Opana 40mg Vs Oxycontin Op 80mg (Page 2)

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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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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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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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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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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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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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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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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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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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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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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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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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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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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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34

Snort it and see how much more it effects you. The drug in opana is adsorbed much better through your nose, than orally. This is the only drug i know that is like that.

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35

I was doing fine with the old oxy's ,then when the new ones came out it slowly stopped working.Idon't know why they changed it,they should have left it alone.Now I'm on opana 30mg.,it didn't work at all,went for a epideral ,it lasted 5-6hrs. now back in pain,doctors appointment ,monday,let you know what happens.

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36

I have be prescribed 2X 20MG Opana Er a day. I was on 2X 80mg Oxycontin CR a day. The Opana just isn't stopping the pain. Are these doses close or do I need to get a stronger dose. I was thinking about the 2X 20 mg ER with 2X IR 10mg. Is that overboard. PS I don't know a damn thing about OPANA's

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37

I agree with all of you who are hating the new OP's! I was paralyzed in a car accident in 2001 and had two back surgeries resulting in 12" rods in my back! I have ALOT of pain and depended on my Oxycontin and Percocet to get me through. Now because of the new OP's.. my pain has doubled and my bowels have completely loosened (which is completely opposite of what I was used to dealing with, as a result of the constipation that the Oxy would give me). I just recently changed from Oxycontin to Opana ER and so far I like it.

EVERYONE NEEDS TO WRITE A LETTER TO "PURDUE" (makers of Oxycontin) and tell them how much they suck and how they're gonna lose ALOT if money due to this unnecessary change they've made! Then... TAKE YOUR BUSINESS TO "ENDO PHARMACEUTICALS" (makers of Opana)!

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38

It is sad to see just how many people are being affected by the lack of reliable pain medicines available to us. (Or at least the lack of ability to get our physicians to prescribe them.) I am still on the 20mg Opanas and switched to 15 mg IR morphine-instead of 10 mg Percocet- just to see if I could find a combination that would work. Nothing so far has changed my level of pain. I have had the opportunity, and the need, to find a little something extra on the side here and there, to keep me sain and not bed ridden like I'm dying. I don't know about anyone else out here, but I feel like my Dr. doesn't really care how bad my quality of life is. My options are the new version of Oxys, the Opana, Duragesic Patches or Methadone. I havent been on the Methadone for years, after the death of Anna Nicole Smith's son, it scared me. I take anti-depressants, Xanax and at the time, Methadone, which is the mixture that he died from. I get either Perc 10's, or 15mg Morphine for breakthrough pain. Sometimes it is enough to just want to give up on all of it. My medicine glogs my bowels terribly, I have no energy, no joy and worst of all I don't see an end to this cycle. I just don't know what else to do. I did mean to mention 2 things, 1)the new oxys, made me feel at least once during the 12 hour dose, that I was going through brief withdraws (sweat, chills, upset stomach), and 2) the Opana never gives me the breath of relief when the medicine kicks in. I will just notice at some point during the 12 hr dose, that the pain is tolerable, but then around after 8-9 hrs, the pain begins creeping through until it's terrible again. Misuse and the number of deaths is the reason that I was given for the change in the old Oxys formula. So obviously care for the abusers of the meds is more important than those of us that truly need it. Have a good evening.

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39

doc's trying KADIAN 50mg. with hydrocodone 10-500 so far woke up every 3 hours,KADIAN only lasts 6hrs.bt only lasts3hrs.all I did was lie in bed all day,hoping for a better tomorrow.

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40

my doc says everyone is pissed about new oxys',says we're the abusers ,BS I had no problems before & she said I was addicted 60mg. twice a day for a year B.S.

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