Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

advertisement
advertisement
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

Notice
All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.
advertisement

best breakthru meds?

dmoonchildddmoonchild Posts: 383
edited 06/11/2012 - 7:25 AM in Pain Medications
SO far Ive taken vicoden and oxycodone. Not the best relief. Does Dilaudid work well? What would be the conversion from Vicoden 10mg and Oxycodone 5mg to dilaudid?
advertisement
1

Comments

  • have you tried a higher dose of the oxycodone like the 7.5 or 10's? And also with the oxy is it with or without the tylenol. I am not sure what the conversion would be. Dilaudid did ok for me. It seems that the percocet 10/325 work the best for me. MJ
  • dilaudid is great, for me at least. If you take say, 90 norcos per month, then 90 4mg dilaudid is about the same. They take a bit longer to soak in and work, so they are not as immediate of a BT as the norco, but they have much better pain control for me, they last a couple hours longer than a norco, and have no dizziness/euphoria/anything, just, clean pain reduction. I'm an advocate, yes =) Maybe ask your doctor for 10 along with your norco, just to try for a couple days, then if you like them, don't fill the norco and ask for the month of dilaudid. Dilaudid is cheap cheap too, if $ is an issue. And, no tylenol =) That was why I changed, and all the other pluses were just bonuses. Hope you have the same luck with whatever you end up choosing.

    JWM
  • advertisement
  • My ER med is oxycontin 40 mg and that isnt working now either. The last visit with my Dr he said he really doesnt want to go higher since im Only 40 yrs old. 40 is the new 30 ya know. ;) It is just not enough. I dont know what Dr's think pain relief is. Right now all I can do is go to work, lay in bed all weekend to recoup for Monday. I cant do any chores, shop, play with my kids even color with them. I wold like my pain meds to at least allow me to do some everyday things. Im so fed up with this whole thing.
  • have you tried methadone? I wouldn't suggest getting off of the 40's right now. If you are taking 2 a day, 3 a day is definitely a very good option. When I took 40mg oxycontin, 2 a day didnt cut it, and 3 a day was perfect. If that's not an option..

    You might ask your doctor what he/she thinks about adding a *low* dose methadone to the mix, like, 10-15mgs daily. It can help immensely, but if you have tried it already and it didnt work, the mix wont work either. If you do ask and they say 'sure lets try it' then just fyi taper onto slowly, like 2.5 twice a day for 2 days, then 3 times a day for 2 days, then the 5mg twice a day, or 3, whatever they recommend.

    I've found myself, (and heart) that doctors are Rx'ing methadone at the proper dosages, such as 30mg per day, but are not titrating patients onto it SLOWLY; its very, very touchy if you don't do that. Luckily I knew better.

    Too much info as always, but that's the norm for me. Good luck!

    JWM
  • I did ask my Dr about taking the oxycontin 3 x's a day but he said no way. I think that would help me a great deal
  • advertisement
  • Thats a bummer; I was really hoping you'd get the 3rd dose; i don't know what else you can do now. For me, and MANY people here, the '12 hour' oxycontin just doesnt cut it for 12 hours, and when you switch to 8, you get a slight increase in your overall baseline/minimum level of the drug in your system, and you avoid the 30-40% dropoff that happens at the last 3 hours of a normal 12 hour dose. (result: much less reaching for the BT bottle) Oh well. =(

    Your doc isn't comfortable with it, so it's time to decide if you can bear with the pain, or maybe move to a different PM. Either way, it's tough. Good luck to you.

    JWM
  • JWM said:
    have you tried methadone? I wouldn't suggest getting off of the 40's right now. If you are taking 2 a day, 3 a day is definitely a very good option. When I took 40mg oxycontin, 2 a day didnt cut it, and 3 a day was perfect. If that's not an option..

    You might ask your doctor what he/she thinks about adding a *low* dose methadone to the mix, like, 10-15mgs daily. It can help immensely, but if you have tried it already and it didnt work, the mix wont work either. If you do ask and they say 'sure lets try it' then just fyi taper onto slowly, like 2.5 twice a day for 2 days, then 3 times a day for 2 days, then the 5mg twice a day, or 3, whatever they recommend.

    I've found myself, (and heart) that doctors are Rx'ing methadone at the proper dosages, such as 30mg per day, but are not titrating patients onto it SLOWLY; its very, very touchy if you don't do that. Luckily I knew better.

    Too much info as always, but that's the norm for me. Good luck!

    JWM
    Methadone is an excellent idea JWM! I was on Oxycontin 20 mg but once I switched to Methadone I found out that the Methadone worked much better with fewer side effects. Definitely see what your doc has to say about that. :)))
  • I went from taking the oxycontin to methadone a few years back (not taking either any more) and I thought I had pretty good pain control with the methadone. After I stopped taking it for a few months I realized that while I was on the methadone I was very slow- talking, getting around, thinking. I didn't realize it until I was off of it. If I remember correctly I took like 10 mgs three times a day. It gave me great pain relief, at the time and I wasn't afraid of it (it kinda got a bad rap after the celebrity scandals with it). It may not have that effect on all people, just what I experienced.
  • I had the same experience with methadone as you did trater. I was tired of being slow and stupid and told my doc that I was going to wean off them. I got down to none and my pain was horrifying! Now I'm on the Fentanyl patch and has started Opana as a BT med. Both are working pretty well. I only use the opana when it get really bad because it makes my body very slow. My mind is fine though LOL.

    Each of us is so different and what works for one won't necessarily work for another. To further that, what works for us one week may stop working the next! Pain management is a tricky business and we have to stay in tune to keep up with how our bodies are reacting from day to day.

    Hope each of you have a pain free day as is possible!

    Griff
  • JWM said:
    For me, and MANY people here, the '12 hour' oxycontin just doesnt cut it for 12 hours, and when you switch to 8, you get a slight increase in your overall baseline/minimum level of the drug in your system, and you avoid the 30-40% dropoff that happens at the last 3 hours of a normal 12 hour dose. (result: much less reaching for the BT bottle)
    Yes, it's all about keeping your blood plasma level up. When it drops off due to the ineffectiveness of the LA meds, then patients tend to use more of their BT meds.

    What kind of Doc do you see? Is he a pain mgt Doc, or a GP? It seems that many GPs are afraid to script OC 3 X.

    Good luck,

    Ex
advertisement
Sign In or Register to comment.