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how do opiates compare to each other?
  1. #1
    Ahcapellette is offline New Member
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    Default how do opiates compare to each other?

    These are all things I have been prescribed either now or previously. The information I am looking for is to help my Dr. and I better manage my pain both in and out of the hospital. I have several medical problems but currently I am dealing with a gall blader on the fritz and am trying to figure out the difference between all the different pain killers I've been given in the last three years. Some have worked better then others and some I am allergic to.

    What is the difference between:
    morphine 30
    dilauded 8
    tylenol 3 or 4
    vicodin 550

    I am allergic to percoset but not these, why? I have a wierd reaction to morphine but not dilauded. What is the order of strength of these drugs ie: I didn't know that oxy's were stronger then morphine. Sometimes my vicodin makes me ichy, especially my nose, should I worry about having a reaction like I do to percosets (they give me a rash all over my face and my doctor says thats a precurser to a more serious reaction)? How similer is Morphine and Delaudid and the dosage? I know that Tylenol is a codine derivative and morphine is a natural pain killer but what are vicodin and dalaudid derived from?
    Any help would be great!

    V

  2. #2
    mpvt is offline Platinum Member
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    Morphine and diludid are strong opiates while codeine and hydrocodone are ****.....Dave

  3. #3
    zippysgoddess is offline Platinum Member
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    Dilaudid is Hydromorphone, a very strong narcotic.

    Tylenol 3&4 contain Codeine and Acetaminophen.

    Vicodin is Acetaminophen and Hydrocodone.

    Morphine is 3 times weaker than Oxycodone, so if you were taking, for instance, 20mgs of an Oxycontin, you would need 60mgs of MS Contin to reach an equivelent dose.

    I can't answer all your questions as to which are stronger and what other equivelent dosages would be, but by knowing the active drugs in each, it may help you research your information.

    Oxycodone is the strongest pain reliever, for home prescription use, that is now currently on the market.





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  4. #4
    zippysgoddess is offline Platinum Member
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    Just for some further info, if you can take Oxy, it might be the way to go, it is available by itself, without APAP or >>> added and you can use the 12 hour for long term pain relief and have an instant release for breakthrough pain.

    I also tried to find more info for you on dosing equivelents and comparisons, here's some pages I found that may help:

    http://www-users.med.cornell.edu/~sp...nc/analges.htm

    http://www.rxlist.com/cgi/generic2/fentanyl_>>>.htm

    http://www.meb.uni-bonn.de/cancer.go...000062738.html

    http://www.drugs.com/dilaudid.html

    http://cancerweb.ncl.ac.uk/cancernet/304470.html

    http://www.psychiatrist.com/pcc/pccp...3/v07n0301.pdf

    http://www.acor.org/cnet/62738.html#_557





    My information is not guaranteed correct. I do not get them right all the time, but I do enjoy the hunt~

  5. #5
    Ahcapellette is offline New Member
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    Thanks to Dave and ZippisGoddess, especially the links! I havn't ever taken oxy and am leary of them because of all the things I hear in the news ect, about how addictive they are. I have managed not to fall into that as of yet. I only take meds when I absolutly need them for the pain and I am not in pain all the time, but of course, sometimes its worse then others. actually the tylenol three and hydrocodone (vicadin) work the best. When I'm in the hospital I always have dilaudid instead of morphin because it seems to last longer and I don't have crazy morphin dreams []. but I do need something for when I am in serious long lasting pain and mabey the ms contin or oxy extendeds are the way to go...humm. Does anyone know what the percosets are dirived from, cuz I am allergic to these and am worried about haveing a reaction, either to a new drug or becoming alergic to the others. My grandmother has a lot of narcotic allergies and it is very hard to treat her for pain. I am trying to avoid this!

    thanks again!
    V

    VMF

  6. #6
    zippysgoddess is offline Platinum Member
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    Well, if you have bad reactions to Percocet, then you will not want to take Oxy, Percs are Oxycodone and Acetaminophen.

    MS Contin will probably be your best bet, and generics are available now as Morphine Sulfate Extended Release, that is whay I am currently on, I have 2 different dosages of it, so I can adjust what I take according to my pain levels, a 60mgs for a regular dose and then a 15mg I can add if my pain is really bad. I also have an instant release Oxycodone 5mg for breakthrough pain.

    I can tell you, from my use of Morphine, which has been several months now, the dreams only last a short while, they are just a side effect and do wear off after your body gets used to it.

    I can also assure you that Oxy and Morphine are no more addictive than any of the other stuff you have taken or are taking. I know everyone makes a big deal of it, and you hear a lot about it, but they have the same potential for addiction as other narcotics.

    Plus, if you are like me and only use what's needed, then your chance of getting addicted are very slim. When I had to switch from Oxycontin to MS Contin, because my insurance will no longer cover the Oxy, I didn't even suffer any withdrawals, I was able to do a clean, abrupt switch with no tapering necessary. The doc said it was because I was not using it recreationally for the high, I was using it for my pain, I hate having to use it, therefore the addiction just didn't happen for me.



    My information is not guaranteed correct. I do not get them right all the time, but I do enjoy the hunt~

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