- 13 Mar 2012 by Lydette
- opana, pain, morphine, dosage
I've had to be moved from Opana 40 mg 2x daily to morphine 60 mg 2 x daily due to the reformulation issue. Some pharmacies have begun to get Opana back in differing dosages. I've had a terrible time during this transition. In my opinion Opana is a uniquely effective pain mgmt drug. Has anyone else suffered from the change?
What I like about Opana is that not only does it really address my severe pain but I have few side effects and it makes me feel like I can do more. Even though I really can't it gives me the feeling that I can. I think that's really healthy. I use Oxycodone 7.5/325 for breakthrough pain, Lyrica for my piriformis syndrome, celebrex for severe inflammation, and other stuff. I have terrible degenerative disease in all of my lumbar discs with stenosis, and my cervical spine is a terrible state and we're thinking about what we need to do with fusions. I need a full knee replacement, tarsal tunnel syndrome. I don't really want to discuss it anymore - I know it can sound like 'whoa is me'. I just want to ask anyone how difficult it was for those with chronic pain (and I DON'T want to hear from addicts about what a 'drag' it's been' for them to be unable to snort Opana any longer - I can't really comment on it.
So, has anyone else had a terrible transition to other narcotics due to the reformulation of Opana?
Thanks folks! I'm a new member and will looking for guidance!
27 Jun 2012
I'm a pharmacy tech and my pharmacists and surrounding pharamacies won't even order opana because it was the new drug of choice of addicts. We still don't order it and tell everyone no. It's beyond my control but most of the opana scripts (which we hardly get) are bad scripts anyway. I just wanted to give you guys that info too bc pharmacies won't tell their patients the truth about narcs. I really wish you all well and pray your pain will be alleviated. By the way, I live in Michigan.
20 Apr 2012
I just took my 2nd dose of the new reformulated Opana and I feel AWFUL. I feel very,groggy, foggy headed and like I took too much medication despite that I took my reg. dose. I also have this feeling of mild fire wafting up my esophogus and a mild headache. My heart is also beating too slow. Whatever they changed, they screwed up royally. If this gets worse, I'm arfaid I'm going to have to go to the ER. That's how bad this is. Be careful everyone who is taking this med when you get the new reformulation!
15 May 2012
I just created an account to answer this... I'm on Opana er 40mg 3x a day and oxycodone 30 mg 6 x a day... I fell 4 stories and have alot of bone and nerve damage going through some epidurals at the moment... I guess what I want to say is, I have tried alot of different pain meds such as morphine 60 3x a day and a few others I can't quite remember but,when I finally got put on the Opana ER and oxycodone for IR Finally something that works and helps me to enjoy a few things I couldn't before and after being on it for 2 years the reformulation process made it hard to get but I got by and have a wonderful pharmacist that helps me get through it...
Well today I went to the Dr and it's a fairly large pain center with 5 doctors and a Physicians and he came in the room and said well we have decided to take all the patients that are on Opana and put them on other medications because to many patients coming back saying they can't find it any where and they will no longer be giving Opana out at their clinic... My Dr is also the owner of the clinic and I told him my pharmacy tries to have them ordered for me because I go there every month for the past 5 years so thank you God!!! The Dr handed me my Opana ER prescription and said if you can get it every month with no problem you will be the only patient here on Opana and when I went to my Pharmacist he had my scripts and as far as the reformulation that is fine with me because I take them as directed for pain and I take them whole... I will say it has changed my life as far as the pain level to be able to do things that I couldn't do before without severe pain now after one task I will sit for a few and then do something else... I don't think going back to Morphine will even remotely compare to the Opana as far as the pain level How is that working for you Lydia? I was going to suggest maybe you could ask your Doctor for the 15 mg oxycodone it has nothing else no Tylenol which through the years got hard on my Liver the Dr said and didn't want me to have Tylenol and they work really good they have helped me alot... Lydia hope this helps My pharmacist at Walgreen's told and BTW you will actually talk to a call center and they do not have the right info sometimes so just tell them you want to talk to a certain store... My Pharmacist told me that sometimes the call center has different info than the actual store one time I was told they didn't have any and the actual store did have them so sometimes it's a mix-up that way because when they reformulate them the ndc#'s change so the call center looks at the old formula ndc# and it shows they are out when they actual have it under the new formulation I'm so sorry this is so long but, I do understand what you are going through I am just beginning to get them regularly again one in part my knowledgeable Pharmacist and right now after a year my ins requires a Prior authorization which takes 3-5 days so my pharmacist has filled the bottle so I will be able to have them when it goes through thank God for that I hope it helps Lydia God Bless! and to all the addicts please seek God for help and go to rehab they have programs as well for Opana only!!! Thanks,Gary
21 Apr 2012
I have also had to change to 60 mg morphine er due to endo changing the formula and ruining a perfectly good drug that leaves us without much to choose from now. I have just noticed I am a lot more tired and pain control isn't controlled as good as with old opana. Just hate that people with real pain issues have to suffer. Hated to see endo is getting money off my morphine after what they did to us. Don't fill new formula. Just wasting money and they do not work.
14 Mar 2012
Hi Lydia and welcome to the site. I had not heard of any reformulation with Opana. I did hear about the problem with the facility that manufactures it. I know pharmacies are having problems getting and keeping it in stock because of this. I can say that when they changed the formula for OxyContin it did not work as well for me and many others. Is this what is happening with Opana? Have they changed the formula to make it harder to abuse? Sorry I know I wasn't much help. I do understand though as it was a MAJOR difference for me when they changed OxyContin. Hopefully you will get some more helpful answers from other more knowledgeable members. Good luck and best wishes.
Your friend -Terri-
25 Mar 2012
Well, I guess that we are both in the same boat. I have been on 40mg. opana er for about 2 years, and when it was pulled from the mkt. last month, I was put on oxycontin 80mg. and they DO NOT WORk. Several yrs. ago, I was on them, and they worked at that time, but they sure arent any good now. This has been a very painful month for me, The oxycontin was changed, and now the pill is hard, and I guess it is full of wax or something, but what-ever they did to it made it a drug that does not work. I pray that they havent done that to the opana, altho I have heard from several people that it is different to. I wish that the druggies would stop the bull crap that messes up a drug that REALLY works doe those of us that need it. I also have a lot of trouble with my back. Dr. wanted to do surgery on my back about 3 years ago, and I refused because I know to many people--my Mother being one of them that the surg. has messed up really bad.
Before all the cutting on her, she was able to at least walk thru the house, and now she cant walk without a walker, and I dont want to be dependant on anyone, so I chose NOT to have the surgery. The oopana kept my pain at a very tolerable level, and when they had to give me the oxycontin, I found out what the pain was really like all over again. Everytime the doctor finds something that really works for we--the ones that really need a pain killer the damned druggies ruin it for us, and I know that first hand, because I have family that just love to abuse drugs, and I keepine under lock and key. And we have to pay by being in pain for the ones that just want to as they say--get high. Well, I'm sorry, I would not know what that means, as the meds that I take go to my pain, and not my brain. For both our sakes, I pray that they don't mess up the one thing that I know for a fact does work.
14 May 2012
I have just wrote to Endo about the new formulation my husband has extreme Lupus and he has had a terrible time with the transition. He has hurt so bad I can't explain what he is going through. He is not an addict but the doctors don't want to hear his issues because they say they have given him the highest dose they can give him. He could work with the old formula and now he is so swollen and in so much pain I am worried he will loose his job because he is unable to do his task. The doctor put him on Oxycodone while the transition was made to the Opana ER then took him off when the medicine was back on the market. I feel so sorry for him and I don't know how to help him. Please people pull together on this and contact ENDO. They need to change the formula back to the original midicine.
15 Mar 2012
It sounds like you and I have many of the same spinal problems. I also have IC, Firbo and IBS. I've been seeing a Pain Managment doc and we are about to switch me from Avinza 120mg once daily to Opana ER, probably at 40mg. I threw my pills away by mistake and had to ask my doctor for something to last until my next appt. They gave me MS Contin 60mg 2 times a day.
I find it only lasts for about 8 hours, and in the literature I received when I picked them up it says take every 8 to 12 hours. I think it if I could take them every 8 hours I would be good. The Avinza costs me $50 per month and I will have to pay $75 for the Opana, but I understand there is a discount card that takes $25 but it only lasts for 1 year. The MS Contin only cost me $10!!
If there has been a change in the Opana that is making you have to switch to Morphine, you might want to take that under consideration. These days I think we're all looking to save money, and like you I take several other meds monthly.
Let us know how you do with the change, and does anyone think that a switch to Opana ER from Avinza/MS Contin would be a bad idea, since they aren't working for Lydia?
Thanks and God Bless
21 Mar 2012
How wonderful you all are. Thanks for the support and recommendations.
I spoke to my doctor's asst. a few minutes ago... during this entire fiasco of having to switch me to morphine from Opana he was on holiday! This caused horrible issues as I had to call and beg his substitute for options when the morphone didn't work. What a nightmare.
Anyway, the assistant told me that the pharmaceutical rep was in their office this week saying that Opana should be back in stores now, Kroger Pharmacy in my area being the first (Ohio). I'll start checking around and let everyone know!
10 May 2012
I was prescribed opana 30mg 3xa/day. Since the new opana came out I am in severe pain. They do not control pain like the old form of opana. I suffered for so many years,until being prescribed opana. They desperately need to bring the original form of opana back,because the new form is no good.
14 Mar 2012
I hadn't heard of this either. I have a friend who takes Opana & is having a hard time getting it, but his doctor who is the head of a hospital did not say anything about reforulating. Where did you hear this if I might ask... Mary
20 Mar 2012
Yes they are making them in new abuse proof very similar to the new oxycontin.they have already started receiving the 10 &20 mg strengths in pharmacies in tenn. where I live.i have psoriatic arthritis & take opana er30mg.2x daily im so scared the new reformulation wont work .good luck.everyone
14 Mar 2012
Thanks for responding so quickly.
Yes, from what I understand the ER versions of Opana were removed from the market to make them more resistant to abuse. It seems the ones that are available now are actually a generic version! That blew my socks off as I didn't know there was a generic versions and I assumed that with the reformulation happening it was also a good reason to restart the patent date.
Thanks for your help.
14 Mar 2012
Oh, sorry Mary, I heard this from my Pharmacist and my pain mgmt specialist's assistant.
18 Jun 2012
Opana ER and IR has been formulated into a different pill. I tried the new Opana and done fine on it. I am on the new Oxy op.. its ok too. It's all designed to prevent crushing.
When Opana was first messed up, it was because not once but several lots from a facility had added wrong pills. At that time they pulled it all and started a new pill.. round in fact not a hexagon shape which is now in full production.
Like I said both new drugs are fine and make sure you take it without food and allow 1-2 hours after Taking it to eat.. so it has time to metabolize. Take it with plenty of water 8-10 ounces of water to help it digest. Hope this helps.
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