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MS-IR Are they out of med???



  • I wish the pharmacies around here carried Avinza or Roxinol because they are both morphine sulfate. They aren't willing to pay the extra money to carry them. Tell me if this sounds really messed up, but it almost appears that they are "in bed" with the Endo, Ethex and Roxane pharmaceutical companies because they are much cheaper to order per pill. I know the economy is bad, but seriously? I hate to say it, but it always comes down to the dollar and not the quality of care. The above mentioned companies are the ones that have the MSIR and MS Contin on back order with a shortage in the NYC metro area. I was able to find a pharmacy out of the area who was able to order MS Contin from Cerner Multum, Inc. I have never heard of them, but I guess having one medication is better than nothing at all. I will keep you posted as to what my PM doc changes my meds to when I see him on 5/31. Thanks for all your help and for listening. It's scary not knowing what to do when you are forced to go through withdrawal because you were never given the chance to ween yourself off. Thank heavens I feel much better now and my pain level is under decent control again. I hope you never have to go through it!
  • I switched over to the generic Watson brand and take 60mg 3x's daily and had no problem getting it filled at my local mom and pop pharmacy. So far I have no problems getting my meds, including percocets. Does anyone out there take the Watson brand, and does it work as well as the name brand?
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  • BotzBotz Central FloridaPosts: 223
    Do you have Walgreens in the NYC area? I would think that all stores would carry Avinza. I currently take Avinza 30 mg's 2 x per day rather than 1-60 mg per day. It seems to work better for me. They are a 24 hr extended release med. I also take MS-IR 15 mg as needed for BT pain. With the meds and the SCS I finally have a life again. I was pretty much bed-ridden for almost three months waiting for the SCS. Now I'm back to work full time.

    I'm confused I thought MS-IR is MS Contin?

    I'm not sure what your issues are? Have you had to go without any meds because the pharmacies are out?
    I would not have waited until the 31st to see you PM if you are in uncontrolled pain. They are there to help Pain Management......

    Hope the PM gets you relief.
  • I will check into what Walgreen's has. MS-IR is for BT pain and MS Contin is extended release to control the baseline pain. Both are morphine sulfate the time release factor is the only difference. I used to take both as prescribed by my PM doc. The extended release in the morning and after dinner. The MS-IR was for midday BT pain. I work very long hours so there were days that I was taking the two 30mg MS Contin (extended release) and up to two 15mg MS-IR. With a muscle relaxant because the spasms never seem to go away. As I said, I was able to go to a pharmacy out of the area to get the MS Contin this month so I have been without the MS-IR for nearly a month now. The PM doc told me to take 90mg MS Contin to control midday BTP with the muscle relaxant if needed in place of MS-IR. It's been a hellish nightmare, but I am getting by and able to work with the help of Lidoderm patches.

    A little history:
    Herniated Disc L5-S1 11/2001
    To date: roughly 60 epidurals/nerve blocks, etc...
    PT 6 go's--I exercise when I'm not in pain on my own
    Microdiscectomy/Laminectomy 11/2003
    Laser Facet Deinervation 2004
    Anterior Spinal Fusion w.BMP L5-S1 3/2005
    Diagnosed failed fusion w. permanent nerve damage 2007
    Diagnosed adhesions on sciatic nerve 2006
    Diagnosed DJD/DDD 2005 (after surgery)

    Current: Pain Management since 2005
    Arthritis/Bursitis in Left hip
    SI joint inflammation--another epidural
    scheduled on 6/20/2009.

    Meds: Lyrica 75mg PRN, MS Contin 30mg 3x's/day, Soma 350mg PRN

    I have pretty much tried everything under the sun as far as medications, but I will continue to look into where I can find other brand names of morphine sulfate because it has brought me the greatest relief without all the crappy side-effects. I do not want to ever be bed-ridden again and out on disability. I will go out of my mind!
  • BotzBotz Central FloridaPosts: 223
    Looks like we are pretty much in the same boat with L5-S1 failed fusions and nerve damage. I work a nine hour day chained to a computer. After about 4hrs sitting my pain can go over the top. Thankfully between the SCS and meds I can make it thru the day.

    Do you get any relief from the ESI's? They never decreased my pain at all. I had 4 rounds over the last three years.

    Lyrica seemed to help me but thanks to my great insurance company refusing to pay for it I have to take neurontin.

    Have you considered a SCS?
    I'm very thankful I have mine. I love the relief I get. Just wish I still didn't have to take meds along with it.

    I know what you mean by not wanting to ever be bed- ridden on disibitliy again! At least if I'm out on disibility let me have the ability to hang out at the beach not bed!

    Maybe some day soon Stem Cell research will come up with a miracle cure!

    Good luck finding your meds.
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  • In regard to certain Pharmacies being out of meds (like drug store chains, Wal-Mart's, Target's, etc....I suggest trying your nearest hospital's pharmacy. Just a thought, but as often as I've used them lately they never seem to be out of anything...perhaps because they're not utilized as much as the others.

  • I am adjusting to my new BTP medication well. It took about a week. He prescribed dilaudid 8mg as needed for BTP. I still take the MS Contin in the morning and night. I got lucky because the pharmacy that was able to order it from Wisconsin can still get it. The only time I have ever taken dilaudid was in the injectible form at the hospital. That's what they give me when I have to go to the ER or after back surgery when they don't give morphine. So far, I am finding that while dilaudid works well and is far stronger than MSIR, it doesn't last nearly as long. It's trial and error right now to see what works as far as when to take it and how much. I haven't been able to take the full 8mg yet because as I said it's very strong. I usually only need 2-4mg and I feel much better and can get through my day without falling asleep. Just wanted to give you an update. You are absolutely right that Lyrica helps, but I get the swelling/bloating side effect in my hands, feet and eyelids. Sorry to hear that your insurance no longer covers it. I was taking neurontin before Lyrica, but broke out in hives. They say that they are just about the same medication, but they are wrong. Whatever works though right? Thanks again for listening Art!
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