Opana has a long half life, even in immediate release form, such that 6 hour dosing works extremely well for most patients versus the 4 hour dosing of oxycodone. Oxymorphone is the metabolite of oxycodone...in other words, the roxicodone that you take is metabolized by the liver into oxymorphone. Given that you can tolerate oxycodone, which metabolizes into oxymorphone, tells me you can probably also tolerate oxymorphone in immediate release form???
I dont see much about it in these posts but I have been taking oxymorphone(OPANA) for FBS.I have been addicted to Meth cocaine and alcohol in the past but have been free from those chains for 10 years.My disease has resurfaced with this Opana though.I have cut my intake from 20 mg a day to 10 mg a day for the past three days.I have been blessed to avoid the terrible sickness of opiate withdrawl that I went through last year with this **** when I went CT off of it.
I’ve been taking 5mg oxymorphone extended release pills for 8 years. I recently had to switch primary care doctors because mine moved away. The first urine drug test I was asked to do was last Friday and they called today and said the drug didn’t show up in my system, and dropped me as a patient. I should start withdrawals tomorrow & I’m scared out of my mind. I’ve never failed a drug test, asked for an early refill, nothing like that.
I was actually dehydrated and could not pee for my UDtest so they took blood and it came back positive for oxymorphone, noroxycodone, and noroxymorphone at low levels but on a zero tolerance test any amount is a positive. Are these items that could be from just taking the oxycodone and my body coverts it to this or is the test flawed.
I've just been switched from Fentanyl 25mcg every 48 hrs to Oxymorphone 10mg every 12hrs. I feel way worse (pain) & was wondering if anyone knows what the equivalence is between the 2. I have a feeling I've just been decreased in pain relief. My dr & the pharmacist told me to wait a few days to "feel it's working" & in the meantime I'm in excruciating pain. Can anyone help with what I can do here? Btw...
I have built up a tolerance to oxycodone IR that I have had to take 3 times my dose just to get my pain to get down to a moderate level. The research I have done is that oxymorphone is stronger and less mg. I have several questions. Are taking less mg easier on the body? How do I ask my doctor to switch, I don't want to seem like just another patient trying to get high.
The oxycodone may not be as effective for your pain as oxymorphone is stronger but Fentanyl is stronger than oxymorphone. So there are a couple of directions to take if you decide the Opana ER is not worth the side effects.
Thanks for the concern. Yes, I believe I am. That is why I posted it on the addiction board also, but MedHelp took it off there. I guess I understand why. But just looking for answers and we all know(at least for me, the Drs. haven't been there and they can't always relate) The Oxymorphone has been fantastic!! I've been in pain for 8 months! Tramadol only seemed to help a little, honestly...I didn't speak up enough. I was afraid of other meds...meds in general.
will it show up if being tested for opioids or just synthetic opioids? i came up positive on a drug screen for oxymorphone and i was perscribed to percocet.. can u please explain?
Stands to reason that:
2 x 5mg Percocet = 1 x 10mg Oxycontin
Don't quote me on that though. I know Percocet has both Oxymorphone AND Acetaminophen in it, and Oxycontin has Oxymorphone only. I'm not certain what the Acetaminophen brings to the table as far as drug-interactions go, but your statement that the Perc and the Oxy are the same (2x5mg vs. 1x10mg) sounds about right.
Maybe someone in the Pain-Management Community would know.
Hi Snobuny,
Welcome to our Pain Management Forum. You've asked a good question and although it may seem straight forward there's a lot to be considered.
Oxymorphone is seven times stronger then morphine while hydromorphone is five times stronger than morphine. They are in the same synthetic family of drugs. Although on "paper" Oxymorphone is more potent then Hydromorphone that doesn't necessarily mean that one is more effective then the other.
Opana ER is oxymorphone in extended release form. Oxymorphone is the STRONGEST opioid medication in pill form available in the United States soley for pain management. Therefore, short answer is yes...Opana ER is stronger than oxycodone mg to mg. For example, 1 mg of oxymorphone is stronger than 1 mg of oxycodone...to be precise, oxymorphone is approx. 2 times stronger than oxycodone.
It is very true that wen testing for Oxycodone that it can come up positive for Morphine or Oxymorphone. Doctors often do not understand how to read the tests. The article I found proving that is www.jenniferschneider.com/articles/Conv_of_Oxycodone_7_20_7.html
It is a great article that explains why Oxycodone is often read as Morphine.
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