"Gosh. I am s-o-o-o-o lucky" she said, sarcasm dripping from her every syllable. I have a damaged L5 nerve, suffer chronic pain and am intolerant to most pain medications. The only drug I can take with NO side effects AT ALL is Dilaudid. Recently, I had a spinal cord stimulator implanted and while it helps my pain a good deal, it is not the be-all and end-all I had hoped it would be, which is to say, I will not be able to wean off of my meds completely. It turns out, it is really unusual for people to be able to get off of their meds with a SCS. I was so disappointed, I actually slipped off the precipice upon which I've been balancing, and fell into depression. I had, however, been able to reduce my Dilaudid from 8mgs 4X day to 8mgs 3X a day. I guess that is something. I mentioned to my PM doc that a few days, I was able to get by with just two doses of Dilauded (or total 16mgs.) The PM doc, like others before her wants to get me on a long-acting drug. I have tried Oxycontin, Avinza, Fentanyl, and Kadian. The first two made me very, very nervous, almost panicky. The Fentanyl made me nauseous. The Kadian was the best of the lot but I did develop severe abdominal pains which were attributed to the Kadian. My current PM just put me on Opana ER, saying it was a long-acting Dilaudid. When I went to pick up the prescription, the pharmacist asked me about it, because oxycontin and oxycocone are listed as medications I can't tolerate. My research tells me Opana ER is more closely related to these two meds than it is to Dilaudid. So, I took the 10mgs. of Opana and 1. I felt nervous and 2. it did nothing for my pain. Additionally, this doc prescribed Dilaudid 4 mgs. for breakthrough pain. I don't see how that's going to do the trick. When I was trying to wean off the drugs, I got down to 8mgs Dilaudid 3X daily and tried to go to 6mgs Dilaudid 3X daily and the 6mgs didn't cover my pain. I surely see the benefit of a long acting drug but if all of them give me bad side effects, what is the harm of just staying on the Dilaudid, from which I have NO side effects. I feel absolutely normal except my pain is relieved. Is Opana like long-acting Dilaudid? My body doesn't think so. Any thoughts, comments re: Opana ER and re" 4mgs Dilaudid for break through would be appreciated. Susan.