What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 4) (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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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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Dilaudid is an opiate which is a narcotic!!! WOW!

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Oh my goodness, Alex! As Tanya has said, opioids are narcotics and narcotics are opioids--just two different names for the same thing Also..."Oxycodin"? Oxycodone is the "generic" name of a particular narcotic. In it's plain form, it is known as oxycodone and is short-acting. When it is in a time-release form, it is Oxycontin; Oxycodone with Tylenol is Percocet; oxycodone with aspirin is Percodan; Dilaudid is "hydromorphone"--and so forth and so on. All of these medications, plus many more, are opioids/narcotics. Except for the "Oxycodin" you mention--not sure what you're talking about but there is NO medication called Oxycodin!" Talk about the uneducated....

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To UNFORTUNATE USER: You cannot possibly be taking "Oxycotin" because there is no medication with that name. More likely, you're taking "OxycoNtin". It's always good to know how to spell your medications. If you're getting any "rush", as you say, from taking the Oxycontin and the Dilaudid, you're probably taking more than you need. I take Oxycontin, Dilaudid and Xanax-- 60 mg. Oxycontin 4x/day and 8 mg. Dilaudid up to 6 times/day for breakthrough pain; I'm also allowed up to 4 mg. Xanax/day. On the majority of my days, the severity of my pain requires that I take everything I'm allowed which is a pretty high dose. In spite of this, I have NEVER been buzzed, high, la-la, groggy, fuzzy, had a "rush" or any other type of reaction besides pain relief. I've been on the Oxy and Dilaudid for 15 years and the same dosage of Xanax for 20 years and they still work just fine with only a couple of minor increases in the Oxycontin dose years ago because I was still having severe pain and it took a while to titrate up slowly in order to find my effective dose. Now it's been several years since I had any increase. I take what I need for the reason these medications were prescribed for me and am grateful for the pain relief so I can have a life without thinking about how I could abuse them to feel high. Doctors don't prescribe these medications because they WANT the patient to get "addicted"! (What an ignorant statement.) I was titrated up VERY slowly and, with previous doctors, had to fight for an adequate dose over many years that actually controlled my pain. Because of moving several times, I've had a number of different doctors over the last 20 years and NONE of them were eager to get me on opioids. In fact, my experience with all of them was that they were very cautious about putting a patient on these drugs and I was always required to sign a form on which I agreed to take the narcotics under very definite guidelines. It took a long time to build a trust relationship with my doctors so they eventually knew I wouldn't misuse these meds and that I would respect the guidelines. They realized, of course, (as did I) that I would become PHYSICALLY DEPENDENT on the narcotics which is totally different than addiction (do some reading about the differences between addiction and dependence.) Of course, I don't spend MY time contemplating how I might be able to abuse my meds for some "recreational" purpose. As I said earlier, if taking the pills gives you anything besides pain relief you may be on a higher dose than is needed to address your pain. A FINAL NOTE: I don't understand why you would write here to talk about how you'd like to abuse your narcotics because they give you a great rush and how it's too bad you need them for pain because that means you can't use them to feel high so you're "stuck" having to use them legally for their intended purpose but at least you get to go to the hospital periodically and get a great rush on Dilaudid. I don't know how old you are but this sounds very immature. I can't say it often enough--it's people like you who make it difficult for legitimate pain patients who need narcotics in order to have any kind of life. You help create the false idea that any patient who takes narcotics, even to address severe pain, is really just taking them to enjoy the buzz. I'm not making this up--I actually heard a supposed "pain expert" physician from the University of Wisconsin say of fibromyalgia patients who need narcotics for pain relief, "Of course, they just love their high." Please, don't contribute to this incorrect idea by speaking/writing as you did here.

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To TRPebs - There are LOTS of other, stronger medications you can try! My best suggestion for you would be to get a new "pain" doctor immediately. I've had severe fibromyalgia with terrible pain for 20 years and for the first 6 years I was given either nothing or given weak pain relievers which didn't help at all while being told by doctors that there was nothing else they could do. I also tried Lyrica for two years which did absolutely nothing for pain relief--just gave me now permanent tremors and "jerks", even though I've been off it for over a year. The manufacturer's own research found that Lyrica helps 20% of those who use it SOME of the time. That's not a really strong recommendation for it in my book! I think that sometimes prescribing Lyrica just allows the doctors to pat themselves on the back because they can pretend they're helping! For pain as severe as yours and considering its cause, Lyrica is a TERRIBLE choice. Anyway, I take 8 mg of Dilaudid every 3 hours for breakthrough pain but not as my primary pain medication. My primary pain relief comes from 60 mg. of Oxycontin every 6 hours. It's timed-release, unlike the Dilaudid, which is short-acting but takes effect more quickly. Since they changed the formulation of Oxycontin to make it more difficult for addicts and abusers to misuse it, it takes 2-3 hours to take effect when it used to take 1 hour--another example of pharmaceutical and insurance companies and the DEA putting the problem of addicts and abusers before the needs of the actual pain patients so they can appear to be addressing the "drug problem" and be perceived as politically correct. (Of course, the addicts have already found ways to continue abusing Oxycontin and the only ones actually affected by the change and left suffering for the extra couple of hours are the legitimate pain patients.)

This is helpful to know so that, if you're prescribed Oxycontin, you don't panic and think it's not working because it takes so long to give relief. Especially when my pain is really severe, I have to use one Dilaudid to "bridge" the time when I'm waiting for the Oxycontin to work so I don't have to writhe in pain for those 2-3 hours. I've talked with my doctor about this problem so he is aware of it and and is fully supportive of using my pain meds in this way. My point is that your doctor is lying when he claims there's nothing else he can give you or do about your suffering. You could try Oxycontin, starting at one of the medium strengths perhaps (it comes in 10, 20, 40, 60, 80 and 160 mg) and increasing the strength if the one you're isn't strong enough. And don't believe it if your doctor or pharmacist tells you it lasts 12 hours--it doesn't. MAYBE 8 hours, more likely 6 hours, is a more realistic period of effectiveness before it wears off. You could "layer" the Oxycontin and Dilaudid or take them alternately. There's also morphine or morphine-based pain medications you could try and probably many other medications to try also. I suspect your doctor is telling you he's done all he can just because he doesn't want to give you stronger narcotics; if you asked about Oxycontin or morphine, he'd probably rattle on about becoming addicted. HOWEVER--it sounds like what you have is not going to go away or get better; your pain is a permanent condition and it's severe so strong opioids are very likely necessary. And there's a difference between being DEPENDENT on opioids and being ADDICTED. The first is a physical issue--your body gets used to these meds and you would have to slowly wean off them IF the time came when you didn't need them which doesn't sound likely. The second (addiction) is when one takes these meds for their psychological effect, for a high, rather than taking them for pain relief. Right now, getting pain relief is the primary concern. If the day comes when you no longer need these medications (though this doesn't sound likely), you can deal with weaning off them then. I've been taking Oxycontin for about 12 years now; for the first 7 years I still had a fair amount of pain because I wasn't taking enough. Five-and-a-half years ago, I got a new doctor who very gradually titrated my dosage up until I actually had true pain relief. Now my dose hasn't changed in 5 years and I'm still getting the same relief I had when I initially went on this dose. (I should probably mention that I have NEVER had any kind of "high" or "buzz" from taking any narcotic medication--they just take away the pain which is usually the case when you actually NEED them for pain.)

It has meant the difference between struggling just to exist and actually having a life. You, and just as importantly, your children deserve far better than this so-called doctor is giving you. Allowing you to suffer so badly when help is available is unforgivable and medically unethical; I'm certain that if his wife was dealing with what you are, he wouldn't be saying that nothing more could be done and just allow her suffering to continue. (You may want to ask him about this!) Also, I know from experience that sleep deprivation and pain aggravate each other significantly. Obviously, it's impossible to sleep when you're in so much pain but severe sleep deprivation, such as you are experiencing, will also increase your pain tremendously. I know how difficult it is to address all this with your doctor when you're suffering so badly; it doesn't help that some doctors can often be bullies when told that they're "failing" you. If possible, I would suggest that you take someone with you to your next doctor appointment to advocate for you--preferably someone who can be firm! It's hard to be strong when you're devastated by pain. If this doctor won't help you, I hope you'll be able to find one who will. If it's possible for you to do so, I'd like to stay informed about how you're doing and if you find any help. I am REALLY concerned about you.

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You go girl!! This is what concerns me, clearly these patients aren't well educated about the use and/or abuse of these medications which is so freaking dangerous. I hate to equate intelligence w/need or a lack of w/abuse, pain AND addiction know no boundaries. But it's certainly a big tell when a patient spells medications, serious medications they are taking incorrectly and are unaware that opiates and narcotics are basically synonyms. I have NEVER gone to a legitimate PM doctor who wrote for such massive quantities and numerous IR meds in addition to ER meds (no reason to be taking Morphine IR, Dilaudid, OxyContin IR, etc.) along with say MS Contin and in my opinion and every doc out there, Xanax is the number one cause of drug overdose and death, usually unintentional as it adds to the multiple drug toxicity component and you can be fine on it for years and one time not realize you have something else going on, or not eat well and that's it. Clonazepam is a much safer alternative for the anxiety most pain sufferers deal with, hope you don't mind my adding in. You seem like a good lady who gets it and I love your posts :). This one was funny, anyone gray doesn't know these very basic facts should NOT be taking these medications.

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Well if u think that then u have never been in severe pain because if u were u would not feel that way. Let's see if and when u do get severe pain u say "suck it up" ha !

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"Man up and take the pain?" Are you insane? Obviously you've never lived for years--yes, YEARS--with pain so severe you couldn't function and were barely coherent. Pain patients aren't junkies; they're just people in terrible pain and they can't live with it by just deciding to be tough and ignore it. Drug abusers, who misuse pain medications to feel high rather than because they need them for pain, are the problem, not the sick and suffering. I get these medications legitimately and take them as directed just so I can do basic things like have a conversation with my husband, spend time with my grandchildren and occasionally have some social life. People like me aren't responsible for the bad choices made by addicts and abusers and making us suffer won't change the behavior of abusers. Rather than telling people who live in agony that they should just suffer because they're responsible for the bad choices made by others, you might consider holding the actual abusers responsible for their own actions. Of course, it's pretty hard to take you seriously anyway when your grammar, sentence structure and punctuation are at the early elementary level. Apparently, this is the same level at which you think.

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WOW - what can I say that hasn't already been said?
Every drug is going to work differently for each individual depending on their reason for taking them and their genetic makeup. Most of the people who are 'dependent' on pain medications do NOT choose a life of disability and if given an opportunity would prefer a productive lives with a job and be a part of social activities rather than a life of constant limitations and isolation. There is always going to be a certain part of the population that abuses the prescription drugs, but perhaps there is an underlying problem that they are dealing with - abused? raped? It is way to easy to judge someone when we don't understand. Perhaps they are medicating the emotional pain.
Anyone who has a chronic condition has a much higher chance of having to deal with depression in addition to their physical pain. Perhaps they use the extra drugs to help with the emotional pain. That does not mean they should be referred to as 'junkies'. It is hard for anyone who does not have a chronic condition to fully understand the challenges to our mental and physical health.
Personally I use several different drugs, one of which is Dilaudid, another one is Lyrica. I have compressed fractured disks in my lower back, Fibromyalgia and nerve tumors, the largest being 8x5x2inches under my left lung, surgery for me is not an option. I do not max out the prescribed amounts and I only take enough to keep me comfortable but rarely am I ever pain free. The most important thing is to me is to keep moving, as much as possible without overdoing it. I am not perfect, do have a number of 'couch days' when moving just is possible that day. I also have nights that I am in so much pain that the drugs just are not enough to get me to sleep. Tonight is one of them.
Exercise is important. I try do 15-20 minutes of Pilates everyday that I can. Sometimes I can only manage 5 minutes.
Diet is important. I have a high protein diet that I try to stick to as much as possible. The more pain I am in, the more nauseated I am and the less I want to eat and the more medication I take, sometimes enough to make me sleep through it.
I struggle everyday to maintain some sort of self worth. I morn the loss of what my life once was. I am frustrated with all the extra challenges that comes with my condition. I am embarrassed because of my limitations. I am sure that anyone with a chronic condition feels the same way.
It has been six years for me now and live as happily as I can. I hope I have provided some extra insight.

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I have been reading a lot of these posts. As a chronic pain sufferer myself, I will say this, everyone is different. What works for one, may not work for another. Careful cause doctors receive kick backs for prescriptions (narcotics). Don't let them over medicate you. I understand what everyone of you are going through. Just remember this, pain medication minimizes the pain. Half is a psychological game. Stay as active as you can along with a proper diet. You'll be alright. Take care.

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Hello to stro286 - You indicate that you are on 20 mg of Oxycontin and 8 mg of Dilaudid which aren't really helping you. You didn't say how much of these you take per day. I suspect your continuing pain, despite taking strong opioids, may be due to still being undermedicated--your dose could easily be too low to combat your pain level. I take these same meds; however, I take 60 mg strength Oxycontin (4 per day) and 8 mg Dilaudid (8 per day). I have had severe, unrelenting body-wide pain for 22 years, the first 8 with no pain relief whatsoever. Then I started taking these medications (and was furious that relief had always been available, just denied to me.) Though I then had SOME pain relief, I was still often in a debilitating amount of pain which often prevented me from sleeping for months at a time, other than catnaps. Seven years ago, I moved to a different state and had to start with a new doctor who happened to be someone I'd known for years, who trusted me, who was compassionate and wise rather than neurotic about opioid pain relievers! After a few months of working together to find an actual therapeutic dose, I have now been on the same level of these pain meds for nearly seven years, with no need (or "urge"!) for an increase. In fact, there are many days when I'm able to take quite a bit less Dilaudid, though some days, during flare-ups especially, I need them all. I take the Oxycontin on a regular schedule. My point is, again, that it may not be a case of these medications not working for you. Though they can work differently for everyone, it may simply be that your doctor doesn't have you on a high enough dose for your level of pain. When people ask me, "Aren't you afraid of being "addicted," I first point out that there's a big difference between being "addicted" and being "physically dependent." Secondly, I remind them that there is no cure and no effective treatment for my condition. Until a cure or actual working treatment is found (as opposed to a highly advertised but mostly ineffective pill that research has shown works for only 20% of people SOME of the time),I don't anticipate discontinuing the medications which have given me a life again! And no, I have NEVER been at all "la-la" at ANY time since beginning these pain meds. As Misty pointed out in her post of 5/15/15, insurance companies don't want to pay for Oxycontin. This is because the pharmaceutical company that makes it has continually made tiny, insignificant changes to it which has kept it from being open to being made as a generic and has kept the price artificially and horrendously high--like $1,770 for 120 pills per month. I know this because that information is printed on the paperwork for my prescription each month! Always remember that profit is what motivates insurance companies; they don't care about suffering people in the least or what's best for the patients. Refusing to pay for it when your doctor wants you on it is simply because their only concern is their bottom line. In the end (like the great majority of American big business), it's all about greed. I hope you can find the strength to fight your insurance company's decision. With your doctor's help, you can file an appeal and even possibly win it. Whatever happens, I hope you're also able to find the strength to hang on until you and your doctor find something that works for you. A life of continuous pain is a difficult life and I pray you get relief. I mean that sincerely--people in chronic pain are courageous people but fighting that pain is exhausting. God bless you.

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Hi to Lucky Me! Just to clarify--cutting OxyContin in half doesn't actually "deactivate " it in terms of pain relief. What it does do is decrease/eliminate the time release aspect, potentially putting too much of it in your bloodstream too quickly. This could make it dangerous, effectively overdosing the patient. It is, unfortunately, something abusers often do to get a rush and is obviously risky. Just thought it might be important to make sure this is understood for the sake of safety!:-).

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I did not read all that you wrote, so I am responding to your pain level and having to dbl to get total relief. This is the best thing I did, after 7 ruptured discs in my mid back, between my shoulder blades, you probably can imagine my pain level. I was so tired of pain 24-7 that one day I did I dbl'd up, probably more, I took enough that for the first time I was pain free, after 1 week I was able to reduce, two or three months later I realized I tricked my brain. I was no longer ONLY thinking PAIN...PAIN...PAIN. I have now a tremendous understanding of the power of thought, the power of your BRAIN, it was not waking, going through the day, and going to bed thinking PAIN....PAIN....PAIN that finally allowed me to feel better and stay on a reasonable dose. 8 oxy 80s/day, 6 oxy 40s/day, and 12 Oxycodone 30s/day. At one point I was on 37200 mg/month, NOW I am on 7200 mg/month, the power of the brain!!!!! Since birth your brain has been producing different chemicals (if you well) to keep your body well, YOU can command your brain to heal yourself, if you want to learn how {edited for privacy} I will be glad to share the secret, first you will begin to feel less and less pain. The meds are an important part of your life. If I did not have the pain medication I definitely would not be able to say that I have some what of a normal life, without I could not do the daily activities I do to support myself and loved ones, I have never had disability pay all though I am rated at 90 percent. Thank God for pain medication when taken for a reason and NOT just to feel high on.

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I am a chronic pain patient as well ands the doctors have tried everything to help ease my abdominal pain and the only thing that seems to work is my dilaudid 8 mg along with my dilaudid 12 mg hcl extended release tablets.sho in my own opinion nothing else works better.

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Hey Stro, that level of meds is pretty good. Is that the total of mgs per day? Or is the 8mg every 4-6 hrs? I take a total of 12mgs extended per day and then 2-4mgs every 6 hrs for break thru. I used to be on so many narcotics that I should be dead but thank god I came off everything and now I'm just in dilaudid. I wish that I didn't have to take anything but as you know when you are in chronic pain you need to just to be able to function. Good luck and maybe we will chat again.

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Hi Sandy, my 8mg dilaudid is every 3 to 4 hours four break through passion and the 12mg extended release is for every 12 hours so you know what topple of pain we are talking about. Most people with their passion thinks there isn't a level as high as theirs but they are extremely wrong! I was supposed to be dead now but thank God I'm not. I really used to take pain like it wasn't there but after all of the surgeries I've been through I can no longer avoid it. The average person could not tolerate the meds that I take but I have to so don't be ashamed of the meds that you take because you really need them. Unlike the ignorant individuals that takes these prescription narcotics for a high. I would love to converse with you also.Take care until we speak again.

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Hi again Stro, glad you answered me back! I couldn't agree with you more! I am never ashamed by what I take. Like you said when your pain is intolerable and you need it to function. Sorry to hear of all your surgeries. So am I to assume you are in bed most days? I was like that for ten years. I was also completely messed up from the drugs. My pain was better however I slept away a decade. I am now more cognizant but I do put up with a lot of pain. I really don't think it matters what narcotic you are in because every person reacts differently to all of them. As long as they help is what matters! The people that abuse them make it difficult for us when we need them for a lifetime. I'm glad you now have to take your used fentanyl patch back to the pharmacy to refill your script! Talk to you soon!

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Same here, I have had bad reactions to Oxy and Fentanyl.......Dilaudid is the only one I can handle, I just had a very bad reaction to Fentanyl, and because I am allergic to Oxy, Dilaudin is the only drug I can use. I have been on 4mg 3X a day, I have a horrible spinal condition making this necessary....I refuse to be ashamed of using what I need. I now have a new doctor, and expect him to treat me with the same medication..........if he doesn't.....I won't be able to take any more pain, especially withdrawal. I was promised I would never have to deal with it when it became necessary to use them.

Doctors are getting paranoid about prescribing opiates. I have a spine twisting from the axis, on the 3rd rotation, pulling on my internal organs, veins, everything. The end result is death.....My pain doctor who promised never to abandon my care just told me I had to find a solution for the pain............How the hell can I do that? I have had numerous surgeries on my back, am facing another now......This clown tells me to fix my problem. Nobody can fix it, and now the bones are starting to fuse together. a very bad turn of events for me, they can't fix that one, either.............I have never abused the drugs, never run out ahead of time, or any of that, and this pain guy is dropping me in favor of patients without conditions like mine for which there is no cure.

I am seeking to find a primary care guy to help me into hospice. The pain is unbearable, my life is now spent in bed......Now, the pain guy tells me to suck it up...I will talk with the new surgeon, and it all depends on what he says......I am not going to endure withdrawal on top of what I am experiencing.....I refuse.

I have read other posts where patients are being abandoned after years of treatment on opiates, and for some of us, there is no other choice. These clowns are so afraid of being noticed by the wretched new health care goons that they are now abandoning their patients. I am disgusted, but that doesn't help much.

I live in Northern CA. If anyone knows a good pain guy, please let me know. I have decent insurance......Thanks. I have zero history of abusing drugs, I have always followed the RX, even when in deep pain.

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Hi Stro, yes I also have left messages for you that don't post. It's too bad, they should give you a way to communicate privately. I've had a few really bad days as well. Still glad to be off that patch! It is so dangerous and now it's on the streets. Sad! It makes it really hard on legit people like us that have to live with chronic pain and can't get our meds any longer. It is very hard to control the pain these days for me. I don't want to up my meds anymore. I don't want to end up a zombie again. I sure hope you are getting lots of rest and not overdoing it. It's been a while since I heard from you so you have been on my mind. It would be really nice to pick up the phone and call you! Take care of yourself. Till next time.

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465, I also have a lot going on as well. I'm 51 and like you I have had chronic pain since I was 30. I was on way too much Fentalyn patches for ten year with oxy and percs. Now I'm off all that stuff. I feel so much better. Now I still have so much pain and use 6mg of long acting dilaudid twice a day and 2 mg dilaudid for break thru. I usually take 3. We are all different and what works for one might not work with another. I just find oxy has such a bad rep in Canada. It is now extremely hard to get. I would really like to lower my meds more. I think you need to stay with one med. Like if you take oxy you should take long acting oxy as well. This goes the same for the dilaudid. You might have better luck. I have been thinking of pulling out all my teeth as well. Would you mind telling me more on your experience with that? Hope you feel better soon!

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