Opana 40mg Vs Oxycontin Op 80mg (Page 19)
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my Dr prescribed Opana 40mg as alternative to Oxy 80 mg 2 twice a day which I would insufflate - I didn't tell him this of course. he claimed them to be just as good if not stronger can any one share about opana 40mg

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33

3 back surgeries,failed,'87-'90-'93 L3-L4-L5 fusion last I've been in pain more than half my life,my problem is a high tolerance for pain,Ikeep my mouth shut until it's too late,that's where I run into trouble.I've basically lost my wife & son,she doesn't care about my pain,just do this or that & Ican't.I'VE been bedridden for the last 2and a half yrs.was on oxy 60mg. now opana er30 to be bumped up to 40mg. I agree old oxy's worked new ones sucked.Had cortizone shot5 days ago worked for5-6hrs.oh & lost bowel movements too.just need support & feedback from people like me.

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32

Mac,
Are you certain that the Oxy OP's have Darvon in them? This is highly illegal after the FDA removed Darvon due to the risks of heart problems! Wow, I sure hope not. I've asked my pain doc and pharm. person and even they cannot tell me what the new formulation is. I have not called Purdue yet, now I am smokin' mad because I have very unpleasent side effects from Darvon. Even if it is a small amount that is unethical, immoral and just plain wrong. Putting some other active drug in there and not telling anyone about it. Also, what is your source on this? Thanks for the inside scoop.

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31

oxycotin op's have propoxphere in them which is darvon, why would the fda approve a drug combined with darvon, when a legal recall of darvon just happened

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30

The Oxy OP vs. OC is individual. For some they do not work at all, others the onset time is much longer, for me about 20-30% less effective, which is a pretty big drop in pain relief, plus I find they cause much more constipation problems than before. Frankly I think they are putting some form of plastic, resin, or polymer in them which worries me. Of course the others like Opana and Exalgo have garbage in them too, some glue or plastic material and I am pretty sure the Exalgo has naxalone (Narcan) is it which is an opiate antagonist. It renders the opiate ineffective by displacing them from the nerve receptor sites, if released by crushing or trying to defeat the safety mechanism. It can cause rapid withdraws, very ugly feeling! I think they are going to do this with most long acting meds. and I sure hope not with the breakthroughs. So try to make the regular hydromorphone (Dilaudid) a larger part of your medications to combat pain. Yes, they are quick acting/shorter duration, but they are cheap, have a lot less garbage in them and work very well for most folks. I work a backwards ratio where I use the hydromorhone for my base pain and use the long acting only at night so I can sleep a full 6-8 hrs. Overall it is cheaper, works well, yes a hassle for some, but may work better for most I think. Also even though insurance may pay for your meds. we do really end up paying for them indirectly and in some way. The insurance, even work comp. affects you at some point. Me, I try to save everyone money wherever I can. Be good and take care. Have a bountiful New Year in 2011!

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29

same thing about oc or op not even close you no witch won is better but I can tell you 100 percent DILAUDID8 is the strongist pain med thats made this I no for sure

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28

I have had bad results from the Opana and Exalgo drugs. The Oxy (OP's) and Dilaudid (8 mg.) combinations work pretty darn well. Even though the OP's are less effective by 20-30 % I prefer them over the other long acting meds. Our course I hope that they return to the old OC formula, but I think that is a pipe dream for now. Also, please be very careful with stimulant laxatives and Benedryl, they will drive your B.P. and H.R. way up. I ended up in the E.R. with a B.P. of 180/105. They tried Inderal (propranolol) and I had chest pains from that. Use natural health food store supplements if you can. I pray that all of you out there are safe, stable and comfortable. God bless you and Merry Christmas to all and to all a good night!

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27

i was taken off of 4 80mg oxycontin a day without anything. cold turkey. i was sick for amonth then iwent into a coma because my b.p. was so high .DO NOT do anything cold turkey. being an addict is not the worst thing. being alive is very GOOD.

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26

After a being hit by a drunk driver while trying to rescue a woman that was entrapped in her car, I have had to endure 3 surgeries to my lumbar and pelvis. I have been in constant pain for the past 11 years. After the nightmare of Doctors that did not understand or care for my quality of life, I finally found a pain Doc that did care. I was on OC 80 mg for 6 years. As we all know, they screwed those up. I hung in there for 3 months post reformulation, and the side effects never got better. They got worse. Nausea and vomiting, joint pain, Abd pain and lots of gas. My pain went from a managable 3-4 up to an unmanagable 8-9 and I was not able to function. I even started fighting with my wife and kids over stupid stuff because I was so miserable and everything got under my skin. My Doc switched me to 40 mg of Opana, 2 in the am and 2 in the pm. Oxycodoe 30 mg 4 x's daily for break through pain. My only regret switching was not doing it sooner. I have no side effects and my pain is under control. I am living a quality life again. My experience over the past 2 months on the Opana has been Great! I would advise anyone thinking of switching is to just do it. The stuff works great and it doesn't mess your head up either. I am so greatful for this medicine. It has turned my life around and I feel great for the first time in a while. Good luck to anyone with cronic pain! You have a medicine that works in Opana.

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25

I just want to thank all of you for posting about your various medications endeavors. I have had headaches (transform migraines) for about 20 years now. I have had to take narcotics since about 18 years ago. I had to go to large doses pretty quickly but once I finally got relief I haven't had to increase or change often. For the past 5 years I was able to stay at the same level of pain medication, Oxycontin, 200mg per day. 1-40mg and 1-10mg every 6 hours, with Oxy IR 5mg as needed for break-thru - which was about 6-8 per day.

This new OC to OP conversion, absolutely sucks! Right after I started the effectiveness went down. I get maybe 30%-40% pain control where before it was more like 85-90%.

Luckily I have a fantastic pain doc, and when I told her, the drug rep happened to be in the exact same time I called about my problems. The drug rep said that there is a small group of people out there that the new delivery formulation isn't working for. After reading everyone's comments, it sounds like it's not a small group but most people are having problems - at least those people that used the drug as intended, without crushing, cutting or snorting. I loved how the drug rep called this loss of efficacy as an adverse reaction. Adverse reactions means breathing issues, rash, vomit, etc - not loss of efficacy.

It's sad that another useful medication is being taken away from the doctors arsenal for pain mgmt. Then we as chronic pain patients suffer.

Thanks to all of your comments I am a little less concerned over trying Opana ER - that's what the doc is now hoping will work for me. We are doing 4x20mg to start. 2 every 12 hours, and re-evaluate it every 72-96 hours, since Opana ER is supposed to have a cumulative effect after a few days. Like I said earlier - a great pain doc, very hands-on and caring. They are rare to find.

Before I read your comments, I must admit, I was scared to switch. At the levels of meds we have to take, changing can be very frightening. One wrong dose and it could be a trip to the ER or worse.

After I try this new medication, I'll try to post back and let others know my experiences, good and bad. Try to pay it forward a bit.

My best to everyone, and I hope your next year will be better then all previous ones.

Beastboy

PS.
If you agree that this new delivery formulation of Oxycontin from the OC to OP variety - contact the manufacturer, Purdue. Maybe if they hear from enough of us (and encourage your doctors to say something too), they could make the OC available again - even if it meant going through some extra steps to have it filled.

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24

In general I think that regular hydromorphone (Dilaudid) is one of the best meds. out there. Not much junk in it and they work fairly long for me, about 6 hours. Most of the other long acting meds. have the anti-abuse meds. I think that Exalgo (long acting hydromorphone has Narcan/noxalone) in it I think. Narcan is what you are given if a person O.D.'s. It kicks the opiates off your nerve receptor sites and you can end up in W/D's. Exalgo is the only one I am fairly certain has this, although the Opana may have something similiar. I was on both of those and had bad side effects/little pain relief as well. I am back on the Oxy. (OP's). They work for me, but are about 20-30% less effective and cause more constipation too. Our choices are getting limited and the drug abusers/makers are in a battle causing the rest of us problems. I pray you all have a Merry Christmas .

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23

I think the Oxcontin 80s (OP) suck!! I had them 1 x time I have been lucky to find a drug store to still carry the 80 (OCs) but this month they cost me almost $1400 cash!! The Insurance did not cover it.. DOES any one think the Dildadid 8s would work better than the MS Contin 100s? until I can get my insurance straight, and go to Opanas 40s, Any insight would really be helpful?
THANKS

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22

Hello all, just read the very informative commentary so wanted to offer my own experiences. First off, I have ADHD and am very sensitive to body changes so any med change is a nightmare. Have had chronic back/all over body pain for 30 yrs. that was finally diagnosed as Fibromyalgia in 2004 when I was in the midst of a lot of bone/jt. pain d/t menopause onset. Well, lucky me: a few months later my 16 yr old daughter died in a car accident, and I've been on a nasty pain roller coaster since then. Oh, yeah, migraines, too.
I was pretty stable, rating about a 4-5 on the pain scale at my monthly doc visits when the oxy changed. I take 3 20's a day, w 2 or 3 Norco 10/325's for breakthrough, 1800 neurontin (cleared for 3000/day),topamax, vyvanse for ADD, Prempro (hormones), zoloft, and 1 mg klonopin at bedtime.

I didn't know about the new oxy's, so when I went to the pain doc the next time after i picked up the first new rx, it was with the certainty that 1)he had written the wrong prescription, or 2) the pharmacy had given me the wrong meds. I did notice the change in appearance, but with all the different generics, you never know what your drugs will look like. Anyway, my body notified me on day one and esp night one of new meds that something was wrong with my oxy, and when my doc told me about the reformulation, I was furious. I should say I live in KY, home of a lot of oxy addicts, and I totally GET the need to keep scheduled drugs away from them. Seems like the pharmacies and the - hey! - doctors! - would play a part in this, but I'm a little on the inside and I know better.
Sorry to blabber, but I gave the new oxy's a month, and then this last visit, switched to opana 30's, which I was told are a true 12-hr med. and that I could switch right over. From day one, I've been nauseous and what I can only describe as dope-sick. Even though I take ADHD meds, it takes me several hours to get waked up, which is bad b/c I don't work but I do have 2 dogs who need care.

Both of the two mornings after nights with opana, I woke up with diarrhea, pounding headache and other w/d symptoms, where before, I'd take one 20 mg oxy and 1 norco with my other bedtime meds and literally sleep almost till morning.
I'd wake up feeling fine, have my coffee, and have to remind myself to take my meds before the day got away with me!

It's only been a week, but it's been a bad one drug/pain-wise. Today I used opana for middle of the day only and I've felt horrible since I took it - sneaking suspicion it's not going to work for me!

So that's my story and I'm sticking to it. Thanks for sharing yours.
Bonnie

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21

Hey, wats goin on everyone my name is nik I live n the east bay I had a script 130 80 mg oc because i was in a serious motorcycle a few months back im lucky to be alive, but anyways my doctor just switched me to 40 mg opana er, don't get me wrong the opana helps with the pain and lasts longer but I miss my oc's. If anyone can help me I'll leave my email that you can reach me at anything will help I'm sure you guys all know what I'm going through but please if anyone can help me with a good deed I'd reallly appreciate it and I'll make you happy also!

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20

to Chronicpaingirl read your post i see u have rsd i am also diagnosed pain 24/7 just was perscribed opana will that help never on oxy i told my pain doc i will suffer somewhat did not want to jump to a strong drug but could not take the pain no more im also on 10 mg norco for breakthrough pain

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19

I have been in chronic lower back pain for years, due to a terrible car accident, and then a failed surgery. my pain management doctor had me on 40 mg oc's, and like everyone elses posts i have been reading, when i went to my pharmacy and got the new OP's, i was devastated to find out they do little to nothing for my pain. i am considering asking my doc to switch me to Opana, will this work better for me? desperately looking for some feedback. thanks.

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18

Hiskid,
You should not have problems with withdrawals if they converted the correct amount of medication. I have been on that road before and had no problems in that regard.

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17

I just went from Oxy20 Ocs twice a day to Opana IR 10's. I don't like the IRs because I'd rather have something that lasts a while when I have to work on my feet all day. It's for back pain, and my question is, now that I'm on Opana, do I have to worry about withdrawls from Oxy, or will the Opana cancel them out? I think it's a good question that others may have. thanks.

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16

I am currently on Oppana ER and IR and they are doing wonders for me. From everything I've read a 5mg Opana is equal to a 10 mg Oxycontin. I like you Bohica am 40 and have had multiple back surgeries and even have a spinal cord stimulation systen for degenerative disk disease with nerve damage. So I understand your situation. It's really a crap shoot finding the right combination to help with pain but I got lucky with the Opana. I'm lso taking 2700 mg of gabapentin a day, which is the most allowed. Gabapentin is a nerve blocker but not a narcotic. I wish you the best Bohica.

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15

Ok,i been on Oxycontin 80mg and 40 mg both 4 times a day I had to switch because my new insurance will not cover it.Im disabled do to a bad back L2/3,L4/5/S1.My doc switch me to opana 30mg twice a day and it has been working great and I must say I was scared that I was going to have withdraws.I also was taking 30 mg of oxycodne 4 times a day,.as break through now Im down 2 a day.So what Im saying do not be scared to switch I feel GREAT!!!

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14

Bohica, I find that standard hydromorphone (Dilaudid) works great. It is pretty cheap and quick acting. Maybe try MS Contin (morphine sulfate ER) and the hydromorphone. I hated the patches and suckers (fentanyl), got sleepy and pain relief was not very good plus ruined my teeth. Might also try increasing the OP's. They still work for me, but are about 20-30% less effective. Most people want to abuse them and are really pissed. I hope your doc. works with you, if not change. I know that is easier said than done. I pray you find stable relief.

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