I have been on Kadian for the past two years for a fusion at L-5/S-1. I have a plate and four screws that were broken in half in a car accident. I was taking 300mg of kadian every 12 hours. I did fine no side effects. My insurance did not approve the kadian any longer and made me move to ms contin 100mg 3pills every 8hours. I HATE it. I have an anxiety disorder treated with xanax, but since starting the ms contin I have experienced swelling of the hands, feet, neck, face, throat, vein issues, brusing under viens, hot red skin, high blood pressure and blurred vision. I feel like im going to die. i have been to the er and the have done the blood work up and scaned me for a blood clot and pe and everything was great no problems but my symptoms are getting worse. I am living in fear of dying every second. I have 3 kids and need to figure this out. i have to be there for them. I know both drugs are morphine... could the ms contin be doing this to me? side note ... I take dilaudid for break through for years no problem... pleas help
Responses (7)
25 Aug 2011
Hey demi-girl,
The active ingredient in the Kadian and the MS Contin is the same, morphine sulfate. The only thing I can think of is you are having a reaction to something in the inactive ingredients of the MS Contin. The inactive ingredients in MS Contin include: cetostearyl alcohol, hydroxyethyl cellulose, hypromellose, magnesium stearate, polyethylene glycol, talc and titanium dioxide. The Kadian contains the following inactive ingredients: hypromellose, ethylcellulose, methacrylic acid copolymer, polyethylene glycol, diethyl phthalate, talc, corn starch, and sucrose. Upon comparing the two, the only major difference with the MS contin is the magnesium stearate. You may have an allergy to this substance.
25 Aug 2011
This is a true story. I was once a a medication and they switched it to a generic. The Pill was originally white and the generic was purple. I had some very similar symptoms, I mean just like you. I did a test in a lab, yes I have access to a lab, and found that I was allergic to the FD&C blue dye in this pill. Or more precise a particular coloring in the pill. Later on I found this same coloring in IVP dye for kidney stone detection( they inject then x-ray) and prylosec ( the purple pill). I am not saying this is at all your problem but... it is worth looking into. Many people I know have had adverse reactions to generic pills and it is because of the physical and chemical make up. It is an allergic reaction. When they take what they took before or a pill that does not contain that dye, the syptoms go away. Please this may be way off from what is happening to you, but it is something you might want to ask when you speak to DR. Most Dr. do not know this.
25 Aug 2011
Dear demi-girl:
I completely understand I heard the same words except from the pain specialist who made it clear that some of these drugs it's the inert things in them or the fillers, I had problems with MS Contin like you before my fall last winter I was on Dilaudid and was able to tolerate but it took going through two manufactures, Now I presently take Opana ER and I don't have any problems taking it. I noted the extreme redness and could even feel a warm effect to my body, I don't think dying will be the issue it made me feel so medicated (that was with 100mg every 8 hours, it may be either the dose or it may be that the doctor needs to work with you in order to find a medication that does not cause these types of problems, maybe talking with him/her and explaining just how you feel will cause the doctor to try and help you find a different regimen, I encourage you to pursue this with him/her. and I wish you only the very best
Thank you so much for the information, I am grateful to everyone who posted so quickly! You have no idea how crazy i sound to everyone in "real life" who are not on medications like us. I am speaking with my dr currently!
25 Aug 2011
I agree that you are having an allergic reaction to something in the new med. I have an allergy to glycols, which are found in the inactive ingredients of some meds, and I can die from taking it. Some pills are even sprayed with Opadry clear - and that has glycols in it. So it is very possible for you to be allergic to one of many variables. All my dr has to do is have his office staff call my prescription company and tell them I have an allergic reaction and I get the brand name, etc, whatever is needed. So tomorrow you could have your old medicine back. And you need to do it tomorrow!! Allergic reactions can increase the more you are exposed to the allergen. Which means first thing tomorrow morning, or sooner if your symptoms get worse, you need to contact or go to your doctor, tell him your symptoms and have his staff get to work getting you the Kadian. You may not
25 Aug 2011
As the others have said, it is likely an inert ingredient causing the problem. Your Dr might be able to appeal to your insurance company that you cannot take the MSContin and maybe they will allow and pay for the Kadian. Have you tried several manufacturers of morphine sulfate ER? It might also help to try a drug from a diffeent manufacturer. As Laurie said, if the magnesium is the culprit, ask the pharmacist which manufacturer makes one without this ingredient. You could try this while your Dr is appealing to the insurance company. There is also the option of paying out of pocket, but I know that Kadian is very, very expensive.
26 Aug 2011
its not the ms contin i take that and i have nothing like that although it is diff for everybody so ... my guess is the mix of both thath and the dilauded that stuff is no joke im on 30 mg of ms contin 2 a day and 3 ten norcos a day then .25 xannies 3 a day which does nothing for me i need atleast 2mg 2 to 3 a day. but my guess is the dilauded dude
30 Aug 2011
I agree with everyone's responses on here and I do strongly advise that you speak with your doctor, and if he can't see you then go to his office and just sit there and wait until you annoy them enough that they see you! Insurance companies will pay for the brand name medications if your doctor writes for Kadian and marks the box on the script that "Brand Name Medically Necessary". It will take a lot of work and paperwork to get the brand name of Kadian but it will be worth it in the long run. There are other medications that can help your pain, and until you know what it is that you are reacting to it will be hard to make a good sound judgement on what it is that you can take. You can develop an allergy to a medication after taking it for a long time. I know this because I did... and it almost killed me. You have to be aggressive with this doctor and show him the physical reactions that you are having.
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Thank you so much for the information, I am grateful to everyone who posted so quickly! You have no idea how crazy i sound to everyone in "real life" who are not on medications like us. I am speaking with my dr currently!