Oxymorphone vs hydromorphone

Common Questions and Answers about Oxymorphone vs hydromorphone

opana

Also, oxymorphone, especially in its instant release package, has a considerably stronger punch than hydromorphone. Honestly, you probably couldn't even get diacetylmorphine(HEROIN) on the streets that is more potent. Money rules the world people. Pharmaceutical companies bought their rights to sell dope legally. God bless us all.
Are opana and hydromorphone the same drug (I know dilaudid is immediate release and opana is extended release, but are they same chemically?
That' sall well and good, but I know for a fact that I feel much differently when taking one vs. the other. Maybe he was handing me a line.
The difference is Opana is 2 different compounds essentially. OxyMorphone if I remember correctly, so it should work differently than just Morphine alone.
i also have hydromorphone would it be better to taper off one or both at same time how is things working for you, i have noticed i guess with taken some kind of pain med for so long i dont get much effect from the oxymorphone or the hydromorphone it is like i didnt even take anything i dont feel anything at all
Tylenol 3 dosent have the same pain relief as either hydrocodone or Oxycodone,Oxy being the strongest of the 3 being converted in Oxymorphone by the liver,hydrocodone is turned into Hydromorphone and Codeine into Morphine but the thing is only a small ammount of it.
5 mg bid yields a 5 mg increase in oxycodone vs. a 15 mg increase. The 7.5 mg oxymorphone ER dose bid would be the closest in terms of equivalent oxycodone dosing. So conversions are not simple and to spare folks of all of this math, I leave it out and provide only what I think is necessary to answer the question.
When oxycodone metabolizes, it leaves 15% as oxymorphone. Because oxymorphone has a longer half life than oxycodone, it is often present in the urine after oxycodone falls below the detection threshold. See PPM for more info: http://www.practicalpainmanagement.
Another 'fine line' is the psychological dependence vs. physical dependence aspect. The body has a funny way of tricking you into thinking you're in more pain than you really are. Case & point... me. While I was taking narcotic pain-killers for my chronic-pain & acute-pain, both associated with kidney-stones, my mind & body had me convinced, utterly CONVINCED, that I was in a substantial amount of pain.
There are also other long acting meds beside Oxycontin that you could look into such as Oxymorphone (Opana), Hydromorphone (Dilaudid), and Fentanyl which all have a potency that is greater than morphine. My appointment is Jan 3rd, I will let you know how it goes.
Starts with poppy-based raw material (codeine, morphine, thebaine) and chemically alter these in the lab to come up with hydromorphone, hydrocodone, oxycodone, oxymorphone, desomorphine, diacetylmorphine (heroin), etc. Opioid, fully synthetic: Fentanyl, pethidine, methadone, tramadol, dextropropoxyphene, buprenorphine (suboxone), etc. Created in lab with no need for raw material derived from the poppy. Many derived from petroleum.
A while back I posted a topic on Morphine Vs Negative Drug screen. It has some very informative info and also explains why the tests can come out negative. Scroll down a few pages and you'll find it or PM Beargizmo, I sent it to him.
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................Levorphanol (Dromoran) 300mg............Meperidine (Demerol) 10-20mg.........Methadone 30-60mg.........Morphine 20mg..............Oxycodone (Oxycontin, Percocet) 10mg..............Oxymorphone (Numorphan) 200-300mg.....Propoxyphene (Darvocet) 150mg............