I have chronic pain from back surgery in 2002. , resulting in Post Lamenecty Pheripheral Nueropathy. For 11 years, I was on 12-hour Oxycontin 40 Mg and 15 Mg IR Oxycodone for breakthrough pain, 120 each per month 4 x daily. It worked fine. I was able to keep working full-time and still have energy for errands after work, cook dinner and keep my house clean. Then two years ago, my insurance company removed OC from their formulary list and my Pain Management doctor switched me to Opana ER 30 mg and Oxymorphone IR for BT, 120 each month 4 x day. Opana is supposed to be double the strength of OC. IT ISN'T! And it only lasts 5-6 hours, certainly not 12. IT MAKES ME EXTREMELY TIRED AND ALL I WANT TO DO IS SLEEP ALL THE TIME, except at night ...I wake up every hour or so. To make matters worse, the government stepped in last year and put restrictions on prescribed quantities for Opana. Subsequently, my pain doctor cut me to 90 Opana ER at 3 x day. IT IS NOT WORKING FOR ME. In order to get the quantity increased, he told me I would have to go to the U of Florida and meet with a Pain Mgmt Psychiatrist, who would then supposedly write a letter to the doctor to keep in my file which would allow him to write the Rx for 120 Opana ER per mo. just to appease the government. Have you ever heard of anything so ridiculous? I am a 70-year old woman with life-time chronic pain and they make me "jump through hoops" like this just to get my medication that I don't even like and that isn't even keeping me out of pain and costs me an arm and a leg?
Several months ago, I asked the nurse practitioner that I see every month (haven't seen doctor in 2-3 years) to contact my insurance company to try and get a "medication exception" for OC because it was so much better for me. and didn't make me sleepy. She said she called but was on hold too long and hung up...she didn't have the time to waste. I have been a patient there for 13 years, spent lots of money and that's what I get? I would change doctors but it's almost impossible in Florida to find one that will give opiates. They want to try implants for pain or some other ridiculous method of treatment. I think at this point, I will apply for the med exception myself and hope for the best. The OC actually worked and I wasn't tired all the time. All I really wanted to say is that OC is much more effective than Opana and it certainly is not twice as strong as OC.