Methadone to morphine conversion

Common Questions and Answers about Methadone to morphine conversion

methadose

My PM doc is switching me from MSContin ER 60 mg, 2 tabs - 3 times day and dilaudid 4 mg. 4 x day when needed for breakthrough pain. His <span style = 'background-color: #dae8f4'>conversion</span> is for me <span style = 'background-color: #dae8f4'>to</span> take <span style = 'background-color: #dae8f4'>methadone</span> 10 mg., 4 twice a day. I haven't yet figured out the best times to take the meds. I;ve tried 4:30 a.m. and 4:30 p.m. I'm finding that the switchover hasn't yet been the best pain reliever I've ever had.
Meperidine (Demerol) 10-20mg.........<span style = 'background-color: #dae8f4'>methadone</span> 30-60mg.........<span style = 'background-color: #dae8f4'>morphine</span> 20mg..............Oxycodone (Oxycontin, Percocet) 10mg..............Oxymorphone (Numorphan) 200-300mg.....Propoxyphene (Darvocet) 150mg............Tramadol (Ultram, Ultracet) a guide only...
even small doses are powerful but it is misleading because there is no euphoria with <span style = 'background-color: #dae8f4'>methadone</span> as for <span style = 'background-color: #dae8f4'>morphine</span> your <span style = 'background-color: #dae8f4'>conversion</span> seam off.....when deciding <span style = 'background-color: #dae8f4'>to</span> jump ship that is why I always suggest single digits it will make the withdrawal a whole lot more doable good luck and God bless........
Levorphanol (Dromoran) 300mg............Meperidine (Demerol) 10-20mg.........<span style = 'background-color: #dae8f4'>methadone</span> 30-60mg.........<span style = 'background-color: #dae8f4'>morphine</span> 20mg..............Oxycodone (Oxycontin, Percocet) 10mg..............Oxymorphone (Numorphan) 200-300mg.....Propoxyphene (Darvocet) 150mg............
im not sure what mg but i expect him <span style = 'background-color: #dae8f4'>to</span> start me on 15 of <span style = 'background-color: #dae8f4'>morphine</span>. will the <span style = 'background-color: #dae8f4'>morphine</span> help me? should i talk <span style = 'background-color: #dae8f4'>to</span> him about another option such as percocet? im scared that the low beginning dosage will affect my quality and comfort even more.
They do it as a <span style = 'background-color: #dae8f4'>conversion</span>, but have never heard of people going from <span style = 'background-color: #dae8f4'>methadone</span> <span style = 'background-color: #dae8f4'>to</span> Fentanyl, it's always the reverse & as a way to get off it. I STRONGLY encourage you to do a lot of research about the risks of using Fentanyl & truly weigh it out. There are risks with every medication, but having not done my research in the beginning & finding it all now I see how dangerous this medication truly is.
He won't write me methadone and is reluctant to do it at all because he's never had a patient that he's had to transfer from <span style = 'background-color: #dae8f4'>methadone</span> <span style = 'background-color: #dae8f4'>to</span> a <span style = 'background-color: #dae8f4'>morphine</span> pill before . Has this ever happened <span style = 'background-color: #dae8f4'>to</span> anybody and what amount of timed released morphine would it take to transfer from 170mg methadone over to the other?
I was to take 3 40mg tabs of oxy and 3 10mg tabs of <span style = 'background-color: #dae8f4'>methadone</span> per day till I was converted over <span style = 'background-color: #dae8f4'>to</span> the <span style = 'background-color: #dae8f4'>methadone</span>. I haven't been able <span style = 'background-color: #dae8f4'>to</span> get a hold of him, and need to know what would be an equivelent in methadone - that is to 340 mg's of oxy. Ideally, I want to taper down off the methadone, unless I find myself in pain I can't handle, which I do not expect will happen. My main question is what the equivelant would be from the oxy to the methadone.
unfortuneately after five years of the duragesics and Actiqs, my body assimilated <span style = 'background-color: #dae8f4'>to</span> them and they stop working - thus, going on the <span style = 'background-color: #dae8f4'>methadone</span>. since taking the <span style = 'background-color: #dae8f4'>methadone</span> i do have a life without as much pain, although i am not pain free. the methadone works with the brain to stop the brain from recognizing the pain being emitted from the spinal nerve damage. however, i still have joint pain, vertabrae pain from spine degeneration, muscle pain (alot), headaches, etc.
If you were getting adequate relief from the percocet, I don't know why he switched you <span style = 'background-color: #dae8f4'>to</span> <span style = 'background-color: #dae8f4'>morphine</span> <span style = 'background-color: #dae8f4'>to</span> get away from tylenol, all he had <span style = 'background-color: #dae8f4'>to</span> do was give you pure oxycodone in the immediate release form. It comes in dosages as low as 5mg, it's not like oxycontin, which is the time-release version. If I were you I would ask him about it. There is no point to taking something that isn't giving you any relief.
8mgs of <span style = 'background-color: #dae8f4'>methadone</span>. I tapered down <span style = 'background-color: #dae8f4'>to</span> 160mgs of <span style = 'background-color: #dae8f4'>methadone</span> in the end, I would take 600-800mgs of <span style = 'background-color: #dae8f4'>morphine</span> to feel good enough. Don't underestimate methadone. 1mg would be enough for your dosage of codeine, according to one of the only equivalent charts that has not been removed from the web. CT from 150mgs of codeine is easier than 10mgs of methadone detox. My opinion, but lots of experience to back that up. Be safe, think twice, act once. You are on your way.
it looks pretty close to the other conversion charts I have seen..but again..
In other words, this is not the only place to get the <span style = 'background-color: #dae8f4'>conversion</span> information. Now, I will not provide <span style = 'background-color: #dae8f4'>conversion</span> info for <span style = 'background-color: #dae8f4'>methadone</span>...ever! That opioid is completely unpredictable as it builds up in your system and even the conversions that are out there are very risky to go off of as everyone's metabolism is different and with methadone, the conversion is not straight forward at all.
gave me the percocets but gave me MS cotin 15 3 x a day. How is that going <span style = 'background-color: #dae8f4'>to</span> compare <span style = 'background-color: #dae8f4'>to</span> what i was on . Also i have had <span style = 'background-color: #dae8f4'>morphine</span> in past an it doesnt agree with me i had reaction to it ! I need to find dr that will keep me on what i was on but how do i find one?
my recollection from those and other information I have HEARD is that bup is long acting, has a slimmer abuse potential than other drugs because of it's antagonist properties, also has agonist properties and is much easier to get off of than other opiates and also methadone.
This is given as a possible alternative to therapies such as <span style = 'background-color: #dae8f4'>methadone</span>, buprenorphine, etc. Good luck <span style = 'background-color: #dae8f4'>to</span> all of those attempting <span style = 'background-color: #dae8f4'>to</span> rid themselves of addiction. The intensity and length of opiate withdrawal will depend on a few factors. The larger the dose, the more intense the withdrawal. The longer you have been using, the longer and more intense the withdrawal will be. If you did it once a day, it might take a few days for the withdrawal to kick in.
I thought I was getting over it. He had me convinced he would be off <span style = 'background-color: #dae8f4'>methadone</span> in a month, down <span style = 'background-color: #dae8f4'>to</span> 5mg's aday, it's now a month, and no ones heard from him. I feel soo sad, what didn't I see? What didn't I know? Was it really so much worse than I know? Am I really that naive and blind? This has turned out to be such a bad day, and I can't stop crying. How did our lives get to this? The worst is there's nothing I can do. He never loved me or my kids, everthing was a lie. He used me so bad.
I will close with this, I have detoxed off of many pain pills, however, this time has been almost as bad as when I went cold turkey in 88 from <span style = 'background-color: #dae8f4'>methadone</span>. I have gone back <span style = 'background-color: #dae8f4'>to</span> NA, because it has been the only thing <span style = 'background-color: #dae8f4'>to</span> work for me. In my absece in the last 5 years alot of people have died that I knew. But their are many who are staying clean one day at a time.
she was a 140 mg oxy user and was put on 32 mg of sub by an idot doctor..it almost killed her...she is now on <span style = 'background-color: #dae8f4'>methadone</span> and resigned <span style = 'background-color: #dae8f4'>to</span> her 20-30 mg a day dose...i remeber hopsing from my first days here and he relapsed over and over..now he sounds free..altho on sub he is still free in a way as he is not suffering anymore and beating himself up (dont know but doesnt sound like it hops)......
I am 3 weeks into being clean from 8 yrs of being hooked on <span style = 'background-color: #dae8f4'>morphine</span>. 800 mgs a day, snorting it. I have been there and I am still detoxing somewhat but if u want <span style = 'background-color: #dae8f4'>to</span> bad enough u will make it through this. Ask your higher power to help u in your darkest hour. Whatever that may b, there r so many of us who support you and truly and deeply understand what you are going through, there is light at the end of the tunnel. Hang on with every fiber of your being. And fight for it. You r worth it.
Glad <span style = 'background-color: #dae8f4'>to</span> hear you are well. Sounds like you have a very interesting new career ahead of you, and you're right on track mentally. It will be a ***** in August, I can imagine. BTW, how many benzos do you have to take? Is it regular, or just when you have a flare of your asthma? I hope you're feeling well.
For example (numbers NOT accurate) <span style = 'background-color: #dae8f4'>methadone</span> 10 mg might be equal <span style = 'background-color: #dae8f4'>to</span> <span style = 'background-color: #dae8f4'>morphine</span> 20 mg and <span style = 'background-color: #dae8f4'>to</span> taper from there. Different medications would be used depending on your specific situation. Many people that I know that have been put on methadone is either due to drug addiction program, or because their chronic pain is not controlled with any other medication.
Some of you may have a diagnosis from your doctor, some of you may be seeking an answer for undiagnosed symptoms and some of you may be a relative or friend of one who is suffering. This is a great place <span style = 'background-color: #dae8f4'>to</span> learn more and <span style = 'background-color: #dae8f4'>to</span> gain support from others who suffer as well. In addition to the community here, MedHelp also offers tools to help you and your doctor in your road to wellness. Fibromyalgia and CFS can be so intricate and can have so many different symptoms.
This means I change from oxycodone <span style = 'background-color: #dae8f4'>to</span> <span style = 'background-color: #dae8f4'>morphine</span> <span style = 'background-color: #dae8f4'>to</span> hydromorphone, etc. when tolerance causes my dose <span style = 'background-color: #dae8f4'>to</span> creep up too high, too quickly.. In these last 20 years I've used these long-acting opioids: Duragesic (fentanyl) patch, OxyContin, methadone, ms contin, and Exalgo (hydromorphone), along with short acting / immediate release opioids oxycodone, hydromorphone (Dilaudid), and morphine.
My guess is that you are on to low of a fentanyl dosage, compared to your oxycontin (oxyneo is the same I think) and percocet dosage. They have conversion charts available on most medical websites. You can check it yourself before going back to the doctor. I wouldn't be afraid to tell him the patches aren't working, and that you think the dosage is to low, especially if the conversion charts "back you up". just don't "demand"a dosage increase, let the doctor be the doctor.
Hi thanks for reply I no I will b swapping 1 for another but the dhc no longer work I have a cpn and worker find it really hard <span style = 'background-color: #dae8f4'>to</span> talk <span style = 'background-color: #dae8f4'>to</span> as all I get is pushed towards <span style = 'background-color: #dae8f4'>methadone</span> and have been there and will never touch the stuff again in my life I suppose what I want to no is 1 2mg sube stronger than 8x60mg dhc I don't no the conversion I am in a dilemma as to take subs or my dhc I have thought of taking nowt but not with work and children and family it's not possible for me to go full detox
An example of this would be switching from oxycontin <span style = 'background-color: #dae8f4'>to</span> <span style = 'background-color: #dae8f4'>methadone</span> for a few months, or from <span style = 'background-color: #dae8f4'>methadone</span> <span style = 'background-color: #dae8f4'>to</span> mscontin, etc. The only trick <span style = 'background-color: #dae8f4'>to</span> this is <span style = 'background-color: #dae8f4'>to</span> make sure the correct dosages are prescribed via a reputable conversion chart. I would simply talk with your doctor about prescibing 3 tablets of your long acting medication (oxycontin in your case). If your doctor isn't willing to do that then ask (nicely!
It is approximately 6–8 times more potent than <span style = 'background-color: #dae8f4'>morphine</span>, and is related <span style = 'background-color: #dae8f4'>to</span> <span style = 'background-color: #dae8f4'>morphine</span> in the same fashion that oxycodone is <span style = 'background-color: #dae8f4'>to</span> codeine (being a derivative of thebaine). It differs from morphine in its effects in that it generates less euphoria, sedation, itching and other histamine effects. Depending on the individual patient, it can be either more or less nausea- and vomit-inducing than morphine.
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