You are actually getting 5 mg less of oxycodone through the switch from percocet to Opana ER. However, since Opana ER is an entirely different opioid formulation. There is probably some cross tolerance and your doctor applied a 20% cross tolerance factor when converting you from oxycodone to Opana ER. This is to protect you from severe side effects and a potential overdose of the Opana.
I am currently taking Opana ER 30mg /2 TID for long term spinal pain due to breaks and fusions. I am going to try replacing that for a short time with a Fentanyl Patch to see if I have any improvement in Pain Mgmt. I am just wondering what regimen I should use to safely do this. For example. Is it as easy as waiting 12 hrs. after my last Opana ER and then apply the patch (it's a 3 day patch) then take another ER once the 3 days has expired?
t know how many 5/325 mg Percocets you were taking a day before switching to the Opana ER 5 mg, but to have equivalent pain relief from the Opana ER, you had to have taken only 2 Percocets a day. If you were taking more than 2 Percocets a day then the switch to Opana ER 5 mg was a step down in terms of pain relieving strength.
Doc prescribes Opana because it is slower release and recommends switching out one of the vico doses for a 10mg Opana for a week, then dropping the vico and moving to the Opana. Still an opioid, but low dose to buy time until the MRI can be done to determine if nerve abulation (deadening the nerves at the base of the spine) is the next course of action, or if total fusion is necessary. Have to admit that so far none of these are appealing to me.
You are taking Opana ER every 4-6 hours? Opana ER is meant to be taken every 12 hours, not every 4-6 hours. In fact, most insurance companies will not pay for extended release medications to be taken more than 2 times per day. I am very surprised that both your doctor and insurance are permitting the dosing schedule you stated.
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I agree with Tuck. We are all different. I was recently switched to Opana ER 30 mg two times a day. Before the switch I was taking Morphine ER 30 mg two times a day PLUS 7 percocet EVERY DAY and STILL battled pain. I now only need 2-3 percocet a day and live virtually pain free. I have done some research on Opana, and it is special in that it binds to not only the mu opioid receptors but also the delta and kappa opioid receptors.
So you are using Opana ER 10mg twice a day?
Because of your many years of pain and opioid medication, you are highly tolerant to opioids analgesics. This means that you need more opioid to achieve the same amount of pain relief.
My question is: why does your doctor want to change the Duragesic to Opana ER?
Also, how long after changing from Duragesic to Opana ER did you begin to feel more pain?
Did they check off oxymorphone (opana) or morphine on the lab slip? Oxymorphone (Opana) is a semi-synthetic opioid, unlike morphine which is an opiate.
If there was an error is the test request, that could explain the false negative.
Btw, Opana is available in generic form- oxymorphone hcl ER by globabal pharmaceuticals. I know because I take it currently.
Hi I take 1 20mg opana er per day I'm prescribed 3 a day but never take 3, maybe 2 if I'm having a really bad pain day but that is usually 1 or 2 days per month. I would like to come totally off it to see if I can manage my pain in more natural ways. Being that I that so little will WD be bad, should I just go cold turkey or wean by putting more space between doses?
I am on 30 mg of morphine sulfate ER twice a day with up to 35 mg of percocet a day for breakthrough pain (about to switch to Opana ER tomorrow...maybe). I have taken the max of 35 mg of percocet in one day before along with 60 mg of morphine sulfate ER. BUT, you must make sure your doctor as ordered this as Jaybay said because the doctor makes sure you are opioid tolerant enough such that you won't experience severe respiratory depression when you combine the percocet with the morphine.
I agree with Geminigirl and Tuckamore's comments that medications affect everyone differently and what may work for someone may not work well for you. But given my recent medication change to Opana ER, I have found information all across the internet from other chronic pain patients that are being switched from Oxycontin to Opana ER due to their doctor's unwillingness to continue to prescribe the medication due to bad press and associated fear from DEA prosecution.
Ive been taking oxycontin 80, (6 day) & dilaudid 8 (8 day) for 15 years due to many health issues ... I was just put on opana 40 ER (4 day)& Opana 10 (4 day). Since i've been on the new meds i think i have been blacking out; l be doing something and i open my eyes and i dont know where i am, or what just happened, Are these seizures??? Or Withdrawals ??? Both?? Does Anyone Have Any Input?
It is a step down but you could combine a 5 mg and a 10 mg tablet to equal 30 mg of oxycodone. Because of incomplete cross tolerance due to Opana IR (oxymorphone) being a totally different opioid, you could have great success with it as a breakthrough pain med. Dilaudid and Opana IR are the only IR pills stronger than oxycodone on the market. The next tier up would be the fentanyl lollipops or buccal tablets. Good luck. Let us know how things go.
Not sure if you have tried Opana (oxymorphone) yet but based on pharmacology, it is a little stronger than Dilaudid (hydromorphone) mg to mg. I am on 30 mg of Opana ER twice a day. They do have Opana in immediate release form. 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...
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