My new doc has me on morning and night hydromorphone caps and diludid tabs for?

Well, for whatever its worth, although my experience with benzos is a totally different drug class of drugs, there may be a similar action at play. I tried going from 3mg of Klonopin over to 4mg of Xanax XR (2mg XR taken twice a day as it only lasts 12hrs). The vast majority of sites will say that they work in equal strength, nonetheless, the Xanax didn't controle any of my anxiety issues, and had to go back onto the Klonopin. It really felt like I was taking less than half my normal Klonopin. They are two different drugs, that I apparently responded much better to one vs. the other, likely due to the length of time on the Klonopin (three years) and my body's adjustment and expectation of effects not being met.

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I would suppose that there very well may be variables that aren't factored in with the conversion, such as if the CNS depression is much greater in one vs the other, but the pain killing ability is less potent could be something that isn't taken into account, as the drug my be extremely potent, it might not relieve the pain in the same way as the other one did. Nonetheless, doctors may not be able to give anything but an equivalent initially due to the CNS depression. For example, I know that (one of the meds that I know the most about as it's what I take for my chronic pain) Methadone often times will have differing conversions. Almost always rated as initially being 2x's stronger than morphine at the initial does, however, other sites at times will indicate the exact opposite. Methadone has one of the strongest effects on the CNS depression out of the opioids, and makes me wonder if the actual pain killing effect is half as strong as morphine, but as a drug in and by itself, is twice as strong. Ultimately, I don't know, I've never been on Morphine before and have no experience to compare the two. Nonetheless, it would make sense as to why the charts vary. Also, different Opioids hit the receptors in different ways, sometimes partially, and sometimes in a more complete manner, maybe giving an equal pain killing effect, but nonetheless, your system has gotten used to the drugs affects working in a certain way, thus making it seem like its not working as well. These are the only things that I can think of regarding my personal experience with the Klonopin and Xanax, as I know that Xanax is a very potent drug, and a drug that works for most people. Different drugs, but perhaps a similar effect at play.

Once again, I honestly don't know, and am only going on logic based thought (yes, I love logic, and I'm a dork :)

I hope that they can adjust the meds accordingly so that you both are feeling better asap!!!

sincerely,
Jeff K