and give your mind a vitamin boost... take care love and pain is pain.. it really is crippling but so is cancer and that s*** can be beat as well. Take care... and you can do what every you want to... just be stubborn and don't give up... life is life... and you are life by dear.

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1. Oxycontin and dilaudid are different FORMS of narcotics. The dilaudid is immediate release; oxycontin is the timed or extended release (ER) version of oxycodone.

2. Oxycontin should NEVER be cut, crushed, chewed or tampered with in any way. Not only does this negatively effect it's ability to release continuously over several hours but it can cause too much to be released too fast, risking overdosing.

3. As one other commenter stated, NEVER judge someone else's pain level, whether they need opioid pain medication or how high their dose should be. Never say, "I would NEVER take opioids, no matter what," because the truth is that no one knows what they'd do until actually faced with grinding, never- absent, mind-numbing pain EVERYWHERE in their body, often so severe that it turns you into an incoherent, moaning (or screaming) mess. As a patient with a chronic, severe pain condition for the last 20 years, I've been the victim of more than one self-righteous know-it-all, both laypeople and physicians, who decided that my pain couldn't possibly be THAT bad, even though millions who have my condition suffer in the same way. Until you've spent year after year writhing in pain for hours at a time with no relief offered, gone 8 years without any pain control as you watched your body, mind, spirit and whole life disintegrating, then discovered that pain relief had been available all that time but no doctor offered it to you, in spite of the fact that numerous other options had been tried and failed miserably. Instead, your doctors had decided they didn't want to prescribe the opioids that lessened (not usually eliminated) your pain because it was too much of a bureacratic nuisance for them to manage. Or perhaps they were ignorant about the facts of your illness and the severity of the pain it caused but too arrogant to admit that ignorance. I once went 6 months without more than 2-4 hours of non-continuous sleep out of every 24 hours (which only worsened the pain that was keeping me from sleeping). When I went to the doctor's office, crying and begging for pain relief and help to sleep, the N.P. who knew my situation and was fully aware of my situation informed my husband and me that I couldn't behave that way but had to be "nice" or she would drop me as a patient.

For those of you who have had this same experience, my heart goes out to you. I understand.

For those who haven't, don't you dare judge.

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To Optima i have never posted on the net before and dont know if you will even read this because your post is old but what you wrote was TRUE and moved me to tears. I broke my back at 29, the day it happened I didnt even go to the e.r. because I was told by a very unwise man (while I was laying on my back screaming in pain) that if I could get up and walk(I did bent over at the waist) then it couldnt be broken!Being poor and uninsured I took the pain for six weeks before finding out what was going on. Now I have had 7 children (more than half at home with midwives and No pain meds so I consider myself very tough) but since this fall my life has changed 100 percent. After the fall and multiple mri's I diligently went every month and got my pain meds. After 12 months I got off all meds and tried to go back to life. Within five months I had ruptured 3 disks in my neck and was once again on pain meds. I then had 3 "laser" surgeries done and was still suffering so bad. When I found out I was pregnant with number 7, I got off pain meds and went on bed rest for the last three months. After that my Md. didn't seem to think I was dealing well with my pain and thought I needed antidepressants. I was in pain Not depressed just pissed. I am type A and love to work. I used to breed dogs, do all the cooking and cleaning, homeschooled my kids, take them skating, mushing, swimming ect., I taught art at our home school co-op, sewed, scrapbooked, made bread from scratch and so much MORE!! I lost all my friend, stopped going to church because I was always recieving and I had nothing left to give back, lost all my extended family, went through bankruptcy, moved from my birth state of Alaska all the way to Florida, and gave up all activities out of the home. Now I cant relate to losing a spouse (my husband has suffered watching but is still here) but I can relate to the spirit behind your post. I just had my spine fused two weeks ago and had to suffer in the hospital after the surgery because no one could understand why I was in so much pain(opiate tolerance not addiction). And the only way I make it is I have amazing kids that do the cooking, laundry, and clean up so I can continue to homeschool and rest. Half the time the kids bring a mattress for me to lay on while I teach. The only thing that has gotten me through is prayer and a good pain dr. Please if your still suffering hang on, dont let that company beat you!! Try to remember a daddy on the couch is far better then no Daddy at all. I am so sorry that you feel so much pain all the time. I am going to think of you often and pray each time.If your wife has left find at least one person that can understand you and try to look for an online pain support group. I wanted to start one locally but Im learing that I cant because of the pain. The point I want to make is it is give yourself time to mourn the man you were and start learning who you are now. Acceptiing the pain (as long as it somewhat "controlled") and taking it one min, one hour, one day at a time.

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if you've never been addicted then you have absolutely no room to speak on what people should or should not do if you've never been addicted to an opiate oor an opioid then you have absolutely no idea what it feels like to go through withdrawals so until you do mind your own mother f****** business and shut your mouth! You know people that are addicted to pain medications they're not pieces of s*** most of them are people that had a medical issue requiring them to take pain medications, and then ended up addicted to them! Its a travisty. A horrible way to live life, but incredibly hard and painful to stop
So the next time you're concidering judging people about stuff you clearly know nothing about, maybe you'll think twice!!!!

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i must say buddy..you couldnt be more wrong...i was on both 8mg dilaudid and 30mg oxycodone..i would take a 30 over an 8 dilaudid anyday of the week...

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This is a question in response to "Desarae" who left a message on 5/9/13. I'm wondering whose message you're responding to--is it a recent message or something from farther back? I'd like to see what that message said. I absolutely agree with you that everyone's response to narcotic medication and their ability to get off it when it's no longer necessary is unique. I take four 60 mg. Oxycontin, an extended relief (ER) opiod per day which I take on a regular schedule. I also have a prescription for six 8 mg Dilaudid, an immediate release opioid (IR) per day for breakthrough pain as necessary. My doctor and I recently tried an "experiment", replacing the Dilaudid with twelve 5 mg per day of plain oxycodone (no Tylenol or Ibuprofen added). The plain oxycodone didn't work nearly as well as the Dilaudid for breakthrough and I'm back on the Dilaudid. For myself (and I stress strongly that this is JUST ME), I had no problem switching back and forth. I have periods when I can take much less Dilaudid and maybe even a little less Oxycontin. Then there are the times when I'm in a bad flare-up and can barely keep the pain controlled, even taking everything I'm prescribed, which I realize are pretty high doses. But, again, EVERYONE IS DIFFERENT. Some people are more opioid sensitive, some are more opioid tolerant. Some people titrate down fairly easily if done slowly; for others, it's extremely difficult. I would never call my personal experience "normal"--it's just normal FOR ME! And one more thing--when people who don't understand my illness ask if I'm worried about becoming "addicted" or claim they would NEVER take opioids because they wouldn't want to become "addicted", I respond by pointing out that there's a difference between physical dependence and addiction. Anyone who must take opioids long-term, especially when the reason for needing them continues to exist (like severe chronic pain), will develop a PHYSICAL dependence. Addiction is a whole different story. But even if one is physically dependent on opioids and has a hard time getting off them when the meds are no longer necessary, that's certainly no reason for ANYONE to criticize or condemn that person, especially if they've never had to come off opiods themselves or even if they have but were able to do it more easily. People who have experienced really severe pain didn't necessarily choose to take narcotic medication; severe pain, especially chronic or long-term pain, probably made them absolutely desperate for pain relief at some point. I've had people say to me, "I'd never take narcotic pain meds, no matter what." But you're right--unless someone has experienced mind-blowing pain themselves and perhaps had to subsequently come off narcotics, they have no right to judge. I don't know where you're at right now with your pain or opioid dependance--what you've obviously been through or what you may still be experiencing. Hopefully, things are improving or will get easier for you in the future. Whatever the case, my heart goes out to you and others in similar situations. It's tough enough without having to handle judgment when what you need is support.

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My mom who is 87 years has chronic back pain and severe arthritis. She has just been put on dilaudid 2 mg 4 times a day. I find that she sleeps most of the time and is almost unresponsive. Is this normal? Will she get used to this and get better?

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I don't care if i get addicted as long as i can at least ease my pain to a place that i can live my life but Doctors here would rather watch people suffer then give them pain meds so this is why their are at least half the addicts in the world and because they are getting it from the street your not starting on the right dose starting you on a higher dose then what you should have and how many suicides happen when you have chronic pain and no ones helps I knoww this as i have lost a lot buying off the street and when I cant buy it I have the scares on my wrist I would rather live on meds then to live in pain. /those of you who really have pain imagine not having any meds to at least take the edge off. Professorial please think before saying NO Meds the addicts are addicts for reasons and if pain is the reason it not being an addict to get high its being an addict so we can think and feel other then pain

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Anybody know about Central Sensitization? Docs want to try non-narcotic meds (new insurance so I have to change docs) when my narcotic regimine that works and I'm terminal!! What do I do? Need help asap please =).

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which is stronger dilaud 4 or dilaud 8

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Dear Beani,
My heart goes out to you, I got sick young too, I was 8 when it all started for me and I'm twice you age! It took my intestines literally exploding before a doctor took notice, it's that kind of pain that the intensity is never forgotten. Sweetheart, do your parents advocate for you? Even now the doctors under-medicate me and it's not, oh my back hurts, I am terminal have been cut open everywhere and I don't know what a grenade drain is but I just recently had a chest tube put in while conscious and they pinned me down, it was horrible, it's an terrible feeling to have no control of your pain or in your own life. Please make sure you have someone to fight for you b/c when you get this sick at such a young age, it is very hard to get the levels of pain meds you need, your doctor is probably older as mine was and passed away, then I had a bunch of loser's along the way. I was in last month for 3 weeks, 2 days post-op, a 9"-12" incision to revise a prior intestinal surgery, an obstruction and then I developed pancreatitis, my F***head doctor (gosh I am not setting a great example for you, but I have a 26 year old & we joke around like this so I am a responsible mother & person, need to keep that sense of humor though) actually it was the hospital's F***head doctor that stopped my 1 mg IV Dilaudid q 4 hours, from 2 hours (what a guy) to 2 mg of oral Dilaudid ONLY every 4 hours. Nothing we did helped, no one would help me, my husband fought, it was so below my every day regimen that my husband brought my home meds up to the hospital and I took more than prescribed as often as possible and prayed to die, until my husband said he would kick his ass right then and there, if he didn't increase my meds, and he called security but the nurses actually backed my husband, he never yelled but when you love someone and you should be able to help them except for an id*** that uses his power and intelligence for all the wrong reasons, will drive someone to desperation. It still was really low, but like you, I just had to take it. Just want you to know that my husband video taped F***head doctor's multiple refusals to increase my pain meds calling me an addict. We burned a DVD of some damning behavior, along with a copy of a complaint with the medical review board AND to the attorney who happened to have the ironic and bad fortune to be his patient too. You will develop high tolerance b/c of your young age and NEED for such doses, if I were you I would hire an attorney now, let he or she be your advocate and never ever suffer such pain again. We aren't suing for the money for ourselves but are donating it to hospice and we will not settle until this doctor is forced to receive pain management education. I will do everything in my power to stop him from hurting anyone else. By the way, I've been terminal for 5 years, only the big guy upstairs knows when it's my time, and I like proving them wrong :-). You hang in there kiddo, I will keep you in my prayers and thoughts, I know what a tough road this has been for you and your family. I hope you have the love and support you deserve. I hope you will update me, I can't get your post out of my head.

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Never mind on the central sensitization, it's not like anybody else knew what it was either! They put the wrong labs in my file, you wouldn't believe the tests they put me through and then the PA comes in and says so your fibromyalgia seems severe, I was stunned, I actually had to insist they call my hematologist when they realized they had the 2 charts and patients mixed up so the other lady left with all of my narcotic scripts which she wasn't supposed to get and they had to start all over again with me, and thank goodness I have what I need, maybe even more effective than before. I need to get the post-op pain under better control and apparently b/c I was SO woefully under-medicated in the hospital after surgery for 3 weeks, it has become what they called intractable pain and the next month is very aggressive, I haven't noticed a huge change, but they say it takes up to 2 weeks of taking it regularly for it to have the full effect and for the side effects (dizziness, nausea and sedation) to subside. Anyone out there know if that's true with narcotics? Also, how does Exalgo compare to Dilaudid, Dilaudid has started to lose it's effectiveness and it doesn't last 6 hours as they tell me. He is adding in a different B/T, I have to go every 2 weeks to get it right which is really hard, b/c it's so painful to really move and get dressed. I dread getting up, for now (I hope it passes soon), I'm content to lay in bed for the day and watch TV, plus I'm still so weak so I doze off, it's more tiring with the new meds. I am glad I have my computer to communicate with other patients and be able to say, today I really hurt, I am scared...but I tell my family something different. I am grateful to have this site to come to, no judgement, support and information. This is mostly a very kind place to be. I was thinking I haven't heard or seen Verwon post in awhile, I hope he's doing okay. This is a very dizzying ongoing posting group here, we have our own little support group going on, may be needed elsewhere? Goodnight to all :-).

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To Chris - Dilaudid 8 mg is twice as much as Dilaudid 4 mg just like 8 is twice as much as 4. It is an immediate release medication which means it doesn't release gradually over many hours. My experience (I take two Dilaudid 8 mg tablets for "breakthrough" pain) is that it lasts about 4 hours. I use a different timed-release medication as my primary pain relief medication.

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To "Anon": Glad you found that Oxycontin 30 mg. worked for you. I would ask you, however, not to tell someone they're "wrong" when they say Dilaudid works better for them just because Oxycontin worked best for you. Oxycontin is a timed-release medication that lasts several hours by slowly releasing. Dilaudid is an immediate release medication that releases more quickly but doesn't last as long. I take both Oxycontin 60 mg. and Dilaudid 8 mg. for severe chronic pain so I experience the different effect of each of them--Dilaudid taking the pain away quickly but not lasting as long and Oxycontin taking 1-2 hours to begin relieving the pain but lasting much longer. Every person's body is different and everyone's reaction to pain medications is different. In this respect, there is no right or wrong.

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