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Timing of extended meds

LeeULLeeU Posts: 10
edited 06/11/2012 - 7:42 AM in Degenerative Disc Disease
I have been reading these forums for some time now and it seems to be a great 'family'. So, a question come up and I figured I would ask it here.

I have recently been switched from Roxycodone 4X a day to Opana ER 2X a day with the Roxycodone for break-thru pain. I started yesterday, taking it at 7:00 AM and 7:00 PM. Because of the limitations of having to wait 1 hour before or 2 hours after eating, I was wondering if changing the time to something like 11 AM and 11 PM would be better? Does anyone here do anything like that? Or is first thing in the morning and 12 hours later better for management of break-thru pain?
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Comments

  • I don't see a problem with those times especially if 11 p.m. is when you go to bed. If you have sleep problems due to pain, that may help.

    Have a great day,

    Marianne
  • I noticed you are taking Opana ER, Can you tell me what it costs for you there. My pain Dr wanted to put me on it, but they charge $1500.00 a month for it. Not to get personal. My pain Dr asked the Company Rep about it and she said that was crazy. Like it should be 50.00. I checked 2 different places, local and a larger city and they both had about the same cost. Thanks, Robin
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  • I hope the new times work for you on your schedule. Take care. Charry

    Robin- Is Opana Oxycntin? I take 120 mg a day and 120 pills a month cost $330. Good luck. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Opana is something different. I dont know what it is, but it is very expensive here. Thanks for your help. Love, Robin
  • dilaurodilauro ConnecticutPosts: 12,807
    Oxycontin Extended Release and
    Opana Oxymorphone
    are both powerful semi-synthetic opioid analgesic both developed in Germany in the 191x's. Opana was introduced to the USA market in 1959.

    I have used both of these Extended Relief medications.
    My pain management doctor switched me from Oxycontin to Opana, only because the overall effects of Oxycontin seemed to have diminished after using it for 2+ years.

    The timing of your dosages really depends much on your life style. If you are up early, then the 7am and 7pm sound fine, if you get up later, the 11am and 11pm is also fine. Generally speaking you want a 12 hour gap between taking the extended relief medications. In between, you will have some type of Immediate relief medication for breakthrough pain control.

    After being on these ERs for a while, the time between dosages may be decreased. But that should only happen IF your doctor instructs you about that.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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  • iowarobin said:
    I noticed you are taking Opana ER, Can you tell me what it costs for you there. My pain Dr wanted to put me on it, but they charge $1500.00 a month for it. Not to get personal. My pain Dr asked the Company Rep about it and she said that was crazy. Like it should be 50.00. I checked 2 different places, local and a larger city and they both had about the same cost. Thanks, Robin
    Thanks for the response. It's nice to meet people who understand and can give some input. Sorry I wasn't able to get back sooner.

    Robin, I have insurance (for now) and only pay a $25.00 co-pay. However, the receipt said the regular cost would have been $550. But the doctor gave me a card from the manufacturer which pays for $25.00 of it. It's not much but it helps. You can get one here: http://www.opana.com/patient/rebate-program.aspx My doctor also said they may also have other programs. You can check with them or your doctor. I found these links (I don't know the sites so can't vouch for them) which seem set-up to help with Rx costs:

    https://www.pparx.org/Intro.php
    http://www.needymeds.org/
    http://www.rxassist.org/
    http://www.healthpricer.com/opana-er-20mg-compare-prices/5617873.html

    If anyone has used them, it would be great to hear about them. Here is the link I used for Google: http://leeunderwood.org/r/8

    In response to my original question, I ended up trying it at 6:00 AM and PM and it works fine, so long as I take a Roxycodone before going to sleep. I tried just taking the Opana at 6 PM and nothing till 6 AM (exscept for break-out pain) and I woke it the worst pain I have had yet. Since I only sleep 4-5 hours a night, it helps taking the Roxycodone before going to sleep (around 1:00 AM).
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