Morphine to dilaudid conversion

Common Questions and Answers about Morphine to dilaudid conversion

avinza

so I didn't have to use a needle in the vein when I wanted to just hooked up the syringe to the heplock and let it go then I even use Saline to flush it...... If you thought dilaudid was potent 8-1 to Morphine Fentanyl is very potent 80-1 to Morphine Liquid Fentanyl in the viles was the best High I ever found in drug history and it got me into some huge trouble and my weight dropped from 205 with a 38" waist to 118 and a 26" waist.......
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 conversion is for me to take Methadone 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.
again it is hard to exactly convert any drug to compare another exactly...and sub with a ceiling effect is a bit difficult to compare than others..route od use such as oral, snorting. shooting..chewing all come into play as well Conversion table other drugs equivalent to sub Jul 24, 2008 05:32PM - 5 comments #Pain Killer Equivalent Doses (Oral) 1.2mg.............Buprenorphine (Bupe) 200mg............Codeine (Tylenol 2, 3, 4, etc) 30-60mg.........
im on higher dose now and in conversion it says i need like 40 80 mg oxycontin to substitute?? i tried oral dilaudid but it gets me to nauseas. im worried if i use oxycontin ill end up on both. also is mscontin better to sub. for withdrawl than oxycontin. i figure i have to drop the dilaudid lower and take an extended release drug. any help on the best way to taper off this high dosage dilaudid by substituting. one person said use fentynol patch.
#Pain Killer Equivalent Doses (Oral) 1.2mg.............Buprenorphine (Bupe) 200mg............Codeine (Tylenol 2, 3, 4, etc) 30-60mg.........Diacetylmorphine (Heroin) (orally it = morphine, IV/IM/insuffilated it's 2x as strong) 100mg............Dihydrocodeine 30mg..............Hydrocodone (Vicodin, Lorcet, etc) 7.5mg.............Hydromorphone (Dilaudid) 37.5µg............Fentanyl (not sure on this one, anyone know the oral dose equivalence for Fentanyl?) 4mg................
im not sure what mg but i expect him to start me on 15 of morphine. will the morphine help me? should i talk to him about another option such as percocet? im scared that the low beginning dosage will affect my quality and comfort even more.
it looks pretty close to the other conversion charts I have seen..but again..
Willpower, inspiration, religious conversion, 12-step groups and all the rest are impotent compared to the physical damage done to my brain. For example, I couldn't have written the posts I did tonight without narcotics in my system. I self-detox every month, but, after all the classic withdrawal symptoms are long gone, the misery, disfunctuionality, vacant thinking and abject depression and despair are more than I can live with. There is no Lourdes for lifetime junkies.
Opioid treatment regimens are very complicated, especially with dosing conversion and extended release formulations. Opioid therapy conversion needs to be very conservative, because opioid overdose can lead to respiratory depression and may be fatal. Please follow-up with your provider in working out the best possible pain management for you. First of all: 1. What is the dose of the fentanyl patch that you are applying? Is it the equivalent dose of what you are currently on?
I do not want two positive dts for dilaudid, that won't look good. I am going to talk to her about my taper schedule to make sure that they want me to stick to that.
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.
Will start hearing more and more about it. It's hard to get a comparable conversion when switching.
Don't drive on morphine! You really need to call your doctor and tell her that the morphine is too strong. There are other forms of morphine (that aren't time controlled release) that are weaker than ms contin. Statex, for one. Is she doesn't listen to your concerns I would seriously think about finding a new one. Have you had any of the kidney stones analyzed to find out why you're getting so many?
Based on the opioid conversion table, 17 mg of hydrocodone is equivalent to 10 mg of morphine. Therefore, 20 mg of Kadian is equivalent to about 34 mg of hydrocodone. So, if you take 20 mg of Norco every 4 to 5 hours, the norco is stronger than the current dose of Kadian you are taking, as over a 12 hour period, you would have taken 40-60 mg of norco (or 23 - 35mg morphine equivalent).
The major discovery is that the classic opioids like morphine, oxycodone, fentanyl, and Dilaudid (hydromorphone) break down into metabolites that are 'hyperalgesic', that is, molecules that can actually cause pain when they accumulate under conditions of chronic administration. This might explain the experience of switching to more and more potent opioids which in turn produce more and more hyperalgesic molecules, and so a vicious cycle develops. Methadone is different.
Many doctors don't realize that the analgesic activity of codeine comes almost entirely through conversion to morphine at the liver by an enzyme referred to as 'G6PD' (glucose-6-dehydrogenase). There are varying levels of this enzyme in the general population, and hence varying responses to codeine. Some people find that Tylenol #3 gives them nothing but a headache; others get significant pain relief from the medication. More dangerous, though, are the effects of acetominophen on the liver.
It is approximately 6–8 times more potent than morphine, and is related to morphine in the same fashion that oxycodone is to 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.
Codeine is another frequently prescribed opioid in patients with cirrhosis. The analgesic effect from codeine is presumed to be secondary to its conversion to morphine via CYP2D6; thus, in patients with cirrhosis, serum levels can be even more variable." **** If opiates are required for pain control, lower doses and/or longer intervals between doses are needed to minimize risks. Hydromorphone and fentanyl may be the better choices.
She didn't want to really interfere with anything the NP has planned and suggested I go back up to my original dose for the breakthrough medication but I was really against doing that. She decided to switch me over to morphine IR 15 to 30 mg every 4 hours instead of the 30 mg oxycodone. I'll be switching over to this later today. I'm hoping it's going to help my pain. My withdrawals are fairly manageable.
I am on fentanyl 175/48 hrs. right now. not what I want it to be. I really need to find a solution. Thanks.
I must have sweat 10lbs off me which I don't mind...I think the morphine was causing me to hold water..... Anyway there is just so much conflicting informatin out there......I won't deny I am afraid of being on nothing as I can't function with the blahs, and I can't take an anti depressent.....I woke this mornign feeling so disoriented, but an hour after the sub and I felt better..... I have heard of hte 21 day limit or after that you are hooked and w/d's are awful if you want to taper...
That way you can see if your doctor did a 1 to 1 conversion to Opana or a titration down or up in Opana dosage. Private message me and I would be more than happy to help you understand how your dosage compares to the oxycodone you take. I hope your appointment with your PCP goes well on 2/3.
Am in lots of pain all day and was on 4 30mg roxis which really wasnt cutting it but was helping somewhat. Went to new doctor to try to get switched to something extended release and he suggested 2 20mg oxycontin..... Am I wrong or isnt it the normal procedure to take your daily dose of instant release meds, divide by two which would be 60 mg and then give that twice a day.
My Dr has tried on several occasions to talk me into having a morphine pump surgically implanted in my abdomin to which I have declined. Maybe I am in the wrong forum. I don't know. What I do know is that you can call it addiction or call it dependence, my body is used to having these meds on a daily basis. Before I ever married husband #1, I wouldn't even take an extra strength Tylenol!
I currently take 50mg at night to help sleep (and to try and help with depression, but it doesn't seem to). Like so many others here, I try to rationalize my problem by searching for ways to mitigate my upcoming discomfort before I stop taking opiates. I sit and count the remaining pills to determine when I have to start weaning (a point which I have probably passed already).
In regards to the conversion i wanted to share what my doctor said to me about this when I asked him about this very thing. He said there really is no way to actually "compare" suboxone to other opiates. His example was: when you first come in and you have been taking 120 mg of hydro, oxy etc. and he gives you 8 mg that works to make you feel comfortable and takes away the withdraws.
However like Skipper said, I wont die. I plan to taper down to about 50 mg oral morphine/2xday and then see what happens. Hopefully I will be able to find percs etc to taper from there.. Mr Michael posted a link that has an opiate conversion chart (thanks!). So now I have another question :) Do different drugs have different combos of physical and mental w/ds? IOW how long does the physical part last, and how long does the mental bit last?
since last October. I get all the morphine I want now just to get up and pee. Seriously though, it gets to be not much fun anymore...when you have been given a death prognosis. It's really good thing that you are asking for advice now because there is probably a very high liklihood that... you will be just fine! You know, there are few times when I visit my fellow vetrans in the VA hospital here that I don't come away feeling like hell and in tears. Like me, they were...
org/user_trackers/gallery/pain that will help you keep track of your pain levels on a daily basis and you can even print it out to take to your Doctor's appointments to help them treat your pain. We have health pages that will give you more information on pain and your medical treatments and so much more. Med Help also has many more communities also - http://www.medhelp.
According to some literature, you also need to add copper, phosphorus and Vitamin C to fully complete the dopamine, norepinephrine conversion. You might have to do some hunting at the health food store to find the right vitamin or vitamins to supply all this stuff. Health food stores generally care multis that, instead of carrying every vitamin known to man, carry instead all the "metals" we need such as copper, Magnesium, zinc, phosporous,etc.
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