I found an answer ,, Opana is in a group of drugs called narcotic pain relievers. It is similar to morphine.
Opana is used to treat moderate to severe pain. The extended-release form of this medication is for around-the-clock treatment of pain.
Opana is not for treating pain just after surgery unless you were already taking Opana before the surgery.
It is being prescribed off label as Actiq was initially developed for cancer pain but there are so many other meds out there that are used off label. For example, neurontin is an anti-convulsant but it is more often prescribed for nerve pain. Prescribing actiq must be out of your doctors comfort zone.
I would definitely discuss the immediate release form of Opana with your doctor.
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 used to take opana but they took it off the market and I was put on morphine sulfate er, that is the drug that tested negative. It was either false negatives both and they did send it to a lab or they set me up just to take me off the opioid. I know it sounds crazy for me to think they would set me up but it is even crazier to me to be accused of selling my meds to take other opioids. I ABSOLUTELY DO NOT TAKE STREET DRUGS OR ABUSE MY MEDS!!!
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.
https://www.belbuca.
3. Opana ER is recommended to dose every 12 hours. Not sure if the three times daily (or TID) dosing is better for you pain regimen. Consult with your provider to consider Opana ER 30 mg three tablets every 12 hours if you both agree that it is a better option for you.
4. Why are you converting to fentanyl patch? Is your pain not well controlled? What is you pain rating, based on the scale of 1-10 (with 10 being the worst pain you have)?
This has caused so much fear in me, but I have tapered down a great deal. I find the hard thing about Opana ER is that it cannot be cut, so the drop is really significant. Last month, my pain management NP told me to drop from 10 mg Opana ER mg three times a day to 5 mg Opana ER three times a day. In both cases I have three 5 mg Opana IRs to take with the ER.
His physician apparently wants him to take the Opana ER routinely and the Opana IR for break thought pain. This is not unusual. I would never add Norco back into the equation unless directed by his physician.
His symptoms could be his systems reaction to the Opana. Once his body adjusts the symptoms should subside. If he continues with the symptoms or they become more pronounced his physician should be notified.
I have been taking Opana ER 30mg. 3 times a day for several months. My doctor has moved to Alaska and gave me 3 months of prescriptions while I find another doctor. When I dropped off the 2nd prescription the pharmacy told me they have ordered Opana several times over the last month and the order has not come. I called every pharmacy in my town and they said the same thing. Tapering is out of the question, so I guess its time for me to stop taking it, and it will have to be cold turkey.
my dr just put me on opana ER 10mg 2x day and 2 lortab day for breakthru...before that was prescribed and taking 4 norco 10/325 daily and was not controlling the pain...i've been in this constant flar-up phase few weeks...
i've only been on opana er for 2 days so i know it takes around 5 days to kick in and dr says this mg is a starting point for me and will move up some accordingly...i'm glad and surprised that my pain has subsided some...
Every human makeup is different so nobody can say for sure what is right for you. However that being said a good long acting medicine is better than taking 20 short acting and then killing your liver no matter what people say about oxycontin....it does help with long term pain and you cannot abuse it. ASK YOUR DR.
my dr just put me on opana ER 10mg 2x day and 2 lortab day for breakthru...before that was prescribed and taking 4 norco 10/325 daily and was not controlling the pain...i've been in this constant flar-up phase few weeks...
i've only been on opana er for 2 days so i know it takes around 5 days to kick in and dr says this mg is a starting point for me and will move up some accordingly...i'm glad and surprised that my pain has subsided some...
Recommended
