anyone have a dependence on these meds or have tried to get off of them...conversion chart? My doc gave me 60mg oxycontin and it is not working...I want to change and some info....anyone?

Be careful with Avinza! it'S morphine & it caused me to stop breathing! I di not take more than prescribed!

Kadian, Avinza and morphine CR all are great pain meds for me. If you're taking 2, 60mg OC's/day and not getting any pain relief then 2, 60mg morphine CR's/day should numb the pain or 1 60mg Kadian. Time-released morphine doesn't give me much of an energetic(manic) sensation like OxyContin does and mg for mg OC is 1-1/2 times stronger but morphine is just so much better at controlling pain. I would go so far as to say that morphine is the only member of the opioid family that truly kills pain.

As for dependence and addiction, I don't how you are. OC is one of the worst meds for addiction and/or dependence because of the "buzz", some of us can get, during the course of treating our pain. Morphine, for me, is not addictive but my body would most assuredly become dependent on 60-120mg's/daily.

Opana is just a more intense, shorter oxycodone-type ride. 30mg's 2*daily should be roughly equivalent but the stuff wears off way too early. There is Nucynta http://www.nucynta.com/nucynta/ . I've asked and Admin has agreed to start a thread about it, in the 'prescription drug information' section. It's SCH II, brand new and acts like Ultram on steroids, HGH and DMAE. Having taken it I can say that 50mg's every 4-6hrs would cover your oxy habit and leave you with no w/d or addiction to worry about.

I hope this is documented in your medical notes. May I ask how much you took?

Hey nephro. Long time no see. I missed your wealth of knowledge on medicine and medical procedures. You're like DB's very own live PDR!

Hi Nephro! It was 60 mgs. Yes, it's documented. People should be aware to take that 1st dose in the company of others to make sure no bad reactions will happen.

Looks like Avinza has an immediate-release component followed by a steady modified-release component. This may have had a role to play in what happened. Had you been taking any other opioids before the Avinza?

People respond to morphine quite differently; most people, even without tolerance, should be able to tolerate 60mg orally over the course of 24 hours, so you might be particularly sensitive.

Interesting you should mention the PDR Pillar, because I met a doctor who prescribed outside the guidance of the UK version (the BNF), with the comment, "Who wrote the BNF - God?"

Well anyone has a conversion ratio because 60mg oxycontin and I am out of my BT med and I called the doc office and he is on vacation but the nurse told me there was a note not to refill med so this upsets me as I believed this was going to be a process with my doc that we figure out which med is going to work for me. This is frustrating because he has been my doc for 24 yrs and knows how much pain I have been thru and only in the last few years have we progressed to opiates from NSAID meds and he says to me that they are all about the same and thank goodness for all the CP pt's here that prove that wrong...now to convince my doc.....I had hoped that oxycontin would be my miracle med but it is not looking like it so I truely believe maybe avinza or opana would be better. My doc know I have a high tolerance after all these yrs.....and I just went thru the whole purdue pt assisstance program and I would like to just try one of the other meds and maybe see if they have a program or I also applied for insurance because the prescriptions cards gave me about $50.00 off of a $623.18 price for 60tabs...60mg...any thoughts?

Opana will be worse, much much worse. More expensive, shorter acting but with the same 1 tab every 12hr dosing. The morphines are all great IMO and just as pricey. Give the Nucynta a chance if you can. You'll save yourself about $450-$500 a month!

I know you don't know me but the only opioid, for human consumption, that I haven't been on is H. Get you some morphine if you can afford it or save a bundle and try the new kid on the block, Nucynta. Plus you don't have to worry about conversion tables with this stuff, you just start taking 50-100mg's every 4-6hrs and you'll experience NO withdrawal. When Huxley wrote of Soma in, 'Brave New World' I believe he had Nucynta, in mind. Not a care in the world you'll just float through the day neither tired nor ultra-alert, up or down. It's a "diagonal pill" that shifts you to another dimension, just out of sync with the one you're in now.

Meds Nationwide reckon that taking simple Tramadol and nortriptyline (their 'Neurocet') is the same as taking tapentadol:





What are your thoughts on this, Pillar?

Well, I've taken nortriptylene and Tramadol, but never together. Nonetheless, I'd have to fall down ROTFLMAO. Unless the doses are 150mg's of Nortriptylene with 400mg's of Tramadol, every 4-6hrs, That Neurocet crapola wouldn't even come close nephro. As you know, amitriptylene is metabolized into nortiptylene and I have taken 75mg's of amitriptylene with 100mg's of Tramadol before and comparing Neurocet to Nucynta is like comparing apples to a Barrett .50BMG, semi-auto sniper rifle. They aren't even in the same hemisphere or even the same "brain" of the space/time dimension.

I hate to call out Meds Nationwide, but those statements are absolutely ludicrous! I'd like to see a Rep. from Meds Nationwide come and explain that claim and back it up with real science not pseudo-scientific speculation. Tramadol will cause addiction, then w/d while very few patients in the study became addicted to Nucynta and almost none reported any symptoms of opioid w/d.

Gosh, you know I forgot about the APAP, in Neurocet. I bet THAT, makes all the difference ... NOT!

Somehow, I thought you might find it rather funny.

Some people will say or do anything to make a buck. Sad that some fall for it, isn't it?

Yes, I had been on Vicodin before the Avinza. How scary it is that this could happen! People should be warned by their docs that some are more sensitive. Now I only take a painkiller when the pain's unbearable. I've switched over to using Kratom for the last 2 yrs. It's a godsend for me!

What exactly does the Kratom do for you sadie9? I've been a member for several years, and a pain patient for 16yrs. I've heard Kratom mentioned on DB, but never anywhere else and I have no idea what the stuff is and what all the hype is about. Compare it to 10/325's, something you have to take every few hours and something like OC or Avinza, something you take once or twice a day, please.

You can answer by PM if you'd like so I don't hijack the thread and turn it into a Kratom thread.

Finally, people who know about Opana. It's crazy to mention to the VA nurses and docs and they look at me as though I'm speaking a foreign language.

I am currently taking 20mg Opana 2x/day and 20mg Percocet 4 or 5x/day. I am running out and the VA only gives Methadone or Morphine, neither of which have worked for me in the past.
Opana is crazy expensive and I will not be able to afford it, plus, I'm coming off of it and it is pure hell!!!

I know nothing about Kadian or this other Avinza????? I do not want to be on Ocycontin, but need something with both short and long acting abilities. How is Kadian in relation to what I am on? What about Dilaudid? Is that even prescribed?

I live in Florida and am now trying to find a place to go. Injectionns have not worked, tens units, come on......and we go from there. Does anyone have any suggestions for me? I do not have tons of $$$$ to throw away only to not get relief.

thanks

I have been thru your situation..you can PM me and I can get you Opana monthly free. I am now up to taking 40mg 2xday and I have been thru it all. Everyone deserves pain relief.

hello, are you still taking the opana? howd they work out for you, thanx

how could i get it for free? my rx costs me alot!

it is NOT stronger then oxycontin like the docs tell you but I went thru the pt assisstance program and thats why I stay with it...need BT meds tho...and it does NOT last 12 hrs...more like 6-8...maybe!

both kadian and avinza are timed release morphine in capsules full witjh little pellets. I think these and any time release morphine are garbage. but you said it didn't work for you, so I doubt these will too.