What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 13)

Updated

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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241

Yes

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242

seriously. u must be kidding. how many millions of people break OCs in half and do all kinds of stuff with them. OCs will not kill you just because you break them in half.

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243

While it's certainly true that many people cut Oxycontin in half or even crush it or chew before taking it without negative effects, this is not the way it's meant to be taken. If you're a legitimate patient taking it for chronic pain, using it this way may give you stronger relief for a short time but it won't last as long as it should because doing this to the pill destroys its' timed-release feature--which means the pain relief won't last as long and you'll be hurting again sooner. It's also true that this probably won't kill you, especially if you're opioid tolerant. However, if you're a new user and the tablet's strength is high enough, it's still pretty risky. I'm an actual chronic pain patient who has taken Oxycontin for the last 12-13 years, always according to the directions, without tampering with the pill, which is probably one reason they're still working for me. People who abuse Oxycontin by cutting/crushing it before they take it, snorting it, shooting it, etc. are often also obtaining it illegally; even if they have a legitimate prescription, their abuse of the medication in this way is the kind of behavior that makes it tougher and tougher for people who are really in terrible pain to get the medication they need. Legitimate chronic pain patients who always take these pills legally and according to the directions are still looked upon with suspicion by doctors, pharmacists and insurance companies (to say nothing of SOME family and friends.) Those who abuse Oxycontin, either in the way they obtain it or the way they take it, are the cause of this suspicion and legitimate patients are looked upon as "guilty until proven innnocent. That is, they're automatically assumed to be addicts/abusers and the burden is on them to prove they're not. They're "guilty until proven innocent" which is the opposite of what it should be. Laws, rules and guidelines continue to be put in place which obviously start from the premise that anyone who takes Oxycontin is likely an abuser and a drug-seeker, looking for a high. The FDA and DEA, along with insurance companies, doctors and pharmacists continue to put the need to control abuse ahead of the needs of suffering patients who take narcotics responsibly. It's tough enough to struggle daily with terrible pain without having this added burden laid on the patient due to the behavior of abusers.

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244

Would yall excuse me while I go take my 240 milligrams of Methadone, and a couple of Xanax?A

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245

I think a lot of readers on this page will agree with the following statement: There is so much Bulls*** about taking these heavy duty drugs for break thru pain-comparing one drug to another-which is good and which is bad-exchanging info about getting high.........and while you are reading all of this junk you are thinking, "I AM NOT FOOLED BY THIS CRAP ONE BIT'. Has anyone else ever thought this when reading "some" post's ? Art

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246

My apologies for not catching the meaning behind the thought, "I am not fooled by this crap one bit" (quotation from "Art Cohen".) I didn't understand what the "crap" is that doesn't fool you. I can think of various possibilities but rather than guess I'd rather just go straight to the source for the answer!:-) Thanks!

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247

To be more to the point. All of this talk about which is stronger, how many of med A = the effects of med B.........I'm seeing a lot of people just comparing notes here especially using the tern "breakthrough pain" which is really just a cover for 50% of these people who have their parents, SSI....and others wanting to think that's why they can't work when the real reason is that they are lazy and don't want to work. I'm 60 years old and I've lived and seen this junk first hand. Olivia...does that clear this up a little for you? I DID NOT SAY ALL...I said 50%. Tell me if I was clearer. Art

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248

Thanks for the clarification, Art Cohen. I'm sure there are those who abuse the systems, both medical and financial and those who are lazy, don't want to work, etc. However, we have to be careful that we don't assume someone's "faking" just because it can't be seen or we're angry that they're sick. I was only 50 when, after 8 years of severe, body-wide pain with no treatment or relief and pushing myself to work in spite of it, I was forced to face the fact that I could not continue to work. Many people assume I just collect disability. There was no question that, in terms of my health issues, I easily qualified for disability but a loophole in the laws meant that I never collected a dime. That was 11 years ago and my lack of ability to work has been one of the most difficult consequences of chronic pain that I've had to face and has cost my husband and myself 15 years of income from me for our retirement that we had been counting on. No longer being able to work has been financially and emotionally devastating. This didn't stop plenty of self-righteous, judgmental, ignorant people, including members of the medical profession, from making it clear that they doubted that my pain could be that severe or was even real. To have to fight a terrible chronic illness and at the same time be made to feel like you're probably just a hypochondriac who's looking for attention, while you struggle to hang on to what's left of "you" is a terrible thing. As I've continued to deteriorate and lose so much that was important to me, this abusive behavior has quietly gone away but the damage was done. I'm 61 and have met far more people who kept pushing themselves to go on, keep working, keep functioning in spite of serious illness. In my world, "breakthrough pain" means that, in spite of my doctor's and my best efforts, in spite of taking medication that SHOULD alleviate the pain, it is nevertheless so severe that it "breaks through" all that and I find myself still in so much pain I'm having a hard time even talking. It's not an excuse to be lazy--I worked from age 16 until I was 50, raised 3 daughters, kept house and did loads of volunteer work and would love to still be working. You may have people in your life who match the description you give of those who claim to have breakthrough pain. I would just again caution you not to be very careful not to victimize someone who really is suffering by putting them in this category just because their pain may be invisible. All the best.

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249

I was on 8mg dilaudid every 6 hrs for about 2 yrs. The first couple of times i tried to get off it i ended up in the er also. In the end u just have to stick it out. It takes about a month to totally be over it. But the stomach pains ect.. only lasts a couple of days. It does help to have another pain med fir a substitute just to take for the pain but I found that marijuana helps with the pain.

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250

Thank You Glad2BAlive I have been waiting for someone with the courage to say that i am so thankful that there is someone like you on this site....Thank You For Standing Up For Us Who Really Do Have Pain Thank You.

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251

Hi to Wacko! I'm curious as to why you worked so hard to get off the Dilaudid. From your comments, it sounds like you still had and have pain. Was it not working any more? Did you not need something as strong as Dilaudid? Why is the marijuana preferable to taking Dilaudid since it sounds like the Dilaudid was successfully providing pain relief for you? I don't understand how inhaling smoke into your lungs and risking addiction to some other stronger "street drug" would be particularly preferable to taking a prescription painkiller. I'm assuming that your doctor has given you orders for the marijuana and you're not just doing it illegally on your own. Thanks for clarifying this.

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252

Post # 247

Hi there Mr. Art Cohen, it's been a long time! I've been out -of-touch, spent 6 weeks in the hospital, 2 of those weeks in the ICU. I don't know the how or why but I survived the unsurvivable. I am still struggling to recover, I am just a shell of who I once was and I wonder if surviving was such a great thing but I did so here I go again! Yes, there is a lot of information shared not so discreetly about pain med abuse but I've been an unwitting victim of this behavior by trusting other members advice on achieving better pain control, which turned out to be a way to have the medication basically bypass the time release which meant I hurt sooner and my tolerance shot up. I was able to tell my PM doctor and he helped me get my tolerance back down, it took a total of 2 weeks and I was uncomfortable but not unbearable and I realize now how it all works and have something to use that works in 5 minutes for that type of acute severe b/t (yes your favorite term) pain and now I feel I can handle any pain that comes my way. Just wanted to say hello, hope you are doing well. Hope you'll write back, stuck in bed, gets awfully lonely.

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253

I'm on the subs 8/2 and when placed on life support they gave me fentanyl because my husband told them of my opiate dependence that developed during a 12 yr history of daily need before pain control. when those issues were resolved & I should have been "pain free", the "migraines" began, but I know now it was actually withdrawal, began and they put me back on the daily percocet to keep me pain free and functional... I landed in a methadone clinic for another 6 or 7 years after being abruptly shut off because of testing positive for THC when tested after a party (I'm not even a smoker! It was a one time event!). I detoxed from that but was sick as a dog and finally put on the subs... told that the condition had turned from a behavioral one of addiction to a physical condition due to the fact I trashed my receptors, which don't regenerate. It gave me my life back is all I can say... so when I came out of the coma & they were ready to move me from the ICU to the medical specialty unit, they used oral dilaudid in conjunction with klonodine patches to keep me from going into withdrawal. It didn't work. Within 6 hours I was in full blown withdrawal and I called home to tell hubby "bring me my script... NOW" as I was not strong enough to be dealing with withdrawal on top of recovering from that illness. The pain management team told me it would be a matter of "riding the tide of withdrawal" to try to keep me comfortable, and they kept me on the dilaudud until I was released, but I was sick daily and before long resorted to going back to my own medication because their way was ineffective. I was not there for opiate dependence, I was there for respiratory failure, and I told them to leave my dependence issues to my mental health team, as they'd been seeing me for over a decade. I can't tell you whether or not the process will work for you, but this was my experience with the two meds and using one to come off the other. I'm a lifer because of the combination of my physical illnesses of today & the condition of my receptors resulting from my battle with opiate addiction, so for me, the subs are a life saver because I can still THINK CLEARLY (which I couldn't do on the heavy doses of the painkillers) and my pain is (mostly) under control, but I wish you all the best in detoxing - I'm just not sure the dilaudud/valium is the way to go about it. You may end up facing a more severe problem than trying to wean off 2mg subs

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254

People just need to man up a live with it they didn't have theses pain meds 75 yrs ago.

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255

"Man up and live with it?" There were a lot of medical advances that weren't around 75 years ago. There were also a lot more deaths from illnesses that are easily cured today or don't occur because of immunizations, a lot more pregnancies that ended in death which end in successful deliveries today, a lot more terrible suffering that destroyed lives which isn't necessary today. Just because people had to tolerate terrible diseases, losing babies (and mothers) in childbirth and suffering with no relief doesn't mean we have to live the same today. Committing suicide as an escape from severe, untreated chronic pain was also undoubtedly done 75 years ago but that doesn't really recommend it as a great option for today! In any case, the fact is that 75 years ago, people didn't necessarily just "man-up" to pain. Opioid syrups were readily many years ago and were very commonly used for all sorts of situations; in fact, they were actually available over the counter from the local drugstore without a prescription. People in pain also drank a lot of alcohol (you know, for "medicinal purposes"!) If you think that the 24/7 pain of my illness or the terrible, never-ending pain of many other conditions can just be "manned-up" to and one can just go on with their normal life, you've obviously never endured day after day (or, in my case, year after year) of pain so severe you're often incoherent. Even though my illness isn't technically terminal, the pain can be so hideous that the leading cause of death from the condition is suicide. (In fact, I had a difficult time getting life insurance because insurance companies assumed that, having the condition I do, it was only a matter of time before I killed myself. I'm not guessing--I was told so straight out by an insurance company representative.) I did, in fact, tough out my pain for 8 years without relief, all the while watching my life slip away because of it--couldn't work, couldn't socialize, couldn't do basic household chores or sometimes even take care of my own personal needs. All I was able to do was endure ("man-up"to?) the pain while my life disintegrated. Finally, an intelligent courageous doctor, who herself suffered from a milder form of the same illness, prescribed appropriate pain medication and I started slowly getting my life back. Even strong pain medication has never totally eliminated the pain; it's always there, in nearly every part of my body. I still can't work, though I'd love to, and heavier housework or a busy social schedule aren't usually possible, though I push myself hard to feel "normal". Nevertheless, the help of pain medications, learning pain management techniques that enable me to tolerate living with a certain amount of pain, coming to terms with the fact that I will never be pain-free--all these have at least provided a quality of life far beyond spending my days curled in a ball, moaning (or screaming).

Until you've lived with pain like this for decades (yes, decades!), telling others they
just have to "man-up" and live with it is ignorant, arrogant, and cruel.

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256

No. There is no generic for oxycontin.You can get oxycodone but it is not time released. It is usually given with the oxycontin for break through pain because it is instant release.

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257

I get 8 4mg dilaudids for severe joint muscle nerve endings torture. I was inn what started as a morphine induced coma on a ventilator caused from neglecting myself with cocaine and heroine years of use and abuse of my favorite poison so horrible that the doctor said that while in coma they pumped so much dope out of my lungs that they could not believe that I had severe deadly pneomonia that the many years that I had pneomonia for so long that I did not even know what i had and how lucky I quit in12 years i should be dead. My doctor said that while I was in icu just one month ago the only reason why you did not get that same coma again is because i was pregnant but i lost not one but two babies within one week i miscarried due to bein so unhealthy before they were gonna tell me after so many days in icu they all feared tellin til i was remotely stable. I am dying today right now my doctor said i was dead next time so open your bible and dont giive up faith that is what saved my life the first time in aa vegetable state hope waiting to die. I would never fully function without oxygen. Since i knew i was starting to miscarry the babiies i threw my oxygen down and i am going to the hospital in the morning. I know today that my lungs are closely stopping now and it is too late i will be back there again by tomorrow night. My husband fears i have no hope of waking up and he said that he can not pull the plug. I love him but i do think he understands the hell of being in that state again scares the living hell i beared then and if he cannot do this alone and its too late to decide that right now. Please pray for that decision for him instead of me because that is exactly what woke my dead body but overactive brain up after my family held my hands and prayed the rosary everday for over two months months God and prayers answered so many times without learning about the only reason I was alive again without machines. Now I know God is ready to bring me to here where i will see my maker.

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258

There is a shot they can give you it's a blocker not sure how its spelled but Viratroll .... You get the shot instead of goin on suboxin

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259

I have been living with severe chronic pain for over 12 years now, and I don't think I would be saying that pain meds don't work in pill or tablet form, please remember newbies may be searching for ideas and you may change their mind on things that may possibly help them. Everyone is different, the medicine may not work for you, but it probably helps a thousand others to one it doesn't. I have tried everything, generic hydromorphone then percocet, Vicodin, I went back to dilaudid and got the name brand, search over! ...works better for me and no itching, because I am allergic to the fillers they put into generics ...and here's the pharmaceutical fact..Dilaudid is as strong as it gets Period. It's an 11 on a 1 to 10 scale, 10/325 Vicodin a 5, morphine a 9... that's from the medical school book of drugs, my wife was a CNA and got books for me to research ..

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260

While I thought I was the only one in the world with this problem getting off I can tell u now is a no-no it's very difficult I tried on numerous occasions to get off. I can tell you one thing with me I get prescription for the oxycodone 30 mg in that help with that intense vomiting that I also experience. I hope u get thru with your situation. Oh by the way I have sickle cell that's the reason I get these things.

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