What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 22) (Top voted first)

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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Sandy,

What part of the country do you reside?

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Oh Stro, I'm so sorry to hear this. This is not a way to end the summer off. It's funny how we always have to put a smile on our face and carry on! The work still has to get done right? It's hard with chronic pain and not having help. The government needs to help us more! I wish I could pick up the phone to check in on you. I think of you often and if you were near I think we would be good friends. Please try to get some rest and to hell with that smile today! It's okay to not smile everyday! Stay strong! Until next time :)

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Hi Brittney, I live in Ontario Canada

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I am on 8 mg dilaudid up to 6 times a day as needed for arthritis pain. Sometimes when it gets really bad I have taken 3-4 more a day. On days it's not as bad I can get by with 2-3. I have to have days where I use less so I don't run out. I have built up a supply by getting by with less so in case it gets really bad I have enough to make it by for a while. Even though I'm on them I still have pain and sometimes wonder if they really help much. So I have got of them for a while to compare. I have no trouble getting down to 2-3, then I may use half pills, maybe 2-3 a day, then half pill only when I feel the withdrawal symptoms coming on. Then after a few days of that I cut down to a 1/4 pill only when I feel symptoms coming on. Now for me it was pretty hard stoping that last 1/4 pill a day. I wouldn't think a 1/4 pill was that much, but stoping it was probably the hardest part of getting off. But after several times of trying I was able to just struggle through. A trick I did was try to time the withdrawal symptoms of that last 1/4 pill so they were at night when I was sleeping. And I got off. So the difference between taking them or not for me wasn't a whole lot. But it took the edge off the pain enough to make taking them worthwhile. So if I really had to get by without them I guess I could. But the times when the pain would really get bad would be a nightmare without them. But that's how I was able to get off them. You might need to draw things out even more and go at a slower pace.

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Thank you so much! You are a dear! Thank you so much for divulging your struggles and success with getting off of Dilaudid. I have so much respect and admiration for you. My new Dr. is trying to get me from 4 to 3/day and I am so against it. A year ago it was increased to 4/day and I lost 100 lbs because I was more active and there were several other areas of improvement that were reflected in the "Pain Cycle." My Dr. then, retired last month and the new Dr. is adamant about getting me down to three and I believe she has a hidden agenda to get me down to two/day and then one and off - not keeping in mind I have 3 separate chronic pain issues. For 7 years prior, I was on 3/day - so "been there, done that." It doesn't matter that for the past 8 years with my Dr. (that she knows) that I was compliant and did everything they ever asked me. I wasn't asking for an increase - she has documented evidence to support what I say but chooses to ignore it. So frustrating. I wish I am able to do what you did. In a sense I am going to be forced to do it and I am so scared that I am going to search for something to fill that void; to ease that pain. I don't like being addicted - no one does - not in the true sense when you become a slave to it. With that being said, the fear of the pain in the form of a severe migraine, the fibromyalgia (now that it is getting so very cold) and reflex sympathetic dystrophy vs. addicted - being addicted seems like the lesser of the two evils. If you have any input or suggestions, I would love to hear from you.

Again, thank you so much for giving of your time and your method of coming off of Dilaudid. I am going to try yours out as the doctor makes changes to my Rx every week. :*(

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Hey Pimmsey, sorry to hear of your struggles. I feel that will also be happening to me soon as my doctor will be retiring. I currently take 2 mg of dilaudid for break thru pain every 4 hrs and long acting dilaudid 6 mg every 12 hrs. I still have some pain but could not imagine not having them. I too have also tried every narcotic out there. All I can advise is to stay away from the Fentalyn patch if you can. It takes over your mind and you become a zombie that sleeps constantly. We are not addicts. We have legitimate pain. For ten years I was on 150 mcg of the patch along with oxyneo and percocets. That is such an incredibly high dose I am lucky to be alive. So now I only take dilaudid and that's pretty good. I came off every thing slowly as well as quiting smoking cold turkey. I am doing so much better now. I hope you can get your doctor to understand the pain you have and that you don't quite have enough. Kiss their ass in other words lol. Good luck and stay positive!

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Sandy,

Thank you so much for your response, I value what you say and it really means a lot when there is someone out there who knows what you are going through and all the "Ass Kissing" involved just to feel better. That is all we want, to feel better. It isn't our faults that we acquire these conditions that are so incredibly difficult and painful that we resort to such strong medications for relief. I mean, if ibuprofen worked, we would take that instead. We didn't start here with Dilaudid and Duragesic patches. No. We started, as almost everyone does, with ibuprofen and tylenol and then maybe vicoden and percocet, and so on and so on. Not only are our conditions difficult to deal with, the people we know, who don't have chronic pain - they don't understand, unless someone lives with you, then they have an idea - but it is so easy for them to judge, give their opinion and advice, and frankly NO ONE WANTS to be NEAR A SICK PERSON. Even if it isn't contagious, no one likes to be around a sick person. Doctors hate, yes, HATE, their patients. So the aftermath of dealing with our illnesses when dealing with other people is not easy, especially when they've never been sick or have chronic pain. If you can't work and you are on disability, you aren't in the mainstream of things and that kind of world passes you by. A lot of people make friends with people at work or meet their S.O./spouses, so you miss out on opportunities to make friends and other relationships. And that is IF YOU FEEL WELL enough to integrate yourself. My brother thinks I have all the time in the world because I don't work. He thinks that my life is rosy and great and awesome. He is sorely mistaken (not talked in 6+ yrs). I explained my job is to get better or at least find a way to feel better. I am lonely, I am tired, it is not rosy. It is difficult when you don't feel well and you can't clean the house or take care of normal stuff, because again, you are not part of mainstream society. If you do feel well, who wants to spend that time cleaning the house? So when my friends came over and the house wasn't pristine, I apologized for the mess and told them, "Well you came to see me and not my house, right?" Then I didn't feel quilted into it looking perfect for them and it nearly killing me so that after they left, I wouldn't be laid up in bed for 2 days.

Anyway, I don't know if what I say helps anyone; I certainly don't try to hurt anyone or offend anyone. If I have, please know it wasn't intentional.

I wish there was some way that some of us who want to be online friends can do so. This site doesn't encourage it whatsoever, that is sad. We are a bunch of souls who are in need of support, online and offline. It is a shame. Good luck, good will, go forth, and go pain (as in go away)!

Pimmsy

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Pimmsley, everything you said is bang on. I agree that this site doesn't help you meet or email or call the other people on here. I have met a few nice women but don't know how to post my personal info without all in the world seeing it. It sucks. I hate not having friends. Like you said when we are at home all day you can't make friends. See, I like you already and would love to talk to you in some manner. Till we figure something out, take care!

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I hate to say it due to the stigma with IV but you are right, oral does nothing! Don't get me wrong, I don't feel anything from IV either but at least I get pain relief, no lethargy and my head stays clear and alert. Even oral oxy anything makes me just feel weird, not high or euphoric but just really weird and disassociated. A quick shot in the morning and I'm off to school sharp as a tack!

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Okay, I am not a doctor. What I can tell you is my experience when I have come off of Dilaudid. Yes, withdrawal is so God-awful I wouldn't wish it on anyone. With that being said, this is how I was able to do the easiest withdrawal. You can cut down your meds very slowly and used a pill cutter, yes I know the tablets are very small. but cut down 1/2 tablet every other day. If this can't be done or controlled, and I understand the lack of control then this is the other option, particularly when you are completely out. In fact, I would not combine this method with taking any Dilaudid. There is a drug called Clonidine. It is a heart medication. One of the reasons you get so incredibly sick coming off of opiates is your blood pressure is all over the place and that makes you really sick. So Clonidine is given to level out the blood pressure. You won't feel 100% but you'll feel 100 times better than cold turkey. Clonidine comes in various doses: 0.1mg, 0.2mg, and 0.3mg. They come in patches and tablets. Depending on the form of medication, you will need to use it according to your current intake of Dilaudid, you don't want to take too much and you definitely want to check on the internet to make sure there is no interaction with any of your other medications. The tricky part is getting it from a doctor. If you get it from your doctor and you explain why, once you get off the Dilaudid he/she won't prescribe anymore. Doctors have access to your pharmacy information - everything is on it. So you are kind of in a catch-22 situation. I can only suggest extreme caution and care. Whatever you do, DO NOT ATTEMPT, DO NOT ATTEMPT to buy any Dialudid via internet!

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So true I know I have to take meds I couldn't wear clothes because the passion should bee unbearable so I'll tak. Meds as long as they help me

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So true! I wish I had this time on my hands when I was younger! My apt. has a pool and I go maybe twice a year to lay out. Folks who aren't in chronic pain just don't get how hard it is to even get dressed and fixed up enough to run to the store for even basics like t.p.. When pain is minimal.....HAHA that's time for a shower and a load of laundry and perhaps a quick gloss over the carpet with the vacuum. No more happy hour or lunch out with a friend. Attendance is getting worse at school and hit or miss at church. Yeah boy! Life is one big party for us! we have nothing better to do than sit around whooping n hollering all day with our peeps and our pills!!! WOOOWEEEE! sigh! Jeepers even poor poochie can't count on scheduled walks anymore...we too busy partying it up! Truth is...most of us barely make it to the living room couch....BUT! It could be worse! I thank God I have a roof over my head and a roommate who does understand what I'm going through.

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Thank you! I completely agree with your reply regarding chronic pain patients many times NOT taken seriously because of patients out there that abuse their narcotics, especially so openly! I've been a chronic sufferer for many years, (migraine, fibromyalgia, arthritis). I have an understanding doctor at the moment, but he is VERY conservative with his pain management. I am very fortunate he is willing to prescribe what he does as far hasn't pain regimens goes. But, when I have to go to the ER for a severe migraine, and need Dilaudid (which has been part of my "migraine cocktail" for years at the same hospital), I find myself having to argue with some doctors over narcotic use. This notion that I am going to be an addict, is ridiculous! I am a chronic pain patient. A doctor will try all kinds of tricks he thinks will work for a migraine-but will refuse to give me a narcotic. Until finally, after 3-4 hours of still suffering, another doctor will take my case and say, "let's try something else." Then promptly check my previous hospital records, and treat me with what worked before: which includes narcotics PLUS a list of other meds. I am then finally given sweet relief. So, it does make me upset when I see posts about ppl talking about feeling "high" on their meds. Doctors begin to think most chronic pain patients are built this way-when it's not at all true!! I have been very careful, bc I realize I will need higher doses eventually. I don't abuse my medications. I just want to be another advocate for all of us chronic pain sufferers-who do not have enough compassionate doctors on our side. Not all of us are looking to get into trouble with our medications. We are looking for RELIEF, and a life. Thank you.

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Do you want a cookie????Let's see you have major shoulder surgery and come out not taking anything for pain...you don't know everyones situation so you should really watch what you say because it's very offensive especially to people that have been addicts most of their lives...and are now on a treatment program and still have to take narcotic even though it's against everything I believe in cuz I'm in that bad of pain....

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Yes you are special, but more than being special or anything else, you are blessed.....

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Your best way of not being sick is to get some suboxone 8 mg and keep them for when you run out. You can put one under your tounge 3 times a day and I promise you wont be sick.

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Debra.

I feel your pain. First, I am in the top 1% of migraine sufferers and nothing really works. Zomig, similar to Imitrex helps a little but when it doesn't and I need to go to the hospital I get the hardest time there. Even with a note from my doctor describing how to administer the amount of Dialudid, Phenergan, etc... They don't want repeat customers so they push Toradol, Benadryl, and steroids instead. It is very frustrating. I started to attend Narcotic Anonymous and tried to make friends. One person in particular, a guy befriended me. I would never date him or be his girlfriend. He eventually relapsed and turned into the biggest jerk ever; would argue with me to be his girlfriend and I refused. I tired to set a good example of what a friend is and what a friend does but that saying, teach an old dog new tricks applies. Eventually he became so frustrated with me, although I helped him over 100 times and he did jack for me, he turned against me and threatened to kill me - 20 text threats and 3 voice mail threats. He hid the fact that he was imprisoned twice and arrested 13+ times. He got 1 year knocked down to eight months knocked down to 3 months. He will be released 11/09. Anyway, the reason I mention him is he constantly went to the ER seeking drugs. One time he told me he broke his back and needed a ride to the ER. 4 hours later he is released and the nurse gave me his Rx to fill. I told him it is in my purse. I don't know what he was thinking, that I would steal it? I don't know but I gave it to him right a way. He wanted me to take him to the pharmacy to fill it and had a complete meltdown that I was going to a different pharmacy than where he goes. While waiting for the Rx to be filled he paced and paced like a freaking dog in heat! It was disgusting behavior and I help him all along to only have him b****, complain, and be ungrateful. It is people like this that make it harder on the people who actually have chronic pain. Like you, I have the migraines, Fibro, and back problems, and severe depression. So I really feel for you.

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A little touchy? Being an addict is horrible and at best you can maintenance. If someone didn't required pain meds after surgery, then you need to celebrate for her - that is a huge outcome - AND she was honest with herself to not use opiates because they are there.
The difference to being and addict and someone who is chemically dependent/opiate tolerant is that the meds are prescribed for the people who need pain medicine to make their life a little better, a little easier. A true addict uses the drugs not only for physical needs but for psychological needs as well in addition of not stopping when the pain is adequately treated whereas a true addict will keep using until he/she reaches that "high" or they run out of drugs. So who is being offensive here? An addict who makes it harder for people who really need pain medication. If you do suffer from chronic pain or have a pain issue then please note, this is not targeted at you - only the jerks who work the system, seeking pain meds for every reason BUT pain - these people ruin it for the people who seek treatment and not go to the ER to get meds in order to avoid withdrawal. I happen to know 2 - 3 people who are like this and it pisses me off to no end,

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I also have chronic pain for years, I take 2 24 mg hydromorphcontin and 6 -1 mg Dilaudid which is same, the 1 mg is for in between, but does very little, the 24 mg does good job but does not last the full 12 hours, 6 at most, but now days Doctors do not like to give pain killers, thanks to the people that are just abusing them and us people that really do need them suffer for those that are abusing them, and when I say abusing I mean selling them, which is bad for us people that have chronic pain. I still suffer 6 hours in between the 2 24 mg because the 1mg does very little, but I have feeling that doctors do this knowing it only last six hours and so that you dont have withdraws, they give you the 1 mg till you take the second 24 mg, knowing they only last six hours, the dr should boost the in between to 4 mg at least but because the Government is pinning down on Doctors, the doctors are afraid to give what patients really need.And I always thought I read the doctors took oath to take patients interest over anything. well if we tell doctor we still in pain, common sense would boost the mg to keep patient from suffering with pain. thank the Government for scaring these doctors when us real chronic pain people really need to stop suffering. this is not a long comment and my back is killing for sitting here writing this.

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I am on 6 8mgs of hydromorphone and 1. 100mcg/hr fentanyl patch that gets changed every 48 hrs. I am still in pain 24/7.what else can I take?

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