What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 2)
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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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527

I know Medical Marijuana has proven itself helpful in place of narcotics and is not lethal. You don't have to smoke it and some places put them in capsule forms. I just wish that the FDA and DEA would make a "controlled" substance prescription for people with chronic pain.

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526

I really enjoyed reading your post. It's refreshing to read the opinion of someone who has the capability to articulate a response with both knowledge and understanding on this topic. I believe that unless you have been dealing with the pain, and have had the proverbial ball n' chain of a prescription that you depend on EVERY DAY, your opinion is irrelevant. Stereotypes are dangerous and so is ignorance. Nobody wants to be an addict. With this opioid crisis that is killing people in record numbers, doctors are reluctant to prescribe it because the word oxy has become almost a swear word. Taboo. So for those of us who depend on narcotics for pain relief, not to feel high, this is a crisis. Also an opportunity for drug dealers to put lethal substances on the street, readily available with no Rx needed. Leaving people vulnerable and endangering lives. It's much harder to go to a doctor or a hospital seeking relief than it is to call up the local dope dealer with pills made with ingredients from a Chinese lab concocted in somebody's basement. I am curious to know the statistics on the monitored, regulated prescriptions of the patients under a doctors care who OD on their meds. I have taken fentanyl twice. Both times were in emergency rooms during a lumbar puncture. Doses in micro mgs. Yet I've lost friends and acquaintances by the dozens to street drugs laced with this poison. Many of these people couldn't find a doctor to legally help them live their lives without pain and suffering. They paid the ultimate price and definitely feel no pain anymore....that's now for the people who loved them to feel.

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525

I take oxycodone with tylenol 10/325, my insurance did not want to pay good at all for the yellow colored, which helped with less side effects! My pharmacist, told me, you need to get your doctor to write just oxycodone 10mg. Way cheaper, little tiny pink tablet, then take generic Tylenol with it!

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524

Oh brother. I feel your pain. I have a high pain tolerance as well but it’s the constant day after day of it that begins to crack the foundation. I absolutely love it when I break a bone like a toe... right now I’m walking around on a sprained ankle and I couldn’t give two s***s. It mitigates the neuropathy and I know it will go away... which brings me to my point. I’ve recently realized that, as tough men, we can take the pain... it’s the destruction that comes along with it that rips your life up. Pain meds are, if not addiction-causing, at best dependence-causing. Friends do not get it. Wives and husbands grow tired of the radically changed lifestyle. Not working puts you in a social bubble. I stopped trying to wrestle the pain long ago and am now working on the suffering, which occurs in the head rather than at the point of injury. I’m with you though, brother. It’s a tough row to hoe. It sounds to me as though your pain is always going to be there. Have you tried a good psychologist or pain-specific clinic that may help you learn to accept and cope? I hope you’re still well and I hope that this has helped at least a bit. You are certainly not alone.

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523

Man... I almost answered this when I realized that it’s from about 10 years ago.... but while I’m here... my 2 cents for everyone else: 40mg oxycodone, according to most charts I’ve seen (many seem to vary a bit) works out to be around 15mg hydromorphone. Remember, of course, that you MUST compare ORAL to ORAL, IV to IV... or you run the risk of shocking the life out of yourself (but only for that last little bit there). Not funny. Here are a few other things I’ve slowly and reluctantly learned over my chronic pain career:

a) This s*** is NOT for chronic pain. Chronic pain is best (imo) handled with psychology, education, meditation... any kind of stress reduction, coupled with the acceptance that this just might be as good as it gets.

b) If you attempt to make your pain “go away” with opiates, you are beating a dead horse. The gold standard for pain relief is about... like... 30% from almost any drug out there. The only 100% option involves messy stuff like not breathing, hanging, etc.

c) If you are truly looking for a way to change your life, opiates are absolutely one of the answers but the costs far outweigh the benefits since the benefits are so few. Sick, tired, still as sore after you plateau, marital and other psychosocial issues change for the worse. Weight loss, poor nutrient uptake... you name it.

Narcotics are for acute pain. Appendix? Thanks. Broken arm? Sure ... but “This back has and always will hurt”? No way. It does not work. In two weeks you’re used to the [kinda s***ty] feeling and you need to go ask the man for more. And that ain’t right. Learning how to cope and live with your pain is possible, albeit difficult.

It is NOT as difficult as putting the pieces back together after your life explodes. If I’m going to take a dependence-causing, addictive and dangerous drug, it had better be one I enjoy... like alcohol or nicotine. There are, as you know, illegal compounds that work just nicely for pain and are far less dangerous than opium based products.
Also read, read, read ... Ted talks are great for understanding pain in a way that your doctor may not even have considered. My time’s up but I hope I helped ten years after the post. LOL

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522

You should try Kratom. It is an all natural medicine from the Earth. I believe in herbs. I have severe back pain, neck pain and leg pain, and I went through withdrawals from pain medicine cuz I ran out of my meds. The Kratom lasts for 6 hours and it's good for you, not just with pain but depression and diabetes. Read up on it. I started it and I have two sources that I purchase from. I have lost weight. It gives you energy. I tell you this, you wont go through withdrawals. Best advice is read up on it and find a good place to purchase it from.

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521

I know this is an older thread ,so I was wondering how the new changes of all the long acting opiates working for you . I am now back in he'll ,the changes have given me many stomach aches and they only work half as well.I am back to wanting to give up again .i was a different person when I was on original oxycontin er ,I had almost no pain and it gave me energy ,the new ones make me so tired and very little pain relief .i am 55 and assure everyone I do not abuse any drugs.

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520

You are so right and I truly empathize with you. I get the same treatment. Because I don't look like death or I'm not in the hospital, they think the pain is not as excruciating as it is. It hurts me deeply that my family either doesn't get it or don't care. I don't feel high or some kind of euphoria from my medicine, it just makes my life bearable and I do more than exist. I can't bend or sit without a lot of pain, have lost all strength in right arm and hand. I don't know how to get across to the people who are supposed to love me that I hurt and I am limited in things I can do. I appreciate your post and at least someone out there understands. God bless and I hope you someday get better. I'm sorry for your pain.

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519

I enjoyed your post. I have had so many people judging me for taking pain meds. I have had cervical fusions 2 times, lower lumbar, 3 and now my thoracic is going to need surgery. People who are suppose to love me are not understanding. They think "it's back pain, get over it". They don't understand that it is so excruciating and if I do too much I am in bed for 2 days on ice. I can't sit more than hour or at most two before I have to lay down. There are times I even think about how nice heaven will be. It is nice to hear from someone who truly understands pain and why we are on the medicines we are on. I get nerve root ablations every two months, epidurals, sciatic inj's. I am on OxyContin MS x 2 and breakthrough of oxycodone. I have tried to get off and my quality of life is horrible. So, like you, I take my medicine so I can enjoy my children and grandchildren. I would like to know if it affects your sleep (medically and pain wise) and what you do? God bless you. I truly empathize with you. I pray you get better and I appreciate your post.

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518

Dr. Stuart Finkelstein in California, Lakewood Hospital, is the only Dr. I know that can do a detox in a week in a hospital from any drug. He is amazing. His bedside manner is a little rough, but he is an excellent doctor. His phone number is 562-633-1765. If you make an appointment, you can tell him I referred you to him. His nurse was Sandy, I don't know if she is working any longer. Good Luck and God Bless.

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517

Jeez, how are you today? I'm on 30 milligrams 5 times a day oxycodone just because they did not like 40 milligrams of methadone/ 4- 10mg percs. my life has been in ruins every since my doctor had me on 240 milligrams of Oxycodone every day to compensate for only 60 milligrams of methadone how stupid what a fearful stigma against methadone my life as been in Ruins I have mental nothing I'd like to change to Oxycontin / Dilaudid a couple of months and see how I do on that.

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516

No, the closest generic is oral morphine. I know this from insurance that wants to charge a premium for my oxy 40s.

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515

Yes I've tapered off of dilaudid. I didn't have the reactions you did. When I went a day or more without them I started getting edgey and restless and just couldn't lay down and relax. I always felt on edge. At ont time I was on 7 tabs of 8 mg a day and still had pain so I wanted to see if they actually did any good. It was easy to drop to a lesser dose. I went to 1 tab twice a day for 4-5 days pretty easy, then 1/2 tab twice a day for a few days then to 1/4 tab twice a day for a few days then 1/8 tab twice a day then 1/8 tab a day for a few days then I only took 1/8 tab when I started feeling withdrawal. Cutting down was pretty easy but stoping the last little bit was the hardest, I would still get edgey or figity. When I felt that I just tried to keep busy till it passed. Something more physical worked best like doing yard work or washing the car, etc. or go exercise if your into that. But then I was just able to finally stop. But the last little bit was definitely the hardest. As far as helping the pain they didn't actually do that much but they did take the edge off so now I'm back on 1/2 mg 4 times a day, could get by with 1/2 twice a day.

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514

My spouse takes suboxone and went from serious addiction to 3x 8mg each day down to 3x 2mg He wanted of completely but does have other health issues. His doctor has him on Gabapentin or Lyrica and Nabilone which is synthetic THC pills. He is now down to 2mg to be weaned off completely in 6 months. This has taken over 6 yrs but he is a new man again and loving it. Good luck. Try the Lyrica, it is great for pain. Toradol is good but hard on the tummy. There are safer meds out there than to be maintained on pills that are handcuffed to your day to day quality of life. Best of luck to you.

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513

That is crazy there is no way this doc should be scripting u hydroromorphhyd!!! U can taper of buprenorphine there are .2mg pills!!! Dilaudid is a full opiate and buprenorphine is a partial opiate which makes it easier to come off then any other opiate!!!!!

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512

I understand about chronic long term pain. I find myself thinking about dying just to escape the pain. Dilaudid 4mg-5mg,1-2x a day would help me. My pain is not as severe as some of the cases here. I pray that it doesn't degenerate to that stage. I have Cauda Equina pain and discomfort. May the Lord help us all. Many people just don't understand the agony.

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511

i use RED VEIN MAENG Da which is kratom this will keep u from the place call the GRAVE. 3GRAM IN HOT WATER WITH HONEY AND THEN GO TO NARCOTICS Anonymous and ask for a SPONSOR and tell him or her u need help with Opiate Addiction MAY THE LORD BLESS U ON YOUR WAY OF STAYING CLEAN AND SOBER.

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510

Yes I've gotten off of dilaudid. For a while I was on 7, 8mg tablets a day for chronic arthritis. But lately with this opioid cut back they slowly over a few months tapered me down to 4, 4mg tabs a day. I really didn't get much pain relief from that and thought I'd get off it to see if it was even helping the pain at all. So I started cutting the pills in half. I got down to 2, 2mgs a day pretty easy. Then I cut them so I was on 1mg twice a day for about a week. Then I only took the 1mg when I felt withdrawal coming on. I got to where I was only on 1mg every day or sometimes a day and a half. After a week or two of that I stopped completely. A couple of times after I stopped I would feel a little withdrawal coming on but if I kept busy doing something like cutting grass or maybe washing the cars, something that took a couple hours it didn't really bother me. Then within a couple of weeks I was off with no problems. I found it was pretty easy cutting down pretty low but stopping the last little bit was the hardest part. But I would say I did it in about 6-8 weeks pretty easy. Good luck to you.

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509

I too suffer from Chronic Pain Disorder, specifically from severe migraine headaches (top 1% worst cases) and Fibro jumped along for the ride in addition to RSD in my lower back. Migraines were inherited from both parent's side of the family so I got them as a baby. Through all the years of going to school and work Iearned how to hide it really well until it gets to be an 7 or 8 on the pain scale. My husband can detect it in my eyes before I even know I am sick. My dad, who has never had a headache in his life, who has seen me vomit repeatedly and cry from the pain, just can't put it together that I am ill. He and my brother think that since I don't work, I have all this free time. I explained to them until I turned blue that my job is feeling better or getting well and it is hard to do when you don't feel well most of the time.

I look really good on the outside so people don't think I am even sick. I usually bolt as soon as I start feeling badly because it unravels exponentially once it hits. I can't even count how many dinners we had to end immediately because I got sick or how many concerts we canceled, after we bought the tickets, because I couldn't go. Nothing can be planned, it is all spontaneous and my husband does not do well with spontaneity.

If people can't see it, they think you are faking or that you are a malingerer. It is sad. They don't see us when we are down and out, and even if they did, they would come up with something ugly like we were faking it. My Aunt, who also struggles with severe migraines, said to my mom, "She is the sickest person I have ever seen who did not have cancer." Like I really wasn't THAT sick. It is a shame and no one, I repeat, NO ONE wants to be around a sick person. Doctors HATE sick people or people who are in pain. If you are a patient and you don't complain or act sick, they like you better. Doctor's kids and nurse's kids - never sick because they know how much their medical parent HATES sick people. Even if you aren't contagious, your friends don't want to be around you.

My brother quit talking to me because he thought I should get off of Dilaudid and go for treatment. I countered that I am in pain and I should be able to take something to make the pain go away. What? Did he want me to live in pain ALL the damn time? He sure as hell did. That was most important to him. It didn't matter that I suffered from 3 separate chronic pain conditions + serious deep depression probably due to the chronic pain conditions. I had no support from my jerk family to speak of so I tried to commit suicide. Was in a coma for 5 days. I woke and called my brother because that was the only number I remembered. You know what? He hung up on me! Can you believe it? He hung up on me! Just don't let anyone take your joy away. Carefully review the meds you are on. I was on Lyrica for a really long time and it attributed to my suicide attempt and tremendous weight gain (Size 0 - 16) and depression. I finally got off of it and felt a little better but they put me on a really high dose of Lithium because Lithium is the one drug that is supposed to help counter suicide ideation. Well not in me. The more they gave, the worse I got. I started to run out, and I rationed them until my payday. I started feeling really good when I went from 5 pills to 3; even better from 3 pills to 1. The suicidal thoughts went away just like that. I had been suffering with them every single day from the moment I woke up, all damn day that I should just kill myself and be done with it. Then they magically disappeared! Thank GOD!!! There is a medical term for this phenomena but I don't recall the name. Sorry.

I hope that my lengthy book here helps someone with their issues. That is why I shared all that, not to be arrogant to read or tell about myself, only to help someone see that even when there are clouds or sucky family, you can still find your own kind of peace.

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508

I agree. as a nurse I see so many people struggling with pain and so many people judging them because it does become physically addictive there's no way around that. And those people in pain have a right to quality of life and a right for treatment with pain meds. It's really sad that most doctors will no longer prescribe pain medication because of all the abuse out there with people who aren't really in pain and are taking it for recreational use. I wish you all the best of luck with your pain management.

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