What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 15)
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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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REPORT

Your personal email doesn't come through when you include it in a contribution to this forum so, unfortunately, we can't connect that way. I'm curious as to what you'd like to chat about; your last couple contributions seem to be addressed to another contributor since their subject isn't something with which I'm dealing. Thanks for giving me an idea of what topic you'd like to discuss!

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Olivia, we need to chat, in a different forum. Please email me @ {edited for privacy}

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If you're being honest with us here about mentioning the fact that you are a drug addict to doctors and nurses in the ER and they did nothing about it is absolutely unbelievable. I'm a nurse and I know that self-admittance of being an addict draws much attention toward the patient who makes such a statement. The reason behind that is due to culpability and liability, we, by law, have to report it to the proper authorities and have the patient admitted to a detox and or rehab facility. If you told a doctor that you are an addict and he not only ordered an narcotic shot as well as a hand-written rx for more, then he/she took a HUGE risk on you. Honestly I've NEVER heard such a thing in my 20 years of nursing experience. Maybe you should try the Thomas Recipe as well. It's also posted on this same thread. Good luck!

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Since you are in an on-again off-again "relationship" with dilaudid, it's fair to let you know up front that unless you plan on completely ridding yourself of opiates it's not going to be worthwhile. The "Thomas Recipe" is easily found online through Google or whatever search engine you choose. I prefer Google. I'll post the recipe here for you tho--it's rather lengthy:
"PLEASE NOTE: I am not a doctor and advise those who chose to use this recipe to consult a physician if you have other health issues and or are allergic to any ingredients in any of the supplements. Without further adieu:

THOMAS RECIPE

If you can't take time off to detox, I recommend you follow a taper regimen using your drug of choice or suitable alternate -- the slower the taper, the better.

For the Recipe, You'll need:

1. Valium (or another benzodiazepine such as Klonopin, Librium, Ativan or Xanax). Of these, Valium and Klonopin are best suited for tapering since they come in tablet form. Librium is also an excellent detox benzo, but comes in capsules, making it hard to taper the dose. Ativan or Xanax should only be used if you can't get one of the others.

2. Imodium (over the counter, any drug or grocery store).

3. L-Tyrosine (500 mg caps) from the health food store.

4. Strong wide-spectrum mineral supplement with at least 100% RDA of Zinc, Phosphorus, Copper, Magnesium and Potassium (you may not find the potassium in the same supplement).

5. Vitamin B6 caps.

6. Access to hot baths or a Jacuzzi (or hot showers if that's all that's available).

How to use the recipe:

Start the vitamin/mineral supplement right away (or the first day you can keep it down), preferably with food. Potassium early in the detox is important to help relieve RLS (Restless Leg Syndrome). Bananas are a good source of potassium if you can't find a supplement for it.

Begin your detox with regular doses of Valium (or alternate benzo). Start with a dose high enough to produce sleep. Before you use any benzo, make sure you're aware of how often it can be safely taken. Different benzos have different dosing schedules. Taper your Valium dosage down after each day. The goal is to get through day 4, after which the worst WD symptoms will subside. You shouldn't need the Valium after day 4 or 5.

During detox, hit the hot bath or Jacuzzi as often as you need to for muscle aches. Don't underestimate the effectiveness of hot soaks. Spend the entire time, if necessary, in a hot bath. This simple method will alleviate what is for many the worst opiate WD symptom.

Use the Imodium aggressively to stop the runs. Take as much as you need, as often as you need it. Don't take it, however, if you don't need it.

At the end of the fourth day, you should be waking up from the Valium and experiencing the beginnings of the opiate WD malaise. Upon rising (empty stomach), take the L-Tyrosine. Try 2000 mgs, and scale up or down, depending on how you feel. You can take up to 4,000 mgs. Take the L-Tyrosine with B6 to help absorption. Wait about one hour before eating breakfast. The L-Tyrosine will give you a surge of physical and mental energy that will help counteract the malaise. You may continue to take it each morning for as long as it helps. If you find it gives you the "coffee jitters," consider lowering the dosage or discontinuing it altogether. Occasionally, L-Tyrosine can cause the runs. Unlike the runs from opiate WD, however, this effect of L-Tyrosine is mild and normally does not return after the first hour. Lowering the dosage may help.

Continue to take the vitamin/mineral supplement with breakfast.

As soon as you can force yourself to, get some mild exercise such as walking, cycling, swimming, etc. This will be hard at first, but will make you feel considerably better.
GOOD LUCK AND GOD BLESS!
A special thanks to Thomas who invented this wonderful home remedy!

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Been on 240mg of methadone for about 10 years now.ive tried every pill there is but these dont mess me up , but they are by far the best for my pain..it started with a simple inguinal hernia repair.well my femoral nerve was severed and wound up being entrapped in scar tissue.then 2 more exploratory surgerys (and found 2 more hernias).I had barely aany feeling in my left (from my groin to my heel).I had a 2 part surgical implant of a spinal cord stimulater that helped cut down the pain.i returned to work pretty much just hauling equipment for the construction co. I worked for.at the time my conditions were illioinguinal hernia w/obstruction left, nueritus, nueralgia, neurapothy, anxiety, all bwc approved.and a bulging computer in my stomach, connected to a tv cablesized (lead) from my waistband to my neck..very unconfortable..after letting it scar into the pocket, where the abdomen muscles were scooped out.5 years! I went back to truck driving..2 years after was in an accident on the highway (@89, 000 lbs.) Hitting a fedex truck that stopped on a bridge to call home, 2 foot of the truck was in the driving lane???? Hit and demolished that b4 my semi went up and over the side of the bridge...fell 92 feet , landed upside down on asphalt..so thats where it gets fuzzy, I kept waking from the intense heat of the deisel burning, broken l2 back, arm, head trauma, and my spinal stimulator in my stomach counted 13 peices from the seatbelt I was hanging from..a man ive still never met ((happend 5/5/04) cut the belt ifell in a pile where the pass. Side was and he drug me out, put his red flannel coat under my head and disappeared..4 stimulators later , depression , ptsd, adding up to 7 or so allowed conditions and divorce .im handicapped, live alone, and have a .45 in my hand ..I wake up in the dark to eat methadone so maybe I can make it to my massage chair to see which chores I would do today if my brokenbody could..ive never been without methadone and morphine and zanex and seroquel (nightmares) but im sure im addicted..its really helpful to hear you lucky a**holes saying its just (in your head) some of us were dealt a bad hand..the funny part is I crashed while I should have been layed off from bridge construction...I never liked to sit idle when I could go to work .hahahahaha .the last battery change for my stimulater was over a year ago (10 year batterys, I have yet to have 1 last for 5) resulted in a postsurgery infection and had to b removed, so ive been cut open in the exact same place in my stomach 6x for nothing.1 year healtime, eachtime.yes, the painful cable going to the base of my brain is so scarred into place it cannot be removed.so you ignorant people and your suck it up attitude that would have ate this kimber .45 a long time ago should come down off whatever you think makes you so tough and try some reallife pain....

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Hi to Tanya! I'm not familiar with the "Thomas Recipe." Could you explain what that is? I am prescribed 8 tablets per day of Dilaudid 8 mg. for a severe chronic pain condition. Some days I need it all; some days I don't. I find that I can take all 8 on the bad days but can take only 2-3 on my better days with no problem. My condition is incurable but can sometimes improve; in case there comes a time when I don't need such strong pain meds or need less, I'd like to have this information. I'm sure others would also. Thanks for sharing! :-)

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The ONLY way to get off dilaudid or any other opiate is the will to do so and unfortunately under strict detox care and rehab. If you don't want to go that route, then you could taper down your dosage weekly, using smaller and smaller amounts over time. You are going to experience withdrawals no matter what. If you're going to do it at home I suggest using the "Thomas Recipe" good luck and God bless.

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

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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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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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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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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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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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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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